For individuals using fixed daily
insulin doses, consistent
carbohydrate intake with respect
to time and amount can result in
improved glycemic control and
reduce the risk for hypoglycemia. B
c A simple diabetes meal planning
approach such as portion control or
healthful food choices may be
better suited to individuals with
type 2 diabetes identified with
health and numeracy literacy
concerns. This may also be an
effective meal planning strategy for
older adults. C
c People with diabetes should receive
DSME according to national
standards and DSMS when their
diabetes is diagnosed and as needed
thereafter. B
c Because diabetes nutrition therapy
can result in cost savings B and
improved outcomes such as
reduction in A1C A, nutrition therapy
should be adequately reimbursed by
insurance and other payers. E