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Nutrition Issues and Recommendations in the Management of Diabetes and Prediabetes in Older Adults

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Preventive Nutrition

Part of the book series: Nutrition and Health ((NH))

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Abstract

Diabetes mellitus has reached unprecedented proportions worldwide. The WHO estimated that in 2012 there were 347 million individuals with diabetes mellitus worldwide affecting ~9 % of the population >18 years of age. It is projected that between 2005 and 2030 deaths due to diabetes would have doubled. Due to the rapid increase in obesity prevalence globally, the World Health Organization (WHO) has declared that there is now a global epidemic of obesity. Internationally, emergence of new cases of diabetes mellitus (diabetes) parallels the increases seen in Western countries and are increasing even more quickly in Asia. The risks of type 2 diabetes in these countries tend to increase at levels of body mass index generally classified as non-obese in Non Hispanic White Westerners. These worldwide changes are due to an accelerated prevalence of obesity, today’s predominance of sedentary lifestyle and the rapidly growing population of older adults, including an increased proportion of those belonging to ethnic groups with especially high rates of diabetes. In the USA the estimated number of individuals with diabetes was estimated at 25.8 million and 8.3 % of the population. Of these, 18.8 million were diagnosed and 7 million undiagnosed. By 2012, prevalence was 29.1 million and 9.3 % of the population with 21 million diagnosed and 8.1 million undiagnosed. Type 2 diabetes disproportionately affects minority populations, including African Americans (13.2 %), Hispanics (12.8 %), Native Americans (15.9 %), and Asian Americans (9 %). Risk factors for diabetes that are specific to these populations include genetic, behavioral, and lifestyle factors.

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Authors and Affiliations

  1. Department of Psychological and Brain Sciences, University of Louisville, 317 Life Sciences Building, Louisville, KY, 40292, USA

    Barbara Stetson Ph.D. & Stephanie McDonough B.S.

  2. Division of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Louisville, 550 South Jackson Street, ACB, A3G11, Louisville, KY, 40202, USA

    Sri Prakash Mokshagundam M.D.

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  1. Consultants in Consumer Healthcare, Morristown, New Jersey, USA

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  2. Columbia University Inst. Human Nutrition, New York, New York, USA

    Richard J. Deckelbaum

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Stetson, B., McDonough, S., Mokshagundam, S.P. (2015). Nutrition Issues and Recommendations in the Management of Diabetes and Prediabetes in Older Adults. In: Bendich, A., Deckelbaum, R. (eds) Preventive Nutrition. Nutrition and Health. Springer, Cham. https://doi.org/10.1007/978-3-319-22431-2_21

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