Presentation on theme: "Diabetes and Nutrition Lesson 2 Expand Your Options, Improve Your Choices."— Presentation transcript:
Diabetes and Nutrition Lesson 2 Expand Your Options, Improve Your Choices
Objectives Meal Plans for Diabetes – Diabetes Pyramid/My Pyramid – Exchange list – Plate Method – Carbohydrate Counting General Nutrition Recommendations Reading the Food Label
Managing Diabetes Successfully Involves three things: Food Exercise Medication
Did You Know?? Food raises blood glucose Exercise and medication lowers it Balance these three to keep blood glucose level close to normal.
Diabetes Facts You dont need special foods The foods that are good for you are good for everyone Eat a variety of foods that contain the right amount of nutrients Food choices can make a difference in blood Glucose control.
The Diabetes Pyramid
Healthy Food Choices A healthy daily meal plan includes at least… 2 to 3 servings of nonstarchy vegetables 2 servings of fruit 6 servings of grains, beans, and starchy vegetables 2 servings of low-fat or fat-free milk About 6 ounces of meat or meat substitutes Small amounts of fat and sugar
The Plate Method
Which Plate is Better?? A 10 inch dinner plate-a typical dinner plate A 8 inch dinner plate- this is the recommended plate to use
The Plate Method
Fruit = Milk = Starch Sometimes, if you want an extra starch during a meal, you just need to omit a fruit or milk from that meal.
Visualize Portion Sizes 1 cup pasta/rice is about the size of a fist. 1 oz of cheese is about the size of your thumb. 1 or 2 oz of crackers, nuts, or snack crackers equals a handful. 1 fruit is about the size of a tennis ball.
Exchange List for Meal Planning Oldest method for meal planning. Based on Dietary Guidelines and My Pyramid. Includes a variety of foods. Emphasizes label reading and most exchanges are listed under the food label.
Carbohydrate Counting Newest method of meal planning. Type 1 or Type 2 can use. Requires reading the food label. Requires constant blood sugar monitoring. When reading the food label, look at total carbohydrate grams only. Carbohydrates are found in milk, breads/starches, fruit and starchy vegetables only!
Know Your Carbohydrates FoodGrams of Carbs/Serving Starch/Bread15 grams Fruit15 grams Milk12 grams Vegetables5 grams Meat0 grams Fat0 grams
More on Total Carbs… Helpful for carb counters. Look at the total carbohydrates not the grams of sugar. Total carbohydrates include: sugar, complex carbohydrates, and fiber content. When a food has 5 g or more of fiber per serving: – subtract half the fiber grams from the total grams of carbohydrate for a more accurate estimate of the carbohydrate content.
Sample 1800 calorie Carbohydrate Counting Meal Plan Breakfast: 2 servings of starch, 1 fruit serving, 1 milk serving, 1 meat serving, 1 fat serving. Lunch: 2 starch servings, 1 fruit servings, ½ milk serving, 2 vegetable servings, 2 meat servings, 2 fats. Dinner: 2 starch servings, 1 fruit serving, 2 vegetable servings, 3 meat servings, 2 fats. Snack: 1 starch serving, 1 fruit serving, ½ milk serving. This meal plan is approximately 60 g of carbohydrates per meal and 30 g of carbohydrates per snack.
Examples of One Carbohydrate Choice Snacks 1 ounce granola bar 3 graham crackers with 1 tbsp. peanut butter 3 cups popped non-fat popcorn 6 animal crackers 1 small muffin A 3 inch cookie 1 medium apple, orange, pear cherries or grapes ¼ cup dried fruit 1 cup soy milk ¾ to 1 cup yogurt ½ cup sugar free pudding
Portion Control Is The Key To Managing Your Diabetes Which will have the greater effect on your blood sugar, 1 tsp of sugar or ½ cup potatoes?? – Potatoes have 15 g of Carbohydrate, while 1 tsp. of sugar has only 4 g of carbohydrate. Therefore, potatoes have 3 times the effect on blood sugar than table sugar would.
2008 ADA Recommendations for General Meal Planning for Persons with Diabetes Meal plan should include fruits, vegetables, legumes, low-fat dairy products, lean meats, and whole grains. You can eat sugar containing foods, but your meal plan will be adjusted. Monitor carbohydrate intake. Consume grams of fiber. Avoid Skipping meals.
More Recommendations Sugar alcohols and artificial sweeteners are safe. Limit saturated fat intake. Limit trans fat intake. Eat fish at least 2xs per week. Moderate alcohol intake. Consume a meal plan that if low in fat, cholesterol, sodium, and calories Increase physical activity or exercise. Continuously monitor blood sugar levels. Check with physician for vitamins. Lose weight if you are told to.
Alcohol Limit/control your intake of alcohol. Ask yourself the three questions to determine if you can drink. – Is my diabetes under control? – Does my doctor agree that I do not have any other problems that alcohol can affect? – Do I know how alcohol can affect my diabetes and me?
A Drink Is Defined As:
Avoid Low Blood Sugar When Drinking Never drink on an empty stomach. Limit yourself to 1 or 2 drinks. Test your blood sugar before you drink and once while drinking. Make sure to test before going to bed and eat a snack!
Serving Size Servings Per Container Calories and Calories from Fat Nutrients with % Daily Value Footnote (Only found on larger packages)
Stated in Household and Metric Measures
Servings Per Container tells you how many servings are in a package. There are 2 servings in this package. The label shows that 1 cup is a serving. If you consume 2 cups you are having two servings.
Labels include the total calories as well as the calories from fat General Guide to Calories per serving: – 40 calories is low – 100 calories is moderate – 400 calories or more is high
Based on Daily Value recommendations Only for a 2,000 calorie diet
Trans Fats Sugars Protein
Limit these nutrients Get enough of these
Based on 2,000 and 2,500 calorie diets Only found on larger packages
Nutrient*DV%DVGoal Total Fat65g100% DVLess Than **Sat. Fat20g100% DVLess Than Cholesterol300mg100% DVLess Than Sodium2400mg100% DVLess Than Total ***CHO300g100% DVAt Least Dietary Fiber25g100% DVAt Least *DV = Daily Value; **Sat. Fat = Saturated Fat; ***CHO (carbohydrate)
List of ingredients found in the food product Listed in descending order by weight, from the most to the least
Be informed. Determine the best choices. Eat a variety of foods.
Points To Remember About Diabetes Meal Planning Actual amounts of each depend on the number of calories you need. Calorie needs depend on your gender, size, age, and activity level. Meal planning with diabetes is very individualized. Get a personalized meal plan from a Registered Dietitian or Certified Diabetes Educator.
References American Diabetes Association, American Dietetic Association, Mahan,L.K. and Escott-Stump, S. Krauses Food, Nutrition, and Diet Therapy. 10 th ed Diabetes Medical Nutrition Therapy. American Dietetic and Diabetes Association LSU AgCenters Diabetes Education and Awareness Program. University of Illinois Extension Service. American Dietetic Association & American Diabetes Association Guide to Diabetes Medical Nutrition Therapy, CD-ROM Amercian Diabetes and Dietetic Associations Choose Your Foods: Exchange Lists for Diabetes University of Idaho Extension Service. The Idaho Plate Method.
References University of Georgia Extension Service. U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition - Keeping Up with the Changing Food Label: International Food Information Council (IFIC) – Understanding Food Labels, American Dietetic Association Food Label Presentation Developed By: Cathy Agan, Extension Agent (FNP), Ouachita Parish and Adapated by Bertina McGhee, MPH, RD, LDN; Extension Agent, Orleans Parish.
Diabetes and Nutrition Prepared By: Mandy G. Armentor, MS, RD, LDN Assoc. Extension Agent-FCS (Nutrition) Vermilion Parish