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H istorically, nutrition principles andrecommendations for diabetes andrelated complications have been based on scientific evidence and diabetes knowledge when available and, when ev-idence was not available, on clinical expe-rience and expert consensus. Often it has been difficult to discern the level of evi-dence used to construct the nutrition principles and recommendations. Fur-thermore, in clinical practice, many nutri-tion recommendations that have no scientific supporting evidence have been and are still being given to individuals with diabetes. To address these problems and to incorporate the research done in the past 8 years, this 2002 technical re-
Franz et al. (Tue,) studied this question.