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Addressing micronutrient requirements in type 2 diabetes: an international consensus report
Jiawei Xia1, Zhenghao Ge1, Frank Qian2
1Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Ministry of Education Key Laboratory of Environment and Health, and State Key Laboratory of Environment Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Registered dietitian nutritionists recommend specific vitamin and mineral needs for type 2 diabetes (T2D) management. Experts reached a consensus on micronutrient recommendations and future research directions for T2D nutrition therapy.
Area of Science:
- Endocrinology
- Nutritional Science
- Public Health
Background:
- Medical nutritional therapy is crucial for diabetes management.
- Existing guidelines inadequately address micronutrient needs in type 2 diabetes (T2D).
- T2D patients exhibit higher micronutrient deficiencies and altered serum levels linked to health outcomes.
Purpose of the Study:
- To establish consensus on micronutrient requirements for T2D management.
- To provide evidence-based recommendations for vitamins and minerals in T2D.
- To identify future research priorities in diabetes nutrition therapy.
Main Methods:
- Modified Delphi process involving an international multidisciplinary expert panel (20 experts, 12 countries).
- Informed by a comprehensive narrative literature review.
- Consensus reached on 18 statements, including nutrient-specific recommendations and research directions.
Main Results:
- Developed 11 nutrient-specific recommendations for T2D.
- Proposed target serum levels, screening strategies, and supplementation guidelines for micronutrients in T2D.
- Outlined 7 future research directions, emphasizing personalized nutrition.
Conclusions:
- Micronutrient management is essential for optimizing T2D care.
- Personalized nutritional strategies integrating genetics and gut microbiota are key for future research.
- Expert consensus provides a foundation for improved T2D nutrition guidelines.
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