DIABETES MELLITUS & WT. MNGT Flashcards
ADA KCAL Recomm
level of energy intake so that BMI stays or moves towards 18.5-25kg/m2
ADA Recomm Protein:
Up to 1g/kg bW
ADA Recomm FAT:
<35% energy intake
ADA Recomm CHON if no nephropthy:
10-20%
ADA Recomm FAT (overweight)
<30%
ADA Recomm SFA + TF
<10% of energy intake
ADA Recomm Omega 6 PUFA:
<10% energy intake
ADA Recomm Omega 3 PUFA:
eat fish exp. oily fish, two or three servings weekly; fish oil supplements are NOT RECOMMENDED
ADA Recomm CHOLESTEROL
<300 mg/day
ADA Recomm Cis-MUFA
10-20% E.I
ADA Recomm TOTAL CHO:
45-60% E.I
Preferrably: Vegetables, legumes, fruits, and whole-grain products
ADA Recomm Cis-MUFA + Total CHO:
60-70% EI
ADA Recomm SUCROSE
up to 50g or 10% of daily energy provided. It is taken as part of a healthy diet. People who are overweight or who have hypertriglyceridemia should consider non-nutritive sweetners
ADA Recomm FIBER
> 40g / day (20 g per 1000 kcal per day)
-more than 5 servings of fiber rich veggies or fruit each day
-more than 4 servings of legumes per weeks
-cereal based foods should be whole grain
ADA Recomm VITS AND ANTIOXIDANTS
ENCOURAGE foods naturally rich in vitamins and antioxidants; most people do not need supplements
ADA Recomm SALT
<6 g/day sodium chloride
ADA Recomm ALCOHOL
<10 g / day for women and <20 g / day for men
NUTRITION MNGT: kcal for weight maintenance
25-30 kcal
NUTRITION MNGT: kcal for wt. loss
20-25 kcal
NUTRITION MNGT: OBESE kcal
use ADJUSTED BW
NUTRITION MNGT: What type of CHO must be utilized?
COMPLEX
NUTRITION MNGT: CHO percentage in TER & NOT ____ g/day
TER: 45 - 65%
<130 g
NUTRITION MNGT: simple sugars
10%
NUTRITION MNGT: _____ Carbohydrate diet
CONSISTENT
NUTRITION MNGT: CHON TER
15-20%
NUTRITION MNGT: CHON requirement if with normal renal function
1g/kg/day
NUTRITION MNGT: FATS TER
20-35%
NUTRITION MNGT: SFA
<7%
NUTRITION MNGT: CHOLESTEROL
<200 mg/day
NUTRITION MNGT: What type of fat should be eliminated or reduced?
Trans Fat
NUTRITION MNGT: Sodium
2300 mg
NUTRITION MNGT: Fiber
20-25 g/day
NUTRITION MNGT: Weight reduction of Overwt./Obese
5-10% decrease in 6 months
RECITE THE WHO Cut-off points and risk of metabolic complications
WAIST CIRCUMFERENCE
>94 cm (M); >80 cm (W) = Increased risk
>102 cm (M); >88 cm (W)= substantially increased risk
WAIST-HIP RATIO:
>0.90 cm (M)
>0.85 cm (W)
NUTRITION MNGT: BMI
2-3 UNITS target reduction
NUTRITION MNGT: Weight reduction of obese class 3
15% in 6 months
