Historically, well intended but scientifically unfounded, nutrition advice has been given to patients with diabetes, such as don’t eat foods containing sugar. This advice is often accompanied by an energy level “diet sheet” or a pamphlet or
brochure with general guidelines. Patients often find such information difficult to understand and even more difficult to implement. Table 1 illustrates the paradigm shift that has occurred in nutrition therapy. To achieve positive clinical out-
comes, individual priorities need to be defined.