TY - JOUR T1 - Intensive dietary advice significantly improves HbA(1c) in people with type 2 diabetes who remain hyperglycaemic despite optimised drug treatment JF - Evidence Based Nursing JO - Evid Based Nurs SP - 26 LP - 27 DO - 10.1136/ebn1115 VL - 14 IS - 1 AU - Rhonda C Bell Y1 - 2011/01/01 UR - http://ebn.bmj.com/content/14/1/26.abstract N2 - Commentary on: Coppell KJ, Kataoka M, Williams SM, et al. Nutritional intervention in patients with type 2 diabetes who are hyperglycaemic despite optimised drug treatment – Lifestyle Over and Above Drugs in Diabetes (LOADD) study: randomised controlled trial. BMJ 2010;341:c3337.OpenUrlAbstract/FREE Full Text Pharmacological treatments, once considered ‘second step’ treatments for type 2 diabetes (T2D) after the ‘first step’ of diet therapy and physical activity, have increasingly become part of the first step of treatments.1 Clinical guidelines for diabetes treatment outline the important role that lifestyle plays even after pharmacological treatments have been initiated. However, patients find adherence to appropriate dietary patterns to be one of the most difficult aspects of treatment to implement consistently, and evidence suggests that the recommended dietary patterns are not well followed. Do we really need dietary/nutrition therapy after drug therapy has been initiated? Coppell and colleagues add to the literature that begins to answer this … ER -