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Canadian Diabetes Association (CDA) | Diabetes Canada — Dietary Guidelines
15 Sep 2020
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How well do dietary guidelines by Canadian Diabetes Association (CDA) align with those by Plant-Based Organizations like ACLM, PCRM, PBHP (UK), Plantrician Project, DFN, and PAN? Do they endorse a vegan or plant-only food system?
Sources: Chapter 11 (Nutritional Therapy); Diabetes Canada Clinical Practice Guidelines Expert Committee. Diabetes Canada 2018 Clinical Practice Guidelines for the Prevention and Management of Diabetes in Canada. Can J Diabetes. 2018;42(Suppl 1):S1-S325.

Video presentation: Chapter 11 Nutrition Therapy (YouTube; 31 mins; 2018) by Diabetes Canda Clinical Practices Guidelines

Sources: (a) Slides for Chapter 11 - Nutrition Therapy, (b) Video presentation: Chapter 11 Nutrition Therapy (YouTube; 31 mins; 2018) by Diabetes Canda Clinical Practices Guidelines.
Sources: (a) Slides for Chapter 11 - Nutrition Therapy, (b) Video presentation: Chapter 11 Nutrition Therapy (YouTube; 31 mins; 2018) by Diabetes Canda Clinical Practices Guidelines.
Sources: (2023) The Portfolio Diet poster by Canadian Cardiovascular Society.
Sources: (2023) The Portfolio Diet poster by Canadian Cardiovascular Society.
Sources: (2023) The Portfolio Diet poster by Canadian Cardiovascular Society.
Sources: (2008) The Vegetarian Food Pyramid by Loma Linda University, School of Public Health
Sources: (a) Hold the Meat and Add Some Veggies (2021) at Diabetes Canada website, (b) 7-Day Vegan Meal Plan at Diabetes Canada website.
In the video below, Dr Greger mentions that since 2016, Canadian Diabetes Association has taken Whole Food Plant-Based (WFPB) guidelines seriously.
(2019) Plant-Based Diets Recognized by Diabetes Associations

(5 mins) Transcript. Dr Greger's summary: "Plant-based diets as the single most important, yet underutilized, opportunity to reverse the pending obesity and diabetes-induced epidemic of disease and death."

(2016) Canadian Diabetes Association

In the video above, Dr Greger refers to two papers:

  1. A Comprehensive Review of the Literature Supporting Recommendations From the Canadian Diabetes Association for the Use of a Plant-Based Diet for Management of Type 2 Diabetes by Sylvia Rinaldi et al, Canadian J Diabetes, Vol 40, Issue 5, pages 471-4277, October 2016 (full article: pdf file).
  2. Awareness and Perception of Plant-Based Diets for the Treatment and Management of Type 2 Diabetes in a Community Education Clinic: A Pilot Study by Lee, McKay & Ardern, J Nutrition and Metabolism, Volume 2015, Article ID 236234, 6 pages.

Dr Greger's commentary is insightful. He explains why adoption of WFPB guidelines for diabetes has been slow despite Canadian Diabetes Association okaying it. Here are some reasons:

  1. Public awareness is lacking (9 in 10 patients did not know that WFPB guidelines was a viable option). The paper by Rinaldi et al (2016) recommends that "Diabetes education centers in Canada improve patients' perception of WFPB by developing WFPB-focused education and support as well as individualized counseling sessions addressing barriers to change."
  2. Doctors believe that patients are unlikely to adhere to WFPB even though studies (see paper by Lee, McKay & Ardern above) show that patients do continue the diet because they see positive changes.

For details, please see Dr Greger's video.

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