PDM: MNT and Glycemic Outcomes (2022-23)

PDM: MNT and Glycemic Outcomes (2022-23)

• Intervention
  In adults with prediabetes, what is the effect of medical nutrition therapy provided by a dieitian, compared to a control group or standard care on incidence of T2DM?

  • Conclusion

    In adults with prediabetes, the effect of medical nutrition therapy (MNT) provided by a dietitian compared to a control group or standard care on incidence of type 2 diabetes mellitus is uncertain.  

  • Grade: Low (C)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with prediabetes, what is the effect of medical nutrition therapy provided by a dietitian compared to a control group or standard care on incidence of T2DM?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Amer O, Sabico S, Alfawaz H, Aljohani N, Hussain S, Alnaami A, Wani K, Al-Daghri N. Reversal of Prediabetes in Saudi Adults: Results from an 18 Month Lifestyle Intervention. Nutrients 2020; 12:
      • Barengo N, Acosta T, Arrieta A, Ricaurte C, Smits D, Florez K, Tuomilehto J. Early Lifestyle Interventions in People with Impaired Glucose Tolerance in Northern Colombia: The DEMOJUAN Project. International Journal of Environmental Research and Public Jealth 2019; 16:
      • Hu Z, Qin L, Xu H. One-Year Results of a Synthetic Intervention Model for the Primary Prevention of T2D among Elderly Individuals with Prediabetes in Rural China. International Journal of Environmental Research and Public Health 2017; 14:
  • Search Plan and Results: PDM: MNT Effectiveness by an RDN (2023)
     
  In adults with prediabetes, what is the effect of medical nutrition therapy provided by a dietitian compared to a control group or standard care on Hemoglobin A1c?

  • Conclusion

    In adults with prediabetes, medical nutrition therapy (MNT) provided by a dietitian compared to a control group or standard care may result in a reduction of HbA1c.

  • Grade: Low (C)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with prediabetes, what is the effect of medical nutrition therapy provided by a dietitian compared to a control group or standard care on Hemoglobin A1c?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Al-Hamdan R, Avery A, Al-Disi D, Sabico S, Al-Daghri N, McCullough F. Efficacy of lifestyle intervention program for Arab women with prediabetes using social media as an alternative platform of delivery. Journal of Diabetes Investigation 2021; 12:1872-1880
      • Al-Hamdan R, Avery A, Salter A, Al-Disi D, Al-Daghri N, McCullough F. Identification of Education Models to Improve Health Outcomes in Arab Women with Pre-Diabetes. Nutrients 2019; 11:
      • Alfawaz H, Wani K, Alnaami A, Al-Saleh Y, Aljohani N, Al-Attas O, Alokail M, Kumar S, Al-Daghri N. Effects of Different Dietary and Lifestyle Modification Therapies on Metabolic Syndrome in Prediabetic Arab Patients: A 12-Month Longitudinal Study. Nutrients 2018; 10:
      • Hu Z, Qin L, Xu H. One-Year Results of a Synthetic Intervention Model for the Primary Prevention of T2D among Elderly Individuals with Prediabetes in Rural China. International Journal of Environmental Research and Public Health 2017; 14:
      • Ibrahim N, Ming Moy F, Awalludin I, Mohd Ali Z, Ismail I. Effects of a Community-Based Healthy Lifestyle Intervention Program (Co-HELP) among Adults with Prediabetes in a Developing Country: A Quasi-Experimental Study. PloS One 2016; 11:e0167123
      • Lim S, Ong K, Johal J, Han C, Yap Q, Chan Y, Zhang Z, Chandra C, Thiagarajah A, Khoo C. A Smartphone App-Based Lifestyle Change Program for Prediabetes (D'LITE Study) in a Multiethnic Asian Population: A Randomized Controlled Trial. Frontiers in Nutrition 2021; 8:
      • Parker A, Byham-Gray L, Denmark R, Winkle P. The effect of medical nutrition therapy by a registered dietitian nutritionist in patients with prediabetes participating in a randomized controlled clinical research trial. Journal of the Academy of Nutrition and Dietetics 2014; 114:1739-1748
  • Search Plan and Results: PDM: MNT Effectiveness by an RDN (2023)
     
  In adults with prediabetes, what is the effect of medical nutrition therapy provided by a dietitian compared to a control group or standard care on fasting blood glucose?

  • Conclusion

    In adults with prediabetes, medical nutrition therapy (MNT) provided by a dietitian compared to control group or standard care likely results in a reduction in fasting blood glucose concentrations (mg/dl).

  • Grade: Moderate (B)
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with prediabetes, what is the effect of medical nutrition therapy provided by a dietitian compared to a control group or standard care on fasting blood glucose?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Al-Hamdan R, Avery A, Al-Disi D, Sabico S, Al-Daghri N, McCullough F. Efficacy of lifestyle intervention program for Arab women with prediabetes using social media as an alternative platform of delivery. Journal of Diabetes Investigation 2021; 12:1872-1880
      • Al-Hamdan R, Avery A, Salter A, Al-Disi D, Al-Daghri N, McCullough F. Identification of Education Models to Improve Health Outcomes in Arab Women with Pre-Diabetes. Nutrients 2019; 11:
      • Alfawaz H, Wani K, Alnaami A, Al-Saleh Y, Aljohani N, Al-Attas O, Alokail M, Kumar S, Al-Daghri N. Effects of Different Dietary and Lifestyle Modification Therapies on Metabolic Syndrome in Prediabetic Arab Patients: A 12-Month Longitudinal Study. Nutrients 2018; 10:
      • Amer O, Sabico S, Alfawaz H, Aljohani N, Hussain S, Alnaami A, Wani K, Al-Daghri N. Reversal of Prediabetes in Saudi Adults: Results from an 18 Month Lifestyle Intervention. Nutrients 2020; 12:
      • Barclay C, Procter K, Glendenning R, Marsh P, Freeman J, Mathers N. Can type 2 diabetes be prevented in UK general practice? A lifestyle-change feasibility study (ISAIAH). The British Journal of General Practice 2008; 58:541-547
      • Barengo N, Acosta T, Arrieta A, Ricaurte C, Smits D, Florez K, Tuomilehto J. Early Lifestyle Interventions in People with Impaired Glucose Tolerance in Northern Colombia: The DEMOJUAN Project. International Journal of Environmental Research and Public Jealth 2019; 16:
      • Hu Z, Qin L, Xu H. One-Year Results of a Synthetic Intervention Model for the Primary Prevention of T2D among Elderly Individuals with Prediabetes in Rural China. International Journal of Environmental Research and Public Health 2017; 14:
      • Ibrahim N, Ming Moy F, Awalludin I, Mohd Ali Z, Ismail I. Effects of a Community-Based Healthy Lifestyle Intervention Program (Co-HELP) among Adults with Prediabetes in a Developing Country: A Quasi-Experimental Study. PloS One 2016; 11:e0167123
      • Lim S, Ong K, Johal J, Han C, Yap Q, Chan Y, Zhang Z, Chandra C, Thiagarajah A, Khoo C. A Smartphone App-Based Lifestyle Change Program for Prediabetes (D'LITE Study) in a Multiethnic Asian Population: A Randomized Controlled Trial. Frontiers in Nutrition 2021; 8:
      • Parker A, Byham-Gray L, Denmark R, Winkle P. The effect of medical nutrition therapy by a registered dietitian nutritionist in patients with prediabetes participating in a randomized controlled clinical research trial. Journal of the Academy of Nutrition and Dietetics 2014; 114:1739-1748
      • Pedley C, Case L, Blackwell C, Katula J, Vitolins M. The 24-month metabolic benefits of the healthy living partnerships to prevent diabetes: A community-based translational study. Diabetes & Metabolic Syndrome 2018; 12:215-220
      • Wani K, Alfawaz H, Alnaami A, Sabico S, Khattak M, Al-Attas O, Alokail M, Alharbi M, Chrousos G, Kumar S, Al-Daghri N. Effects of A 12-Month Intensive Lifestyle Monitoring Program in Predominantly Overweight/Obese Arab Adults with Prediabetes. Nutrients 2020; 12:
      • Weinhold K, Miller C, Marrero D, Nagaraja H, Focht B, Gascon G. A Randomized Controlled Trial Translating the Diabetes Prevention Program to a University Worksite, Ohio, 2012-2014. Preventing Chronic Disease 2015; 12:E210
  • Search Plan and Results: PDM: MNT Effectiveness by an RDN (2023)