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Nutritional Counseling   

The Philosophy
Nutritional counseling is a biologically-based therapy that integrates behavioral sciences and helps promote health and improve performance.   It is also used to treat and aid recovery from acute and chronic illness by optimizing one’s dietary intake.  Practicing healthful eating behaviors takes time and commitment and is enhanced with the support of family and friends, who are invited to take part in nutrition counseling sessions.

The Art 
Guidance is individualized to help achieve and sustain changes in eating style and nutrient intake that are appropriate.

The Science
Personal food records and lifestyle information, along with physical, clinical and lab assessments are used to evaluate the client’s nutritional status in relation to health problems and goals.  Medical nutrition therapy (MNT) has been shown to be cost-effective treatment for conditions frequently seen by dietitians, including diabetes mellitus, hyperlipidemia, hypertension or obesity with metabolic complications. Prevention of these conditions is appropriate whenever possible. 

CIM Practitioner
Nutrition at the CIM is practiced by Glen Aukerman, MD, DABFP, DABHM as an integral part of Integrative Family Medicine.

References: 
1. Newman VA, Thomson, CA, Rock CL, Flatt SW, et al.  Achieving Substantial Changes in Eating Behavior among Women Previously Treated for Breast Cancer—An Overview of the Intervention.  J Am Diet Assoc. 2005; 105:382-391.

2. Sartorelli DS, Sciarra  EC, Franco LJ, Cardoso MA.  Primary Prevention of Type 2 Diabetes through Nutritional Counseling.  Diabetes Care. 2004;  27: (12): 3019.

3. Sheils JF, Rubin R, and Stapleton D.   The Estimated Costs and Savings of Medical Nutrition Therapy:  The Medicare Population.  J Am Diet Assoc, 1999; 99:428-435.

4. Willaing I, Ladelund S,Jorgensen T, Simonsen T, Nielsen LM.  
Nutritional Counseling in Primary Health Care:  A Randomized Comparison of an Intervention by General Practitioner or Dietician. European Journal of Cardiovascular Prevention And Rehabilitation. 2004; 11: 513-520.

5.   Lemon CC, Lacey K, Lohse B, Hubacher DO, Klawitter B, Palta M. 
Outcomes Monitoring of Health, Behavior, and Quality of Life After Nutrition Intervention in Adults with Type 2 Diabetes.  J Am Diet Assoc. 2004;104:1805-1815.

6.  Omichinski L, Harrison KR.  Reduction of Dieting Attitudes and Practices after
 Participation in a Non-diet Lifestyle program.  J Can Diet Assoc. 1995; 56: 81-86.

7. Carrier KM, Steinhart MA, Bowman M.  Rethinking Traditional Weight
Management Programs:  A 3-Year Follow-up Evaluation of a New Approach.
J Psych. 1993; 128 (5):517-535.