PMID- 30729455
OWN - NLM
STAT- MEDLINE
DCOM- 20200318
LR  - 20240426
IS  - 1865-8652 (Electronic)
IS  - 0741-238X (Print)
IS  - 0741-238X (Linking)
VI  - 36
IP  - 3
DP  - 2019 Mar
TI  - Insights on Medical Nutrition Therapy for Type 2 Diabetes Mellitus: An Indian 
      Perspective.
PG  - 520-547
LID - 10.1007/s12325-019-0872-8 [doi]
AB  - It is critical to integrate medical nutrition therapy (MNT) provided by a 
      registered dietician (RD) into primary care of type 2 diabetes mellitus (T2DM). 
      This is necessary to achieve the goals of improving overall metabolic measures 
      beyond calorie restriction and weight loss. Misconceptions about nutrition in 
      T2DM add to the challenges of executing MNT in a culturally sensitive population. 
      The current review provides insights into MNT for the prevention and management 
      of T2DM in India, based on both evidence and experience. It revisits historical 
      Indian studies and provides information on appropriate dietary intake of 
      carbohydrates (60-70%), proteins (~ 20%) and fats (10%) that will be acceptable 
      and beneficial in an Indian T2DM population. It discusses nuances of types of 
      carbohydrates and fats and explains associations of increased dietary fiber 
      intake, balanced intake of low and high glycemic index foods and substitution of 
      saturated fats with plant-based polyunsaturated fats in improving outcomes of 
      T2DM and attenuating risk factors. The article also deliberates upon special 
      patient populations with comorbid conditions and diseases and the necessary 
      adjustments needed in their nutritional care. It outlines a step-wise approach to 
      MNT involving a careful interplay of nutrition assessment, diagnosis, 
      individualization and patient counseling. Overall, the success of MNT relies on 
      providing accurate, acceptable and appropriate dietary choices for continued 
      patient adherence. Collaborative efforts from diabetologists, endocrinologists, 
      internists and RDs are required to prioritize and implement MNT in diabetes 
      practice in India.Funding: Signutra Inc.
FAU - Viswanathan, Vijay
AU  - Viswanathan V
AD  - M.V. Hospital for Diabetes and Prof. M. Viswanathan Diabetes Research Centre (WHO 
      Collaborating Centre for Research, Education and Training in Diabetes), Chennai, 
      Tamil Nadu, India.
FAU - Krishnan, Dharini
AU  - Krishnan D
AD  - Wellness Clinic, Teynampet, Chennai, India.
FAU - Kalra, Sanjay
AU  - Kalra S
AD  - Bharti Research Institute of Diabetes & Endocrinology (BRIDE), Karnal, Haryana, 
      India. brideknl@gmail.com.
FAU - Chawla, Rajeev
AU  - Chawla R
AD  - North Delhi Diabetic Centre, New Delhi, India.
FAU - Tiwaskar, Mangesh
AU  - Tiwaskar M
AD  - Shilpa Medical Research Centre, Mumbai, Maharashtra, India.
FAU - Saboo, Banshi
AU  - Saboo B
AD  - Dia Care-Diabetes and Hormone Centre, Ahmedabad, Gujarat, India.
FAU - Baruah, Manash
AU  - Baruah M
AD  - Excelcare Hospitals, Guwahati, Assam, India.
FAU - Chowdhury, Subhankar
AU  - Chowdhury S
AD  - Institute of Postgraduate Medical Education and Research/SSKM Hospital, Kolkata, 
      India.
FAU - Makkar, B M
AU  - Makkar BM
AD  - Diabetes and Obesity Center, New Delhi, India.
FAU - Jaggi, Shalini
AU  - Jaggi S
AD  - Dr. Mohan's Diabetes Specialties Centre, New Delhi, India.
LA  - eng
SI  - figshare/10.6084/m9.figshare.7558802
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
DEP - 20190207
PL  - United States
TA  - Adv Ther
JT  - Advances in therapy
JID - 8611864
RN  - 0 (Dietary Carbohydrates)
RN  - 0 (Dietary Fats)
RN  - 0 (Dietary Proteins)
MH  - Comorbidity
MH  - Diabetes Mellitus, Type 2/*diet therapy
MH  - Dietary Carbohydrates
MH  - Dietary Fats
MH  - Dietary Proteins
MH  - Humans
MH  - India
PMC - PMC6824451
OTO - NOTNLM
OT  - Diabetes
OT  - India
OT  - Medical nutrition therapy
OT  - Registered dietician
OT  - Type 2 diabetes mellitus
COIS- Sanjay Kalra is a member of the journal's Editorial Board. Vijay Viswanathan, 
      Dharini Krishnan, Rajeev Chawla, Mangesh Tiwaskar, Banshi Saboo, Manash Baruah, 
      Subhankar Chowdhury, B. M. Makkar and Shalini Jaggi have nothing to disclose.
EDAT- 2019/02/08 06:00
MHDA- 2020/03/19 06:00
PMCR- 2019/02/07
CRDT- 2019/02/08 06:00
PHST- 2018/11/15 00:00 [received]
PHST- 2019/02/08 06:00 [pubmed]
PHST- 2020/03/19 06:00 [medline]
PHST- 2019/02/08 06:00 [entrez]
PHST- 2019/02/07 00:00 [pmc-release]
AID - 10.1007/s12325-019-0872-8 [pii]
AID - 872 [pii]
AID - 10.1007/s12325-019-0872-8 [doi]
PST - ppublish
SO  - Adv Ther. 2019 Mar;36(3):520-547. doi: 10.1007/s12325-019-0872-8. Epub 2019 Feb 
      7.