Weight Loss
Weight loss by being at 7% of body weight for those who are overweight or obese if they have diabetes or are at high risk for them is recommended. (This amount of weight loss has been shown both to prevent diabetes and improve the prospects of those who are already diabetic.) "Standards of medical care in diabetes-2012," says the American Diabetes Association "is. Low carb, low fat or low calorie mediterranean diets can be effective in the short term (up to 2 years) "Then he said:" For patients with low-carb, monitor lipid profiles, renal function, and protein intake (in those with nephropathy), and adjust hypoglycemic therapy as needed . "This shows that it recommended a degree of caution, reducing carbohydrates. It is well worth noting that the statement that the recommendations for monitoring not "evidence" (as most of its recommendations) based, but in the "expert opinion". The drug control part is very important because reducing carbohydrates in the diet is almost inevitable that less medication is required.Bariatric surgery is also an option for adults who are overweight (BMI over 35) and diabetes, "especially if the diabetes or comorbidities are difficult to control with lifestyle and pharmacologic therapy."
Another recommendation for weight loss is that "physical activity and behavior modification are important components of weight loss programs and are very helpful in maintaining weight loss." For the prevention of diabetes at least 150 minutes of moderate activity per week is recommended.
Glycemic control
- Current ADA recommendations of the role of diet in the treatment of diabetes are quoting the statement:
- The mixture of carbohydrates, proteins, and fats can be adjusted in order to achieve metabolic goals and preference of the person with diabetes.
- Monitoring carbohydrate, whether by carbohydrate counting, choices, or experience-based estimation remains a key strategy in achieving glycemic control.
- The intake of saturated fats should
- The consumption of trans fatty acids are minimized.
- It is recommended that individual planning meals include optimizing the selection of foods (RDA) / Dietary Reference Intake (DRI) meet daily amount for all micronutrients (vitamins and minerals.
Source:
American Diabetes Association. Standards of medical care in diabetes, 2012. Diabetes Care January 2012 vol. 35 no. Supplement 1 S11-S63.
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