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Treatment – Chronic Illness-Related Malnutrition
Published in Jennifer Doley, Mary J. Marian, Adult Malnutrition, 2023
Jennifer Doley, Michelle Bratton
MNT for chronic illness-related malnutrition may include changes to nutrient delivery, nutrition education or counseling, and coordination of care. These strategies must be individualized to the patient or client, in consideration of their symptoms, disease state, healthcare setting, and personal values and preferences.
Impact of Lifestyle on Cardiometabolic Syndrome and Type 2 Diabetes
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Cindy Lamendola, Jane Nelson Worel
Medical nutrition therapy (MNT) is an important component of diabetes management and a referral to a registered dietitian (RD) who specializes in diabetes specific MNT is recommended (Evert et al., 2019). Reductions in blood glucose with MNT ranged between 50 and 100 mg/dL (Pastors et al., 2002). The DASH diet is rich in vegetables, fruits, and low-fat dairy, along with a reduction of sodium. It has led to reductions in blood pressure of 7–11 mm Hg and is recommended for the prevention and management of hypertension (Arnett et al., 2019; DASH Sodium Collaborative Research Group, 2001). An RD would also be an important resource for those who have comorbid conditions, such as hypertension or chronic kidney disease, and need specific diets including sodium, protein, or potassium restrictions. Nurses and other health care team members are encouraged to provide education and support to persons with cardio metabolic syndrome and diabetes by emphasizing the consumption of non-starchy vegetables and whole foods while limiting highly processed foods, refined grains, and added sugars.
Endocrine Disorders
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Lisa Spence, Nana Adwoa Gletsu Miller, Tamara S. Hannon
The American Diabetes Association (ADA) Standards of Medical Care in Diabetes for children and adolescents recommends individualized medical nutrition therapy (MNT) for children and adolescents with T1D delivered by a dietitian. MNT includes comprehensive nutrition assessment and education at diagnosis and quarterly and annual follow-up to assess energy and nutrition intake in relation to weight status, blood glucose, and glycated hemoglobin (HbA1c), cardiovascular risk factors, along with considering food preferences over time.
Nutrition counseling and monitoring via tele-nutrition for healthy diet for people with spinal cord injury: A case series analyses
Published in The Journal of Spinal Cord Medicine, 2022
Shelley Wood, Cria-May Khong, Benjamin Dirlikov, Kazuko Shem
The interactive tele-nutrition counseling was conducted by a dietitian following the Nutrition Guidelines for Individuals with SCI set forth by the Academy of Nutrition and Dietetics’ Evidence-Based Analysis Toolkit.17 This SCI-specific toolkit aims to assist dietitians with providing evidence-based MNT for those with SCI and provides a summary of outcomes, assessment factors, expected outcomes, and ideal values for MNT. Scientific evidence is provided with a recommended strength of evidence: Strong, Fair, Weak, Consensus, and Insufficient Evidence. HBM served as the framework behind each counseling sessions to address “buy-in” when making changes to nutritional habits. Participants’ belief that incorporating healthier eating habits as well as the desire to prevent and/or reverse negative health consequences (e.g. perceived seriousness, susceptibility, threat, benefits, barriers, cues to action) resulting from a poor diet following SCI (e.g. weight gain) were a main portion of each tele-nutrition session.
Face validity and content assessment of a diabetes nutrition education DVD for low literacy adults living with diabetes: a mixed-method study
Published in Journal of Endocrinology, Metabolism and Diabetes of South Africa, 2022
Dianré Kapp, Gerda J Gericke, Jane W Muchiri
Continuous diabetes self-management education (DSME) aims to furnish people with the correct information to improve self-care capabilities for managing their condition.3,4 This information includes the latest treatment strategies and technological advances, as well as the complications and consequences of not managing diabetes appropriately.2,5 Medical nutrition therapy (MNT) is a key aspect of DSME provided by nutrition-dietetic health professionals (HPs).4 Medical nutrition therapy focuses on dietary planning aimed at preventing hypo- and hyperglycaemia and other metabolic abnormalities, which can lead to further complications. This type of therapy is usually tailored to the individual and considers factors such as comorbidities, diabetes complications and personal goals such as weight management and physical activity.3,4 Diabetes nutrition education (DNE) can also be presented to groups of people living with diabetes (PLD) to help them make informed decisions regarding dietary self-care.6
Antenatal insulin therapy in gestational diabetes mellitus: validation of the new Brugmann scores
Published in Gynecological Endocrinology, 2022
Dominque A. Badr, Chirine Kassem, Andrew Carlin, Oana Dobrescu, Laura Iconaru, Felicia Baleanu, Georgiana Cristina Taujan, Jacques C. Jani
The control of hyperglycemia may be achieved by MNT in the majority of cases; however, up to 30% of cases may require AIT [13]. The added value of our study resides in the distinction of two groups of patients. Those who are diagnosed at the first prenatal visit by FPG and those who are diagnosed by OGTT after the 24th week of gestation. The need of insulin is estimated at 40.9% in the first group and 19.3% in the second one. In the study of Nishikawa et al. [7], the gestational age of the group requiring AIT was significantly lower than the group treated by MNT (22.18 ± 1.10 weeks versus 25.32 ± 0.35 weeks). Similarly, Pertot et al. [14] showed that GDM diagnosis after 25 weeks’ gestation is protective against the need of AIT. The earlier appearance of GDM during pregnancy may rapidly deplete the pancreatic b-cells insulin secretion and therefore and therefore it may increase the need for AIT to overcome the insulin resistance [14].