Current Diabetes Reports

, Volume 6, Issue 5, pp 405–408 | Cite as

Interpreting the Joslin diabetes center and joslin clinic clinical nutrition guideline for overweight and obese adults with type 2 diabetes

  • Judy Giusti
  • Jo-Anne Rizzotto


Interpreting the Joslin Diabetes Center and Joslin Clinic Clinical Nutrition Guideline for Overweight and Obese Adults with Type 2 Diabetes, Prediabetes, or at High Risk for Developing Type 2 Diabetes is a weight loss approach to assist health care providers in a clinical setting when counseling overweight individuals. It recommends an individualized weight reduction plan consisting of a lower carbohydrate, moderate protein, and fat diet, with specific activity and behavior modification guidelines.


American Diabetes Association Glycemic Index Obese Adult Glycemic Load Meal Plan 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References and Recommended Reading

  1. 1.
    National Institute of Diabetes and Digestive and Kidney Diseases: National Diabetes Statistics Fact Sheet: General Information and National Estimates on Diabetes in the United States, 2005. Bethesda, MD: U.S. Department of Health and Human Services, National Institute of Health, 2005. Accessed February 27, 2006.Google Scholar
  2. 2.
    Joslin Diabetes Center & Joslin Clinic: Clinical Nutrition Guideline for Overweight and Obese Adults with Type 2 Diabetes, Prediabetes or at High Risk for Developing Type 2 Diabetes. guidelines.asp. Accessed March 31, 2006.Google Scholar
  3. 3.
    The Department of Health and Human Services and the Department of Agriculture: 2005 Dietary Guidelines for Americans (sixth edition), released January 12, 2005. http://www. Accessed April 22, 2006.Google Scholar
  4. 4.
    Sheard NF, Clark NG, Brand-Miller JC, et al.: Dietary carbohydrate (amount and type) in the prevention and management of diabetes: a statement by the American Diabetes Association. Diabetes Care 2004, 27:2266–2271.PubMedCrossRefGoogle Scholar
  5. 5.
    American Diabetes Association: Standards of medical care in diabetes-2006 (position statement). Diabetes Care 2006, 29(suppl 1):S4-S42.Google Scholar
  6. 6.
    Johnston CS, Tjonn SL, Swan PD: High-protein, low-fat diets are effective for weight loss and favorably alter biomarkers in healthy adults. J Nutr 2004, 134: 586–591.PubMedGoogle Scholar
  7. 7.
    Reduction in the incidence of type 2 diabetes with lifestyle intervention with metformin. Diabetes Prevention Program Research (DPP) Group [no authors listed]. N Engl Med 2002, 346:393-403.Google Scholar
  8. 8.
    Yip I, Liang W, Go V, et al.: Liquid meal replacements and glycemic control in obese type 2 diabetes patients. Obes Res 2001, 9(suppl_4):341S-347S.PubMedCrossRefGoogle Scholar
  9. 9.
    McAuley KA, Hopkins CM, Smith KJ, et al.: Comparison of high-fat and high-protein diets with a high-carbohydrate diet in insulin resistant obese women. Diabetolgia 2005, 48:8–16.CrossRefGoogle Scholar
  10. 10.
    Institute of Medicine of the National Academies: Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients). Washington, DC: National Academy Press; 2002.Google Scholar
  11. 11.
    Ludwig DS: Dietary glycemic index and obesity. J Nutr 2000, 130:280S-283S.PubMedGoogle Scholar
  12. 12.
    American Diabetes Association: Dietary carbohydrate (amount and type) in the prevention and management of diabetes (ADA statement). Diabetes Care 2004, 27: 2266–2271. This paper discusses the GI and GL. It evaluated current research and the use of the GI and GL on glucose control and insulin production.CrossRefGoogle Scholar
  13. 13.
    Liu S, Willett WC, Manson JE, et al.: Relation between changes in intakes of dietary fiber and grain products and changes in weight and development of obesity among middle-aged women. Am J Clin Nutr 2003, 78:920–927.PubMedGoogle Scholar
  14. 14.
    Lairon D, Arnault N, Bertrais S, et al.: Dietary fiber intake and risk factors for cardiovascular disease in French adults. Am J Clin Nutr 2005, 82:1185–1194.PubMedGoogle Scholar
  15. 15.
    Chandalia M, Abihimanyu G, Lutjohann D, et al.: Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 2000, 342:1392–1398.PubMedCrossRefGoogle Scholar
  16. 16.
    Joslin Diabetes Center and Joslin Clinic: Clinical Nutrition Guideline Appendix A: Suggested Macronutrient Distribution According to Clinical Guideline. Nutrition_ClinGuide.pdf. Accessed March 31, 2006.Google Scholar
  17. 17.
    Gannon MC, Nuttall FQ, Saeed A, et al.: An increase in dietary protein improves the blood glucose response in persons with type 2 diabetes. Am J Clin Nutr 2003, 78:734–741.PubMedGoogle Scholar
  18. 18.
    Parker B, Noakes M, Luscombe N, et al.: Effect of a high-protein, high-monounsaturated fat weight loss diet on glycemic control and lipid levels in type 2 diabetes. Diabetes Care 2002, 3:425–429.CrossRefGoogle Scholar
  19. 19.
    Klein, Samuel, Sheard NF, Pi-Sunyer X, et al.: Weight management through lifestyle modification for the prevention and management of type 2 diabetes: rationale and strategies: a statement of the American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition. Diabetes Care 2004, 27:2067–2073. This article discusses the physical benefits of weight loss and a gradual increase in activity. It outlines ways to facilitate lifestyle change in an office setting.PubMedCrossRefGoogle Scholar
  20. 20.
    Wing RR, Phelan S: Long-term weight loss maintenance. Am J Clin Nutr 2005, 82(1 suppl):222S-225S.PubMedGoogle Scholar
  21. 21.
    Hamdy O, Carver C, Grant G, et al.: Weight achievement and intensive treatment (Why WAIT?): an innovative, multidisciplinary clinical-practice program for weight control in obese diabetic patients [abstract]. Paper presented at abstract the American Diabetes Association’s 66th Annual Scientific Sessions. Washington, DC; June 9–13, 2006.Google Scholar

Copyright information

© Current Science Inc. 2006

Authors and Affiliations

  1. 1.Joslin Diabetes CenterBostonUSA

Personalised recommendations