The Academy's analysis of evidence strongly supports the effectiveness of medical nutrition therapy provided by RDNs in the management of obesity, prediabetes and type 2 diabetes. Cost-effectiveness has also been documented.
The Academy has published evidence-based nutrition practice guidelines for prediabetes, diabetes, weight management and gestational diabetes and their incorporation into the Nutrition Care Process. RDNs implement the NPGs into the three levels of practice in diabetes care. However, RDNs also possess unique skills that qualify them to expand their roles in diabetes management and education/support.
Unfortunately, despite the evidence of effectiveness of RDN services, barriers to access exist and underutilization of RDN services is evident. Reimbursement for RDN services is essential. RDNs are important team members and nutrition therapy is an essential component of diabetes self-management education and support services. Major medical and health organizations have provided support for the essential role of MNT and RDNs for the prevention and treatment of type 2 diabetes.
- State evidence for the effectiveness of MNT provided by RDNs for prediabetes and type 2 diabetes, including cost-effectiveness
- Define roles and responsibilities of RDNs in prediabetes, diabetes management, and diabetes education/support
- Identify steps to increase patient access and utilization of RDN services
Marion J. Franz, MS, RDN, CDE is the lead author on the Academy of Nutrition and Dietetic Nutrition Practice Guideline of Type 1 and Type 2 Diabetes in Adults, 2017, co-edited the 2017 American Diabetes Association Nutrition Therapy for Diabetes, 3rd Edition, co-edited the Academy of Nutrition and Dietetics Pocket Guide to Lipid Disorders, Hypertension, Diabetes, and Weight Management, 2017, and has authored American Diabetes Association nutrition position statements and technical reviews. She frequent contributors to journals and text books and regularly lectures in the United States and internationally.