More importantly, what if this single set of nutrition recommendations could be explained in simple terms (e.g., foods that people eat) and would not require advanced skills (e.g., label reading, calculations)?

Rationale for the Use of a Mediterranean Diet in Diabetes Management, Projection of the year 2050 burden of diabetes in the U.S. adult population: dynamic modeling of incidence, mortality, and pre-diabetes prevalence, Standards of medical care in diabetes—2010, Centers for Disease Control and Prevention, National Health and Nutrition Examination Survey: NHANES 2001-2002, U.S. Department of Health and Human Services, Addressing health literacy and numeracy to improve diabetes education and care, Dietary approaches to prevent and treat hypertension: a scientific statement from the American Heart Association, Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), Expert Panel on the Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on the Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), Health implications of Mediterranean diets in light of contemporary knowledge, The stomach as a ``bioreactor'': when red meat meets red wine, Dietary pattern analysis: a new direction in nutritional epidemiology, The use of indexes evaluating the adherence to the Mediterranean diet in epidemiological studies: a review, Adherence to Mediterranean diet and health status: meta-analysis, Electronically published; DOI: 10.1136/bmj.a1344, Prevention and control of type 2 diabetes by Mediterranean diet: a systematic review, Dietary fats and prevention of type 2 diabetes, Dietary Intervention Randomized Controlled Trial (DIRECT) Group, Weight loss with a low-carbohydrate, Mediterranean, or low-fat diet, Effects of a Mediterranean-style diet on the need for antihyperglycemic drug therapy in patients with newly diagnosed type 2 diabetes: a randomized trial, A low carbohydrate Mediterranean diet improves cardiovascular risk factors and diabetes control among overweight patients with type 2 diabetes mellitus: a one year prospective randomized intervention study, Adherence to a Mediterranean diet and glycaemic control in type 2 diabetes mellitus, Adherence to Mediterranean diet and risk of developing diabetes: prospective cohort study, Reduction in the incidence of type 2 diabetes with the Mediterranean diet: results of the PREDIMED-Reus Nutrition Intervention Randomized Trial, Electronically published ahead of print on 13 October 2010 (DOI: 10.2337/dc10-1288), Olive oil, the Mediterranean diet, and arterial blood pressure: the Greek European Prospective Investigation into Cancer and Nutrition (EPIC) study, Inhibition of circulating immune cell activation: a molecular anti-inflammatory effect of the Mediterranean diet, A high-score Mediterranean dietary pattern is associated with a reduced risk of peripheral arterial disease in Italian patients with type 2 diabetes, Mediterranean diet and all-causes mortality after myocardial infarction: results from the GISSI-Prevenzione trial, Comparison of low-fat versus Mediterranean-style dietary intervention after first myocardial infarction (from The Heart Institute of Spokane Diet Intervention and Evaluation Trial), Design of a Mediterranean exchange list diet implemented by telephone counseling, Smart Connected Insulin Pens, Caps, and Attachments: A Review of the Future of Diabetes Technology, Brief Literature Review: The Potential of Diabetes Technology to Improve Sleep in Youth With Type 1 Diabetes and Their Parents: An Unanticipated Benefit of Hybrid Closed-Loop Insulin Delivery Systems, Mental Health and Behavioral Screening in Pediatric Type 1 Diabetes, Chrononutrition Applied to Diabetes Management: A Paradigm Shift Long Delayed, Nutrition Considerations for Microbiota Health in Diabetes, Institutional Subscriptions and Site Licenses, Special Podcast Series: Therapeutic Inertia, Special Podcast Series: Influenza Podcasts, http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2007.pdf, Health Benefits and Evidence to Support the Use of a Mediterranean Diet in People With Type 2 Diabetes, Practical Applications for Diabetes Clinicians, American Diabetes Association(R) Inc., 2011.

3 0 obj ����y��fu��}�y��̓Y�,�ǥ\ʏ�Օ|�Ɨ~�����z߼�����Ͼ\��;NRy㚋?���\�g`�sD�r呌�L�\ei*���](_��3'�a�|j�c��3�9�\\|�qO�5��* x��YKs�6���^zå3����[2iҤ�i�uz�$J�-� Because the Mediterranean diet is meant to represent the eating patterns of all the countries bordering the Mediterranean Sea, use of this term in research is a misnomer; there is no one single diet that can represent all the economic, cultural, and religious differences that influence the eating patterns of all of these countries. endobj These may be important considerations given a recently published article pointing to the under-recognized issue of numeracy, or the ability to use and understand numbers, in diabetes management. Click the pic to purchase at Amazon.com. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. It will print on the standard 8.5″  x 11″ paper in most U.S. printers. Unique recommendations within the TLC diet include options to add stanols/sterols (2 g/day) and increased soluble fiber (10–25 g/day) to maximize LDL cholesterol lowering.

One study28 conducted to assess the impact of a Mediterranean diet using exchanges for breast cancer prevention found that women who received fairly extensive counseling were able to increase the amount of monounsaturated fat in their diet with very little impact on their overall fat intake.

1 small apple (15g) 2 slice whole wheat bread (30g) 1Jennie-O Lean Turkey Sausage . It's been consistently shown to reduce the risk of diabetes, heart disease and even some cancers. Before starting patients on this type of eating pattern, it is important to assess what particular meal-planning approach they currently use to account for carbohydrates (e.g., carbohydrate counting, exchanges, or experience-based estimation) in their daily eating pattern and to provide further education if needed. 5 0 obj Existing data suggest that the Mediterranean diet has health benefits, including improved glycemic control and reduced cardiovascular risk,15 and may offer benefits to diabetes patients and clinicians alike in terms of palatability, ease of explanation and use, and promotion of improved health. Using monounsaturated fatty acids (MUFAs) such as those found in olive oil or polyunsaturated fats such as those in seeds instead of saturated or trans fatty acids reduces the risk of diabetes.16 The Mediterranean diet is also inversely associated with arterial blood pressure, and olive oil use specifically may be as important as fruit and vegetable intake for both systolic and diastolic blood pressure control.23, The Mediterranean diet may even have positive effects on inflammatory markers24 and may reduce the risk for peripheral artery disease.25 Two outcome-based trials that included patients with diabetes demonstrated that a Mediterranean diet reduced cardiovascular and total mortality.26,27. This is a diet largely based on plant foods and therefore includes a lot of fruits and vegetables, beans and pulses, nuts and seeds, wholegrain … &d�t=D� i�P2���� X�5þm���e�؍�� 2��c�d�P�M����cNp�q�[V�W�P�_���ǩ���.T In a meta-analysis of 17 studies, 15 the Mediterranean-type diet was found to improve fasting glucose and A1C levels for those with type 2 diabetes.

In addition, the ADA recommendations emphasize reducing saturated fat to < 7% of overall calories and minimizing trans fats to prevent or treat heart disease.2, Lifestyle modifications, with a particular emphasis on food and nutrition, are recommended for anyone who is not at goal for blood pressure (i.e., who has a blood pressure ≥ 130/80 mmHg for an individual with diabetes). Why the Mediterranean diet is good for people with Type 2 Diabetes. <> Ultimately, patients with diabetes need practical recommendations to help them choose healthier foods without an overly complicated process.