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Eating Well with Diabetes

Simple information for older and/or frail people with diabetes to help support healthy living and diabetes control. Developed with BDA Older People Specialist Group.

Classification: HP (Health Professional) Advice requires some explanation from a Health Professional who has basic nutrition knowledge to enable correct implementation.

You may be interested in the Nutrition Game

You may be interested in the Hydration Game

You may be interested in the Food in Later Life Game

  • To support:

    • Healthy eating (primary prevention ) - eating healthily to stay healthy.
    • Prevention and management of underweight older adults who have a small appetite and may struggle to eat enough.
    • Self managing diet for diabetes.

    The Target Group will:

    • know the symptoms of diabetes and that diet helps to control them
    • be able to choose healthy meals and snacks
    • know steps to take to encourage weight loss
    • know that exercise helps diabetes as well as general health
    • adapt diet for illness and hypo
    • know when and where to get further help

    Evidence Base:

    • A review and summary of the impact of malnutrition in older people and the reported costs and benefits of interventions. Malnutrition task force (2013)
    • Baldwin Christine and Weekes Christine Elizabeth. Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults. http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD002008/frame.html Cochrane Database of Systematic Reviews.(2011)
    • BAPEN Treating Malnutrition, BAPEN Webpages 2012
    • Bower J. Biolo G. et al Evidence-Based Recommendations for Optimal Dietary Protein Intake in Older People: A Position Paper From the PROT-AGE Study Group Journal of the American Medical Directors Association (2013) 14; 8: 542–559
    • Briefing paper on the Role of the Dietitian in the Prevention and Management of Nutrition related Disease in the Elderly. EFAD, 2013
    • C. Milne, J. Potter, A. Vivanti and A. Avenell. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database of Systematic Reviews. (2009);2; 003288.
    • Dietary Reference Values for Food Energy and Nutrients for the United Kingdom (Report on Health and Social Subjects No 41). Committee on Medical Aspects of Food Policy (COMA). (1991) London: The Stationery Office
    • Elia M, Russell C, Combating Malnutrition: Recommendations for Action. Report from advisory group on malnutrition. BAPEN 2009
    • Elia M. The MUST Report, Nutritional screening of adults: a multidisciplinary responsibility. BAPEN 2003
    • Food Choices for increasing your Calorie /Protein Calorie and Protein intake PEN, A PEN 2008
    • Gerentology: Key Practice Points, Health Promotion / Prevention Gerentology PEN 2012
    • Gibbs Michelle, Baldwin Christine and Weekes Christine Elizabeth. (2012) Supportive interventions for enhancing dietary intake in malnourished or nutritionally at-risk adults. Cochrane Database of Systematic Reviews. http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD009840/frame.html 2012
    • Guest, J. F., Panca, M., Baeyens, J.P., de Man, F., Ljungqvist, O., Pichard, C.,Wait, S & Wilson, L. (2011) ‘Health economic impact of managing patients following a community-based diagnosis of malnutrition in the UK’, Clinical Nutrition, Volume 30, Issue 4 , Pages 422-429, August 2011
    • Hodgkinson B, Evans D, and Wood J Maintaining oral hydration in older adults : a systematic review, International Journal of Nursing Practice 2003 ;9 S19: 28
    • International Diabetes Federation: global guidelines for managing older people with type 2 diabetes http://www.idf.org/sites/default/files/IDF-Guideline-for-older-people-T2D.pdf (2012)
    • Kirkman S. Briscoe V. et al. Diabetes in older adults Diabetes care (2012) 35;12:2650-2664
    • L. Cawood, M. Elia and R. J. Stratton. (2012) Systematic review and meta-analysis of the effects of high protein oral nutritional supplements. Ageing Research Reviews. 11(2) 278-296. Medical Nutrition International Industry. Oral Nutritional Supplements to Tackle Malnutrition http://www.medicalnutritionindustry.com/uploads/content/ONS%20dossier%202012/Dossier2012FINAL2012-09-04.pdf 2012
    • SACN Iron and Health 2010
    • SACN The Nutritional Wellbeing of the British Population 2008
    • SACN vitamin D and health report (2016) https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/447403/Executive_Summary.pdf Stratton R. BAPEN Symposium 4 on Challenges of enteral feeding from the acute to the community setting? Should food or supplements be used in the community for the treatment of disease-related malnutrition? Proceedings of the Nutrition Society (2005), 64, 325-333
    • The Caroline Walker Trust (2012) Eating well for older people and older people with dementia.
    • The nutrition of Elderly People. (Report on Health and Social Subjects No 43.) Committee on Medical Aspects of Food Policy (COMA). (1992) London: The Stationery Office
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