Diabetes-specific nutrition algorithm: A transcultural program to optimize diabetes and prediabetes care

Jeffrey I. Mechanick, Albert E. Marchetti, Caroline Apovian, Alexander Koglin Benchimol, Peter H. Bisschop, Alexis Bolio-Galvis, Refaat A. Hegazi, David Jenkins, Enrique Mendoza, Miguel Leon Sanz, Wayne Huey Herng Sheu, Patrizio Tatti, Man Wo Tsang, Osama Hamdy

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Type 2 diabetes (T2D) and prediabetes impose a huge burden of illness on developed and developing nations through high disease prevalence (6.6% overall, >10% in many countries), direct and indirect multisystem pathophysiologic effects, and financial liabilities (US$376 billion annually worldwide) [1]. This enormous disease burden can be reduced by deliberate application of interventions with proven effectiveness [2-14]. Ideally, diagnostic and therapeutic interventions should be accessible, facile, affordable, cost-effective, and culturally sensitive [1]. To improve efficiency, they can be combined in coordinated disease management programs. Lifestyle management, including physical activity and diabetes-specific nutrition therapy, is an essential and necessary component of any comprehensive care plan for diabetes [15••, 16, 17]. Care plan implementation is facilitated by clinical practice guidelines (CPGs) intended to inform clinical decisions, standardize and optimize patient care, improve outcomes, and control costs [18, 19]. Recommendations within CPGs should be evidence-based, precise, clear, relevant, authoritative, and compatible with existing norms [20, 21••]. The purpose of this report is to describe pertinent background material and the development process of a transcultural diabetes-specific nutrition algorithm (tDNA) that can facilitate portability of evidence-based recommendations to better enable their implementation and validation across a broad geographic and cultural spectrum.

Original languageEnglish
Title of host publicationClinical Nutrition
Subtitle of host publicationThe Interface Between Metabolism, Diet, and Disease
PublisherApple Academic Press
Number of pages32
ISBN (Electronic)9781482239089
ISBN (Print)9781926895970
StatePublished - 1 Jan 2013


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