Thursday, January 31, 2013

The integration of diet and nutrition lifestyle management strategies into the dental office visit for diabetes risk reduction and management


Link to article

  1. Maura Bruno, RD, CDE, DCN
+Author Affiliations
  1. Dr. Bruno is an adjunct assistant professor, Department of Nutritional Sciences, School of Health Related Professions, University of Medicine and Dentistry of New Jersey, Newark. She also is a certified diabetes educator. Address reprint requests to Dr. Bruno at Department of Nutritional Sciences, School of Health Related Professions, University of Medicine and Dentistry of New Jersey, 65 Bergen St., Room 157, Newark, N.J. 07107-3001, e-mail brunoms@umdnj.edu.

Abstract

Background. The incidence of diabetes and prediabetes in the United States continues to increase. Oral health care professionals (OHCPs) play a role in diabetes screening and education.
Methods. The author presents and explores diet and lifestyle management strategies OHCPs can provide to patients who have prediabetes and type 2 diabetes mellitus (T2DM).
Results. Modest weight loss (7 percent of body weight) and regular physical activity (150 minutes per week) are important in the prevention and treatment of prediabetes and T2DM. Following a carbohydrate-controlled diet that is limited in fat and cholesterol will help patients with T2DM achieve normoglycemia and reduce their risk of developing diabetes complications.
Conclusions. The importance of using these strategies can be reinforced by OHCPs during office visits. OHCPs can collaborate with registered dietitians to improve the outcome of oral health through diabetes prevention, education and management.
Clinical Implications. Being familiar with risk factors for T2DM and recommendations for lifestyle modification strategies to prevent T2DM may help OHCPs educate patients and refer them for appropriate treatment and therapy.

  1. The Journal of the American Dental Associationvol. 143 no. 12 1320-1323

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