Transcultural Diabetes Nutrition Algorithm: A Malaysian Application

Transcultural Diabetes Nutrition Algorithm: A Malaysian Application

Glycemic control among patients with prediabetes and type 2 diabetes mellitus (T2D) in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy...

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Bibliographic Details
Published in:International Journal of Endocrinology Vol. 2013; no. 2013; pp. 366 - 372-141
Main Authors: Hamdy, Osama, Hussein, Zanariah, Chin Chia, Yook, Lin Lim, Shueh, Kumari Natkunam, Santha, Hussain, Husni, Yeong Tan, Ming, Sulaiman, Ridzoni, Nisak, Barakatun, Chee, Winnie Siew Swee, Marchetti, Albert, Hegazi, Refaat A., Mechanick, Jeffrey I.
Format: Journal Article
Language:English
Published: Cairo, Egypt Hindawi Limiteds 01-01-2013
Hindawi Puplishing Corporation
Hindawi Publishing Corporation
John Wiley & Sons, Inc
Hindawi Limited
Subjects:
Abdomen
Age
Algorithms
Asian people
Body mass index
Diabetes
Diet therapy
Dietitians
Endocrinology
Exercise
Glucose
Lifestyles
Minority & ethnic groups
Nutrition research
Nutrition therapy
Obesity
Physical fitness
Primary care
Review
Task forces
Type 2 diabetes
Weight control
White people
Malaysia
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Summary:Glycemic control among patients with prediabetes and type 2 diabetes mellitus (T2D) in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy (MNT). Evidence-based recommendations for diabetes-specific therapeutic diets are available internationally. However, Asian patients with T2D, including Malaysians, have unique disease characteristics and risk factors, as well as cultural and lifestyle dissimilarities, which may render international guidelines and recommendations less applicable and/or difficult to implement. With these thoughts in mind, a transcultural Diabetes Nutrition Algorithm (tDNA) was developed by an international task force of diabetes and nutrition experts through the restructuring of international guidelines for the nutritional management of prediabetes and T2D to account for cultural differences in lifestyle, diet, and genetic factors. The initial evidence-based global tDNA template was designed for simplicity, flexibility, and cultural modification. This paper reports the Malaysian adaptation of the tDNA, which takes into account the epidemiologic, physiologic, cultural, and lifestyle factors unique to Malaysia, as well as the local guidelines recommendations.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
Academic Editor: Patrizio Tatti
ISSN:1687-8337
1687-8345
DOI:10.1155/2013/679396