DM: Introduction (2015)
Guideline Overview
Guideline Title
Prevention of Type 2 Diabetes (2014) Evidence-Based Nutrition Practice Guideline
Purpose
The focus of this guideline is on medical nutrition therapy (MNT) for individuals who are at high risk for type 2 diabetes, such as individuals with prediabetes and adults with metabolic syndrome.
The primary goals of MNT are to improve glycemic control and minimize the impact of other comorbidities, such as obesity, hypertension and disorders of lipid metabolism, in order to prevent progression to type 2 diabetes.
Guideline Development
- Screen for Type 2 Diabetes Risk
- MNT for Prevention of Type 2 Diabetes in High Risk Groups
- Assessment in High Risk Groups
- Weight Loss and Prevention of Type 2 Diabetes
- Nutrition Prescription for Macronutrients
- Fiber and Prevention of Type 2 Diabetes
- Whole Grains and Prevention of Type 2 Diabetes
- Vegetable-based Protein and Prevention of Type 2 Diabetes
- Type of Fat and Prevention of Type 2 Diabetes
- Fruits and Vegetables and Prevention of Type 2 Diabetes
- Sugar and Prevention of Type 2 Diabetes
- Glycemic Index/Glycemic Load and Prevention of Type 2 Diabetes
- Physical Activity and Prevention of Type 2 Diabetes
- Nutrition-related Effects of Medications
- Nutrition Counseling
- Coordination of Care
- Monitoring and Evaluation in High Risk Groups
- Recommendations: 17
- Conclusion Statements: 108
- Evidence Summaries: 108
- Article Worksheets: 300
Revision
All Academy guidelines are revised every five years. The literature search will begin for each guideline topic three years after publication to identify new research that has been published since the previous search was completed. An expert workgroup will convene to determine the need for new and revised recommendations. See Revision under Guideline Development for more information. The updated guideline will be developed using the Academy of Nutrition and Dietetics Evidence Analysis Process (see EAL Policy and Process tab).
New research may warrant a revision to a specific question or recommendation prior to the full project or guideline revision. Once identified, information is gathered and the Evidence-Based Practice Committee will make a decision on the appropriate action.
Contraindications
- Clinical judgment is crucial in the application of these guidelines. People planning interventions should consider what adaptations may be needed for different ethnic groups (particularly with regard to culturally-specific dietary advice), people with physical limitations and people with mental health problems.
- Careful consideration should be given to the application of these guidelines for patients with significant medical co-morbidities.
Go to Scope of Guideline