Nutrition in Obesity/Diabetes

Question 1

BMI Categories

Answer 1

25> Overweight
30> Obese
40> Extreme obesity

Question 2

High Risk waist circumference for M/F ofr DMT2, HTN, Dyslipidemia

Answer 2

Females >35 inches (88 cm) = high risk

Males >40 inches (102 cm) = high risk

Question 3

7 Self-Care Behaviors needed in Diabetes Self-Management Education

Answer 3

Healthy Eating
Being Active (3o min per day)
Monitoring Blood Glucose
Taking Medication
Risk Reduction: annual exams
Problem Solving Practice
Healthy Coping

Question 4

4 Key times to assess + refer for DSMT

Answer 4

At time of diagnosis
Annually
When complications arise
When transitions in care occur

Question 5

Medical Nutrition Therapy (MNT)Insurance coverage

Answer 5

• Medicare coverage provides 3 hours of MNT by a Registered Dietitian Nutritionist (RDN) in the first year of diagnosis.

Question 6

Diabetes Types + Diet Adjustments

Answer 6

• Type 1: Flexible adjustment of insulin to match CHO intake via Carb Counting meal planning
• Type 2: Consistent Day-to-day CHO amount + timing: focuses of CHO amount, HH nutrition, Weight management, + Activity

Question 7

Most important factor for DBMT2 meal planning

Answer 7

CHO amount + available insulin

Question 8

One serving of CHO?

How many per meal/snack?

Answer 8

15 g

3-5 CHO servings per meal
1-2 per snack

Question 9

DRI for Diabetes

Answer 9

CHO: 45%
Fat: 20-35%; Sat 5-6%
Protein: 10-35%

Question 10

Recommended Fiber

Answer 10

14g/1000KCals

Question 11

Exercise recommendation for DM2?

Answer 11

• Aerobic: 150 min/week spread over 3-5 d/week moderate intensity exercise
• Strength: 2-3 sessions/week muscle resistance exercises
• Flexibility + Balance: 2-3 d/week