Nutrition and Diabetes

Question 1

who do you refer to dietetics?

Answer 1

all new diagnosis should be assessed by a registered dietician

Question 2

type 1 management

Answer 2

diet and insulin

Question 3

type 2 and gestational management

Answer 3

lifestyle alone, next step is then medication

Question 4

diet for glycaemic control

Answer 4

low fat
mediterranean (also helpful for CV disease)
high protein and low carb are all effective
- people on a low carb diet need dietician support

Question 5

diet recommended for T1DM preinsulin

Answer 5

fat and protein based diet

Question 6

diet recommended for T1DM early insulin

Answer 6

regulated carbohydrate

Question 7

diet recommended for T1DM short and long acting insulin

Answer 7

there is a lot more flexibility in the diet

Question 8

diet recommended for T1DM insulin analogues e.g. multiple daily injections (MDI), continuous subcutaneous insulin infusion pump (CSII)

Answer 8

carbohydrate counting

flexible diet

Question 9

main consideration for glycaemic control in T1DM

Answer 9

carbohydrate
MDI and CSII pump adjust insulin to the carbohydrate intake (‘carbohydrate counting) this is beneficial offer education to support
fixed insulin regimes - aim for consistent quantities of carbohydrates on a day-to-day basis

Question 10

what is DAFNE?

Answer 10

dose adjusting for normal eating

• advanced carbohydrate counting
• suitable for type 1 using basal-bolus insulin )MDI and CSII)
• it’s good because it means you can enjoy a wider variety of foods, learn to predict BG and promote self-management - need regular blood glucose monitoring, need support and focus on CHO may compromise other aspects of the diet