Dietary recommendations need to be individualized for and accepted by the given PWD. The lifestyle modification guidance and support needed requires a team effort, best led by an expert in this area a registered dietitian (RD) or registered dietitian nutritionist (RDN), or a referral to a diabetes self-management education (DSMES) program that includes instruction on nutrition therapy. It cannot simply be delivered by giving a person a diet sheet in a one-size-fits-all approach. The modern diet for the individual with diabetes is based on concepts from clinical research, portion control, and individualized lifestyle changes. The key take home message is that nutrition plans should be individualized to meet the needs of the PWD, in consideration of their lifestyle, socioeconomic factors, cultural background, and motivation. The provided information provides sources for further review and study. This chapter will summarize current information available from a variety of scientifically based guidelines and resources on nutritional recommendations for persons with diabetes (PWD) for health care practitioners who treat them. For complete coverage of all related areas of Endocrinology, please visit our on-line FREE web-text, INTRODUCTION Referral to a diabetes self-management education (DSMES) program that includes counseling and instruction on nutrition therapy by a Registered Dietitian Nutritionist (RDN) is highlighted. Education is best given by a team approach and should not simply be delivered by giving a person a one-size-fits all diet sheet. A main message is that nutrition plans should be individualized and flexible to meet the specific needs of the PWD, in consideration of their ability to implement the changes. The information also includes sources for further review, and resources that can be utilized for PWD. The sections are divided into components of nutritional content, with associated goals for PWD, as well as reviews of present nutritional topics of interest, including weight loss diets in the current press. It is designed to take these guidelines and provide an overview of practical applications and tips in one place for health care practitioners who treat PWD. The chapter summarizes current information available from a variety of scientifically based guidelines and resources on nutritional recommendations for adult people with diabetes (PWD).
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