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Permanent link (DOI): https://doi.org/10.7939/R30Z7194J

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The transcultural diabetes nutrition algorithm: A Canadian perspective Open Access

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Author or creator
Gougeon, Réjeanne E.
Sievenpiper, John L.
Jenkins, David
Yale, Jean-François
Bell, Rhonda C.
Despres, Jean-Pierre
Ransom, Thomas P. P.
Camelon, Kathryn
Dupre, John
Kendall, Cyril
Hegazi, Refaat A.
Marchetti, Albert
Hamdy, Osama
Mechanick, Jeffrey I.
Additional contributors
Subject/Keyword
Low-Glycemic-Index
Randomized Controlled-Trial
Physical-Activity
All-Cause Mortality
Energy-Expenditure
Cardiorespiratory Fitness
Cardiovascular-Disease
Glucose-Tolerance
College Alumni
Dietary-Education
Type of item
Journal Article (Published)
Language
English
Place
Time
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.
Date created
2014
DOI
doi:10.7939/R30Z7194J
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Attribution 4.0 International
Citation for previous publication
Gougeon, R. E., Sievenpiper, J. L., Jenkins, D., Yale, J­. F., Bell, R. C., Despres, J. ­P., Ransom, T. P. P., Camelon, K., Dupre, J., Kendall, C., Hegazi, R. A., Marchetti, A., Hamdy, O., & Mechanick, J. I. (2014). The transcultural diabetes nutrition algorithm: A Canadian perspective. International Journal of Endocrinology, 2014(151068), [12 pages].  http://dx.doi.org/10.1155/2014/151068

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