Weight and diabetes management in people who develop Charcot foot as a result of poorly controlled diabetes are very important in terms of slowing the progression of the Charcot foot as well as reducing the risk of further diabetic neuropathy. (1)
There have been a variety of strategies proposed in terms of helping people lose weight and gain better control of their diabetes. This literature review will have a look at some of those. Helping the patient who has developed Charcot foot lose weight will assist in taking the pressure off the foot. This is particularly important as their bones that have already become weak as a result of the Charcot foot could collapse and become even more deformed due to their heavy weight. (1)
Prior to giving …show more content…
(2-4). Two of these will be focused on below; reduced energy intake and behavioural intervention. For a dietary regimen to be successful, the patient first has to overcome the barriers that would prevent them from following the regimen. This is done through providing the patient with strategies that lead them away from unwanted behaviours and excessive self-monitoring and promote dietary adherence and achievement of the patient’s dietary goals. …show more content…
(10-11) Diets which have helped type 2 diabetics achieve this weight loss range from low glycemic index diets to low fat, high unprocessed carbohydrate (25-30% of energy coming from fat, 50% from carbohydrate) in combination with weight reduction advice. (3)
In a study that investigated the effects of a low fat vegan diet on blood glucose control and cardiovascular risk factors amongst 99 type 2 diabetics, in which participants were randomly assigned to a low fat vegan diet or to a diet following the American Diabetes association guidelines, it was found that with each kilogram that the participants lost, their HBA1C reduced by 0.1% and their blood lipid profiles improved
There have been a variety of strategies proposed in terms of helping people lose weight and gain better control of their diabetes. This literature review will have a look at some of those. Helping the patient who has developed Charcot foot lose weight will assist in taking the pressure off the foot. This is particularly important as their bones that have already become weak as a result of the Charcot foot could collapse and become even more deformed due to their heavy weight. (1)
Prior to giving …show more content…
(2-4). Two of these will be focused on below; reduced energy intake and behavioural intervention. For a dietary regimen to be successful, the patient first has to overcome the barriers that would prevent them from following the regimen. This is done through providing the patient with strategies that lead them away from unwanted behaviours and excessive self-monitoring and promote dietary adherence and achievement of the patient’s dietary goals. …show more content…
(10-11) Diets which have helped type 2 diabetics achieve this weight loss range from low glycemic index diets to low fat, high unprocessed carbohydrate (25-30% of energy coming from fat, 50% from carbohydrate) in combination with weight reduction advice. (3)
In a study that investigated the effects of a low fat vegan diet on blood glucose control and cardiovascular risk factors amongst 99 type 2 diabetics, in which participants were randomly assigned to a low fat vegan diet or to a diet following the American Diabetes association guidelines, it was found that with each kilogram that the participants lost, their HBA1C reduced by 0.1% and their blood lipid profiles improved