This document provides information on carbohydrate counting for diabetes management. It defines carbohydrate counting as a method to calculate grams of carbohydrates consumed. The goals are to maintain consistent carb intake, increase dietary flexibility, and manage blood glucose. Carbohydrates are broken down into glucose and absorbed into the bloodstream. Foods like fruits, starches, grains and milk contain carbs. Counting carbs involves identifying carb-containing foods and determining servings equal to 15 grams of carbs. Tools like mobile apps, food labels and visual guides can help estimate carb amounts. Physical activity also impacts blood sugar, so carb intake may need adjustment based on activity level and intensity.
http://www.our-diabetic-life.com Intake of large amount of carbohydrates can spike your blood glucose level. Right amount of carbohydrate can make your glucose level under control.
This document discusses carbohydrate counting for managing diabetes. Carb counting involves following a meal plan that specifies grams of carbs per meal and snack, and using an insulin-to-carb ratio to determine insulin dosage. For those with type 1 diabetes, carb counting helps control blood sugar levels. Those with type 2 diabetes also need to count carbs to control portions and support weight loss through a balanced, limited sugar diet with regular physical activity. Common carb foods are listed along with serving size guidelines to estimate grams of carbohydrates from labels.
This document outlines dietary guidelines for managing diabetes mellitus through medical nutrition therapy. The goals are to provide adequate nutrition for normal growth and development, prevent hypo- and hyperglycemia, and promote lifestyle changes to improve metabolic control. A balanced meal plan calls for 50-60% of calories from carbohydrates, 20-30% from fat, and 10-15% from protein. Meals should be spaced regularly and consistently with flexible timing. Exercise and self-monitoring of blood glucose are also integrated into treatment. Hypoglycemia is managed through consumption of simple sugars to quickly raise blood sugar levels.
Carbohydrate Counting for insulin dose adjustmentltejas86
Carbohydrate counting is the method of estimating carbohydrates from your meal and adjusting insulin dose to keep blood sugar levels under control. It is easy and very effective specially for children with type 1 diabetes. It offers variety and flexibility in the diet at the same time improves blood sugar profile.
Carbohydrate counting is an effective meal planning method that was used in the Diabetes Control and Complications Trial. It involves assessing a patient's needs, developing an optimal carbohydrate intake pattern based on lifestyle and schedule, and teaching patients how to achieve euglycemia through various carbohydrate intake patterns. Summarizing key points from the document, carbohydrate counting decreases A1C by 1-2% in people with diabetes, achieves and maintains target blood glucose and lipid levels, and prevents or slows chronic diabetes complications by modifying nutrient intake and lifestyle.
The document provides guidelines for a diabetic diet, including recommendations to obtain 55-60% of daily calories from carbohydrates, 20% from fat, and 15-20% from protein. It outlines the goals of nutrition management for diabetes, which are to optimize blood glucose control, achieve reasonable body weight, improve lipid and blood pressure levels, and prevent or delay diabetes complications. The document also provides tips for individualizing a diabetic diet based on nutritional needs and preferences.
The document outlines the role of nutrition counselling provided by a dietitian as part of a family health team. It describes various services provided including individual client consultations, group education, developing resources for health professionals and clients, interdisciplinary planning and teaching. It then provides details on documentation procedures and conditions that may warrant a dietitian referral such as cardiovascular disease, celiac disease, and irritable bowel syndrome. Standard counselling components are described for several conditions.
http://www.our-diabetic-life.com Intake of large amount of carbohydrates can spike your blood glucose level. Right amount of carbohydrate can make your glucose level under control.
This document discusses carbohydrate counting for managing diabetes. Carb counting involves following a meal plan that specifies grams of carbs per meal and snack, and using an insulin-to-carb ratio to determine insulin dosage. For those with type 1 diabetes, carb counting helps control blood sugar levels. Those with type 2 diabetes also need to count carbs to control portions and support weight loss through a balanced, limited sugar diet with regular physical activity. Common carb foods are listed along with serving size guidelines to estimate grams of carbohydrates from labels.
This document outlines dietary guidelines for managing diabetes mellitus through medical nutrition therapy. The goals are to provide adequate nutrition for normal growth and development, prevent hypo- and hyperglycemia, and promote lifestyle changes to improve metabolic control. A balanced meal plan calls for 50-60% of calories from carbohydrates, 20-30% from fat, and 10-15% from protein. Meals should be spaced regularly and consistently with flexible timing. Exercise and self-monitoring of blood glucose are also integrated into treatment. Hypoglycemia is managed through consumption of simple sugars to quickly raise blood sugar levels.
Carbohydrate Counting for insulin dose adjustmentltejas86
Carbohydrate counting is the method of estimating carbohydrates from your meal and adjusting insulin dose to keep blood sugar levels under control. It is easy and very effective specially for children with type 1 diabetes. It offers variety and flexibility in the diet at the same time improves blood sugar profile.
Carbohydrate counting is an effective meal planning method that was used in the Diabetes Control and Complications Trial. It involves assessing a patient's needs, developing an optimal carbohydrate intake pattern based on lifestyle and schedule, and teaching patients how to achieve euglycemia through various carbohydrate intake patterns. Summarizing key points from the document, carbohydrate counting decreases A1C by 1-2% in people with diabetes, achieves and maintains target blood glucose and lipid levels, and prevents or slows chronic diabetes complications by modifying nutrient intake and lifestyle.
The document provides guidelines for a diabetic diet, including recommendations to obtain 55-60% of daily calories from carbohydrates, 20% from fat, and 15-20% from protein. It outlines the goals of nutrition management for diabetes, which are to optimize blood glucose control, achieve reasonable body weight, improve lipid and blood pressure levels, and prevent or delay diabetes complications. The document also provides tips for individualizing a diabetic diet based on nutritional needs and preferences.
The document outlines the role of nutrition counselling provided by a dietitian as part of a family health team. It describes various services provided including individual client consultations, group education, developing resources for health professionals and clients, interdisciplinary planning and teaching. It then provides details on documentation procedures and conditions that may warrant a dietitian referral such as cardiovascular disease, celiac disease, and irritable bowel syndrome. Standard counselling components are described for several conditions.
This document debunks common myths about the diabetic diet and provides guidance on healthy eating for diabetes management. It discusses that a diabetic diet is not separate from a healthy diet for all, and focuses on choosing carbohydrates from whole grains, vegetables and fruits. While foods like honey and rice can be included, portion size matters and substitutes should not have more calories than sugar. The guidelines emphasize eating a variety of nutritious foods while monitoring blood sugar levels.
The document discusses the myths and facts about diabetes diets. It explains that diabetics do not need to strictly cut out all sweets and enjoyments, but rather can incorporate moderation and make substitutes. A diabetic diet is generally the same as a healthy diet, based on whole grains, vegetables, fruits and moderate fat, salt and sugar. With the right information about balanced nutrition and lifestyle, one need not feel they must radically change their life due to a diabetes diagnosis.
This document provides information about carbohydrates and managing blood glucose levels for people with diabetes. It defines carbohydrates and explains why people with diabetes need to pay attention to foods containing carbs. The document outlines blood glucose and A1C targets and recommends how many carb choices or grams of carbs people should aim to eat per meal and snack depending on their gender. It provides tips for reading food labels to count carbs and examples of common foods and their carb amounts.
The document discusses the importance of nutrition in diabetes management. It states that diabetes treatment involves controlling factors like diet, drugs, and daily activity. Proper nutrition therapy is an integral part of diabetes management. The document then compares the effects of high-carbohydrate and high-fat diets on various health markers in diabetics. It proceeds to describe Balance-D diabetes medical nutrition therapy, highlighting its balanced macronutrient profile, glycemic control benefits, improved compliance, and other advantages.
This document discusses dietary recommendations for managing diabetes. It recommends that diet should provide 60% of calories from carbohydrates, 15-20% from proteins, and 15-25% from fats. Carbohydrates should come from whole grains, fruits and vegetables. Protein can come from plant sources like legumes and soy. Fats intake should emphasize unsaturated rather than saturated fats. Meals should be frequent and balanced to control blood sugar levels. Regular physical activity and maintaining a healthy body weight are also emphasized.
Nutritional management of renal diseasesWajid Rather
The document discusses the major roles of the kidney in metabolic regulation including water-electrolyte homeostasis, calcium-phosphate balance, waste product removal, acid-base balance, erythropoietin production, and blood pressure regulation. It then summarizes the goals of nutritional therapy in renal failure and discusses nutritional problems patients with renal failure often experience like anorexia and metabolic abnormalities. Guidelines for protein intake, energy intake, fluid intake, sodium intake, and potassium intake are provided for non-dialysis patients, patients undergoing hemodialysis, and patients undergoing peritoneal dialysis.
HEALTHY EATING What can I eat?
Diabetes education classes can assist people with diabetes in gaining knowledge about the effect of food on blood glucose, sources of carbohydrates and fat, appropriate meal planning and resources to assist in making food choices. Skills taught include reading labels, planning and preparing meals, measuring foods for portion control, fat control and carbohydrate counting. Barriers, such as environmental triggers and emotional, financial, and cultural factors, are also addressed.
The document describes an exchange list system for meal planning that divides foods into 6 groups based on their nutrient content: milk, non-starchy vegetables, fruits, starches, meats and substitutes, and fats. Each group has a standard serving size or "choice" that contains a set amount of calories, carbohydrates, proteins, etc. The system allows users to balance their food intake over a day by tracking how many "choices" from each group they consume. Examples are provided to illustrate how to use the exchange lists to plan meals and snacks.
Managing your type ii diabetes: patient educationmdlv1974
This document provides information on managing type 2 diabetes, including when and how to check blood glucose levels, symptoms of high and low blood glucose, proper testing supplies and techniques, treatment options, diet recommendations, potential complications, and additional control measures. It also lists various resources for further information on diabetes management.
This document discusses medical nutrition therapy for diabetes mellitus using a case study. It provides an overview of diabetes, outlines the nutrition care process used for a patient with uncontrolled type 2 diabetes and a foot infection. Key interventions included education on carbohydrate counting and menu planning. Evaluation found improved intake and understanding of carbohydrate counting concepts. The summary emphasizes uncontrolled diabetes can lead to complications and the importance of nutrition therapy like carbohydrate counting to help manage blood glucose levels.
Diet for diabetes ....in World diabetic day at Apollo Hospital Ranchinutritionistrepublic
Medical Nutrition Management and proper dietary management are the cornerstones for managing diabetes, as diet plays a major role in regulating carbohydrates, fat, and protein. The goals of diabetes nutrition management are to achieve normal blood glucose and lipid levels to reduce vascular disease risks, prevent chronic diabetes complications by modifying nutrient intake and lifestyle, address individual nutrition needs, and maintain the pleasure of eating. Key recommendations include calculating calorie needs based on age and activity level, obtaining 50-60% of calories from carbohydrates focusing on high fiber sources with a low glycemic index, and limiting fat intake to 30% of calories. Lifestyle changes such as controlling weight, increasing physical activity, choosing whole grains over processed carbohydrates,
This document provides information on a 40-year-old female patient admitted for J-tube placement due to severe protein-energy malnutrition. She has a complex surgical history including gastrectomy and small bowel resections which has resulted in nutritional deficiencies. Laboratory results show low albumin, prealbumin, calcium and magnesium levels indicative of her malnutrition. The patient is started on continuous tube feedings which are advanced gradually, however her blood sugars remain difficult to control when eating orally in addition to the tube feedings.
This document provides dietary guidelines for Maryam Jamilah binti Abdul Hamid who has diabetes. It recommends keeping to a regular nutritious diet with an ideal body weight by reducing calories, added sugar, and dietary fat. It suggests following a low glycemic index and increasing intake of vegetables, fruits, and whole grains. Low GI diets have been shown to improve blood sugar and lipid levels for people with diabetes.
This document discusses diabetes mellitus and provides information on different types of diabetes, including type 1, type 2, and gestational diabetes. It covers the causes, symptoms, and treatment goals for each type. The document also discusses dietary recommendations for diabetes, including macronutrient distribution, use of carbohydrate counting and exchange lists, glycemic index of foods, and fiber and sodium intake. Recommendations are provided separately for type 1 and type 2 diabetes.
Mr. TEC is a 62-year-old Chinese man admitted to the oncology ward due to metastatic adenocarcinoma neck cancer. He has experienced weight loss and dysphagia. A nutritional plan is developed to provide adequate calories and nutrients through enteral nutrition via 6 feedings per day of a specialized formula. The plan will be gradually increased over 4 steps to reach goals of 2442 kcal, 133.2 g protein, and 399.9 g carbs to support weight gain and prevent further malnutrition.
This document provides guidelines for the management of diabetes through diet and nutrition. It outlines the main goals of treatment as making patients symptom-free and preventing complications. Target blood glucose and lipid levels are listed. A balanced diet with appropriate proportions of carbohydrates, proteins, fats, and fibers is recommended. Factors like age, gender, diabetes type, weight, and medical conditions determine an individual's diet. Meal planning considers calorie needs and glycemic index values of foods. Dietary education tools like food groups, exchanges, and carbohydrate counting are discussed to help patients understand healthy eating.
Practical Dietary Prescription for Ambulatory Diabetic PatientIris Thiele Isip-Tan
The document provides guidance on setting behavioral goals and meal planning for patients with diabetes. It discusses establishing individualized and measurable goals agreed upon by the patient to encourage lifestyle changes. Examples of initial nutrition education priorities for newly diagnosed type 2 diabetes patients include eating regular meals and snacks spaced a few hours apart and setting gradual behavior change goals based on current eating habits. Two approaches to meal planning discussed are the plate method and diabetic exchanges, which allow flexible substitutions within food categories.
Save your life from Diabetes
Destroy your diabetes & live healthy life, follow the link below:
http://adf.ly/1QNMLd
copy the link & paste into URL & press enter, click on "skip this add" and see how you can prevent yourself from this diabetes.
Thanks,
BRM is a successful biopharmaceutical company formed in 1996 by Dennis Guberski and Dr. Arthur Like of the University of Massachusetts Medical School (UMass). Over the course of 20 years the founders developed proprietary diabetes research models under the sponsorship of the National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK). BRM licensed this intellectual property portfolio from UMass in 1998 and since that time has used these proprietary tools to become one of the leading sources of customized preclinical contract research specializing in type 1 and type 2 diabetes.
This document debunks common myths about the diabetic diet and provides guidance on healthy eating for diabetes management. It discusses that a diabetic diet is not separate from a healthy diet for all, and focuses on choosing carbohydrates from whole grains, vegetables and fruits. While foods like honey and rice can be included, portion size matters and substitutes should not have more calories than sugar. The guidelines emphasize eating a variety of nutritious foods while monitoring blood sugar levels.
The document discusses the myths and facts about diabetes diets. It explains that diabetics do not need to strictly cut out all sweets and enjoyments, but rather can incorporate moderation and make substitutes. A diabetic diet is generally the same as a healthy diet, based on whole grains, vegetables, fruits and moderate fat, salt and sugar. With the right information about balanced nutrition and lifestyle, one need not feel they must radically change their life due to a diabetes diagnosis.
This document provides information about carbohydrates and managing blood glucose levels for people with diabetes. It defines carbohydrates and explains why people with diabetes need to pay attention to foods containing carbs. The document outlines blood glucose and A1C targets and recommends how many carb choices or grams of carbs people should aim to eat per meal and snack depending on their gender. It provides tips for reading food labels to count carbs and examples of common foods and their carb amounts.
The document discusses the importance of nutrition in diabetes management. It states that diabetes treatment involves controlling factors like diet, drugs, and daily activity. Proper nutrition therapy is an integral part of diabetes management. The document then compares the effects of high-carbohydrate and high-fat diets on various health markers in diabetics. It proceeds to describe Balance-D diabetes medical nutrition therapy, highlighting its balanced macronutrient profile, glycemic control benefits, improved compliance, and other advantages.
This document discusses dietary recommendations for managing diabetes. It recommends that diet should provide 60% of calories from carbohydrates, 15-20% from proteins, and 15-25% from fats. Carbohydrates should come from whole grains, fruits and vegetables. Protein can come from plant sources like legumes and soy. Fats intake should emphasize unsaturated rather than saturated fats. Meals should be frequent and balanced to control blood sugar levels. Regular physical activity and maintaining a healthy body weight are also emphasized.
Nutritional management of renal diseasesWajid Rather
The document discusses the major roles of the kidney in metabolic regulation including water-electrolyte homeostasis, calcium-phosphate balance, waste product removal, acid-base balance, erythropoietin production, and blood pressure regulation. It then summarizes the goals of nutritional therapy in renal failure and discusses nutritional problems patients with renal failure often experience like anorexia and metabolic abnormalities. Guidelines for protein intake, energy intake, fluid intake, sodium intake, and potassium intake are provided for non-dialysis patients, patients undergoing hemodialysis, and patients undergoing peritoneal dialysis.
HEALTHY EATING What can I eat?
Diabetes education classes can assist people with diabetes in gaining knowledge about the effect of food on blood glucose, sources of carbohydrates and fat, appropriate meal planning and resources to assist in making food choices. Skills taught include reading labels, planning and preparing meals, measuring foods for portion control, fat control and carbohydrate counting. Barriers, such as environmental triggers and emotional, financial, and cultural factors, are also addressed.
The document describes an exchange list system for meal planning that divides foods into 6 groups based on their nutrient content: milk, non-starchy vegetables, fruits, starches, meats and substitutes, and fats. Each group has a standard serving size or "choice" that contains a set amount of calories, carbohydrates, proteins, etc. The system allows users to balance their food intake over a day by tracking how many "choices" from each group they consume. Examples are provided to illustrate how to use the exchange lists to plan meals and snacks.
Managing your type ii diabetes: patient educationmdlv1974
This document provides information on managing type 2 diabetes, including when and how to check blood glucose levels, symptoms of high and low blood glucose, proper testing supplies and techniques, treatment options, diet recommendations, potential complications, and additional control measures. It also lists various resources for further information on diabetes management.
This document discusses medical nutrition therapy for diabetes mellitus using a case study. It provides an overview of diabetes, outlines the nutrition care process used for a patient with uncontrolled type 2 diabetes and a foot infection. Key interventions included education on carbohydrate counting and menu planning. Evaluation found improved intake and understanding of carbohydrate counting concepts. The summary emphasizes uncontrolled diabetes can lead to complications and the importance of nutrition therapy like carbohydrate counting to help manage blood glucose levels.
Diet for diabetes ....in World diabetic day at Apollo Hospital Ranchinutritionistrepublic
Medical Nutrition Management and proper dietary management are the cornerstones for managing diabetes, as diet plays a major role in regulating carbohydrates, fat, and protein. The goals of diabetes nutrition management are to achieve normal blood glucose and lipid levels to reduce vascular disease risks, prevent chronic diabetes complications by modifying nutrient intake and lifestyle, address individual nutrition needs, and maintain the pleasure of eating. Key recommendations include calculating calorie needs based on age and activity level, obtaining 50-60% of calories from carbohydrates focusing on high fiber sources with a low glycemic index, and limiting fat intake to 30% of calories. Lifestyle changes such as controlling weight, increasing physical activity, choosing whole grains over processed carbohydrates,
This document provides information on a 40-year-old female patient admitted for J-tube placement due to severe protein-energy malnutrition. She has a complex surgical history including gastrectomy and small bowel resections which has resulted in nutritional deficiencies. Laboratory results show low albumin, prealbumin, calcium and magnesium levels indicative of her malnutrition. The patient is started on continuous tube feedings which are advanced gradually, however her blood sugars remain difficult to control when eating orally in addition to the tube feedings.
This document provides dietary guidelines for Maryam Jamilah binti Abdul Hamid who has diabetes. It recommends keeping to a regular nutritious diet with an ideal body weight by reducing calories, added sugar, and dietary fat. It suggests following a low glycemic index and increasing intake of vegetables, fruits, and whole grains. Low GI diets have been shown to improve blood sugar and lipid levels for people with diabetes.
This document discusses diabetes mellitus and provides information on different types of diabetes, including type 1, type 2, and gestational diabetes. It covers the causes, symptoms, and treatment goals for each type. The document also discusses dietary recommendations for diabetes, including macronutrient distribution, use of carbohydrate counting and exchange lists, glycemic index of foods, and fiber and sodium intake. Recommendations are provided separately for type 1 and type 2 diabetes.
Mr. TEC is a 62-year-old Chinese man admitted to the oncology ward due to metastatic adenocarcinoma neck cancer. He has experienced weight loss and dysphagia. A nutritional plan is developed to provide adequate calories and nutrients through enteral nutrition via 6 feedings per day of a specialized formula. The plan will be gradually increased over 4 steps to reach goals of 2442 kcal, 133.2 g protein, and 399.9 g carbs to support weight gain and prevent further malnutrition.
This document provides guidelines for the management of diabetes through diet and nutrition. It outlines the main goals of treatment as making patients symptom-free and preventing complications. Target blood glucose and lipid levels are listed. A balanced diet with appropriate proportions of carbohydrates, proteins, fats, and fibers is recommended. Factors like age, gender, diabetes type, weight, and medical conditions determine an individual's diet. Meal planning considers calorie needs and glycemic index values of foods. Dietary education tools like food groups, exchanges, and carbohydrate counting are discussed to help patients understand healthy eating.
Practical Dietary Prescription for Ambulatory Diabetic PatientIris Thiele Isip-Tan
The document provides guidance on setting behavioral goals and meal planning for patients with diabetes. It discusses establishing individualized and measurable goals agreed upon by the patient to encourage lifestyle changes. Examples of initial nutrition education priorities for newly diagnosed type 2 diabetes patients include eating regular meals and snacks spaced a few hours apart and setting gradual behavior change goals based on current eating habits. Two approaches to meal planning discussed are the plate method and diabetic exchanges, which allow flexible substitutions within food categories.
Save your life from Diabetes
Destroy your diabetes & live healthy life, follow the link below:
http://adf.ly/1QNMLd
copy the link & paste into URL & press enter, click on "skip this add" and see how you can prevent yourself from this diabetes.
Thanks,
BRM is a successful biopharmaceutical company formed in 1996 by Dennis Guberski and Dr. Arthur Like of the University of Massachusetts Medical School (UMass). Over the course of 20 years the founders developed proprietary diabetes research models under the sponsorship of the National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK). BRM licensed this intellectual property portfolio from UMass in 1998 and since that time has used these proprietary tools to become one of the leading sources of customized preclinical contract research specializing in type 1 and type 2 diabetes.
There are three main types of diabetes: Type 1, Type 2, and gestational diabetes. Type 1 diabetes occurs when the immune system attacks and destroys the insulin-producing cells in the pancreas. It accounts for 5-10% of diabetes cases and treatment requires lifelong insulin administration via injections or pump. Psychological impacts of Type 1 diabetes can include depression, stress, low self-esteem, and social anxiety. Higher levels of depression, stress, and social anxiety are associated with poorer diabetes management and control. Social support from family, friends, and medical providers is important for helping adolescents cope with Type 1 diabetes.
This document provides an introduction to nutrition and proteins. It defines nutrition as the science of food and its relationship to health. Nutrients include proteins, carbohydrates, fats, vitamins and minerals. Proteins are composed of amino acids and are important for growth, tissue repair, enzyme production and other bodily functions. Common sources of protein include foods from animals like meat and dairy, and plants like pulses, cereals and nuts. The document also outlines protein and nutrient requirements for different age groups and discusses protein metabolism and deficiency diseases.
Este documento describe la fisiopatología de la diabetes mellitus tipo 1. Explica que es una enfermedad autoinmune causada por la destrucción de las células beta del páncreas que producen insulina. Los factores genéticos como los antígenos HLA y los ambientales como ciertos virus pueden contribuir al desarrollo de la enfermedad. La destrucción de las células beta ocurre por un proceso autoinmune mediado por citoquinas e inmunoglobulinas que atacan antígenos de las células beta.
DIABETES MELLITUS TYPE 1 & MANAGEMENT OF DIABETIC KETOACIDOSIS Rakesh Verma
1) Type 1 diabetes is characterized by low or absent insulin production and is caused by autoimmune destruction of pancreatic beta cells.
2) It requires lifelong insulin replacement therapy via injections or pumps to control blood glucose levels and prevent complications.
3) Intensive insulin regimens aim to mimic normal physiology using rapid, short, intermediate and long-acting insulin preparations in combination with diet, exercise and glucose monitoring.
India has a high burden of diabetes, with over 61 million diabetic patients. Type 1 diabetes incidence is increasing, with around 78,000 children developing it annually. Genetic and environmental factors contribute to type 1 diabetes risk. Vaccination for type 1 diabetes aims to induce regulatory T-cells to prevent immune destruction of insulin-producing beta cells. While antigens and clinical trials show promise, challenges remain in identifying biomarkers, developing animal models, and determining optimal combinations or adjunct therapies.
Mrs. DM, a 35-year-old female, presented with type 1 diabetes, poorly controlled hypertension, and moderate albuminuria. Her lab results showed elevated fasting glucose, HbA1c, BUN, and urine albumin levels. She is currently taking medications for diabetes and hypertension. The patient was recommended a daily calorie intake of 1900 kcal, 53-67g of protein, and 1977mL of fluids. Dietary goals included reducing sodium intake to less than 2000mg per day through a DASH or Mediterranean diet, counting carbohydrates, and limiting protein to 53g due to diabetic nephropathy. The patient would receive diabetes education on understanding blood glucose numbers and carbohydrate counting. Self-
This document provides information about prediabetes and strategies for preventing type 2 diabetes. It discusses that prediabetes affects 86 million Americans and puts them at risk for developing diabetes. Lifestyle changes like modest weight loss through diet and exercise can help delay the onset of diabetes by 58% for those with prediabetes. The document then outlines various dietary approaches like carbohydrate counting and meal planning to help manage blood glucose levels and prevent diabetes.
This note covers the following topics: medical nutrition therapy for diabetes, basic dietary guidelines, hypoglycemia, more information specifically for treating the patient with type2 diabetes, managing lipid abnormalities, managing blood pressure, type2 diabetes in childhood, pregnancy with preexisting diabetes, gestational diabetes, medical nutrition therapy for diabetes
This document provides information on dietary education tools for people with diabetes. It discusses the goals of dietary advice, which are to maintain health through appropriate food choices and achieve optimal health outcomes. The role of the dietician is described, which includes assessing individuals' specific needs and beliefs to develop a realistic eating plan. Dietary education tools are separated into two stages - stage one focuses on basic concepts like the food pyramid and plate model, while stage two covers more advanced topics such as food exchanges and carbohydrate counting. Carbohydrate counting is explained in detail as a key method for meal planning and insulin dosing.
Learning how to control diabetes is the aim for all of us with diabetes.
This can be done for both type 1 and type 2 diabetes with food, diet and regular blood testing.
Being armed with information will help you to control your diabetes and this guide includes specific information for controlling type 1 and type 2 diabetes
This document provides lab values and medical information for a 76-year-old female patient with type 2 diabetes, obesity, hypertension, and congestive heart failure. Her lab values indicate high blood glucose, sodium, cholesterol, triglycerides, and HbA1c. The document assesses her current health status and nutritional needs based on her ideal body weight and ACC/AHA cardiac diet guidelines. It evaluates her current dietary intake, medication regimen, and makes recommendations to better manage her conditions through diet, exercise, and medication adjustments.
For more information, visit https://www.timberlandmedical.com
This presentation is by Dr LO SIAW PING, a visiting dietician at Timberland Medical Centre
Timberland Medical Centre is a private hospital that has been in operation since 1994. We are strategically located at the 3rd Mile roundabout on Jalan Rock, Kuching, Sarawak, East Malaysia. Our hospital is 10 minutes from the Kuching International Airport and 15 minutes from the Central Bus Terminal. We continually seek to improve and upgrade our services and facilities, as we strive to provide the best medical care for our patients and customers.
Diabetes is a disease where the body does not properly produce or use insulin, leading to high blood sugar. There are two main types of diabetes - type 1 where the body does not produce insulin and type 2 where cells do not respond to insulin properly. Good management of diabetes involves nutrition therapy such as carbohydrate counting to control blood sugar levels as well as medication, exercise, and monitoring of blood glucose levels.
This document discusses carbohydrate, lipid, and protein macronutrients. It provides details on carbohydrate types including monosaccharides, disaccharides, and polysaccharides. It also discusses glycogen storage and the role of carbohydrates in exercise. For lipids, it describes fatty acid types and lipoprotein transport. It discusses cholesterol and the roles of lipids in the body. Finally, it summarizes carbohydrate and lipid use during different intensities of exercise.
The document discusses diabetes mellitus, providing classifications of diabetes and criteria for diagnosis. It covers comprehensive medical evaluation and assessment of comorbidities for diabetes patients. Guidelines are provided for glycemic targets, glucose monitoring, hypoglycemia management, and lifestyle management approaches like medical nutrition therapy, physical activity, smoking cessation, and weight management. Pharmacologic treatment options for type 1 and type 2 diabetes are outlined.
This document provides information on diabetes nutrition and meal planning. It discusses managing diabetes through food, exercise, and medication. Several meal planning methods are described, including the diabetes pyramid, exchange lists, plate method, and carbohydrate counting. General nutrition recommendations are outlined, and the food label is explained. Portion sizes, sample meal plans, alcohol intake, and references are also covered in less than 3 sentences.
This document discusses the impacts of diet on serum lipid profiles. It begins by describing normal cholesterol and triglyceride metabolism in the body. It then discusses how dietary components like saturated fats, trans fats, fiber, and cholesterol affect serum lipids. Lifestyle modifications like following a low-fat, plant-based diet pattern and engaging in regular physical activity are recommended to lower LDL cholesterol and blood pressure. Several clinical trials are summarized that show how replacing saturated fats with unsaturated fats from plants lowers cardiovascular disease risk.
SR is a 29-year-old woman recently diagnosed with type 1 diabetes based on her symptoms of dizziness, fatigue, frequent urination, excessive thirst and hunger, and electrolyte disturbances. Her blood glucose levels were very high at 720 mg/dL and her A1C was 8.5%, indicating her insulin levels were too low and she was not producing enough insulin. Her meal plan needs to be modified using carbohydrate counting to better manage her blood sugar levels, with the goal of keeping her A1C below 7% and blood glucose levels within normal ranges. She should monitor her blood glucose levels before and after exercise and meals to determine how activities and food affect her levels.
SugarSugar Shock: Are Carbs Spiking Your Blood Sugar?Shock SlideShare.pdfAndy Acciaioli
An essential macronutrient that gives the body energy is carbohydrates. However, knowing how carbs affect blood sugar levels is necessary for managing diabetes in those who have it.
This document summarizes an obesity treatment program that uses human chorionic gonadotropin (HCG) injections along with a very low calorie diet. It discusses how HCG triggers the body to burn abnormal fat stores for energy while dieting. Testimonials are provided from patients who lost 10-30 pounds in 30 days on the program by reducing body fat percentage and waist circumference. The program is described as effective for rapid weight loss, resetting metabolism, and providing lasting results for those who have struggled with yo-yo dieting.
This document discusses types of diabetes, methods for diagnosing diabetes, goals and treatment for diabetes, carbohydrate counting, medication options, dawn phenomenon and Somogyi effect, complications of uncontrolled diabetes, types of insulin and their onsets and durations. It describes type 1 diabetes as insulin deficient, type 2 as insulin resistance, and gestational diabetes criteria. It also lists common high, medium, and low glycemic index foods and provides examples of portions for various food groups in carbohydrate counting.
The document discusses modern methods for treating diabetes mellitus. It outlines the key elements of treatment including lifestyle changes like diet, physical activity, and medication. Diet focuses on limiting simple carbohydrates and emphasizing low glycemic index foods. Physical activity of 150 minutes per week in aerobic exercise plus resistance training is recommended. Treatment involves an alphabet strategy considering factors like blood pressure, cholesterol, eye exams, and use of oral hypoglycemic agents or insulin depending on the type and severity of the diabetes.
Ăn chay giảm cân là một trong những phương pháp loại bỏ mỡ thừa hiệu quả, hơn nữa, lại có công dụng rất tốt đối với làn da của chị em phụ nữ. Tuy nhiên, không ít chị em chưa thực sự hiểu rõ về phương pháp giảm cân này, thậm chí còn lạm dụng gây ảnh hưởng đến sức khỏe. Chính vì vậy, bài viết hôm nay Venus sẽ giúp bạn đọc hiểu đúng về phương pháp giảm cân này qua bài viết ngay dưới đây.
Nguồn: https://venusglobal.com.vn/an-chay-giam-can/
#ăn_chay_giảm_cân_đẹp_da
#ăn_chay_giảm_cân
Regular exercise and managing carbohydrate intake through portion control can help lower blood sugar levels by increasing insulin sensitivity and reducing spikes. Eating plenty of fiber, staying hydrated, limiting stress, and monitoring blood sugar levels also supports management. Overall lifestyle habits like maintaining a moderate weight and getting quality sleep further optimize blood sugar control.
2. OBJECTIVES
Defining carbohydrates (CHO)
How to apply basic & advanced CHO
counting to diabetes nutrition management.
Demonstrate CHO counting using the
nutrition facts label for the patient with
diabetes.
Illustrate factors the patient with diabetes
should consider when adjusting CHO for
physical activity.
3. DEFINITIONS
Carbohydrate Counting is a method of calculating the
number of grams of CHO consumed at meals and
snacks. It is not a specific diet, but a meal planning
approach to promote glycemic control.
4. GOALS OF
CARBOHYDRATE COUNTING
Maintain consistency of carbohydrate intake at
meals and snacks.
Increase flexibility in the patient’s diet using CHO
counting skills.
Manage blood glucose as they relate to food
intake, diabetes medication, and physical activity.
5. WHAT ARE
CARBOHYDRATES?
Carbohydrates is a macronutrient vital for
metabolic functioning.
The digestive system breaks down CHO into
simple sugars, known as glucose, which is then
absorbed into the bloodstream.
7. WHAT FOODS HAVE LITTLE OR NO
CARBOHYDRATES?
Non-starchy vegetables
Dark leafy greens, tomato, broccoli, cauliflower,
cabbage
Fats: slows glucose absorption, delaying peak glycemic
response when CHO are ingested.
Nuts, oils, butters, avocado
Protein: minimal effect on raising blood glucose
Beef, poultry, seafood
Eggs, cheese, tofu
8. STEPS TO LEARNING BASIC
CARBOHYDRATE COUNTING
Step 1: Identify foods containing CHO,
protein, and fat.
Step 2: Define 1 carbohydrate choice as 15
grams carbohydrate.
Step 3: Count total carbohydrates in the
meal.
9. WHAT IS ONE SERVING OF
CARBOHYDRATE?
15 grams of carbohydrate = 1 choice of
carbohydrate
Examples:
- 1/2 cup of cooked beans, corn, or peas
- 1/3 cup cooked rice, pasta
- 1 corn tortilla, 1 slice of bread
- 8 oz milk, ½ cup ice cream
- 1 small apple (4 oz), ½ cup fruit cocktail, ½ large
banana
10. GENERAL GUIDELINES:
CARBS PER MEAL
Women Men
To lose weight: 30-45 grams To lose weight: 45-60 grams
To maintain weight: 45-60 grams To maintain weight: 60-75 grams
Snacks: 15 - 30 grams Snacks: 15 - 30 grams
11. ADVANCED CARBOHYDRATE
COUNTING
Match fast-acting insulin doses to grams of CHO
intake based on CHO-to-insulin ratios and correction
factors.
Willingness/ability to keep food, physical activity,
and BG logs.
Multiple visits and ongoing support from a Diabetes
Management team is recommended.
12. HOW TO DETERMINE INSULIN TO CARB RATIO
The insulin : CHO ratio formula
This can be calculated using the Rule of “500.”
500 ÷ Total Daily Insulin Dose (TDD)
= 1 unit of insulin to cover X amount of grams of carbohydrate
Example:
TDD = 40 units
500 ÷ TDD (40 units) = 12.5 (round up to 13)
= 1:13 g CHO
1 unit is needed per 13 grams of CHO
13. OTHER METHODS TO MEASURE YOUR
CARBS
Plate Method:
Introduced in 2010 when the Dietary
Guidelines for Americans was
updated.
Portion Measuring Tools:
Use hands and household items to
measure out portion sizes.
Reading Food Labels:
Provide guidelines to make healthy
food purchases for both meals and
snacks.
Mobile/Computer Apps:
Input amounts of daily physical
activity and intake of carbohydrates.
15. GRAMS OF CARBOHYDRATE
BREAKDOWN
Food Group/ Type Serving Size Approximate Grams of
Carbohydrate
Watermelon 1 cup 12grams
Corn Tortillas 2 30grams
Pinto Beans (no oil) ½ cup 15grams
Raw Vegetables: romaine
lettuce
tomatoes
cucumbers
lime
1 cup
3 slices
3 slices
1 wedge
5grams or less
TOTAL MEAL
CARBOHYDRATES:
62 grams
17. GRAMS OF CARBOHYDRATE
BREAKDOWN
Food Group/ Type Serving Size Approximate Grams of
Carbohydrates
Grapes 8 small 7.5 grams
Tacos (only ground beef) 2 30 grams
Mexican Brown Rice 1/3 cup 15 grams
Unsweetened Sweet Tea 8 fl oz 0 grams
Raw Vegetables:
romaine lettuce
red onions
tomatoes
1 cup
9 slices
4 slices
5 grams or less
TOTAL MEAL
CARBOHYDRATES
57.5 grams
19. GRAMS OF CARBOHYDRATES
BREAKDOWN
Food Group/Type Serving Size Approximate Grams of
Carbohydrates
Apple (small) 4 oz 15grams
Brown Rice 1/3 cup 15 grams
Tilapia Fillet 3 oz 0 grams
Milk 1% 1 cup 12 grams
Mixed Vegetables: (cooked)
carrots
zucchini squash
celery
onion
1 cup total 10grams
TOTAL MEAL
CARBOHYDRATES
52 grams
21. HOW TO READ A FOOD LABEL
The total grams of
carbohydrate includes the
carbohydrate in fiber, sugars,
and sugar alcohols.
Sugar alcohol is INCOMPLETELY absorbed. Estimate that only half of the sugar in
sugar alcohol will be absorbed and impact your blood sugar.
Ex: 18g Cho/ 2= 9grams of CHO
TOTAL CARBOHYDRATE PER SERVING is
29 grams CHO minus 9 grams CHO for the sugar alcohol= 20 grams CHO
22. FOOD LABELS CONTINUED….
Fiber has to be subtracted
from the Total Carbohydrate
Total CHO (10g)
-Fiber 5g (half) (5g/ 2= 2.5g)
=7.5 grams of CHO
The total carbohydrate tells
how many grams of
carbohydrate are in 1 serving
23. MOBILE AND COMPUTER APPS
MyFitnessPal: Allows easy and
up to date tracking of daily
intake and physical activity.
CarbsControl: Keeps a
carbohydrate diary, has a large
nutrition database, and set
daily goals.
Track3: Tracks high and low
blood glucose levels, records
workout sessions, and
produces email log to self or
diabetes management team.
24. TYPE 2 DIABETES AND EXERCISE
Individuals with Type 2
diabetes can decrease
insulin resistance through
exercise.
Studies have shown that
exercise regimens can lower
A1c and glucose levels.
When combined with
proper nutrition an
individual can lower
medication needs
25. TYPE 1 DIABETES AND EXERCISE
Moderate Intensity: After 20-30 minutes Type 1 diabetics
have a higher disposition to hypoglycemia.
Ex: walking briskly or general gardening
Endurance Activities: They are also more likely to experience
hypoglycemia following these types of activities.
Ex: swimming pool laps or jogging
Short and High Intensity: Immediately following a quick and
intense type of exercise Type 1 diabetics have a greater
chance of hyperglycemia.
Ex: kickboxing or running
26. RULE OF 15
1.) Check blood glucose and
proceed if below 70.
2.) Eat or drink 15 grams of
carbohydrates.
3.) Wait 15 minutes re-check if still
below 70 repeat step 2.
4.) If next meal is more than 1 hour
away eat one carbohydrate choice.
Ex: granola bar (15grams)
5.) Always carry something on your
person to treat hypoglycemia.
27. 15 GRAM CARBOHYDRATE EXAMPLES FOR
TREATMENT
3-4 glucose tablets
1 tube of glucose gel
4 ounces fruit juice
4 ounces sugar
sweetened soda
5 life savers
28. Types of Physical
Activity
Glucose Ranges Grams of
carbohydrates
Examples
Short Duration -80-99mg/dl
- 100mg/dl or above
-10 to 15 grams
-not required
1 fruit or
granola bar
Moderate Intensity -80-99mg/dl or less
-100-179mg/dl
-180-299mg/dl
-300mg/dl or greater
-25 to 50 grams pre-
workout then 10 to
15grams/hr if
needed
-10 to 15 grams
-not required
-Don’t exercise
½ turkey
sandwich
with 1 fruit or
milk
2 graham
crackers
-------------
-------------
Strenuous Activity -80-100mg/dl
-180-299mg/dl
-300mg/dl or greater
-50 grams
-10 to 15 grams
-Don’t exercise
1 ham
sandwich
with milk
1 fruit
-------------
29. THINGS TO REMEMBER
Discuss the role and types of macronutrients there are
with patients.
Pick the carbohydrate counting method that will be suit
each individual’s needs.
Encourage individuals to track their carbohydrate intake
and physical activity level to achieve glucose goals.
30. RESOURCES
Carbohydrate Counting: A Practical Meal-Planning Option for People with
Diabetes, Clinical Diabetes, 2005, v23, n3.
Dietary Carbohydrate (Amount and Type) in the Prevention and
Management of Diabetes, The American Diabetes Association, 2004.
Carbohydrate Counting for People with Type 2 Diabetes, Diabetes
Spectrum, 2008, v13, n8.
Carbohydrate Counting and Meal Planning, Novo Nordisk, 2013.
Practical Carbohydrate Counting, The American Diabetes Association, 2001.
Exchange Lists for Meal Planning, The American Diabetes Association, The
American Dietetic Association, 1995.
Andrews, R C., Cooper A. R., Montgomery, A.A., Norcross, A. J., Peters, T. J.,
et al. (2011). Diet or diet plus physical activity versus usual care in patients
with newly diagnosed type 2 diabetes. The Lancet. V378: 129-139
Carbohydrates can be counted by using the Gram Method or Carbohydrate Choices Method.
Carbohydrates is the main nutrient affecting post-prandial glycemic response.
Total amount of carbohydrates consumed in a meal/snack is equally important as the type of carbohydrates consumed.
Glucose is the primary fuel used by the brain, and central nervous system.
Carbohydrates are important sources of water-soluble vitamins, minerals, and fiber.
Following-up with patients as needed for reinforcement regarding diabetes education, as well as adjusting medications.
Novolog Echo pen gives half doses.
Watermelon serving is 1 ¼ cup= 15grams (1 cup is 80% of serving) 0.8x 15grams= 12grams
Serving of small grapes = 17 small = 15grams carbohydrate (8 small grapes = 50%) 0.5x 15grams CHO= 7.5grams CHO
Cooked non-starchy vegetable servings = ½ cup at 5 grams of carbohydrate. One full cup is approximately 10 grams CHO.
1.) Moderate Intensity:
Injected insulin does not reduce upon commencing exercise.
Levels can actually increase because exercise promotes blood flow and absorption.
This then leads to over-insulinization which blocks hepatic glucose production.
2.) Endurance Activities:
Increase the transfer of glucose into the muscles.
This increases the need of insulin dependent transporters (GLUT 4) during exercise.
There is then a need to replenish muscle and hepatic glycogen stores.
3.) Short and High Intensity:
Catecholamine which is a hormone produced from adrenal glands is dramatically increased during this activity.
This increase triggers the over production of glucose.
Type 1 diabetics cannot compensate by increasing insulin production.
Do not forget to carry something on your person to treat hypoglycemic episodes.
Recommend incorporating high fiber snacks of at least (3grams of carbohydrate) or more.