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Postgrad Med J 2003;79:30-35 doi:10.1136/pmj.79.927.30
  • Review

Evolution of diabetes medical nutrition therapy

  1. M J Franz1,
  2. H Warshaw2,
  3. A E Daly3,
  4. J Green-Pastors4,
  5. M S Arnold5,
  6. J Bantle6
  1. 1Nutrition Concepts by Franz, Inc, Minneapolis, Minnesota
  2. 2Hope Warshaw Associates, Alexandria, Virginia
  3. 3Springfield Diabetes and Endocrine Center, Springfield, Illinois
  4. 4Virginia Center for Diabetes Professional Education, University of Virginia Health System, Charlottesville, Virginia
  5. 5Joan Goodwin & Associates, Inc, Diabetes Educators, Dayton, Ohio
  6. 6Division of Endocrinology and Diabetes, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota
  1. Correspondence to:
 Marion J Franz, Nutrition Concepts by Franz, Inc, 6635 Limerick Drive, Minneapolis, MN 55439, USA;
 MarionFranz{at}aol.com
  • Received 18 June 2002
  • Accepted 1 October 2002

Abstract

Research supports the importance of medical nutrition therapy in achieving diabetes treatment goals. For persons requiring insulin therapy, the first priority is to integrate an insulin regimen into the patient’s lifestyle. For type 2 diabetes, the priority is to focus on lifestyle strategies (that is, nutrition and exercise) that will improve metabolic outcomes at diagnosis and as the disease progresses. Patients with diabetes need nutrition recommendations that are supported by scientific evidence and that can be easily understood and translated into everyday life. To achieve positive outcomes, a coordinated team effort that provides continued education and support is essential.

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