Academy of Nutrition and Dietetics Nutrition Practice Guideline for Type 1 and Type 2 Diabetes in Adults: Nutrition Intervention Evidence Reviews and Recommendations.

Publication Name: J Acad Nutr Diet. 2017 Oct;117(10):1659-1679. doi: 10.1016/j.jand.2017.03.022. Epub 2017 May 19.

Author(s): Franz MJ, MacLeod J, Evert A, Brown C, Gradwell E, Handu D, Reppert A, Robinson M. | Publication Year: 2017

Abstract

No abstract available.

Summary

The US Academy of Nutrition and Dietetics (AND) Nutrition Practice Guideline (NPG) for Type 1 and Type 2 Diabetes in Adults is a newly developed guideline, providing updated evidence-based recommendations about Medical Nutrition Therapy (MNT) in diabetes management. Nutrition therapy plays a critical role in managing both types of diabetes, reducing the potential complications related to poor glycemic, lipid, and blood pressure control, and improving quality of life.

Within the context of AND’s revised diabetes MNT guidelines, recommendations regarding the use of low calorie sweeteners suggest that:

  • Registered dietitians and nutritionists (RDNs) should educate adults with diabetes that intake of approved nonnutritive sweeteners will not have a significant influence on glycemic control. Research reports no significant influence of consuming nonnutritive sweeteners (such as aspartame, steviol glycosides, and sucralose), independent of weight loss, on HbA1c, fasting glucose levels, or insulin levels (Grade III).
  • RDNs should educate adults with diabetes that substituting foods and beverages containing approved nonnutritive sweeteners within the acceptable daily intake levels can reduce overall calorie and carbohydrate intake; however, the other sources of calories and carbohydrates in these foods and beverages need to be considered. Use of nonnutritive sweeteners has the potential to reduce overall calorie and carbohydrate intake if substituted for caloric sweeteners without compensation by intake of additional calories from other food sources.