Nutrition resources for type 2 diabetes
It can be hard to maintain a granular focus on the details that make each person with type 2 diabetes, and their needs, unique. Yet the ability to do this is meaningful.
It allows us to personalise our support, accounting for each client’s clinical presentation, expectations and current desire for change.
Refocussing on type 2 diabetes care (A PDF can be downloaded here)
The presentations below will help you individualise your approach:
> using therapeutic nutrition interventions
> clinical targets that help to avoid diabetes-related complications
> skill development for supporting your client through co-morbid disordered eating and eating disorders.
And how about you?
Working in chronic disease can be exhausting. A reminder that using a team approach and getting clinical supervision are useful ways of looking after yourself as you support others.
Type 2 diabetes: assessment and planning of care
Ivan Chan, APD
- Implementing Medical Nutrition Therapy for type 2 diabetes
- Using standards of care: evidence for MNT
- Aligning with MNT goals
- Unpacking what is person-centred care
- Assessing the person with type 2 diabetes
- Assessing client motivation for self-management
- Identifying obstacles and enablers
- Individualising targets
- Using tools for monitoring progress
- Planning ongoing care
- Delivering person-centred care
- Collaborating and communicating with other diabetes team members
- Reviewing progress along the type 2 diabetes pathophysiology journey
- An introduction to diabetes phenotypes and ethnicity
Read a review of the presentation here
Therapeutic fasting for type 2 diabetes reversal
Camilla Dahl, APD
- Type 2 diabetes reversal and therapeutic fasting
- The role of insulin
- The science behind fasting
- Creating a fasting protocol
Read a review of the presentation here
Medicinal foods Part 2: Hyperglycaemia
Dr Evangeline Mantzioris BSc BND PhD APD AccSD
Evangeline examines the use of nutraceuticals (medicinal compounds found in foods) in:
- Type 2 diabetes
- PCOS
- Weight loss
- NAFLD
Read a review of the presentation here
Preventing complications in type 2 diabetes
Dr Nicole Kellow, PhD, AdvAPD, CDE
- Pathophysiology of complications in type 2 diabetes (CVD, renal impairment, microvascular disease of the eyes, peripheral neuropathy, autonomic neuropathy)
- Risk factors for complications - screenings and targets: BGL’s, lipids, Blood Pressure, urine microalbumin, eyes, feet, anthropometry
- Diabetes cycle of care- keeping your clients engaged
- How to communicate potential complications without instilling fear
- Diabetes burnout and assessing psychological health
Read a review of the presentation here
Medications for type 2 diabetes
Dr Nicole Kellow, PhD, AdvAPD, CDE
- Evidence for when to commence medication for type 2 diabetes
- Setting an HbA1c target
- Common hypoglycaemics, mechanisms of action, side effects, practical aspects
- Biguanides
- Sulphonylureas
- α-Glucosidase inhibitors
- DPP-4 inhibitors
- GLP-1 agonists
- SGLT-2 inhibitors
- Insulins commonly used in type 2 diabetes
Read a review of the presentation here
Professional supervision
Aly McNicoll, Director of Training - The New Zealand Coaching & Mentoring Centre
- What is supervision?
- What are the benefits?
- What might go wrong in supervision?
- The importance of confidentiality
- What to expect from a supervision session
- What to bring to supervision
- How to find a supervisor
Read a review of the presentation here
Endocrine-Disrupting Chemicals and Diabetes
Professor Dianna Magliano, BAppSci (Hons), PhD, RMIT University, Master of Public Health, Monash University
- The key environmental pollutants: persistent organic pollutants, Bisphenol A and Bisphenol S
- Why are these compounds important?
- Routes of exposure and how they cause disease
- The epidemiological evidence
- Stockholm convention
- What can we do limit the adverse effects?
Read a review of the presentation here
Binge Eating and Binge Eating Disorder
Michelle Roberton, APD
- Binge eating behaviour and Binge Eating Disorder
- Dietitians roles and scope of practice in BE and BED: prevention, early identification and management
- Helpful resources and further information in disordered eating
Read a review of the presentation here
Intermittent Fasting and the Circadian Clock
Dr. Courtney Peterson, PhD, MSc, MA, MS
- Definition and potential benefits of intermittent fasting
- Periodic fasting
- Intermittent energy restriction (including alternate-day modified fasting, the 5:2 diet, and the fasting-mimicking diet)
- Time-restricted feeding (TRF)
- The circadian clock and its role in metabolism
- Eating breakfast like a king
- Breakfast skipping
- Early TRF
- Applying TRF in clinical practice
Read a review of the presentation here
Nutrition considerations in shift work
Gloria Leung, PhD candidate
- An overview of the circadian clock system
- How eating late at night affects our metabolic health
- Nutrition considerations in shift work
- Dietary patterns of shift workers
- Factors that influence shift workers’ food choices & eating patterns
- Dietary recommendations for shift workers
- Practical tips for dietitians/ nutritionists
Read a review of the presentation here
Low Carbohydrate Nutrition
Camilla Dahl, APD
- Insulin resistance
- Carbohydrate metabolism
- Levels of carbohydrate restriction
- Safety concerns
- Ketosis Vs ketoacidosis
- Electrolyte management
- Case study
Read a review of the presentation here
Low carbohydrate diets for type 2 diabetes
Tim McMaster, APD, SD
- How is a low carbohydrate diet defined?
- What does the current research and evidence on low carbohydrate diets tell us?
- As dietitians, should we be recommending low carbohydrate diets for people living with type 2 diabetes?
Read a review of the presentation here
Gastroparesis and dysmotility disorders
Dr Sharon Carey, PhD, APD
- Definition, diagnosis and aetiology of dysmotility disorders, including gastroparesis
- Signs and symptoms of dysmotility disorders
- Exploration of comorbidities such as diabetes, coeliac disease and disordered eating
- Medical management including medications, and procedures, including gastric pacemakers.
- Nutritional management including oral, enteral and parenteral pathways as well as lifestyle considerations
Read a review of the presentation here
Disordered eating in diabetes
Dr. Kylie Mosely PhD (Clin Health Psych); MPsych (Health); BScPsychol (Hons); MAPS
- Identify disordered eating behaviour
- Understand evidence-based treatment approaches
- Develop action plans for treatment
Read a review of the presentation here
Gestational Diabetes Mellitus: case studies
Robyn Barnes, APD, CDE
In this expert presentation Robyn details the nutritional management of three very different clients with GDM. A 31-year-old of Lebanese background with a pre-pregnancy BMI of 23.0. A 30-year-old Caucasian with a pre-pregnancy BMI of 34.0. And a 40-yr-old of Japanese background with a pre-pregnancy BMI of 27. Each presented with blood glucose results peaking at different times during the week. For each client, Robyn identified the causal issues of the raised BGL’s and suggest appropriate nutritional advice. Her cases illustrate the varying ways in which our clients with gestational diabetes may present and how our management requires very individualised approaches.
Hypoglycaemia in diabetes
Catherine Amadio, RN, CDE
- Glycaemic targets and monitoring blood sugar levels
- Causes (decreased oral intake, change of medication regime or activity, food and stress)
- Management of hypoglycaemia, including emergency situations
- Follow-up care
Read a review of the presentation here
Type 2 diabetes: case study
Robyn Perlstein, APD
Reg is a 63-year-old man recently diagnosed with type 2 diabetes. In this case study Robyn explains her nutritional assessment, strategies employed and how Reg works on lifestyle changes to manage his diabetes. Robyn includes a discussion on the rationale for target HbA1c level.
LADA: Latent Autoimmune Diabetes of Adulthood
Catherine Amadio, RN, CD
- Definition of LADA
- Diagnosis of LADA
- Features and traits of LADA
- How LADA is treated
Read a review of the presentation here
Nutrition and diabetic foot ulcers
Josephine Pizzinga, APD and Kate Hawkins, Podiatrist
- Definition, prevalence and implications of a diabetic foot ulcer
- Risk factors affecting wound healing and adequate nutrition
- The Role of the Podiatrist for diabetic foot ulcers:
- Assessment and screening
- Texas classification system
- IPC Health High Risk Foot Clinic (HRFC)
- The Role of Dietitian in diabetic foot ulcers:
- Nutritional screening and management
- Evidence how to manage wounds/ulcers
- Things to consider when providing management:
- Exudate
- Hydration
- Hyperglycaemia
- Obese clients
- Laboratory values
- How to work together in a multidisciplinary team
- Charcot and nutrition