Thursday, April 11, 2013

New Canadian Practice Guidelines For Diabetes

Canadian Diabetes Practice Guidelines 2013Earlier this week, the Canadian Diabetes Association released the newest version of the Canadian Practice Guidelines for Diabetes.

The online release includes the full text of all 38 chapters and an appendix.

Each chapter comes with a slide set and a brief video highlighting the key recommendations.

There are also accompanying tools for health care providers and  resources for patients.

The following are the main recommendations for weight management:

  • An interdisciplinary weight management program (including a nutritionally balanced, calorie-restricted diet; regular physical activity; education; and counselling) for overweight and obese people with, or at risk for, diabetes should be implemented to prevent weight gain and to achieve and maintain a lower, healthy body weight [Grade A, Level 1A]
  • In overweight or obese adults with type 2 diabetes, the effect of antihyperglycemic agents on body weight should be taken into account [Grade D, Consensus].
  • Adults with type 2 diabetes and class II or III obesity (BMI ≥35.0 kg/m2) may be considered for bariatric surgery when lifestyle interventions are inadequate in achieving healthy weight goals [Grade B, Level 2]

While the recommendations with regard to pharmacotherapy reflect the lack of effective medications for obesity in Canada, they do highlight the role for bariatric surgery in heavier patients with type 2 diabetes.

There is also a useful checklist for weight management programs:

  • The program assesses and treats comorbid conditions.
  • The program provides individualized nutritional, exercise and behavioral programs and counselling.
  • Nutritional advice is provided by qualified experts (e.g. registered dietitians) and diets are not less than 900 kcal/day.
  • Exercise is encouraged but physical activity is promoted at a gradual pace.
  • Reasonable weight loss goals are set at 1 to 2 lb/week.
  • Cost is not prohibitive, and there are no financial contracts.
  • There is no requirement to buy products, supplements, vitamins or injections.
  • The program does not make unsubstantiated claims.
  • The program has an established maintenance program.

The complete guidelines are accessible here.

Edmonton, Alberta

VN:F [1.9.22_1171]
Rating: 10.0/10 (1 vote cast)
VN:F [1.9.22_1171]
Rating: +1 (from 1 vote)
New Canadian Practice Guidelines For Diabetes, 10.0 out of 10 based on 1 rating

One Response to “New Canadian Practice Guidelines For Diabetes”

  1. Swapna Mazumder says:

    Dear Dr. Sharma,
    It is with great interest that I read the latest from CDA regarding Type 2 diabetes. I have a BMI of 27.5 but more importantly my gender, ethnic background, waist circumference, family history, A1c glucose 5.9% puts me in a type 2 diabetes risk group. For the past two years I have been on a self imposed calorie restrictive ~1200 cal/day diet and daily (yes daily) cardio strength training program. Despite that i am not being able to achieve a healthier weight. My question is how does one convince their doctor to refer them to or educate the patient to a guided ‘interdisciplinary health management program’.
    I personally feel that i have metabolic syndrome but am unable to convince my doctor to test me for glucose intolerance. The best advice my doctor has given me is to increase the blood glucose test to once a year as in his words although my fasting glucose is only 4.8 mmol/l I am part of the demographic disposed to Type 2 diabetes. It will be valuable to get your opinion on whether it is important to properly manage before or after one becomes diabetic. Thank you, I really find your articles informative and helpful. i actually learned a lot about exercise and MET minutes from one of your postings.

    Kind Regards,

Leave a Comment

In The News

Diabetics in most need of bariatric surgery, university study finds

Oct. 18, 2013 – Ottawa Citizen: "Encouraging more men to consider bariatric surgery is also important, since it's the best treatment and can stop diabetic patients from needing insulin, said Dr. Arya Sharma, chair in obesity research and management at the University of Alberta." Read article

» More news articles...


"Quantitative phase-contrast imaging through a scattering media."

» Browse and download more journal publications...

Watch Dr. Sharma in the News!

Dr. Sharma - NEWS Videos

Listen to Dr. Sharma!

Dr. Sharma - on

Watch Dr. Sharma on Listen Up

  • Subscribe via Email

    Enter your email address:

    Delivered by FeedBurner

  • Arya Mitra Sharma
  • Disclaimer

    Postings on this blog represent the personal views of Dr. Arya M. Sharma. They are not representative of or endorsed by Alberta Health Services or the Weight Wise Program.
  • Archives


  • RSS Weighty Matters

  • Click for related posts

  • Disclaimer

    Medical information and privacy
    Any medical discussion on this page is intended to be of a general nature only. This page is not designed to give specific medical advice. If you have a medical problem you should consult your own physician for advice specific to your own situation.

  • Meta

  • Obesity Links

  • If you have benefitted from the information on this site, please take a minute to donate to its maintenance.

  • Home | News | KOL | Media | Publications | Trainees | About
    Copyright 2008–2014 Dr. Arya Sharma, All rights reserved.
    Blog Widget by LinkWithin