Diabetes UK issues new nutrition guidelines for the prevention and management of diabetes
November - 30 - 2011
Nutritional management is of prime importance in patients with diabetes. Diabetes UK recently updated its nutrition guidelines, which cover the prevention of type 2 diabetes and the nutritional management of type 1 and type 2 diabetes. The recommendations are mostly based on evidence from published literature. In issues lacking strong evidence, recommendations by consensus were made. In addition to nutritional therapy, the updated guidelines addressed diabetes complications such as diabetes-associated tissue and organ damage, macro- and microvascular complications, management of body weight and hypoglycemia, care for elderly diabetics, diabetes education and end-of-life care. The guidelines do not include recommendations for pediatric diabetes. Comorbid conditions such as celiac disease, cystic fibrosis, eating disorders, HIV and disease of the pancreas were also addressed. Special attention were given on women of child-bearing potential, with recommendations for preconception, antenatal and postnatal diabetes prevention and care. The main changes from previous guidelines were in terms of carbohydrate requirement (personalized rather than prescribing absolute intakes), weight management (more flexible approach) and alcohol consumption (aligned to government guidelines). The new evidence-based guidelines put emphasis on self-management and increasing awareness. The 2011 Diabetes UK nutrition guidelines can be downloaded at http://www.diabetes.org.uk/nutrition-guidelines (Dyson, P.A. et al. Diabet Med 2011, 28(11): 1282).