Transcultural Diabetes Nutrition Algorithm: A Malaysian Application

Glycemic control among patients with prediabetes and type 2 diabetes mellitus (T2D) in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy...

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Main Authors: Zanariah Hussein, Osama Hamdy, Yook Chin Chia, Shueh Lin Lim, Santha Kumari Natkunam, Husni Hussain, Ming Yeong Tan, Ridzoni Sulaiman, Barakatun Nisak, Winnie Siew Swee Chee, Albert Marchetti, Refaat A. Hegazi, Jeffrey I. Mechanick
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2013/679396
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author Zanariah Hussein
Osama Hamdy
Yook Chin Chia
Shueh Lin Lim
Santha Kumari Natkunam
Husni Hussain
Ming Yeong Tan
Ridzoni Sulaiman
Barakatun Nisak
Winnie Siew Swee Chee
Albert Marchetti
Refaat A. Hegazi
Jeffrey I. Mechanick
author_facet Zanariah Hussein
Osama Hamdy
Yook Chin Chia
Shueh Lin Lim
Santha Kumari Natkunam
Husni Hussain
Ming Yeong Tan
Ridzoni Sulaiman
Barakatun Nisak
Winnie Siew Swee Chee
Albert Marchetti
Refaat A. Hegazi
Jeffrey I. Mechanick
author_sort Zanariah Hussein
collection DOAJ
description Glycemic control among patients with prediabetes and type 2 diabetes mellitus (T2D) in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy (MNT). Evidence-based recommendations for diabetes-specific therapeutic diets are available internationally. However, Asian patients with T2D, including Malaysians, have unique disease characteristics and risk factors, as well as cultural and lifestyle dissimilarities, which may render international guidelines and recommendations less applicable and/or difficult to implement. With these thoughts in mind, a transcultural Diabetes Nutrition Algorithm (tDNA) was developed by an international task force of diabetes and nutrition experts through the restructuring of international guidelines for the nutritional management of prediabetes and T2D to account for cultural differences in lifestyle, diet, and genetic factors. The initial evidence-based global tDNA template was designed for simplicity, flexibility, and cultural modification. This paper reports the Malaysian adaptation of the tDNA, which takes into account the epidemiologic, physiologic, cultural, and lifestyle factors unique to Malaysia, as well as the local guidelines recommendations.
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institution Kabale University
issn 1687-8337
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publishDate 2013-01-01
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series International Journal of Endocrinology
spelling doaj-art-017fc484d09e4e69ae684b6ecee830672025-02-03T01:23:46ZengWileyInternational Journal of Endocrinology1687-83371687-83452013-01-01201310.1155/2013/679396679396Transcultural Diabetes Nutrition Algorithm: A Malaysian ApplicationZanariah Hussein0Osama Hamdy1Yook Chin Chia2Shueh Lin Lim3Santha Kumari Natkunam4Husni Hussain5Ming Yeong Tan6Ridzoni Sulaiman7Barakatun Nisak8Winnie Siew Swee Chee9Albert Marchetti10Refaat A. Hegazi11Jeffrey I. Mechanick12Department of Medicine, Hospital Putrajaya, Pusat Pentadbiran Kerajaan Persekutuan, Presint 7, 62250 Putrajaya, MalaysiaDivision of Endocrinology, Diabetes and Metabolism, Joslin Diabetes Center, Harvard Medical School, Boston, MA 02215, USADepartment of Medicine, University Malaya Medical Centre, Kuala Lumpur, MalaysiaDepartment of Medicine, Hospital Pulau Pinang, Penang, MalaysiaDepartment of Medicine, Hospital Tengku Ampuan Rahimah, Selangor, MalaysiaFamily Medicine, Putrajaya Health Clinic, Putrajaya, MalaysiaDepartment of Health Care, International Medical University, Kuala Lumpur, MalaysiaDepartment of Dietetics and Food Services, Hospital Kuala Lumpur, Kuala Lumpur, MalaysiaDepartment of Nutrition and Dietetics, University Putra Malaysia, Selangor, MalaysiaDepartment of Nutrition and Dietetics, International Medical University, Kuala Lumpur, MalaysiaPreventive Medicine and Community Health, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USAAbbott Nutrition, Columbus, OH 43219, USADivision of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAGlycemic control among patients with prediabetes and type 2 diabetes mellitus (T2D) in Malaysia is suboptimal, especially after the continuous worsening over the past decade. Improved glycemic control may be achieved through a comprehensive management strategy that includes medical nutrition therapy (MNT). Evidence-based recommendations for diabetes-specific therapeutic diets are available internationally. However, Asian patients with T2D, including Malaysians, have unique disease characteristics and risk factors, as well as cultural and lifestyle dissimilarities, which may render international guidelines and recommendations less applicable and/or difficult to implement. With these thoughts in mind, a transcultural Diabetes Nutrition Algorithm (tDNA) was developed by an international task force of diabetes and nutrition experts through the restructuring of international guidelines for the nutritional management of prediabetes and T2D to account for cultural differences in lifestyle, diet, and genetic factors. The initial evidence-based global tDNA template was designed for simplicity, flexibility, and cultural modification. This paper reports the Malaysian adaptation of the tDNA, which takes into account the epidemiologic, physiologic, cultural, and lifestyle factors unique to Malaysia, as well as the local guidelines recommendations.http://dx.doi.org/10.1155/2013/679396
spellingShingle Zanariah Hussein
Osama Hamdy
Yook Chin Chia
Shueh Lin Lim
Santha Kumari Natkunam
Husni Hussain
Ming Yeong Tan
Ridzoni Sulaiman
Barakatun Nisak
Winnie Siew Swee Chee
Albert Marchetti
Refaat A. Hegazi
Jeffrey I. Mechanick
Transcultural Diabetes Nutrition Algorithm: A Malaysian Application
International Journal of Endocrinology
title Transcultural Diabetes Nutrition Algorithm: A Malaysian Application
title_full Transcultural Diabetes Nutrition Algorithm: A Malaysian Application
title_fullStr Transcultural Diabetes Nutrition Algorithm: A Malaysian Application
title_full_unstemmed Transcultural Diabetes Nutrition Algorithm: A Malaysian Application
title_short Transcultural Diabetes Nutrition Algorithm: A Malaysian Application
title_sort transcultural diabetes nutrition algorithm a malaysian application
url http://dx.doi.org/10.1155/2013/679396
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