Nutrition for Diabetics

Question 1

3 Goals of dietary management in diabetes mellitus

Answer 1

1. Reversing obesity
2. Minimize postprandial serum glucose fluctuation
3. Maintain consistency in feeding schole and caloric intake

Question 2

Why is obesity problematic for diabetes Tx?

Answer 2

fat leads to inability of body’s tissue to properly respond to insulin

Question 3

What things can you do to reverse obesity?

Answer 3

• decrease caloric intake gradually
• increase fiber intake
• initiate exercise program

Question 4

Why does exercise help maintain better glucose homeostasis?

Answer 4

it improves absorption of insulin at injection site thru increased SQ tissue and muscle perfusion

Question 5

What 2 things should you increase to minimize postprandial serum glucose fluctuation?

Answer 5

dietary fiber and complex carbohydrates

Question 6

Why does fiber help reduce fluctuation?

Answer 6

not fully known; theory is that it slows absorption time of material in digestive tract

Question 7

Is there a difference between soluble vs insoluble fiber?

Answer 7

No, but increasing insoluble fiber may lead to constipation and decreased diet palatability

Question 8

How should diabetic pets be fed?

Answer 8

consistent amount of calories each day
meals should be fed in conjunction with administration of insulin
avoid feeding one large meal a day