Diabetes Nutrition

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Diabetes Nutrition

• Collaborative Health Advocate Team

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What have you heard you should not eat when you
have diabetes?
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The Good News!

• You can eat whatever you want, but you must watch
  how much you eat!

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Why is nutrition important?

• Allows you to manage your diabetes
• Helps to decrease or prevent future complications
• Kidney disease
• Blindness
• High blood pressure
• High Cholesterol

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When should you eat?

• People with diabetes should
• Eat 3 small, balanced meals per day
• Eat 3 snacks per day
• This means you will be eating every 3-4 hours!

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What should you eat?

• Must monitor portion sizes
• Eat foods that are high in fiber (whole grains,
  fruits, vegetables)

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Alcohol and Diabetes

• Drink alcohol in moderation
• Women no more than 1 drink a day
• Men no more than 2 drinks a day
• A drink shot of hard alcohol, 4 oz wine, or 12
  oz beer

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Carbohydrates

• The amount of carbohydrates, not the amount
  sugar, in a food will cause blood glucose to rise

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Carbohydrate Goals

• Men
• 60-70 grams per meal
• 30-40 grams per snack

• Women
• 45-60 grams per meal
• 20-30 grams per snack

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Reading a Food Label

• Serving Size

Total Carbohydrates
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Reading a Food Label
Serving Size
Total Carbs
Contains No Sugar!
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Reading a Food Label
Total Carbs
Serving Size
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Carbohydrate Serving Sizes

• Examples of Breads 15 gm Carbohydrate
• Pasta (cooked) 1/2 cup
• Bread or cereal 1 oz
• Corn (cooked) ½ cup
• Examples of Fruits 15 gm Carbohydrate
• Banana (medium) ½
• Orange (2½ inch in diameter) 1
• Grapes (small) 15

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Portion Sizes
½ Cup
1 Tablespoon
1 Cup
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Daily Meal Planning Guide

• Each serving size is equal to 15 grams of
  carbohydrates
• Milk and milk products are equal to 12 grams of
  carbohydrates
• Vegetables, meats, and cheeses are considered
  free
• Except for corn and peas

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Daily Meal Planning Guide

• Examples
• Beans cooked or canned (all kinds) 1/3 cup
  15 grams
• Dried Fruit ¼ cup 15 grams
• Ice cream, fat-free, no sugar added
• ½ cup 15 grams

Dont forget to count the chocolate sauce!
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Carbohydrate Counting Practice

• If you were to have the following for lunch
• Ham and Cheese Sandwich
• 2 slices of bread 30 grams (15 gm each)
• Glass of Milk
• 8 oz (1 cup) 12 grams
• Small Apple
• 2 across 15 grams
• How many grams of carbohydrates are in this
  lunch?
• 30121557 grams of carbohydrates

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Tips for Decreasing Portion Size

• Eat off of a smaller plate
• Eat one less bite at each meal
• Ask to have half of you meal to go before you
  start eating
• Keep a Food Diary

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Food Diary

• A food diary will help you keep track of
• Blood Glucose
• Food eaten amount of carbohydrates
• Physical Activity

1230 pm 124 mg/dl1230 Lunch12
Roast Beef Subway (40 grams of carbs) Diet Soda
8am 109 mg/dl 830 Breakfast 1 cup
oatmeal (30 grams of carbs) 1 cup skim milk (12
grams of carbs) 1 banana (30 grams of
carbs) 10am 210mg/dl
600-walking (30 min) 7pm Dinner3 oz broiled
chicken 1 med baked potato(30 grams of
carbs)1 cup skim milk (12 grams of carbs)10pm
155mg/dl
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When should you test your blood sugar?

• Should test at least two times a day
• Fasting- either when you wake up or before you
  eat (pre-meal)
• 2 hours after a meal

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What should your numbers be?

• Fasting
• lt 100mg/dl
• 2 hours after a meal
• lt 140mg/dl
• Bedtime
• 100-140mg/dl
• A1c
• lt 6.5

American Association of Clinical Endocrinologists
Guidelines
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What Questions Can We Answer For You?