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Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application

The prevalence of type 2 diabetes (T2D) in Asia is growing at an alarming rate, posing significant clinical and economic risk to health care stakeholders. Commonly, Asian patients with T2D manifest a distinctive combination of characteristics that include earlier disease onset, distinct pathophysiol...

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Autores principales: Su, Hsiu-Yueh, Tsang, Man-Wo, Huang, Shih-Yi, Mechanick, Jeffrey I., Sheu, Wayne H-H., Marchetti, Albert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Current Science Inc. 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303039/
https://www.ncbi.nlm.nih.gov/pubmed/22311609
http://dx.doi.org/10.1007/s11892-012-0252-0
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author Su, Hsiu-Yueh
Tsang, Man-Wo
Huang, Shih-Yi
Mechanick, Jeffrey I.
Sheu, Wayne H-H.
Marchetti, Albert
author_facet Su, Hsiu-Yueh
Tsang, Man-Wo
Huang, Shih-Yi
Mechanick, Jeffrey I.
Sheu, Wayne H-H.
Marchetti, Albert
author_sort Su, Hsiu-Yueh
collection PubMed
description The prevalence of type 2 diabetes (T2D) in Asia is growing at an alarming rate, posing significant clinical and economic risk to health care stakeholders. Commonly, Asian patients with T2D manifest a distinctive combination of characteristics that include earlier disease onset, distinct pathophysiology, syndrome of complications, and shorter life expectancy. Optimizing treatment outcomes for such patients requires a coordinated inclusive care plan and knowledgeable practitioners. Comprehensive management starts with medical nutrition therapy (MNT) in a broader lifestyle modification program. Implementing diabetes-specific MNT in Asia requires high-quality and transparent clinical practice guidelines (CPGs) that are regionally adapted for cultural, ethnic, and socioeconomic factors. Respected CPGs for nutrition and diabetes therapy are available from prestigious medical societies. For cost efficiency and effectiveness, health care authorities can select these CPGs for Asian implementation following abridgement and cultural adaptation that includes: defining nutrition therapy in meaningful ways, selecting lower cutoff values for healthy body mass indices and waist circumferences (WCs), identifying the dietary composition of MNT based on regional availability and preference, and expanding nutrition therapy for concomitant hypertension, dyslipidemia, overweight/obesity, and chronic kidney disease. An international task force of respected health care professionals has contributed to this process. To date, task force members have selected appropriate evidence-based CPGs and simplified them into an algorithm for diabetes-specific nutrition therapy. Following cultural adaptation, Asian and Asian-Indian versions of this algorithmic tool have emerged. The Asian version is presented in this report.
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spelling pubmed-33030392012-03-22 Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application Su, Hsiu-Yueh Tsang, Man-Wo Huang, Shih-Yi Mechanick, Jeffrey I. Sheu, Wayne H-H. Marchetti, Albert Curr Diab Rep Issues in the Nutritional Treatment of Type 2 Diabetes and Obesity (O Hamdy, Section Editor) The prevalence of type 2 diabetes (T2D) in Asia is growing at an alarming rate, posing significant clinical and economic risk to health care stakeholders. Commonly, Asian patients with T2D manifest a distinctive combination of characteristics that include earlier disease onset, distinct pathophysiology, syndrome of complications, and shorter life expectancy. Optimizing treatment outcomes for such patients requires a coordinated inclusive care plan and knowledgeable practitioners. Comprehensive management starts with medical nutrition therapy (MNT) in a broader lifestyle modification program. Implementing diabetes-specific MNT in Asia requires high-quality and transparent clinical practice guidelines (CPGs) that are regionally adapted for cultural, ethnic, and socioeconomic factors. Respected CPGs for nutrition and diabetes therapy are available from prestigious medical societies. For cost efficiency and effectiveness, health care authorities can select these CPGs for Asian implementation following abridgement and cultural adaptation that includes: defining nutrition therapy in meaningful ways, selecting lower cutoff values for healthy body mass indices and waist circumferences (WCs), identifying the dietary composition of MNT based on regional availability and preference, and expanding nutrition therapy for concomitant hypertension, dyslipidemia, overweight/obesity, and chronic kidney disease. An international task force of respected health care professionals has contributed to this process. To date, task force members have selected appropriate evidence-based CPGs and simplified them into an algorithm for diabetes-specific nutrition therapy. Following cultural adaptation, Asian and Asian-Indian versions of this algorithmic tool have emerged. The Asian version is presented in this report. Current Science Inc. 2012-02-05 2012-04 /pmc/articles/PMC3303039/ /pubmed/22311609 http://dx.doi.org/10.1007/s11892-012-0252-0 Text en © Springer Science+Business Media, LLC 2012
spellingShingle Issues in the Nutritional Treatment of Type 2 Diabetes and Obesity (O Hamdy, Section Editor)
Su, Hsiu-Yueh
Tsang, Man-Wo
Huang, Shih-Yi
Mechanick, Jeffrey I.
Sheu, Wayne H-H.
Marchetti, Albert
Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application
title Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application
title_full Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application
title_fullStr Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application
title_full_unstemmed Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application
title_short Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application
title_sort transculturalization of a diabetes-specific nutrition algorithm: asian application
topic Issues in the Nutritional Treatment of Type 2 Diabetes and Obesity (O Hamdy, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303039/
https://www.ncbi.nlm.nih.gov/pubmed/22311609
http://dx.doi.org/10.1007/s11892-012-0252-0
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