Nutrition Therapy for Diabetes Flashcards
summary of evidence-based nutrition therapy for Diabetes
Promote healthful eating patterns with appropriate sizes
Address individual nutrition needs
maintain pleasure of eating through positive messages
What types of diabetes should get MNT
I and II
What are the ABCs of diabetes
A = A1C B = blood pressure C = cholesterol
Does sugar raise blood glucose faster than carbs
No
What are important to managing for diabetes
Carbs
Exercise
Insulin
What does 1 carb unit equal
15 grams carbohydrate
what is the effect of protein on postprandial blood sugars
none
What are requirements for diet
protein 6 ounces per day
eggs only 3-4 week
fat-free or lowfat dairy products
What is important for dietary fat
fat quality more important than fat quantity
limit saturated fat
limit use of trans-fatty acids
eat omega-3-fatty acids
What is important with vitamins
no clear benefit from vitamins
What are options for managing with DM
Basal insulin
Bolus of 1 unit for 15 grams of carbs with meals
Correction factor: 1 unit insulin with 50 mg/dl
Treatment options for Type II DM
Diet
weight loss
exercise
Alcohol and DM
blocks gluconeogenesis
not converted to glucose
cause hypoglycemia if no food with alcohol
what is glycemic index
area under 2 hour glucose curve following consumption of 50 grams of digestible carbohydrate
varies in same food due to harvest, age, and ripeness
What is glycemic load
the amount of carbohydrate in the portion eaten
