The transcultural diabetes nutrition algorithm: a canadian perspective

Affiliations

¹ Crabtree Nutrition Laboratories, McGill University Health Centre/Royal Victoria Hospital, Montreal, QC, Canada H3H 1A1 ; Crabtree Nutrition Laboratories, McGill University Health Centre/Royal Victoria Hospital H6.90, 687 Pine Avenue West, Montreal, QC, Canada H3A 1A1.
² Department of Pathology and Molecular Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada L8N 3Z5 ; Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Clinical Nutrition and Risk Factor Modification Centre, St. Michael's Hospital, Toronto, ON, Canada M5C 2T2.
³ Department of Nutritional Sciences and Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5S 3E2 ; Clinical Nutrition and Risk Factor Modification Center, Division of Endocrinology and Metabolism, and Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, ON, Canada M5C 2T2.
⁴ McGill University Health Centre/Royal Victoria Hospital, Montreal, QC, Canada H3A 1A1.
⁵ Division of Human Nutrition, Division of Agriculture, Food and Nutritional Science, and the Alberta Diabetes Institute, University of Alberta, Edmonton, AB, Canada T6G 2E1.
⁶ Centre de Recherche de L'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, QC, Canada ; Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, QC, Canada G1V 4G5.
⁷ Division of Endocrinology and Metabolism, Capital Health, Halifax, NS, Canada B3H 2Y9 ; Dalhousie University, Canada.
⁸ Department of Allied Health, Clinical Nutrition, University Health Network, Toronto, ON, Canada M5G 2C4.
⁹ Robarts Research, University of Western Ontario, London, ON, Canada N6A 5B7.
¹⁰ Clinical Nutrition and Risk Factor Modification Center, St Michael's Hospital, Toronto, ON, Canada M5S 3E2 ; Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, Canada ; College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
¹¹ Abbott Laboratories, Abbott Park, 43219, USA.
¹² Medical Education and Research Alliance (Med-ERA), New York, NY 10019, USA ; Department of Preventive Medicine and Community Health, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USA.
¹³ Joslin Diabetes Center, Harvard University, Boston, MA 02215, USA.
¹⁴ Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

PMID: 24550982
PMCID: PMC3914410
DOI: 10.1155/2014/151068

The transcultural diabetes nutrition algorithm: a canadian perspective

Réjeanne Gougeon et al. Int J Endocrinol. 2014.

. 2014:2014:151068.

doi: 10.1155/2014/151068. Epub 2014 Jan 16.

Authors

Affiliations

¹ Crabtree Nutrition Laboratories, McGill University Health Centre/Royal Victoria Hospital, Montreal, QC, Canada H3H 1A1 ; Crabtree Nutrition Laboratories, McGill University Health Centre/Royal Victoria Hospital H6.90, 687 Pine Avenue West, Montreal, QC, Canada H3A 1A1.
² Department of Pathology and Molecular Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada L8N 3Z5 ; Toronto 3D Knowledge Synthesis and Clinical Trials Unit, Clinical Nutrition and Risk Factor Modification Centre, St. Michael's Hospital, Toronto, ON, Canada M5C 2T2.
³ Department of Nutritional Sciences and Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada M5S 3E2 ; Clinical Nutrition and Risk Factor Modification Center, Division of Endocrinology and Metabolism, and Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, ON, Canada M5C 2T2.
⁴ McGill University Health Centre/Royal Victoria Hospital, Montreal, QC, Canada H3A 1A1.
⁵ Division of Human Nutrition, Division of Agriculture, Food and Nutritional Science, and the Alberta Diabetes Institute, University of Alberta, Edmonton, AB, Canada T6G 2E1.
⁶ Centre de Recherche de L'Institut Universitaire de Cardiologie et de Pneumologie de Québec, Québec, QC, Canada ; Department of Kinesiology, Faculty of Medicine, Université Laval, Québec, QC, Canada G1V 4G5.
⁷ Division of Endocrinology and Metabolism, Capital Health, Halifax, NS, Canada B3H 2Y9 ; Dalhousie University, Canada.
⁸ Department of Allied Health, Clinical Nutrition, University Health Network, Toronto, ON, Canada M5G 2C4.
⁹ Robarts Research, University of Western Ontario, London, ON, Canada N6A 5B7.
¹⁰ Clinical Nutrition and Risk Factor Modification Center, St Michael's Hospital, Toronto, ON, Canada M5S 3E2 ; Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, Canada ; College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
¹¹ Abbott Laboratories, Abbott Park, 43219, USA.
¹² Medical Education and Research Alliance (Med-ERA), New York, NY 10019, USA ; Department of Preventive Medicine and Community Health, University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USA.
¹³ Joslin Diabetes Center, Harvard University, Boston, MA 02215, USA.
¹⁴ Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

PMID: 24550982
PMCID: PMC3914410
DOI: 10.1155/2014/151068

Abstract

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.

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Figures

**Figure 1**
Canadian Population Demographics.

**Figure 2**
Canadian Transcultural Diabetes Nutrition Algorithm (tDNA) for prediabetes and type 2 diabetes.

**Figure 3**
Drivers of adherence for the Canadian tDNA.

See this image and copyright information in PMC

References

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The transcultural diabetes nutrition algorithm: a canadian perspective

Affiliations

The transcultural diabetes nutrition algorithm: a canadian perspective

Authors

Affiliations

Abstract

Figures

References

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