This Consensus Report is intended to provide clinical professionals with evidence-based guidance about individualizing nutrition therapy for adults with diabetes or prediabetes. Strong evidence supports the efficacy and cost-effectiveness of nutrition therapy as a component of quality diabetes care, including its integration into the medical management of diabetes; therefore, it is important that all members of the health care team know and champion the benefits of nutrition therapy and key nutrition messages. Nutrition counseling that works toward improving or maintaining glycemic targets, achieving weight management goals, and improving cardiovascular risk factors (e.g., blood pressure, lipids, etc.) within individualized treatment goals is recommended for all adults with diabetes and prediabetes. Though it might simplify messaging, a “one-size-fits-all” eating plan is not evident for the prevention or management of diabetes, and it is an unrealistic expectation given the broad spectrum of people affected by diabetes and prediabetes, their cultural backgrounds, personal preferences, co-occurring conditions (often referred to as comorbidities), and socioeconomic settings in which they live. Research provides clarity on many food choices and eating patterns that can help people achieve health goals and quality of life. The American Diabetes Association (ADA) emphasizes that medical nutrition therapy (MNT) is fundamental in the overall diabetes management plan, and the need for MNT should be reassessed frequently by health care providers in collaboration with people with diabetes across the life span, with special attention during times of changing health status and life stages (1–3). This Consensus Report now includes information on prediabetes, and previous ADA nutrition position statements, the last of which was published in 2014 (4), did not. Unless otherwise noted, the research reviewed was limited to those studies conducted in adults diagnosed with prediabetes, type 1 diabetes, and/or type 2 diabetes. Nutrition therapy for children with diabetes or women …

中文翻译：

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成人糖尿病或前驱糖尿病的营养疗法：共识报告。

本共识报告旨在为临床专业人员提供有关个体化糖尿病或前驱糖尿病成人营养疗法的循证指南。有充分的证据支持营养治疗作为优质糖尿病护理的一部分的有效性和成本效益，包括将其整合到糖尿病的医学管理中；因此，重要的是，医疗保健团队的所有成员都必须了解并倡导营养疗法和重要营养信息的益处。对于所有患有糖尿病和前驱糖尿病的成年人，建议进行营养咨询，以达到改善或维持血糖目标，实现体重管理目标以及在个体化治疗目标内改善心血管危险因素（例如血压，脂质等）的目的。尽管它可以简化消息传递，对于糖尿病的预防或控制，“一刀切”的饮食计划并不明显，并且鉴于患有糖尿病和前驱糖尿病的人群众多，他们的文化背景，个人喜好，共同的饮食习惯，这是一个不切实际的期望。发生状况（通常称为合并症）及其所处的社会经济环境。研究提供了许多可以帮助人们实现健康目标和生活质量的食物选择和饮食方式的明确信息。美国糖尿病协会（ADA）强调，医学营养疗法（MNT）是整个糖尿病管理计划的基础，医疗保健提供者应与糖尿病患者在整个生命周期中经常重新评估对MNT的需求，在改变健康状况和生活阶段时应格外注意（1-3）。该共识报告现在包含有关糖尿病前期的信息，而以前的ADA营养立场声明（最近一次发表于2014年（4））没有。除非另有说明，否则所审查的研究仅限于在被诊断患有前驱糖尿病，1型糖尿病和/或2型糖尿病的成年人中进行的研究。糖尿病儿童或女性的营养疗法…