Notes: Sally Feltner, M.S., Ph.D.
Diabetes blood sugar control is getting worse for U.S. adults. By Bobbie Berman, June 14, 2021 .
The study was published in The New England Journal of Medicine, Fang, Michael, Ph.D., et al. Trends in Diabetes Treatment and Control in U.S. Adults. 2021; 384; 2219-2228,
After scanning the original article in NEJM for any mention of the role of diet in the control of glycemic parameters, I found none.
In the article above by Mr. Berman, there is only a mention of diet in the following manner:
“A person with diabetes can still eat the foods that they enjoy, just less frequently or in smaller portions.
Follow the advice of a doctor or dietitian, eat a varied meal plan that includes foods from all groups, and stick to the recommended amounts.
Some people with diabetes should eat at the same time each day, while others have a little more flexibility when it comes to the timings of meals. Portion size is also very important in people with diabetes. Speak to a dietitian about the best way to manage this.”
Finally, someone gave it at least an after thought. I had a close relative with diabetes type 2 who when asked if he had ever seen a certified diabetic educator (CDE, often a dietitian,) or spoken about diet with his physician. He always said “No”.
Perhaps if doctors were more educated about the effects of diet on diabetes control, patients would be more compliant with these recommendations. I am not a certified diabetic educator, but am retired as a registered dietitian. I strongly recommend that if you are diabetic, consult with your primary care physician and try to see someone with the proper credentials about diabetes care. (Sally Feltner)
Take a look at the following article on a study done to compare lifestyle factors vs. metformin ( a common compound taken by diabetic patients for glucose control) Spoiler Alert: LIFESTYLE FACTORS WIN OUT OVER METFORMIN and prevention is the key.