Abstract: . . .  children of diabetic women; there is no published evidence to support this advice and Diabetes UK is currently seeking a consensus of expert opinion on this matter [104]. Other vitamin and mineral sup- plements should be given if there is uncer . . .
. . .  cognitive behavioural therapy have high face validity but, apart from some relatively short-term studies in obese patients and also in patients with eating dis- orders [38], are largely untested in the area of diabetes care [39]. Their implementation has considerable implications for staff training and time, and it has yet to be shown that staff can persist with these techniques in the long term [39]. They may, however, prove to be an essential skill for dieticians and . . .
. . .  in 21% of adolescents with a BMI > 35 kg/m 2 , 4% of the obese adolescents having previously unrecognized Page 11 © 2003 Diabetes UK. Diabetic Medicine , 20 , 786–807 796 Nutritional advice for people with diabetes • H. Connor et al. diabetes [93]. Dietary advice must take account of the requirement for calorie restriction while not compromising linear growth, and of any associated dyslipidaemia . . .
. . .  history of neural tube defects) should be taken. Some clinicians routinely advise a dose of 5 mg daily because of the increased risk of neural tube defects in the children of diabetic women; there is no published evidence to support this advice and Diabetes UK is currently seeking a consensus of expert opinion on this matter [104]. Other vitamin and mineral sup- plements should be given if there is uncer . . .
. . .  Meticulous control of diabetes from the time of conception to delivery is essential to lessen the risks to both mother and child, and measures to optimize diabetic control must start before conception to minimize the risk of congenital malformation [103]. These should include a dietary review so that dietary adjustments can be made if necessary, particularly if there are changes in the insulin regimen. As with non-diabetic women, a folate supplement of 0.4 mg/day (5 . . .
. . .  complications in those with eating disorders is related as much to insulin omission to control weight as it is to the eating disorder itself [95]. Success rates for treatment of eating disorders are lower in diabetic than in non-diabetic people, and it is therefore important to recognize these conditions at any early stage. Those with an eating disorder are more likely to have high HbA 1c results, recurrent and unexplained episodes of diabetic ketoacidosis, . . .
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