Transculturalization of a diabetes-specific nutrition algorithm

Asian application

Hsiu Yueh Su, Man Wo Tsang, Shih-Yi Huang, Jeffrey I. Mechanick, Wayne Huey Herng Sheu, Albert Marchetti

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

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-specificMNTin 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.

Original languageEnglish
Pages (from-to)213-219
Number of pages7
JournalCurrent Diabetes Reports
Volume12
Issue number2
DOIs
Publication statusPublished - Apr 2012

Fingerprint

Nutrition Therapy
Practice Guidelines
Advisory Committees
Delivery of Health Care
Type 2 Diabetes Mellitus
Evidence-Based Practice
Medical Societies
Waist Circumference
Dyslipidemias
Life Expectancy
Chronic Renal Insufficiency
Cost-Benefit Analysis
Life Style
Body Mass Index
Obesity
Economics
Hypertension

Keywords

  • Asians
  • Diabetes
  • Diabetes-specific formula
  • Medical nutrition therapy

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Internal Medicine

Cite this

Transculturalization of a diabetes-specific nutrition algorithm : Asian application. / Su, Hsiu Yueh; Tsang, Man Wo; Huang, Shih-Yi; Mechanick, Jeffrey I.; Sheu, Wayne Huey Herng; Marchetti, Albert.

In: Current Diabetes Reports, Vol. 12, No. 2, 04.2012, p. 213-219.

Research output: Contribution to journalArticle

Su, Hsiu Yueh ; Tsang, Man Wo ; Huang, Shih-Yi ; Mechanick, Jeffrey I. ; Sheu, Wayne Huey Herng ; Marchetti, Albert. / Transculturalization of a diabetes-specific nutrition algorithm : Asian application. In: Current Diabetes Reports. 2012 ; Vol. 12, No. 2. pp. 213-219.
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