Diabetes dietary recommendations for preventing complications by american dietetic association


 * Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [mailto:psingh@perfuse.org];

Overview
==American Dietetic Association: General Nutrition Recommendations (DO NOT EDIT)  == {{cquote|

DM: Prevention and Treatment of CVD
CVD (cardiovascular diseases) and Cardioprotective Nutrition Therapy

Cardioprotective nutrition interventions for the prevention and treatment of CVD should be implemented in the initial series of encounters. Diabetes is associated with an increased risk for CVD and glycemic control may improve the lipid profile.

Strong, Imperative

CVD and Cardioprotective Nutrition Interventions

Cardioprotective nutrition interventions for prevention and treatment of CVD include reduction in saturated and trans fats and dietary cholesterol, and interventions to improve blood pressure. Studies in persons with diabetes utilizing these interventions report a reduction in cardiovascular risk and improved cardiovascular outcomes.

Strong, Imperative

Recommendation Strength Rationale
 * Conclusion statement was Grade I

DM: Protein and Diabetes
Protein Intake and Nephropathy

In persons with diabetic nephropathy, a protein intake of one gram or less per kg body weight per day is recommended. Diets with less than one gram protein per kg body weight per day have been shown to improve albuminuria in persons with nephropathy; however, they have not been shown to have significant effects on GFR.

Fair, Conditional

Protein Intake and Late Stage Nephropathy

For persons with late stage diabetic nephropathy (CKD Stages 3-5), hypoalbuminemia (an indicator of malnutrition) and energy intake must be monitored and changes in protein and energy intake made to correct deficits. A protein intake of approximately 0.7 grams per kg body weight per day has been associated with hypoalbuminemia, whereas a protein intake of approximately 0.9 grams per kg body weight per day has not.

Fair, Conditional

Recommendation Strength Rationale
 * Conclusion statement is Grade II

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