Patients who are newly diagnosed with type 2 diabetes mellitus (T2DM) commonly attempt to modify their dietary intake after receiving nutrition care from primary health professionals. Yet, adherence to dietary recommendations is rarely sustained and factors influencing adherence are poorly understood.
the ‘you are what you eat’ connection between food consumption and health outcomes is so well-established it’s practically irrefutable. Search ‘diet and disease’ on PubMed (the go-to database for scientific research) and you’ll get over 150,000 results – and that’s just one search term. There’s robust evidence that a diet rich in fruit, veg, wholegrains, fish and nuts can dial down your risk of heart disease, Type 2 diabetes, cancer and stroke, while dietary villains like soft drinks and processed meat do the opposite. You can drill down further, and link specific nutrients to health outcomes – for instance, we know insufficient iron causes anaemia, zinc promotes immunity, while magnesium regulates blood pressure.
Type 2 diabetes, formerly called adult-onset diabetes, is the most common type of the disease, affecting 95 percent of people with diabetes. Type 2 diabetes affects people at any age, even during childhood. However, this type of diabetes develops most often in middle-aged and older people, and those who are overweight and inactive.
Tiffany Lowe-Paine, DO, discusses diabetes prevention and treatment, and Sharon Pendergrast, a clinical nutritionist, talks about nutritional aspects of diabetes.
Changes in human behaviour and lifestyle over the last century have resulted in a dramatic increase in the incidence of diabetes worldwide. The epidemic is chiefly of type 2 diabetes and also the associated conditions known as ‘diabesity’ and ‘metabolic syndrome’. In conjunction with genetic susceptibility, particularly in certain ethnic groups, type 2 diabetes is brought on by environmental and behavioural factors such as a sedentary lifestyle, overly rich nutrition and obesity. The prevention of diabetes and control of its micro- and macrovascular complications will require an integrated, international approach if we are to see significant reduction in the huge premature morbidity and mortality it causes