Published on behalf of The British Dietetic Association, Advanced Nutrition and Dietetics in Diabetes is an exploration of the evidence and practice of nutrition in diabetes, offering a global view of the lifestyle interventions for the prevention and management of diabetes, including management of complications and special population groups. With internationally recognised authors, this book applies the rigour of evidence-based medicine to important enduring topics in diabetes, such as: • public health efforts at diabetes prevention • formulating nutritional guidelines for diabetes • carbohydrates and the glycaemic index • the management of diabetes in older people The authors draw on their research and practical experience to offer sound guidance on best practice, ensuring that interventions are both scientifically secure and effective. ABOUT THE SERIES Dietary recommendations need to be based on solid evidence, but where can you find this information? The British Dietetic Association and the publishers of the Manual of Dietetic Practice present an essential and authoritative reference series on the evidence base relating to advanced aspects of nutrition and diet in selected clinical specialties. Each book provides a comprehensive and critical review of key literature in its subject. Each covers established areas of understanding, current controversies and areas of future development and investigation, and is oriented around six key themes: • Disease processes, including metabolism, physiology, and genetics • Disease consequences, including morbidity, mortality, nutritional epidemiology and patient perspectives • Nutritional consequences of diseases • Nutritional assessment, drawing on anthropometric, biochemical, clinical, dietary, economic and social approaches • Clinical investigation and management • Nutritional and dietary management • Trustworthy, international in scope, and accessible, Advanced Nutrition and Dietetics is a vital resource for a range of practitioners, researchers and educators in nutrition and dietetics, including dietitians, nutritionists, doctors and specialist nurses.
Preface vii Foreword ix Editor biographies x Contributors xi Abbreviations xiii Section 1 Background 1 1.1 Prevalence, public health aspects and prevention of diabetes 3 1.2 Diagnostic criteria and classification of diabetes 9 Section 2 Dietary principles of diabetes 13 2.1 Historical perspectives of dietary recommendations for diabetes 15 2.2 Nutritional guidelines for diabetes 22 2.3 Carbohydrates 29 2.4 Glycaemic index and glycaemic load in diabetes 41 Section 3 Type 1 diabetes 51 3.1 Epidemiology and pathogenesis of type 1 diabetes 53 3.2 Clinical management of type 1 diabetes 60 3.3 Nutritional management of glycaemia in type 1 diabetes 67 3.4 Diet, education and behaviour in type 1 diabetes 74 3.5 Lifestyle issues and type 1 diabetes physical activity, alcohol and recreational drugs 80 Section 4 Type 2 diabetes 93 4.1 Epidemiology, aetiology and pathogenesis of type 2 diabetes 95 4.2 Clinical management of hyperglycaemia in type 2 diabetes 103 4.3 Nutritional management of glycaemia in type 2 diabetes 112 4.4 Obesity and cardiovascular risk in type 2 diabetes 119 4.5 Diet, education and behaviour in type 2 diabetes 129 4.6 Lifestyle issues and type 2 diabetes physical activity and alcohol 138 4.7 Public health and the prevention of type 2 diabetes 147 Section 5 Pregnancy and diabetes 157 5.1 Epidemiology, aetiology and pathogenesis of diabetes in pregnancy 159 5.2 Clinical management of diabetes in pregnancy 168 5.3 Lifestyle management of diabetes in pregnancy 176 Section 6 Diabetes in children and adolescents 183 6.1 Epidemiology, aetiology and pathogenesis of childhood diabetes 185 6.2 Clinical management of diabetes in children and adolescents 191 6.3 Lifestyle management of childhood diabetes 198 Section 7 Diabetes in older people 207 7.1 Epidemiology, aetiology, pathogenesis and management of diabetes in older people 209 7.2 Lifestyle management, including nutrition, of diabetes in older people 218 Section 8 Diabetes in ethnic groups 229 8.1 Epidemiology, aetiology and pathogenesis of diabetes in ethnic groups 231 8.2 Clinical management of diabetes in ethnic groups 240 8.3 Lifestyle management of diabetes in ethnic groups 249 Section 9 Complications and comorbidities of diabetes 261 9.1 Microvascular disease (renal) and diabetes 263 9.2 Macrovascular disease and diabetes 273 9.3 Coeliac disease and diabetes 286 9.4 Disorders associated with insulin resistance 294 9.5 Cystic fibrosis related diabetes 303 9.6 Diabetic gastroparesis 312 9.7 Nutrition support in diabetes 316 Index 325
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