ADA diabetic meal plan chart
Coordinate and align the MNT plan with the overall management strategy, including use of medications, physical activity, etc., on an ongoing basis. Refer adults living with type 1 or type 2 diabetes to individualized, diabetes-focused MNT at diagnosis and as needed throughout the life span and during times of changing health status to achieve treatment goals. EFFECTIVENESS OF DIABETES NUTRITION THERAPY
Though evidence-based, the recommendations presented are the informed, expert opinions of the authors after consensus was reached through presentation and discussion of the evidence. The consensus report was peer reviewed (see acknowledgments) and suggestions incorporated as deemed appropriate by the authors. In addition to the search results, in select cases the authors identified relevant research to include in reaching consensus. An exception was made to the inclusion criteria for the use of meal studies for the insulin dosing section. Details on the keywords and the search strategy are reported in the Supplementary Data, emphasizing randomized controlled trials (RCTs), systematic reviews, and meta-analyses of RCTs. The 2014 position statement ( 4) was used as a starting point, and a search was conducted on PubMed for studies published in English between 1 January 2014 and 28 February 2018 to provide the updated evidence of nutrition therapy interventions in nonhospitalized adults with prediabetes and type 1 and type 2 diabetes. Focused teleconference calls, email, and web-based collaboration were also used to reach consensus on final recommendations between November 2018 and January 2019. The authors convened in person for one group meeting and actively participated in monthly teleconference calls between February and November 2018. An outside market research company was used to conduct the literature search and was paid using ADA funds. The authors of this report were chosen following a national call for experts to ensure diversity of the members both in professional interest and cultural background, including a person living with diabetes who served as a patient advocate.