PEN® eNews 14(11) November 2024 - New and Updated Content!
PEN
® eNews is a monthly e-newsletter shared with the global PEN Community and created to help dietitians position themselves as leaders in evidence-based nutrition practice. In addition, users of the PEN System will find articles on the new evidence, resources and features available and how to maximize one's use of PEN.
Ketogenic Diet and Type 1 Diabetes - What is the Latest?
The Question
Should a ketogenic diet (<50 g/day carbohydrate) be recommended for adults with type 1 diabetes?
The Recommendation
There is very limited evidence, primarily from case series, that a very low carbohydrate ketogenic diet (VLCD, <50 g CHO/day) improves glycemic control for individuals with type 1 diabetes with low rates of adverse events (hypoglycemia or ketoacidosis). Studies on the use of VLCDs in type 1 diabetes are short term, involving small numbers of individuals with unknown adherence to the prescribed diet and unreported data on other aspects of diabetes management that may influence glycemic control.
Although case series suggest that individuals with type 1 diabetes who follow a VLCD were not at increased safety risk, evidence is sparse. Additional research is needed regarding the long-term safety and efficacy of a VLCD prior to making a recommendation for individuals with type 1 diabetes.
Individuals with type 1 diabetes who wish to follow a VLCD should do so with the support of a specialized health care team that includes a dietitian.
Grade of Evidence C
To see the full practice question, including the Evidence Statements, Remarks and References, click here.
Ketogenic Diet and Type 2 Diabetes - Are the Recommendations Different than for Type 1
The Question
Should a ketogenic diet (<50 g/day carbohydrate) be recommended for adults with type 2 diabetes?
The Recommendation
No recommendation is provided for a very low carbohydrate ketogenic diet to improve glycemic control in adults with type 2 diabetes.
Conditional recommendation | Low quality evidence
To see the full practice question, including the Evidence Statements, Remarks and References, click here.
The Low Carbohydrate Diet Knowledge Pathway is Updated!
Check out the
Summary of Recommendations and Evidence for our Diet Composition - Low Carbohydrate Diet Knowledge Pathway - it has recently been updated! If you’re wondering about the effects of a low carbohydrate diet on cardiovascular risk factors or kidney function, we’ve summarized the most recent evidence for you.
The Summary of Recommendations and Evidence (SRE) is a tool that synthesizes the Key Practice Point(s) for each Practice Question (PQ) in a Knowledge Pathway.
Updated Background - Chronic Kidney Disease
The background for our Chronic Kidney Disease Knowledge Pathway has recently been updated. If you’re new to practice or haven’t worked with this population for a while, the Background is a perfect place to start your learning!
What are Backgrounds, Anyway?
Backgrounds provide general information about a topic for new practitioners as well as for experienced health professionals.
To see a full list of backgrounds, use the PEN search function on the home page.
Want to know what else is new and updated? Bookmark these pages:
International Guidelines Collection
PEN is the global resource for nutrition information. We work with our country partners to identify relevant regional nutrition guidelines to make sure you're well-informed - no matter where you're working in the world! You can find the collection here.
PEN eNews
November 2024 Volume
14 (11)
A Publication of the PEN® System Global Partners,
a collaborative partnership between International Dietetic Associations.
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