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Diabetes management and nutrition with millets
1. B.E.A. (Regd)
Bapuji College Of Nursing
“NUTRITION WEEK-2015”
Diabetics Management With
Millets
PRESENTED BY:
GANGADHAR
POORNIMA
SUSHMITA
AAKRITI
JAMILA
AMEKA
URIKA
RAJU
2. Definition:
The commonest form of diabetes, caused by a deficiency of the
pancreatic hormone insulin, which results in a failure to metabolize sugars
and starch.
Sugars accumulate in the blood and urine, and the by-products of
alternative fat metabolism disturb the acid–base balance of the blood,
causing a risk of convulsions and coma
11. Diet Planning
Principles of diet.
low calorie
Low fat
High fiber
Moderate vitamin and minerals
Provide variety in the daily diet
12. Subject
Age: 36 Years
Weight (W): 50 Kg
Height (H): 5’2”=62”=1.57 m
H2:
2.4 sq.m
Sex : Male
Diet pattern: Vegetarian
13. Subject (contd…..)
Body Mass Index (𝐵𝑀𝐼) =
𝑊
𝐻2 =
50
2.4
= 20.83
Ideal Body Weight 𝐼𝐵𝑊 = 𝐵𝑀𝐼 ∗ 𝐻2 = 20.83 ∗ 2.4 = 49.992
BMI of given subject is 20.83 which shows normal body weight.
Total Energy requirement=energy requirement per kg. wt * Ibw
=49.992*40=1999.68kcal.
14. Complete Nutrient Requirement
1. energy=1999.68 kcal/day
2. Protein =49.992*1=49.99 gm
3. Thiamine =
0.5
1000
∗ 1999.68 = 0.99984
4. Riboflavin= 0.06% of total energy=1.198
5. Niacin= 0.66% of total energy=13.197
15. Distribution of Calories among
different food
Calories= 1999.68 kcal/day
5% of calories from miscellaneous food= 99.984 kcal
20% calories from fats=399.936 kcal
Calories from other food= 99.984+399.936=499.92 k cal
Calories from pulse and cereals=1999.68-
499.92=1499.76* kcal
Pulse:cereals=1:7
16. Distribution of Calories among
different food
Pulse =
1499.76
8
= 187.47
7 part of cereals=1499.76-187.47=1312.29
Amount of pulse=187.47 ∗
100
350
= 53.562𝑔𝑚
Similarly, cereals=1312.29*
100
350
=374.94 gm
Fats and oils=399.936∗
100
900
=44.437gm
But 25% of fats is from misc. source
Therefore, amount of fat required=44.437-25%of 44.437=33.328 gm
17. Nutrient Requirement for Diabetic
patient
NUTRIENT AMOUNT REQUIRED MODIFICATION
Calories
Protein
Fat
Carbohydrate
Vitamin A
Iron
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin C
1999.68
50
44.437
378
2400 IU
30mg
0.9998 mg/day
1.998 mg/day
13.197mg/day
40 mg
Because of diabetes
food is modified as for
the physician order and
carbohydrate fats and
proteins are reduced
18. Food Stuff Required For This Patient
Food stuff Amount Required Modification Total
Cereals 378 Decrease one
third
126gm
Pulses 50 ------ 50
Fat 33.328 Decrease 10 gm 23.328
Green leaf
Vegetables
100 ---- 100
Other Vegetables 80 --- 80
Root and tubers 50 Decrease half 25gm
Fruits 100 ------- 100gm
milk and milk
products
250-300 ml of
skimmed milk
-------- 250-300ml