Nutrition

English

Prevention of diabetes and its complications: key goals in Finland

The 10-year National Diabetes Programme in Finland (DEHKO) has been up and running for 6 years. The formal evaluations carried out to date indicate that the Programme continues to have a positive impact in a number of areas of diabetes care in Finland. Moreover, prevention of type 2 diabetes and cardiovascular complications remain the principle objectives of DEHKO. Timo Saaristo and Leena Etu-Seppälä report on FIN-D2D (2003-2007), the DEHKO project to implement primary prevention of type 2 diabetes in five regions – potentially affecting 1.5 million people.

Barriers to healthcare among homeless people with diabetes

It is estimated that about half of all homeless people suffer from chronic medical conditions. Unfortunately, these people frequently encounter many more barriers to care than the general population – exacerbating their health problems. The plight of homeless people with diabetes is particularly severe, since managing the condition requires adherence to a demanding care plan.

Unite to protect health worldwide

President's Editorial

Children

The relatively recent emergence in children of type 2 diabetes, a condition once considered ‘late-onset’, has been viewed with consternation around the world. Guidelines directed at healthcare professionals dealing with children have generally focused on type 1 diabetes; it is only now becoming apparent that type 2 diabetes in children is a serious condition and that it is at least as demanding to manage. The chapter on children in the Global Guideline seeks to raise awareness of these problems, which are faced by increasing numbers of families.

Fruit and vegetables and the prevention of non-communicable diseases

It is estimated that around 2 billion children and adolescents worldwide suffer from weight-related disorders. According to the World Health Organization (WHO), more than a billion people are overweight, at least 300 million of whom are obese. As societies continue to embrace unhealthy sedentary lifestyles, fuelled by high-fat, high-sugar processed foods, obesity-related disorders, including type 2 diabetes and cardiovascular disease, are affecting increasing numbers of people at all levels of society and in almost all the countries in the world.

Preventing non-communicable diseases: an integrated community approach

The drastic rise in childhood obesity worldwide reflects the impact of unhealthy modern lifestyles. Over the last decade and a half, the increase of high-sugar, high-fat processed foods in our diets has combined with sedentary behaviour to radically and negatively affect the health of our societies. Initiatives are urgently required which can reduce the resulting individual and societal burden to physical and psychological health and economic development.

The role of the renal dietitian in diabetes care

Renal dietitians can be especially helpful to people who have diabetes and its kidney complications. However, in a recent survey by the US National Kidney Foundation Patient Services Committee, only two out of 25 respondents received help from a registered dietitian. Yet, when asked to list any queries that related to their diabetes care, two-thirds of these were related to nutrition. Patricia Weber describes the importance of nutritional issues in the prevention of diabetes-related kidney failure and calls for an increased role in diabetes care for renal dietitians.

The dietetics of smoking cessation in people with diabetes

Compared to people without the condition, people with diabetes are at increased risk from vascular diseases – including heart attack and stroke. This risk is further increased in people with diabetes who smoke; smokers with the condition should be advised by their health carers to stop smoking as a matter of urgency. But giving up the habit is not easy. Successful cessation requires people to surmount a number of difficulties, including strong physical, psychological and behavioural

The Mediterranean diet and the prevention of diabetes

In the 1950s, the relationship between dietary habits and cardiovascular disease was explored for the first time in an epidemiological study: the Seven Countries Study, which is considered a milestone of research in cardiology and nutrition. It was found that cardiovascular disease was 50% less common in the populations living in the Mediterranean area than in those living in northern Europe or the USA. The marked difference in the diets of the respective populations largely accounted for this disparity in rates of cardiovascular disease. In this article, Gabriele Riccardi

A protocol for the nutritional management of diabetes in the Caribbean

Over the last 10-15 years, various regional institutions in the Caribbean have developed protocols for the clinical management of diabetes. These have been used to improve the quality of care for people with the condition. However, the nutritional component of care was not adequately addressed in these recommendations and no standardized regional guidelines existed. Godfrey Xuereb reports on the development of a formal protocol for the nutritional management of diabetes and related conditions in the Caribbean region.

Pages