Diabetes dietary approach Flashcards
1
Q
why is it important to achieve a healthy BW
A
bc of link of IR and excess BW, improve lipid profile, glycemic control and BP
2
Q
what do we recommend with type 2 with BMI >/= 25
A
modest weight loss (5-10%) - this is the single action that will help insulin and glycemic control the most
- nutritionally balanced, calorie restricted diets
3
Q
macronutrient distribution
A
wide and not different from the rest of the population
- highly flexible
4
Q
fibers
A
higher intake recommended in DM (30-50 g/d) –> 1/3 should be soluble viscous fibre
5
Q
why don’t we recommend low carb diets for diabetics?
A
- concern with blunted response to glucagon injection - glycogen depletion
- concern with keto acidosis with insulin therapy or SLGT2i
- no consistent improvements in A1C, blood lipid profile, maintains of weight loss
6
Q
what’s the most important consideration in diets ?
A
glycemic control indicated by A1C
