The Transcultural Diabetes Nutrition Algorithm: A Canadian Perspective
The Transcultural Diabetes Nutrition Algorithm (tDNA) is a clinical tool designed to facilitate implementation of therapeutic lifestyle recommendations for people with or at risk for type 2 diabetes. Cultural adaptation of evidence-based clinical practice guidelines (CPG) recommendations is essentia...
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doaj-f3555512344e4023b2d756ac1d1140142020-11-24T22:14:49ZengHindawi LimitedInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/151068151068The Transcultural Diabetes Nutrition Algorithm: A Canadian PerspectiveRéjeanne Gougeon0John L. Sievenpiper1David Jenkins2Jean-François Yale3Rhonda Bell4Jean-Pierre Després5Thomas P. P. Ransom6Kathryn Camelon7John Dupre8Cyril Kendall9Refaat A. Hegazi10Albert Marchetti11Osama Hamdy12Jeffrey I. Mechanick13Crabtree Nutrition Laboratories, McGill University Health Centre/Royal Victoria Hospital, Montreal, QC, H3H 1A1, CanadaDepartment of Pathology and Molecular Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, L8N 3Z5, CanadaDepartment of Nutritional Sciences and Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, M5S 3E2, CanadaMcGill University Health Centre/Royal Victoria Hospital, Montreal, QC, H3A 1A1, CanadaDivision of Human Nutrition, Division of Agriculture, Food and Nutritional Science, and the Alberta Diabetes Institute, University of Alberta, Edmonton, AB, T6G 2E1, CanadaCentre de Recherche de L’Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, QC, CanadaDivision of Endocrinology and Metabolism, Capital Health, Halifax, NS, B3H 2Y9, CanadaDepartment of Allied Health, Clinical Nutrition, University Health Network, Toronto, ON, M5G 2C4, CanadaRobarts Research, University of Western Ontario, London, ON, N6A 5B7, CanadaClinical Nutrition and Risk Factor Modification Center, St Michael’s Hospital, Toronto, ON, M5S 3E2, CanadaAbbott Laboratories, Abbott Park, 43219, USAMedical Education and Research Alliance (Med-ERA), New York, NY 10019, USAJoslin Diabetes Center, Harvard University, Boston, MA 02215, USADivision of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAThe Transcultural Diabetes Nutrition Algorithm (tDNA) is a clinical tool designed to facilitate implementation of therapeutic lifestyle recommendations for people with or at risk for type 2 diabetes. Cultural adaptation of evidence-based clinical practice guidelines (CPG) recommendations is essential to address varied patient populations within and among diverse regions worldwide. The Canadian version of tDNA supports and targets behavioural changes to improve nutritional quality and to promote regular daily physical activity consistent with Canadian Diabetes Association CPG, as well as channelling the concomitant management of obesity, hypertension, dyslipidemia, and dysglycaemia in primary care. Assessing glycaemic index (GI) (the ranking of foods by effects on postprandial blood glucose levels) and glycaemic load (GL) (the product of mean GI and the total carbohydrate content of a meal) will be a central part of the Canadian tDNA and complement nutrition therapy by facilitating glycaemic control using specific food selections. This component can also enhance other metabolic interventions, such as reducing the need for antihyperglycaemic medication and improving the effectiveness of weight loss programs. This tDNA strategy will be adapted to the cultural specificities of the Canadian population and incorporated into the tDNA validation methodology.http://dx.doi.org/10.1155/2014/151068 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Réjeanne Gougeon John L. Sievenpiper David Jenkins Jean-François Yale Rhonda Bell Jean-Pierre Després Thomas P. P. Ransom Kathryn Camelon John Dupre Cyril Kendall Refaat A. Hegazi Albert Marchetti Osama Hamdy Jeffrey I. Mechanick |
spellingShingle |
Réjeanne Gougeon John L. Sievenpiper David Jenkins Jean-François Yale Rhonda Bell Jean-Pierre Després Thomas P. P. Ransom Kathryn Camelon John Dupre Cyril Kendall Refaat A. Hegazi Albert Marchetti Osama Hamdy Jeffrey I. Mechanick The Transcultural Diabetes Nutrition Algorithm: A Canadian Perspective International Journal of Endocrinology |
author_facet |
Réjeanne Gougeon John L. Sievenpiper David Jenkins Jean-François Yale Rhonda Bell Jean-Pierre Després Thomas P. P. Ransom Kathryn Camelon John Dupre Cyril Kendall Refaat A. Hegazi Albert Marchetti Osama Hamdy Jeffrey I. Mechanick |
author_sort |
Réjeanne Gougeon |
title |
The Transcultural Diabetes Nutrition Algorithm: A Canadian Perspective |
title_short |
The Transcultural Diabetes Nutrition Algorithm: A Canadian Perspective |
title_full |
The Transcultural Diabetes Nutrition Algorithm: A Canadian Perspective |
title_fullStr |
The Transcultural Diabetes Nutrition Algorithm: A Canadian Perspective |
title_full_unstemmed |
The Transcultural Diabetes Nutrition Algorithm: A Canadian Perspective |
title_sort |
transcultural diabetes nutrition algorithm: a canadian perspective |
publisher |
Hindawi Limited |
series |
International Journal of Endocrinology |
issn |
1687-8337 1687-8345 |
publishDate |
2014-01-01 |
description |
The Transcultural Diabetes Nutrition Algorithm (tDNA) is a clinical tool designed to facilitate implementation of therapeutic lifestyle recommendations for people with or at risk for type 2 diabetes. Cultural adaptation of evidence-based clinical practice guidelines (CPG) recommendations is essential to address varied patient populations within and among diverse regions worldwide. The Canadian version of tDNA supports and targets behavioural changes to improve nutritional quality and to promote regular daily physical activity consistent with Canadian Diabetes Association CPG, as well as channelling the concomitant management of obesity, hypertension, dyslipidemia, and dysglycaemia in primary care. Assessing glycaemic index (GI) (the ranking of foods by effects on postprandial blood glucose levels) and glycaemic load (GL) (the product of mean GI and the total carbohydrate content of a meal) will be a central part of the Canadian tDNA and complement nutrition therapy by facilitating glycaemic control using specific food selections. This component can also enhance other metabolic interventions, such as reducing the need for antihyperglycaemic medication and improving the effectiveness of weight loss programs. This tDNA strategy will be adapted to the cultural specificities of the Canadian population and incorporated into the tDNA validation methodology. |
url |
http://dx.doi.org/10.1155/2014/151068 |
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