Adherence
Intensive, frequent dietitian-supported nutritional education significantly reduces total energy and carbohydrate intake in patients with type 2 diabetes compared to standard annual education.
For patients with Type 2 Diabetes, especially those with kidney issues, seeing a dietitian frequently (at every visit) is more effective for reducing calorie and carb intake than seeing them once a year. This frequent support helps patients make better food choices, such as eating more fish and fewer sweets, leading to significant reductions in total energy intake over two years.
The total energy intake, carbohydrates, cereals, confections, nuts and seeds, and seasonings significantly decreased, and fish and shellfish intake significantly increased during the study period in the intensive intervention group, whereas these changes were not observed in the control group.
Why this rating
Randomized controlled trial with a 2-year follow-up, though limited by self-reported dietary assessment (FFQ).
Source
Dietitian‐supported dietary intervention leads to favorable dietary changes in patients with type 2 diabetes: A randomized controlled trial
Nao Kawabata et al. · Journal of Diabetes Investigation · 2022
DOI 10.1111/jdi.13890
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