NUTRITION FOR PATIENTS WITH DIABETES MELLITUS

1
Chapter 19

• NUTRITION FOR PATIENTS WITH DIABETES MELLITUS
• Diabetes is on the rise (type 2).
• Diabetes is an increase in blood glucose
• 5-10 of population with DM are IDDM
• IDDM is the absence of Insulin
• Type 2 is a progressive disease

2
OBESITYSEDENTARY LIFESTYLE

• Moderate Diet and Exercise has been proven to
  delay or prevent the disease!
• Metabolic syndrome
• Renal Disease and blindness
• Lower blood glucose levels have been proven by
  large and small studies to be effective when
  controlling the disease

3
Management of Diabetes

• Nutrition therapy is an essential component of
  diabetes management.
• The diabetic diet is THE GOLD STANDARD for weight
  loss.
• The weight watcher point system and Richard
  Simons deck of cards both used the exchange list.

4
Dietary management

• Carbohydrate moderation. Eat it, the right
  amount and the right kind. 573
• Nutrition management is the key to good
  compliance. Basic and simple
• High fiber, low fat, low or no ETOH, lose weight,
  exercise..sound familiar?

5
Treatment

• Medications
• Exchange list for meal planning
• What does this all mean????? 30 of calories
  from fat, 50 from carbohydrate.582
• Stop for a good exercise in nutrition.

6
Nutrition in Clinical Practice

• Know what an exchange is 586
• Sample calorie 1800 ADA 588
• Meal planning or carbohydrate counting
• Figure 19.2 explains how the dietitian designs Rx
  for individual patients
• Exercise is KEY 15g CHO per hour
• Not safe to exercise if poor glucose control

7
Diabetes

• Hyper and hypo-glycemia usually indicate too much
  or too little glucose, poor control, and lack of
  or too much exercise.
• Everything must be in balance.
• Pregnancy induced hypertension is a risk factor
  for patients with IDDM
• Diabetic diets in Hospitals
• Check blood sugar AC and HS (nurses)