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Diabet Med. 2018 May;35(5):541-547. doi: 10.1111/dme.13603.

Diabetes UK evidence-based nutrition guidelines for the prevention and management of diabetes.

Author information

1
OCDEM, University of Oxford, Oxford, UK.
2
Diabetes UK - Clinical Care, London, UK.
3
School of Medicine, University College Dublin, Dublin, UK.
4
Nutrition and Dietetics, Guys and St Thomas' NHS Foundation Trust, London, UK.
5
Division of Diabetes and Nutritional Sciences, King's College London, London, UK.
6
NICHE, University of Ulster, Coleraine, Londonderry, UK.
7
Community Nutrition, Birmingham Community Healthcare NHS Trust, Birmingham, UK.
8
School of Life Sciences, University of Canberra, Canberra, Australia.
9
Nutrition and Dietetics, North Tyneside General Hospital North Shields, Tyne and Wear, London, UK.
10
Nutrition and Dietetics, King's College Hospital NHS Foundation Trust, London, UK.

Abstract

A summary of the latest evidence-based nutrition guidelines for the prevention and management of diabetes is presented. These guidelines are based on existing recommendations last published in 2011, and were formulated by an expert panel of specialist dietitians after a literature review of recent evidence. Recommendations have been made in terms of foods rather than nutrients wherever possible. Guidelines for education and care delivery, prevention of Type 2 diabetes, glycaemic control for Type 1 and Type 2 diabetes, cardiovascular disease risk management, management of diabetes-related complications, other considerations including comorbidities, nutrition support, pregnancy and lactation, eating disorders, micronutrients, food supplements, functional foods, commercial diabetic foods and nutritive and non-nutritive sweeteners are included. The sections on pregnancy and prevention of Type 2 diabetes have been enlarged and the weight management section modified to include considerations of remission of Type 2 diabetes. A section evaluating detailed considerations in ethnic minorities has been included as a new topic. The guidelines were graded using adapted 'GRADE' methodology and, where strong evidence was lacking, grading was not allocated. These 2018 guidelines emphasize a flexible, individualized approach to diabetes management and weight loss and highlight the emerging evidence for remission of Type 2 diabetes. The full guideline document is available at www.diabetes.org.uk/nutrition-guidelines.

PMID:
29443421
DOI:
10.1111/dme.13603

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