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Patients With Impaired Glucose Tolerance

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* Patients with impaired glucose tolerance are managed at the direction of the physician. In general, no treatment is given to elderly people, but diet and weight reduction are advised in younger subjects. Dietary factors also influence the risk of developing type 2 diabetes. Consumption of sugar-sweetened drinks in excess is associated with an increased risk. The type of fats in the diet is also important, with saturated fats and trans fatty acids increasing the risk and polyunsaturated and rnonounsaturated fat decreasing the risk. Eating lots of white rice appears to also play a role in increasing risk. Nutrition recommendations for a healthy lifestyle for the general public are also appropriate for persons with type 2 diabetes. Because many persons with type 2 diabetes are overweight and insulin resistant, medical nutrition therapy should emphasize lifestyle changes that result in reduced energy intake and increased energy expenditure through physical activity. Many people with diabetes also have dyslipidemia and hypertension, making reductions in dietary intake of saturated fat, cholesterol, and sodium desirable. Therefore, the emphasis of nutrition therapy for type 2 diabetes is on lifestyle strategies to reduce glycemia, dyslipidemia, and blood pressure. These strategies should be implemented as soon as the diagnosis of diabetes is made.
* Blood glucose level in a well-managed diabetic should always be less than 200mg/dl. It is necessary to avoid the

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