Diets rich in whole grains, fruits, vegetables, legumes, nuts,
moderate in alcohol consumption, and lower in refined grains, red/processed
meats, and sugar-sweetened beverages have demonstrated to reduce diabetes risk
and improve glycemic control and blood lipids in patients with diabetes.This
paper summarizes current information available from a variety of scientifically
based guidelines and resources on nutritional recommendations for adult people
with diabetes (PWD). It is designed to take these guidelines and provide an
overview of practical applications and tips in one place for health care
practitioners who treat PWD. The sections are divided into components of
nutritional content, with associated goals for PWD, as well as reviews of
present nutritional topics of interest, including weight loss diets in the
current press. The information also includes sources for further review, and
resources that can be utilized for PWD. A main message is that nutrition plans
should be individualized and flexible to meet the specific needs of the PWD, in
consideration of their ability to implement the changes. Education is best
given by a team approach and should not simply be delivered by giving a person
a one-size-fits all diet sheet. Referral to a diabetes self-management
education (DSMES) program that includes counseling and instruction on nutrition
therapy by a Registered Dietitian Nutritionist (RDN) is highlighted.
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