Edited by Louise Goff and Pamela Dyson
Diabetes has been with us since ancient times, perhaps as far back as 1500BC.
Treatment of diabetes remains multifactorial and aims to reduce both long and
short-term complications of the disease while maintaining quality of life. As well as medication, diet and lifestyle factors remain fundamental to successful management of diabetes. Dietary advice has changed over the years and the published guidelines on dietary management of diabetes are largely based on consensus of opinion, as it is impossible to conduct randomised controlled trials in free-living populations over the period of time required for unambiguous results.
In this new book, Advanced Nutrition and Dietetics in Diabetes, the second in a series of books published by Wiley Blackwell and the BDA, the practice of nutritionin diabetes is explored by dietitians Dr Louise Goff, Senior Lecturer in Nutritional Sciences at King's College London and Dr Pamela Dyson, Research Dietitian in the Oxford Centre for Diabetes, Endocrinology and Metabolism at Oxford University. The series is edited by Kevin Whelan, Professor of Dietetics at King's College London.
The level of complexity in the content would make it ideal for clinical and research dietitians, those who are giving education on diabetes and for final-year university students.
This 330-page book is broken down into nine sections addressing various parts of diabetes:
Section 1: 'Background' gives an interesting history of diabetes and various dietary treatments that have been tried. What is more intriguing, is that some of these dietary measures are being re-tried today and met with equal amounts of enthusiasm and criticism.
Section 2: ' Dietary Principles of Diabetes' breaks into four sub sections, and looks at the guidelines and the controversy of whether GI or GL is the causal factor for increased blood glucose levels.
Section 3: 'Type 1 Diabetes' gives good insights into the epidemiology of type 1 diabetes and highlights the importance of behaviour change and addressing different learning styles.
Section 4: 'Type 2 Diabetes' explains how the prevalence of type 2 diabetes has increased and reasons why younger people are now presenting with type 2 diabetes.
Section 5: 'Pregnancy and Diabetes' looks at the clinical management of diabetes in pregnancy as well as lifestyle management of childhood diabetes.
Section 6: 'Diabetes in Children and Adolescents' talks about different therapies, i.e. pump therapy vs. MDI, and also gives many good points on continuous glucose monitoring and who is eligible for this type of monitoring.
Section 7: 'Diabetes in Older People' covers nutrition support and lifestyle management.
Section 8: 'Diabetes in Ethnic Groups' highlights the groups that are at higher risk of developing diabetes and how Westernised lifestyle contributes to this problem as well as looking at ectopic fat accumulation showing specific patterns in ethnic populations.
Section 9: 'Complications and Comorbidities of Diabetes' gets through many different aspects of diabetes and focuses on some of the more common conditions that are seen alongside diabetes such as microvascular and macrovascular disease, cystic fibros, is coeliac disease, diabetic gastroparesis and nutrition support.
An invaluable resource
Each section has clear headings and subheadings as well as each chapter ending with a summary and key points making it easy to dip in and out of when you have limited time. More in-depth explanations are also available with easy-to-follow flow charts and diagrams for when you have more time to read.
The information is more explanatory than in the Manual of Dietetic Practice, for example, when explaining the dynamic systems in the beta-cell or the effects of fructose on lipid metabolism, to name just two.
As a diabetes specialist dietitian, I would highly recommend this book to be kept in each dietetic department as it is likely to be used frequently and prove to be an invaluable resource.
Publisher: Wiley Blackwell
The BDA has launched an advanced nutrition book series featuring books that cover a range of dietetic specialisms. Find out more about the book series here.