Diabetes Module 5 Flashcards
These two key behaviors have to be modified for patients with type two diabetes
Diet and exercise
This is a form of nonpharmacologic therapy
Lifestyle modification
This is a common risk factor for the development of type two diabetes and is thought to contribute to type two diabetes pathogenesis
Obesity
Obese people have increased levels of circulating fats which can promote the development of type two diabetes bye
Causing insulin resistance and skeletal muscle and liver cells, impairing glucose utilization in skeletal muscle, promoting glucose production by the liver, and impairing beta cell function
Design, implementation and management of nutritional plan by registered dietitian is known as
Medical nutritional therapy or MNT
The goals of MNT are:
To achieve and maintain normal blood glucose levels, to achieve and maintain normal blood pressure, to maintain lipid profile that reduces risk of vascular disease, and to prevent or delay complications from diabetes
Patients with diabetes should follow a diet that contains a combination of
Carbohydrates, proteins, and fats
This is a measure of how carbohydrate containing food raises blood glucose
Glycemic index
Examples of low glycemic index foods are:
Beans, all non-starchy vegetables, and most fruits, and many whole-grain breads and cereals
Which two types of food have no glycemic index?
Meat and fat
With the ADA’s recommendation of the “create your plate” approach what is one focus of this approach?
Portion size
What is the recommended exercise regimen as recommended by the ADA?
To perform more than 150 minutes a week of moderate intensity aerobic exercise spread over at least three days; to perform strength training involving all major muscle groups at least twice a week
This can improve insulin resistance and has been shown in studies to reduce the incidence of type two diabetes
Weight-loss
Moderate weight-loss in patients with type two diabetes is associated with
Improvements in hyperglycemia ,improvements in hyperlipidemia, reduced blood pressure, and reduction in cardiovascular risk factors