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  • Assessment
    Nutrition Practice Guideline: Effectiveness of Medical Nutrition Therapy in the management of diabetes types 1 and 2 (2001)
    • Conclusion

      Medical Nutrition Therapy (MNT) using Nutrition Practice Guidelines for both type 1 and type 2 diabetes mellitus resulted in 1% to 2% decreases in A1C (8% to 7%) after 3 to 6 months intervention with an average of 3 counseling sessions with the RD. To be effective, MNT needs to be individualized based on usual food intake to achieve glucose and lipid goals considering the motivational and educational level of the patient. Follow-up MNT is recommended for reinforcement, with changes in medical status or diabetes medications or for intensive treatment of type 1 diabetes.  (2001)

       

    • Grade: I
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.
    Nutrition Practice Guidelines for Type 1 and 2 Diabetes: Self-Management (2001)
    • Conclusion

      Medical Nutrition Therapy (MNT) using Nutrition Practice Guidelines for both type 1 and type 2 diabetes mellitus resulted in 1% to 2% decreases in A1C (8% to7%) after 3 to 6 months intervention with an average of 3 counseling sessions with the RD. To be effective, MNT needs to be individualized based on usual food intake to achieve glucose and lipid goals considering the motivational and educational level of the patient. Follow-up MNT is recommended for reinforcement, with changes in medical status or diabetes medications or for intensive treatment of type 1 diabetes. (2001)

       

    • Grade: I
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
      • Ungraded means a grade is not assignable.