GDM: Protein (2001)

Citation:
 
Study Design:
Class:
- Click here for explanation of classification scheme.
Quality Rating:
Research Purpose:
This paper reflects scientific nutrition and diabetes knowledge as of 1994.
Inclusion Criteria:
Inclusion criteria for research articles not described.
Exclusion Criteria:
Exclusion criteria for research articles not described.
Description of Study Protocol:

Recruitment

Search methods for research articles not described.

Design:  Consensus Statement.

Blinding used (if applicable):  Not applicable.

Intervention (if applicable):  Not applicable.

Statistical Analysis

Statistical analysis not completed.

 

Data Collection Summary:

Timing of Measurements:  Not applicable 

Dependent Variables:  Not applicable

Independent Variables:  Not applicable 

Control Variables:  Not applicable

 

Description of Actual Data Sample:

Initial N: 3 references included, position paper based on technical paper

Attrition (final N):  3 references

Age:  not applicable

Ethnicity:  not applicable

Other relevant demographics:

Anthropometrics:

Location:  Worldwide studies

 

Summary of Results:

Other Findings

Goals of Medical Nutrition Therapy:

  • Maintenance of as near-normal blood glucose levels as possible by balancing food intake with insulin or oral glucose-lowering medications and activity levels
  • Achievement of optimal serum lipid levels
  • Provision of adequate energy for maintaining or attaining reasonable weights for adults, normal growth and development rates in children and adolescents, increased metabolic needs during pregnancy and lactation, or recovery from catabolic illnesses
  • Prevention and treatment of the acute complications of insulin-treated diabetes such as hypoglycemia, short-term illnesses, and exercise-related problems, and of the long-term complications of diabetes such as renal disease, autonomic neuropathy, hypertension and cardiovascular disease
  • Improvement of overall health through optimal nutrition

 

Author Conclusion:

MNT for people with diabetes should be individualized, with consideration given to usual eating habits and other lifestyle factors.  Nutrition recommendations are then developed to meet treatment goals and desired outcomes.  Monitoring metabolic parameters including blood glucose, glycated hemoglobin, lipids, blood pressure, and body weight, as well as quality of life, is crucial to ensure successful outcomes.

Funding Source:
Other: no funding reported
Reviewer Comments:
Search methods not described and quality of studies not assessed.
Quality Criteria Checklist: Review Articles
Relevance Questions
  1. Will the answer if true, have a direct bearing on the health of patients? Yes
  2. Is the outcome or topic something that patients/clients/population groups would care about? Yes
  3. Is the problem addressed in the review one that is relevant to dietetics practice? Yes
  4. Will the information, if true, require a change in practice? Yes
 
Validity Questions
  1. Was the question for the review clearly focused and appropriate? Yes
  2. Was the search strategy used to locate relevant studies comprehensive? Were the databases searched and the search termsused described? No
  3. Were explicit methods used to select studies to include in the review? Were inclusion/exclusion criteria specified andappropriate? Wereselectionmethods unbiased? No
  4. Was there an appraisal of the quality and validity of studies included in the review? Were appraisal methodsspecified,appropriate, andreproducible? No
  5. Were specific treatments/interventions/exposures described? Were treatments similar enough to be combined? Yes
  6. Was the outcome of interest clearly indicated? Were other potential harms and benefits considered? Yes
  7. Were processes for data abstraction, synthesis, and analysis described? Were they applied consistently acrossstudies and groups? Was thereappropriate use of qualitative and/or quantitative synthesis? Was variation in findings among studies analyzed? Were heterogeneity issued considered? If data from studies were aggregated for meta-analysis, was the procedure described? No
  8. Are the results clearly presented in narrative and/or quantitative terms? If summary statistics are used, are levels ofsignificance and/or confidence intervals included? Yes
  9. Are conclusions supported by results with biases and limitations taken into consideration? Are limitations ofthe review identified anddiscussed? Yes
  10. Was bias due to the review's funding or sponsorship unlikely? Yes