PHRM 221 Lecture Notes - Lecture 15: Glycated Hemoglobin, Insulin Pump, Prediabetes
Document Summary
Week 15: nutrition for renal diseases & diabetes (part 1) Lifestyle plays a major role in both prevention and treatment of diabetes. Clinical trials comparing lifestyle interventions to a control group have reported risk reduction for t2d from lifestyle interventions ranging from 29-67% List 3 ways lifestyle can play a role to prevent diabetes. Healthy food choices for moderate weight loss (~5%) Obesity has an impact on insulin sensitivity. Clinical trials clear link between glycemic control and development of complications. Monitoring a1c, lipids, bp, weight and qol issues are essential in evaluating the nutrition recommendations. Clinical trials and outcomes studies have reported decreases in a1c levels ranging from 0. 25-2. 9% in 3-6 months with mnt. Blood glucose levels after eating are primarily determined by: The rate of appearance of glucose from carbohydrate digestion and absorption into the bloodstream. The ability of insulin to clear glucose from the circulation. Total amount of carbohydrate is the most important.