Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Where We Are Indexed
Past Issue Archives
Clinical Communication
In Review
Editorial Board
Information for Authors
Author Form

Reprints, Permissions, & Copyright
Site Map
BACK ISSUE articles are $15 each.
International credit cards NOT accepted.

JCOM Paid Subscribers
user name:
Forgot password?

JCOM Abstract

J Clin Outcomes Manage 
2010 Apr;17(4):175-191
Medical nutrition therapy for the management of diabetes
Vetter ML, Volger S

Abstract Objective: To provide a comprehensive review of the most recent recommendations for the use of medical nutrition therapy (MNT) in patients with diabetes. Methods: Review of the literature. Results: MNT is an effective adjunct therapy for individuals with diabetes and is associated with a 1% to 2% reduction in HbA1C. As weight loss is an integral component of the chronic management of type 2 diabetes, an energy-restricted diet is recommended. No optimal macronutrient distribution has been found to be efficacious for glycemic control or weight loss. A comprehensive program of lifestyle modification, comprised of diet, physical activity, and behavior therapy, induces a mean loss of 7% to 10% of initial weight in obese individuals with pre-diabetes or diabetes. Two trials demonstrated that weight loss of this magnitude, combined with increased physical activity, substantially reduced the risk of developing type 2 diabetes in individuals with impaired glucose tolerance. A third trial is now investigating whether a lifestyle intervention will reduce cardiovascular morbidity and mortality in overweight individuals who already have diabetes. Pharmacotherapy is recommended, in appropriate patients, as an adjunct to lifestyle modification. Two medications—orlistat and sibutramine—are currently approved in the United States for long-term weight loss. Both are efficacious when combined with lifestyle modification, although recent health concerns have been raised about sibutramine. Conclusion: To complement the medical management of diabetes, providers should be familiar with the underlying principles of MNT.

Case-Based Review

Search the Turner White index to find abstracts of articles published in JCOM.

New issues are posted one month following publication of the printed journal.

View past issue archives:    2013    2012    2011    2010    2009    2008    2007
   2006    2005    2004    2003     2002     2001     2000     1999

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2018, Turner White Communications
Updated 1/20/14 • jdw