AGRIS

Data provider:

Icon data provider

The National Agricultural Library is one of four national libraries of the United States, with locations in Beltsville, Maryland and Washington, D.C. It houses one of the world's largest and most accessible agricultural information collections and serves as the nexus for a national network of state land-grant and U.S. Department of Agriculture field libraries. In fiscal year 2011 (Oct 2010 through Sept 2011) NAL delivered more than 100 million direct customer service transactions.

Active (Data provider submitted metadata in the last calendar year)
Journal Article

Journal Article

Guidelines vs practice in the delivery of diabetes nutrition care  [1993]

Arnold, M.S. (Michigan Diabetes Research and Training Center); Stepien, C.J.; Hess, G.E.; Hiss, R.G.;

Access the full text

  • NOT AVAILABLE
The American Dietetic Association and the American Diabetes Association have published recommendations for the nutrition care of people with diabetes. However, the frequency of this care is rarely documented. As part of a study of diabetes care and education practices, the Michigan Diabetes Research and Training Center collected extensive data from 440 randomly selected adults who receive diabetes care from community physicians. These data provided a basis for comparison between diabetes nutrition care as recommended and as delivered in typical American communities. In this population (mean age = 61 years; 54% women), 89% (393) had non-insulin-dependent diabetes mellitus (NIDDM). Of these, 152 were managed with insulin (NIDDM/I) and 241 were not managed with insulin (NIDDM/NI). Most of the NIDDM/NI group was overweight (71%) and had elevated levels of glycated hemoglobin (62%) and serum cholesterol (53%). Yet they were significantly less likely than those with NIDDM/I to see a dietitian. The most frequently reported reason for not seeing a dietitian was that a physician had not referred them (53%). More than 90% of those with NIDDM/I or NIDDM/NI who were referred to a dietitian saw one. Because this population was from randomly selected communities, physicians, and patients, the results are probably generalizable to other regions of the United States. This study shows that in community practice, insulin use is the primary marker of the need for nutrition i
ntervention, and the lack of physician referral to a dietitian is an important barrier to people receiving recommended diabetes nutrition care
From the journal
Journal of the American Dietetic Association (USA)
ISSN : 0002-8223

Bibliographic information

Language:
English
Type:
Journal Article
In AGRIS since:
1993
Volume:
93
Issue:
1
Start Page:
34
End Page:
39
All titles:
"Guidelines vs practice in the delivery of diabetes nutrition care"@eng
Other:
"references"
Loading...

Bibliographic information

Language:
English
Type:
Journal Article
In AGRIS since:
1993
Volume:
93
Issue:
1
Start Page:
34
End Page:
39
All titles:
"Guidelines vs practice in the delivery of diabetes nutrition care"@eng
Other:
"references"