PEN eNews 11(4) April 2021

The Diabetes - Carbohydrate Counting Knowledge Pathway is Updated!

• In type 1 diabetes, what effect does advanced carbohydrate counting have on glycemic control and other outcomes compared with other dietary approaches?

• In type 1 diabetes, how precisely and accurately do individuals need to count carbohydrates and what effect does this have on glycemic control?

• In individuals with type 1 diabetes, should insulin dosing be adjusted for fat and protein intake in addition to carbohydrate?


• 13 Knowledge Pathways
• 184 Practice Questions
• 228 Handouts

• Cancer - Nutritional Implications
• Celiac Disease
• Food Safety - Foodborne Illness
• Gastrointestinal System - Postoperative Feeding
• Infant Nutrition - Infant Formula
• Multivitamin/mineral Supplements and Chronic Disease
• Nephrology - Kidney Stones
• Postoperative Feeding
• Probiotics - Pediatric Gastroesophageal Reflux Disease
• Research Methods
• Weight/Obesity - Bariatric Surgery.

• What are the optimal dietary strategies for the management of cancer-related nausea and vomiting in adults?
• What are optimal dietary strategies for managing taste changes in adults undergoing cancer treatment?
• What are the optimal dietary strategies for managing xerostomia in adults receiving cancer treatment?
• What are the optimal dietary strategies for managing thick saliva in adults receiving cancer treatment?
• What are the optimal dietary strategies for managing dysphagia in adults receiving cancer treatment?
• What are the optimal dietary strategies for managing constipation in adults receiving cancer treatment?
• What are the optimal dietary strategies for the management of cancer treatment-induced diarrhea?
• Are probiotics effective in the reduction of treatment-induced diarrhea in individuals with cancer?

 And these are new practice questions:

• What dietary interventions are effective to reduce gastrointestinal effects for individuals undergoing pelvic radiotherapy?
• What dietary interventions are recommended to prevent and treat sarcopenia or low muscle mass in adults undergoing treatment for cancer?

Dementia and Ginseng - What is the Latest?

Does ginseng help to prevent or treat cognitive decline, mild cognitive impairment or dementia?

Some observational evidence reported greater lifetime use of ginseng to be associated with better neuropsychological scores and some trial evidence reported three months of supplementation to be associated with improvements in some cognitive outcomes but not others among cognitively healthy adults and among those with dementia. Such inconsistencies in the collective findings make it difficult to recommend for or against its use as a supplement for the purposes of preventing or treating cognitive decline, mild cognitive impairment or dementia at this time. 

Open Access to COVID-19 Content Continues

• COVID-19
  • COVID-19 and Nutrition Background
  • COVID-19 Related Tools and Resources
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Are you getting locked out of the PEN^® System and Wondering Why?

We have the answer to your question. Read on...

Typically, this happens when a PEN Account is accessed from multiple devices. Have you shared your username and password with someone in the past?  Doing so not only violates the license agreement, but it puts you at risk. You are responsible for any and all activity that occurs under your account that results if you fail to keep this information secure and confidential. 

According to the PEN License Agreement, a PEN Account can’t be accessed concurrently on multiple devices. Sharing your username and password is against the PEN License agreement and can result in losing access to the PEN System. So make sure to sign out of the PEN System every time you’re finished on the website.  

So what happens if your account is used on multiple devices concurrently?

• The first offence: a warning message will appear on the screens and both users will be logged out. The owner of the PEN license will need to review the relevant section of the PEN License Agreement and accept these terms on both devices prior to logging in again. 

• The second offence: a warning message will appear on the screens and both users will be logged out. The PEN account will be suspended for one hour. The owner of the PEN license will once again need to review the relevant section of the PEN License Agreement and accept these terms on both devices prior to logging in again.

• The third offence: a warning message will appear on the screens and both users will be logged out. The PEN account will be suspended for 24 hours and the owner of the PEN license will once again need to review the relevant section of the PEN License Agreement and accept these terms on both devices prior to logging in again.

• The fourth offence: a warning message will appear on the screens and both users will be logged out. The account will be disabled, and the owner of the PEN license will be asked to contact the PEN Team.

You can read the full License Agreement here!