Expert consensus on medical nutrition therapy for people with type 2 diabetes
Context: Medical nutritional therapy is a cornerstone intervention for managing type 2 diabetes. However, despite existing clinical guidelines, robust evidence to support recommendations on many topics remains limited. Objective: The objective of this work is to develop an expert consensus that p...
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| Format: | Article |
| Language: | English |
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Asociación Colombiana de Endocrinología
2025-04-01
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| Series: | Revista Colombiana de Endocrinología, Diabetes y Metabolismo |
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| Online Access: | https://revistaendocrino.org/index.php/rcedm/article/view/929 |
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| _version_ | 1850154568160116736 |
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| author | Alejandro Marin Sánchez Katherine Restrepo Erazo Karen Palacios Bayona Angelica Veloza Naranjo Sandra Mora Thiriez Lina M Valencia Carlos O Mendivil |
| author_facet | Alejandro Marin Sánchez Katherine Restrepo Erazo Karen Palacios Bayona Angelica Veloza Naranjo Sandra Mora Thiriez Lina M Valencia Carlos O Mendivil |
| author_sort | Alejandro Marin Sánchez |
| collection | DOAJ |
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Context: Medical nutritional therapy is a cornerstone intervention for managing type 2 diabetes. However, despite existing clinical guidelines, robust evidence to support recommendations on many topics remains limited.
Objective: The objective of this work is to develop an expert consensus that provides clinically relevant guidance by integrating professional expertise with a systematic interpretation of the available evidence. This approach aims to ensure that decisions are informed, balanced, and grounded in the best possible understanding of current research and practical experience.
Methods: This consensus process followed a structured three-step approach. First, a focus group was conducted to identify key topics requiring attention. Next, PICO model questions were formulated, and evidence was systematically reviewed to address them. Finally, the Nominal Group Technique was applied to achieve consensus among the panel members. A combination of quantitative and qualitative analysis was used to formulate the final consensus statements.
Results: Six main topics related to medical nutritional therapy in type 2 diabetes were rigorously analyzed and discussed. A systematic review of 256 peer-reviewed articles supported the expertise of the multidisciplinary panel. The panel generated 127 ideas across the 6 topics, achieving consensus on 78 of them. These consensus statements provide clear definitions and practical recommendations for implementing medical nutritional therapy in clinical practice.
Conclusions: This consensus represents the first step forward in addressing a common yet often overlooked aspect of type 2 diabetes treatment in Colombia: medical nutritional therapy. By integrating multidisciplinary expertise and evidence-based analysis, it delivers actionable and clinically meaningful recommendations to improve patient care.
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| format | Article |
| id | doaj-art-a4d341cff08f464595fae7477cc84eb3 |
| institution | OA Journals |
| issn | 2389-9786 2805-5853 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Asociación Colombiana de Endocrinología |
| record_format | Article |
| series | Revista Colombiana de Endocrinología, Diabetes y Metabolismo |
| spelling | doaj-art-a4d341cff08f464595fae7477cc84eb32025-08-20T02:25:17ZengAsociación Colombiana de EndocrinologíaRevista Colombiana de Endocrinología, Diabetes y Metabolismo2389-97862805-58532025-04-0112210.53853/encr.12.2.929Expert consensus on medical nutrition therapy for people with type 2 diabetesAlejandro Marin Sánchez0Katherine Restrepo Erazo1Karen Palacios Bayona2Angelica Veloza Naranjo3Sandra Mora Thiriez4Lina M Valencia5Carlos O Mendivil6Endoeje, Pereira, ColombiaUniversidad Santiago de Cali, Cali, ColombiaClínica Salud VID, Medellín, ColombiaNUDO, Bogotá, ColombiaPrivate Practice, Cali, ColombiaPrivate Practice, Cali, ColombiaFundación Santa Fe de Bogotá, Bogotá, Colombia Context: Medical nutritional therapy is a cornerstone intervention for managing type 2 diabetes. However, despite existing clinical guidelines, robust evidence to support recommendations on many topics remains limited. Objective: The objective of this work is to develop an expert consensus that provides clinically relevant guidance by integrating professional expertise with a systematic interpretation of the available evidence. This approach aims to ensure that decisions are informed, balanced, and grounded in the best possible understanding of current research and practical experience. Methods: This consensus process followed a structured three-step approach. First, a focus group was conducted to identify key topics requiring attention. Next, PICO model questions were formulated, and evidence was systematically reviewed to address them. Finally, the Nominal Group Technique was applied to achieve consensus among the panel members. A combination of quantitative and qualitative analysis was used to formulate the final consensus statements. Results: Six main topics related to medical nutritional therapy in type 2 diabetes were rigorously analyzed and discussed. A systematic review of 256 peer-reviewed articles supported the expertise of the multidisciplinary panel. The panel generated 127 ideas across the 6 topics, achieving consensus on 78 of them. These consensus statements provide clear definitions and practical recommendations for implementing medical nutritional therapy in clinical practice. Conclusions: This consensus represents the first step forward in addressing a common yet often overlooked aspect of type 2 diabetes treatment in Colombia: medical nutritional therapy. By integrating multidisciplinary expertise and evidence-based analysis, it delivers actionable and clinically meaningful recommendations to improve patient care. https://revistaendocrino.org/index.php/rcedm/article/view/929Diabetes mellitusNutritionMedical nutrition therapyDietary supplementsDietary patternsConsensus |
| spellingShingle | Alejandro Marin Sánchez Katherine Restrepo Erazo Karen Palacios Bayona Angelica Veloza Naranjo Sandra Mora Thiriez Lina M Valencia Carlos O Mendivil Expert consensus on medical nutrition therapy for people with type 2 diabetes Revista Colombiana de Endocrinología, Diabetes y Metabolismo Diabetes mellitus Nutrition Medical nutrition therapy Dietary supplements Dietary patterns Consensus |
| title | Expert consensus on medical nutrition therapy for people with type 2 diabetes |
| title_full | Expert consensus on medical nutrition therapy for people with type 2 diabetes |
| title_fullStr | Expert consensus on medical nutrition therapy for people with type 2 diabetes |
| title_full_unstemmed | Expert consensus on medical nutrition therapy for people with type 2 diabetes |
| title_short | Expert consensus on medical nutrition therapy for people with type 2 diabetes |
| title_sort | expert consensus on medical nutrition therapy for people with type 2 diabetes |
| topic | Diabetes mellitus Nutrition Medical nutrition therapy Dietary supplements Dietary patterns Consensus |
| url | https://revistaendocrino.org/index.php/rcedm/article/view/929 |
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