2006-2007 American Diabetes Association Nutrition Recommendations: Issues for Practice Translation

The American Diabetes Association 2006-2007 Nutrition Recommendations ( 1 American Diabetes Association position statement: Nutrition recommendations and recommendations for diabetes. Diabetes Care. 2007; 30: S48-S65 Google Scholar ) provide an update of the 2002 statement ( 2 American Diabetes Association position statement: Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. J Am Diet Assoc. 2002; 102: 109-118 Google Scholar ) and accompanying technical review ( 3 Franz M.J. Bantle J.P. Beebe C.A. Brunzell J.D. Chiasson J.L. Garg A. Holzmeister L.A. Hoogwerf B. Mayer-Davis E. Mooradian A.D. Purnell J.Q. Wheeler M. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications. Diabetes Care. 2002; 25 ([technical review]): 148-198 Google Scholar ), and of the modifications made in 2004 ( 4 American Diabetes Association position statement: Nutrition principles and recommendations in diabetes. Diabetes Care. 2004; 27: S36-S46 Google Scholar ). These nutrition recommendations are available at http://www.diabetes.org/for-health-professionals-and-scientists/cpr.jsp. The overall goal of the recommendations is to make people who have diabetes or are at risk for developing diabetes, as well as health care providers, aware of beneficial nutrition interventions that may reduce the incidence of diabetes as well as diabetes-related morbidity and mortality. This commentary discusses the prevention continuum organizing framework of the recommendations, review procedures used by the American Diabetes Association, implementation tailoring, and the emphasis on obesity. The commentary also highlights features of the recommendations to delay/prevent diabetes (primary prevention), to prevent complications (secondary prevention), and to manage complications (tertiary prevention). In addition, we address the growing public health burden of diabetes, research issues, and putting evidence into practice. J. Wylie-Rosett is a professor, Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY. A. A. Albright is director, Division of Diabetes Translation, Centers for Disease Control, Atlanta, GA; at the time of the study she was program chief of the California Diabetes Program, Department of Health Services at the University of California, San Francisco. C. Apovian is associate professor of Medicine at Boston University School of Medicine and the director of Clinical Nutrition at Boston Medical Center, Boston, MA. N. G. Clark is senior medical advisor, Diabetes/Clinical Research and Medical Affairs, Novo Nordisk Inc, Princeton, NJ. L. Delahanty is the director of Clinical Nutrition and Behavioral Research, The Massachusetts General Hospital Diabetes Center, Boston. M. J. Franz is a nutrition and health consultant with Nutrition Concepts by Franz, Inc, Minneapolis, MN. B. Hoogwerf is a staff physician in the Department of Endocrinology, Diabetes and Metabolism, The Cleveland Clinic, Cleveland, OH. K. Kulkarni is director, Scientific Affairs, In-Vivo Team, Abbott Diabetes Care, Alameda, CA. A. H. Lichtenstein is senior scientist, director of the Cardiovascular Nutrition Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging and professor of Public Health and Family Medicine, Tufts University School of Medicine, Boston, MA. E. Mayer-Davis is professor and associate chair of the Department of Epidemiology and Biostatistics, The Arnold School of Public Health, University of South Carolina, Columbia. A. D. Mooradian is professor and chair, Department of Medicine, University of Florida College of Medicine, Jacksonville. M. Wheeler is coordinator, Research Nutrition, Nutritional Computing Concepts, Zionville, IN.