Effect of Medical Nutrition Therapy on Outcomes of Pre-Diabetes Patients in a Rural Nebraska Family Practice Clinic

2012 ◽  
Vol 112 (9) ◽  
pp. A87
Author(s):  
C.M. Dorcey ◽  
J.A. Albrecht ◽  
N.L. Lewis ◽  
P.K. Ritter-Gooder
Keyword(s):  
Family Practice ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Medical Nutrition ◽  
Family Practice Clinic ◽  
Diabetes Patients

scholarly journals Influencing Factors of Knowledge, Attitude, and Practice regarding Medical Nutrition Therapy in Patients with Diabetes: A National Cross-Sectional Study in Urban China

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Zijian Li ◽  
Haimin Jin ◽  
Wei Chen ◽  
Zilin Sun ◽  
Lulu Jing ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Influencing Factors ◽  
Nutrition Therapy ◽  
Urban China ◽  
Postprandial Blood Glucose ◽  
Medical Nutrition Therapy ◽  
Attitude And Practice ◽  
Medical Nutrition ◽  
Knowledge Attitude And Practice ◽  
Diabetes Patients

To investigate the knowledge-attitude-practice (KAP) score in diabetes patients living in urban China regarding Medical Nutrition Therapy (MNT) and explore the influencing factors, this national survey recruited diabetes and prediabetes patients in 40 hospitals across 26 provinces in China. A self-designed questionnaire was used to collect the data and assess the knowledge, attitude, and practice regarding MNT. Logistic regression was used to explore the factor influencing KAP scores. A total of 6441 diabetes patients (mean age: 60.02±13.14 years) completed this survey. The mean glycosylated hemoglobin (HbA1c) level was 8.12±2.12%, and the control rate of HbA1c (HbA1c < 7.0%) was 38.92%. Of the total, 53.56% had received MNT education. Over half of the patients had a poor total KAP score as well as poor K, A, and P scores. Patients with higher KAP scores had higher control rate of HbA1c (P<0.05) but lower levels of fasting plasma glucose (FPG) and 2-hour postprandial blood glucose (2h-PG). Gender, occupation, residence, education level, and MNT education could influence the KAP scores (P<0.05). This study showed that diabetes patients in urban China generally had poor understandings and practices related to MNT. Patients with higher KAP scores exhibited better control of blood glucose.

280-OR: Medical Nutrition Therapy and Glycemic Control in Youth-Onset Diabetes: SEARCH for Diabetes in Youth Study

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 280-OR
Author(s):  
KATHERINE A. SAUDER ◽  
JEANETTE M. STAFFORD ◽  
NATALIE S. THE ◽  
ELIZABETH J. MAYER-DAVIS ◽  
JOAN THOMAS ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Onset Diabetes ◽  
Youth Study ◽  
Medical Nutrition ◽  
Diabetes In Youth

Searching for Utopia, the Challenge of Standardized Medical Nutrition Therapy Prescription in Gestational Diabetes Mellitus Management: A Critical Review

2021 ◽  
Author(s):  
Nina Meloncelli ◽  
Shelley A. Wilkinson ◽  
Susan de Jersey
Keyword(s):  
Diabetes Mellitus ◽  
Blood Glucose ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Lifestyle Modification ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Medical Nutrition

AbstractGestational diabetes mellitus (GDM) is a common pregnancy disorder and the incidence is increasing worldwide. GDM is associated with adverse maternal outcomes which may be reduced with proper management. Lifestyle modification in the form of medical nutrition therapy and physical activity, as well as self-monitoring of blood glucose levels, is the cornerstone of GDM management. Inevitably, the search for the “ultimate” diet prescription has been ongoing. Identifying the amount and type of carbohydrate to maintain blood glucose levels below targets while balancing the nutritional requirements of pregnancy and achieving gestational weight gain within recommendations is challenging. Recent developments in the area of the gut microbiota and its impact on glycemic response add another layer of complexity to the success of medical nutrition therapy. This review critically explores the challenges to dietary prescription for GDM and why utopia may never be found.

scholarly journals Medical Nutrition Therapy for Pediatric Kidney Stone Prevention, Part Two

2017 ◽  
Vol 27 (2) ◽  
pp. e11-e14 ◽  
Author(s):  
Jennifer Carvalho-Salemi ◽  
Lorrie Moreno ◽  
Mini Michael
Keyword(s):  
Kidney Stone ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Stone Prevention ◽  
Medical Nutrition

scholarly journals Medical nutrition therapy for gestational diabetes mellitus based on Mediterranean Diet principles: a subanalysis of the St Carlos GDM Prevention Study

2018 ◽  
Vol 6 (1) ◽  
pp. e000550 ◽  
Author(s):  
Carla Assaf-Balut ◽  
Nuria Garcia de la Torre ◽  
Alejandra Durán ◽  
Manuel Fuentes ◽  
Elena Bordiú ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Pregnancy Outcomes ◽  
Nutrition Therapy ◽  
Normal Glucose Tolerance ◽  
Medical Nutrition Therapy ◽  
Prevention Study ◽  
Normal Glucose ◽  
Medical Nutrition

ObjectivesTo assess whether Mediterranean Diet (MedDiet)-based medical nutrition therapy facilitates near-normoglycemia in women with gestational diabetes mellitus (GDMw) and observe the effects on adverse pregnancy outcomes.Research design and methodsThis is a secondary analysis of the St Carlos GDM Prevention Study, conducted between January and December 2015 in Hospital Clínico San Carlos (Madrid, Spain). One thousand consecutive women with normoglycemia were included before 12 gestational weeks (GWs), with 874 included in the final analysis. Of these, 177 women were diagnosed with gestational diabetes mellitus (GDM) and 697 had normal glucose tolerance. All GDMw received MedDiet-based medical nutrition therapy with a recommended daily extra virgin olive oil intake ≥40 mL and a daily handful of nuts. The primary goal was comparison of hemoglobin A1c (HbA1c) levels at 36–38 GWs in GDMw and women with normal glucose tolerance (NGTw).ResultsGDMw as compared with NGTw had higher HbA1c levels at 24–28 GWs (5.1%±0.3% (32±0.9 mmol/mol) vs 4.9%±0.3% (30±0.9 mmol/mol), p=0.001). At 36–38 GWs values were similar between the groups. Similarly, fasting serum insulin and homeostatic model assessment insulin resitance (HOMA-IR) were higher in GDMw at 24–28 GWs (p=0.001) but became similar at 36–38 GWs. 26.6% of GDMw required insulin for glycemic control. GDMw compared with NGTw had higher rates of insufficient weight gain (39.5% vs 22.0%, p=0.001), small for gestational age (6.8% vs 2.6%, p=0.009), and neonatal intensive care unit admission (5.6% vs 1.7%, p=0.006). The rates of macrosomia, large for gestational age, pregnancy-induced hypertensive disorders, prematurity and cesarean sections were comparable with NGTw.ConclusionsUsing a MedDiet-based medical nutrition therapy as part of GDM management is associated with achievement of near-normoglycemia, subsequently making most pregnancy outcomes similar to those of NGTw.

A Standardized Framework for Transplant-Specific Competencies for Dietitians

2017 ◽  
Vol 27 (3) ◽  
pp. 281-285 ◽  
Author(s):  
Daniel Pieloch ◽  
Golnaz G. Friedman ◽  
Sara DiCecco ◽  
Linda Ulerich ◽  
Stacey Beer ◽  
...  
Keyword(s):  
Patient Care ◽  
Nutrition Therapy ◽  
Medical Nutrition Therapy ◽  
Extensive Training ◽  
Ongoing Training ◽  
Transplant Candidates ◽  
Medical Nutrition

Dietitians have extensive training and are considered the experts in medical nutrition therapy (MNT). Although dietitian competencies for MNT are well established, competencies that account for the expanded roles of dietitians working in transplantation have not been developed. These expanded roles require a better understanding of transplant processes, regulations, and even the business side of transplant, novel concepts to most dietitians. Therefore, we proposed a standardized framework of transplant-specific competencies for dietitians practicing in transplantation. These competencies can help improve and standardize initial and ongoing training for transplant dietitians moving forward, ultimately leading to improved patient care for transplant candidates, recipients, and donors.

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