Nutritional Aspects of Diabetess Mellitus (ignore)

Question 1

Who should all newly diagnosed diabetics be assessed by ?

Answer 1

Dietitian - as diet plasy crucial role

Question 2

What are the main nutritional considerations for T1DM ?

Answer 2

• Consistency and timing of meals
• Timing of insulin
• Monitoring of blood glucose regularly

Question 3

What are the main nutritional considerations for T2DM ?

Answer 3

• Weight loss
• Smaller meals and snacks
• Increase physical activity
• Monitoring BG and medication regularly

Question 4

What is the primary nutritional strategy in managing glucose control in T2DM ?

Answer 4

• Weight management, so decrease weight
• Regular, moderate exercise

Question 5

What is the main nutritional consideration for glycaemic control in T1DM ?

Answer 5

Carbohydrates (CHO) as this determines how much insulin you need

Question 6

What is the relationship of hypo’s and exericse ?

Answer 6

• Hypo’s can occur 12-24hrs after exericse
• To reduce the chances, aim to exericse during peak insulin activity e.g. in the afternoon. Also prevent by adjusting insulin and or carbohydrates (CHO) as appropriate

Question 7

How does alcohol consumption potentially cause hypo’s ?

Answer 7

Alcohol increases insulin activity which esp if drinking on an empty stomach can cause a hypo

Question 8

Describe what glycaemic index is

Answer 8

A rank of the rate at which food makes BG rise, using this can allow for better glycaemic control

Question 9

What are the key messages for diabetic diets ?

Answer 9

• Have regular meals
• Strachy CHO at each meal
• Eat more fruit and veg
• Cut down on fat
• Limit sugar
• Reduce salt
• Limit alcohol