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Diabetes Type 1 and 2

DM: Introduction (2015)

Guideline Overview

Guideline Title

Diabetes Type 1 and 2 (2015) Evidence-Based Nutrition Practice Guideline

Guideline Narrative Overview

The focus of this guideline is on medical nutrition therapy (MNT) for adults with type 1 and type 2 diabetes.

The primary goals of MNT for adults with type 1 and type 2 diabetes include glycemic control as well as prevention and treatment of cardiovascular disease. Secondary goals include improvement of quality of life, and optimization of medication usage, and weight management.

Guideline Development

This guideline is intended for use by registered dietitian nutritionists (RDNs) involved in providing medical nutrition therapy (MNT) for adults with type 1 and type 2 diabetes. The application of the guideline must be individualized to assist the RDN to successfully integrate MNT into the overall medical management of adults with type 1 and type 2 diabetes. The recommendations in the guideline are based on a systematic review of the literature and the work performed by the Academy of Nutrition and Dietetics Expert Working Group on Diabetes Type 1 and 2 and the American Diabetes Association (ADA).
 
Recommendations include:
  • Screening and Referral for Medical Nutrition Therapy
  • Medical Nutrition Therapy
  • Nutrition Assessment
  • Individualize Nutrition Prescription
  • Energy Intake
  • Macronutrient Composition
  • Carbohydrate Management Strategies
  • Fiber Intake
  • Glycemic Index and Glycemic Load
  • Nutritive Sweeteners
  • FDA-Approved Non-Nutritive Sweeteners
  • Protein Intake and Protein Intake for Diabetic Kidney Disease (DKD)
  • Cardioprotective Eating Pattern
  • Vitamin, Mineral and/or Herbal Supplementation
  • Alcohol Consumption
  • Physical Activity
  • Education on Glucose Monitoring
  • Coordination of Care
  • Monitor and Evaluate Effectiveness of Medical Nutrition Therapy
The number of supporting documents for these topics is below:
  • Recommendations: 19
  • Conclusion Statements: 40  
  • Evidence Summaries: 38 
  • Article Worksheets:  169

Contributors

To see the list of expert work group members, analysts and contributors for this project expand the Project Team section.

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 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.