Health & Medical Diabetes

Type 2 Diabetes - Medical Nutrition Therapy for Preventing Diabetes

Diabetes is defined with the use of glycosylated hemoglobin or HbA1c, a blood test that indicates blood sugar levels over the previous 3 months.
A normal level is less than 5.
7 percent.
Type 2 diabetes is diagnosed when the HbA1c is 6.
5 percent or higher.
Prediabetes is defined as the gray area between 5.
7 percent and 6.
4 percent.
Individuals with prediabetes are at risk for eventually developing full-blown Type 2 diabetes.
According to an article published in the Journal of the Academy of Nutrition and Diet in September 2014, medical nutrition therapy can be helpful in preventing prediabetes from progressing on to Type 2 diabetes.
In a 12 week study, researchers looked at 76 adults with prediabetes...
  • one group was given medical nutrition therapy while the
  • other participants were assigned to receive the 'usual.
    ' care
At the end of the study...
  • the individuals receiving medical nutrition therapy averaged HbA1c levels of 5.
    79 percent, compared to the
  • 'usual' care group, who averaged 6.
    01 percent.
The Diabetes Risk Score went from an average of 17.
54 in the medical nutrition therapy group to 15.
31.
The usual care group showed a decrease from 17.
23 to 16.
83.
Cholesterol and LDL cholesterol were decreased in both groups.
This information led to the conclusion medical nutrition therapy is effective in lowering HbA1c levels in prediabetic patients.
The Diabetes Risk Score is calculated from a simple test available online from the American Diabetes Association.
It takes into account...
  • unmodifiable factors such as gender and family history, as well as
  • modifiable factors such as weight and blood pressure.
Go to the website at http://www.
diabetes.
org/are-you-at-risk/diabetes-risk-test/
to take the short quiz and get results instantly.
The American Diabetes Association strongly recommends people diagnosed with prediabetes receive medical nutrition therapy.
The therapy is performed by Registered Dietitians who set individual goals for each client.
A dietitian will have their client keep a food diary for 3 days.
Looking at the diary, the dietitian can then diagnose areas in need of improvement.
At that point the dietitian can sit down with their prediabetic client and recommend a plan for a more nutritious diet that might include normalizing weight as indicated.
An old Chinese proverb says that habits are changed by habits.
Setting goals and having a concrete plan for eating nutritious foods at regular intervals can help those with or heading for Type 2 diabetes, lose bad habits by replacing them with good habits.


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