diabetes education teaching guide

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diabetes education teaching guide
fiber
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fiber
Pre Test
Question 1

• Which of the following is NOT a benefit of a
  fiber-rich diet?
• Lowered risk of type 2 diabetes
• Improved cholesterol
• Stronger bones

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fiber
Pre Test
Answer 1

• Which of the following is NOT a benefit of a
  fiber-rich diet?
• Lowered risk of type 2 diabetes
• Improved cholesterol
• Stronger bones

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fiber
Pre Test
Question 2
True or False? It is important to increase fiber
intake slowly because a sudden increase can cause
headaches.
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fiber
Pre Test
Answer 2

• True or False? It is important to increase fiber
  intake slowly because a sudden increase can cause
  headaches.
• False

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fiber
Pre Test
Question 3
True or false? All whole grains are high in
fiber.
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fiber
Pre Test
Answer 3

• True or false? All whole grains are high in
  fiber.
• False

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fiber
Pre Test
Question 4

• How many grams of fiber should most people get
  each day?
• At least 15g
• At least 25g
• At least 50g

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fiber
Pre Test
Answer 4

• How many grams of fiber should most people get
  each day?
• At least 15g
• At least 25g
• At least 50g

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fiber
Talking Points
Health Benefits

• Diets rich in dietary fiber have been shown to
  have a number of health benefits, including
• a decreased risk of coronary heart disease
• a lower risk of type 2 diabetes
• reduced calorie intake, due to improved satiety
  factor
• an improvement in insulin resistance, the
  condition that underlies type 2 diabetes
• an improvement in cholesterol numbers.
• Research has suggested that a high-fiber diet (50
  grams per day) can reduce blood glucose levels in
  people with both type 1 and type 2 diabetes.

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fiber
Talking Points
Fiber Intake

• The recommended minimum daily intake for fiber is
  14 grams per 1,000 calories, or about 25 to 30
  grams of fiber per day.
• Most Americans eat about half the amount they
  should, getting only an average of 10-15 grams a
  day of fiber.
• To avoid gastrointestinal distress, when
  increasing fiber intake be sure to drink plenty
  of water and make the increase gradual.

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fiber
Talking Points
Great Fiber Foods for Diabetes

• Remember the A fruits and vegetables when it
  comes to diabetes superfoods. Avocados and
  artichokes are great choices for high-fiber
  foods. (One medium avocado contains 17 grams of
  carbs, 13 grams of fiber one medium artichoke
  contains 14 grams of carbs, 7 grams of fiber.)
• Raspberries and blackberries are excellent
  sources of fiber for people with diabetes,
  containing 8 grams of fiber per cup and 15 grams
  of carbohydrates. (If you subtract the fiber
  grams from the carbs, that puts these berries at
  only 7 digestible grams of carbs per cup.)
• Remember to eat the skin (after washing, of
  course) of fruits and vegetables with edible
  skins, such as cucumbers, squash, potatoes,
  apples, pears lots of fiber and other nutrients
  are concentrated in that outermost layer.
• Lentils shine on the list of fiber-rich legumes
  with 19 grams of carbohydrates and 8 grams of
  fiber in just half a cup.
• Although not all whole grains are high in fiber,
  their array of health benefits make them
  excellent choices for diabetes. Barley (with 3g
  of fiber per ½ cup cooked) is a whole grain with
  one of the lowest impacts on blood sugar.

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fiber
Talking Points
The Two Types

• Soluble fiber can blend with water to form a gel.
  Soluble fiber can help to slow digestion and
  make you feel full. It can be found in foods such
  as peas, beans, barley, oats, and apples.
• Insoluble fiber adds bulk to the stool, helping
  foods pass through the stomach and intestines. It
  can be found in foods such as whole wheat, green
  beans, leafy greens, and fruit and vegetable
  skins.

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fiber
Post Test
Question 1
True or False? Most Americans get only about half
the minimum required intake for fiber.
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fiber
Post Test
Answer 1

• True or False? Most Americans get only about half
  the minimum required intake for fiber.
• True

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fiber
Post Test
Question 2

• Soluble fiber can be found in
• Peas
• Barley
• Apples
• All of the above

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fiber
Post Test
Answer 2

• Soluble fiber can be found in
• Peas
• Barley
• Apples
• All of the above

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fiber
Post Test
Question 3

• Research has shown that a high-fiber diet may
• Reduce blood sugar levels
• Reduce the risk of coronary heart disease
• Result in reduced calorie intake
• All of the above.

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fiber
Post Test
Answer 3

• Research has shown that a high-fiber diet may
• Reduce blood sugar levels
• Reduce the risk of coronary heart disease
• Result in reduced calorie intake
• All of the above.

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fiber
Related Activities

• Paste or draw pictures of single servings of
  fiber foods on large index cards or card stock.
  On the backs, print the amount of fiber in a
  serving of that food. Let participants map out a
  day of eating, lining the pictures up against a
  wall or chalkboard as they go. When theyre
  finished, pick up the cards and tally the number
  of grams of fiber consumed in their hypothetical
  day. See how close they come to the 25 to 30 gram
  minimum requirement for fiber.
• Invite a registered dietitian to join your group
  and speak about all the different ways people can
  increase fiber intake, including some individual
  counseling and a discussion of supplements such
  as psyllium.
• Take a field trip to the grocery store and equip
  everyone with a list of 50 fiber foods. Tell
  everyone they can spend a certain dollar amount,
  and challenge them to see who can rack up the
  highest number of per-serving grams of fiber
  (without getting more than one of any item).

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fiber
Sources

• Department of Health and Human Services and U.S.
  Department of Agriculture. Dietary Guidelines for
  Americans, 2005. 6th Edition, Washington, DC
  U.S. Government Printing Office, January 2005
• Nutrition Recommendations and Interventions for
  Diabetes. A position statement of the American
  Diabetes Association, Diabetes Care, Volume 31,
  Supplement 1, January 2008
• Whole Grains Council. http//www.wholegrainscounci
  l.org/
• Nutrient counts from data on / http//www.nal.usda
  .gov/fnic/foodcomp/search/
• Harvard School of Public Health. The Nutrition
  Source. http//www.hsph.harvard.edu/nutritionsourc
  e/what-should-you-eat/fiber-full-story/index.html.
  
• Hamedani A, T Akhavan, RA Samra, and G H
  Anderson. Reduced energy intake at breakfast is
  not compensated for at lunch if a
  high-insoluble-fiber cereal replaces a low-fiber
  cereal. American Journal of Clinical Nutrition.
  89 (5) 13431349. May 2009.