2012-02-19 17:30:25 UTC
Paula Deen, the queen of Southern cuisine, created a hoopla last month when
she revealed that she has Type 2 diabetes and has known about it for three
Some people were troubled that even after she was diagnosed, she continued
to cook high-fat, high-sugar, high-calorie recipes on her TV show - foods
that people with the disease are advised to consume infrequently. Deen said
she eats such foods only in moderation.
Meanwhile, Alec Baldwin told "Entertainment Tonight" he lost 30 pounds since
being diagnosed with prediabetes in May. He says he gave up sugar, which was
a real "killer" for him.
So what's the best diet for people with diabetes? There is no one diet,
whether it's a Mediterranean, low-carb or low-fat diet, that is consistently
better at helping people manage diabetes, says Stephanie Dunbar, director of
nutrition and medical affairs for the American Diabetes Association. She is
one of the authors of a new review of the research on diabetes diets
published in February's Diabetes Care.
I found the complete article in Pubmed :
The effectiveness of medical nutrition therapy (MNT) in the management of
diabetes has been well established (1). Previous reviews have provided
comprehensive recommendations for MNT in the management of diabetes (2,3).
The goals ofMNT are to
1) attain and maintain optimal blood glucose levels, a lipid and lipoprotein
profile that reduces the risk of macrovascular disease, and blood pressure
levels that reduce the risk for vascular disease;
2) prevent and treat the chronic complications of diabetes by modifying
nutrient intake and lifestyle;
3) address individual nutrition needs, taking into account personal and
cultural preferences and willingness to change;
4) maintain the pleasure of eating by only limiting food choices when
indicated by scientific evidence (4).
The literature on nutrition as it relates to diabetes management is vast. We
undertook the specific topic of the role of macronutrients, eating patterns,
and individual foods in response to continued controversy over independent
contributions of specific foods and macronutrients, independent of weight
loss, in themanagement of diabetes.
The position of the American Diabetes Association (ADA) on MNT is that each
person with diabetes should receive an individualized eating plan (4).
ADA has received numerous criticisms because it does not recommend one
specific mix of macronutrients for everyone with diabetes. The previous
literature review conducted by ADA in 2001 supported the idea that there was
not one ideal macronutrient distribution for all people with diabetes.
The following questions are addressed in this review:
1. What aspects ofmacronutrient quantity and quality impact glycemic control
and cardiovascular disease (CVD) risk in people with diabetes?
2. How do macronutrients combine in whole foods and eating patterns to
affect health in people with diabetes?
3. Is there an optimal macronutrient ratio for glycemic management and CVD
risk reduction in people with diabetes?
4. What findings and needs should direct future research?