People all over the DOC talk a lot about ADA dietary guidelines. So I got a copy of the basics -- and it's not what I thought it was. Seems to me they are very flexible. But I don't know about the American Dietitians' Association, which is also called ADA, but sometimes ADtA. I'd really be interested in other people's input on this, especially Laura and Franzi!
F. Medical nutrition therapy
* Individuals who have prediabetes or diabetes should receive individualized medical nutrition therapy (MNT) as needed to achieve treatment goals, preferably provided by a registered dietitian familiar with the components of diabetes MNT. (A)
* Because MNT can result in cost-savings and improved outcomes (B), MNT should be adequately covered by insurance and other payors. (E)
Recommendations for management of diabetes
Macronutrients in diabetes management
*The best mix of carbohydrate, protein, and fat may be adjusted to meet the metabolic goals and individual preferences of the person with diabetes. (E)
*Monitoring carbohydrate, whether by carbohydrate counting, choices, or experience-based estimation, remains a key strategy in achieving glycemic control. (A)
* For individuals with diabetes, the use of the glycemic index and glycemic load may provide a modest additional benefit for glycemic control over that observed when total carbohydrate is considered alone. (B)
* Saturated fat intake should be <7% of total calories. (A)
* Reducing intake of trans fat lowers LDL cholesterol and increases HDL cholesterol (A), therefore intake of trans fat should be minimized. (E)
You can see the entire section at: http://care.diabetesjournals.org/content/34/Supplement_1/S11.full#s...
For more detail, see ADA's 2008Position Statement on nutrition at: http://care.diabetesjournals.org/content/31/Supplement_1/S61.full