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ADA Issues New Clinical Practice Recommendations
Date:12/27/2007

ht. What we want health care providers to know is that it's important for patients to choose a plan that works for them, and that the health care team support their patients' weight loss efforts and provide appropriate monitoring of patients' health."

Because people following low carbohydrate diets may replace calories from carbohydrate with fat or protein, the recommendations also include monitoring the lipid profile (blood fats, including cholesterol and triglycerides) of patients on such diets. High protein diets may also worsen kidney problems. Therefore, it is also recommended that patients with kidney disease be counseled about appropriate intake of protein and that their kidney functions be monitored carefully.

"Short-term weight loss is beneficial, but what is most important for health is keeping the weight off long-term," said Albright. "We also want to continue to emphasize the importance of regular physical activity, both to aid weight loss from calorie-restricted diets, and also for the positive health gains associated with exercise that are independent of weight loss."

Being overweight or obese and inactive are major contributing factors to the onset of type 2 diabetes. Overweight and obesity also complicate the treatment of diabetes (both type 1 and type 2) and can contribute to the development of other health problems, such as heart disease and cancer. In the United States, rates of type 2 diabetes in adults and children have risen dramatically in recent years, along with the national epidemic of obesity.

This year's revisions also include:

-- Recommendations that adults who are overweight or obese and have one or more diabetes risk factor be tested for pre-diabetes and diabetes

-- New treatment guidelines for older adults

-- Recommendations for preparing and maintaining disaster kits for diabetes self-management

-- Structural changes to make the documents more "user-friendly," in
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SOURCE American Diabetes Association
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