Dietary management of Diabetes Mellitus

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Dietary management/Nutrition therapy:

Nutritional management is a fundamental and integral part of the management in all those with diabetes mellitus. Adherence to advice regarding nutritional therapy is also a fundamental challenge for all those involved in the management of those with diabetes mellitus. Dietary/nutritional management is complex  importance of involvement of dietician. Key aim of education about nutrition is how the intake influences blood glucose levels.

The diet for a person with diabetes is not generally different in its composition from what is generally considered a healthy diet for the non-diabetes population.

Generally aim to :
improvement in carbohydrate and lipid metabolism to as close to normal as possible
attainment if appropriate body weight and habitus for age and stage of growth and development
avoidance of iatrogenic hypoglycaemia
attenuation of the progression of complications of diabetes
reduction in risk of athersclerosis

In up to half of those with Type 2 diabetes, the restriction of total energy intake and a reduction in weight  normalisation of blood glucose levels. Modest weight reduction (eg 5-10%) can result in significant improvements in metabolic control and risk for complications.

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