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Nutrition in Type 2 Diabetes. Gilda Bastasi, P.dt.,CDE Telehealth Presentation March 27, 2007. Montreal , Quebec . What is most important. Eat well Control your weight Exercise If you take medication for diabetes, take it as prescribed Check your blood sugar daily if possible.

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nutrition in type 2 diabetes

Nutrition in Type 2 Diabetes

Gilda Bastasi, P.dt.,CDE

Telehealth Presentation

March 27, 2007

Montreal , Quebec

what is most important
What is most important
  • Eat well
  • Control your weight
  • Exercise
  • If you take medication for diabetes, take it as prescribed
  • Check your blood sugar daily if possible
how do we eat well
How do we EAT WELL?
  • Respect QUANTITY
  • Choose the right QUALITY
    • Limit sugars and sweets, not avoid
    • Limit high fat foods
      • Fried foods, chips and pastries
    • Eat more fibre
      • Brown breads, dried beans, brown rice
  • Eat at REGULAR times
    • Three meals per day
    • Correct spacing of 4 to 6 hours
control your weight
Control your weight
  • Do you need to lose weight??
    • If you are overweight, losing 10 to 20 pounds will help you get better control of your diabetes
  • Fat, especially animal fat, intake should be limited
    • Fat has the most calories
    • helps to keep weight down
    • Keeps a healthy heart!
  • GET MOVING!!
    • Exercise at least 150 minutes per week
    • Exercise when blood sugars are higher
quantity what is a portion
Quantity : What is a portion?
  • You must watch HOW MUCH you eat especially foods that contain sugar or carbohydrate
  • Using the “sugar cube method” will help you decide if you are eating well or not
using sugar cubes to help with quantity
Using sugar cubes to help with quantity
  • Generally, most food contains some kind of sugar
    • Especially breads, rice, fruit, pastas
  • 1 teaspoon of sugar= 1 sugar cube
  • General recommendations
    • 9 to 12 cubes per meal
    • 3 cubes per snack
how many in these foods
How many in these foods?
  • Grains and starches:
    • 1 slice bread = 3 cubes
    • ½ cup pasta or rice= 3 cubes
    • ½ potato or ½ cup corn = 3 cubes
  • Fruit and vegetables:

1 small fresh fruit = 3 cubes

½ -3/4 cup juice = 3 cubes

½ cup carrots, peas, turnip or beets = 3

how many in these foods8
How many in these foods?
  • Milk Products
    • 1 cup milk = 3 cubes
    • 1 cup plain yogurt = 3 cubes
    • ½ cup fruit flavoured yogurt = 2 -3 cubes
  • Other foods
    • 1can regular Coke = 9 cubes
    • 1 small piece of pie = 9 cubes
    • 1 tablespoon of regular jam= 3 cubes
slide9

Quantity : the perfect plate

National nutrition committee Canadian diabetes association

let s calculate together
Let’s calculate together....

1apple= 3 cubes

1 potato = 3 cubes

½ cup carrots = 3 cubes

1 piece of meat = 0 cubes

Broccoli = 0 cubes

TOTAL = 12 cubes

1 Cup milk= 3 cubes

slide11

Quantity: Use your hands to measure

Palm of hands: approximate size of

meat one should eat

The fist portion applies to starches and

fruit

Both hands cupped together and

overflowing represent a portion of

vegetables or salad

High fat foods such as chips and nuts

are limited to a portion that fits in one

cupped hand

quality healthy eating
Quality : Healthy eating
  • Grains and Starches
    • whole grain bread, grains, pastas, rice, potatoes or corn AT EVERY MEAL!
    • Limit use of cakes, pies, desserts
  • Fruits and vegetables
    • Eat more vegetables
      • Include at least 5 fruits and vegetables per day
      • Have fruit as your dessert at every meal
  • Protein foods
    • Lean meat, poultry, fish, low fat cheese ,eggs or nuts
  • Milk
    • Have a glass of milk or yogurt to finish your meal
grains and starches
Grains and Starches
  • RECOMMENDED SERVINGS
    • 2 to 3 servings per meal
  • Here are some examples of one serving
    • 1 slice whole grain bread
    • ¾ cup bran cereal
    • ½ cup pasta
    • 1/3 cup brown rice
    • 1 small potato
    • ½ cup corn
fruits and vegetables
Fruits and Vegetables
  • Recommended servings
    • Eat 3 to 7 servings a day
      • At least 3 should be fruit
    • Aim for 1 fruit and 1-2 vegetables at each meal
    • You can use fresh, frozen or canned
    • Fresh has more fibre than juice
    • Most vegetables contain little calories and sugar
  • What is a serving?
    • Generally ½ cup of fruit or vegetable
don t forget milk products
Don’t forget Milk Products !!
  • Recommended servings
    • Have at least 2 low fat servings of milk or milk products per day
    • 1 serving = 1 cup
  • Choose milk and yogurt with 1% fat or less
    • Use sugar free or plain yogurt
    • Plain soya milk
    • You can eat ice cream, frozen yogurt or pudding occasionally
  • Choose cheese with 20 % milk fat or less
no sugar in meat but watch out for fat
No sugar in meat..but watch out for fat !!
  • Have a source of protein like fish, chicken, tofu, meat, eggs, low fat cheese, nuts or peanut butter at every meal
  • Do not fry
  • Remove visible fat
  • Eat portion like the palm of your hand
slide17
Fats
  • Choose heart healthy fats
    • Canola oil, olive oil
    • Non- hydrogenated margarine
    • Small portions of nuts
      • No more than 20 nuts per day
      • Choose food labelled “no trans fats”
what about sweeteners
What about sweeteners?
  • Sweeteners that INCREASE blood sugar:
    • Sugar alcohols: Lactilol, maltilol, Mannitol, Sorbitol, Xylitol
    • Polydextrose
  • Sweeteners that DO NOT increase blood sugar:
    • Aspartame (Equal, Nutrasweet
    • Cyclamate (Sucaryl, Sugar Twin, Sweet n Low)
    • Saccarin (Hermesetas)
    • Sucralose (Splenda)
is alcohol allowed
Is alcohol allowed?
  • Do not take more than two drinks per day
    • Two for men, one for women
    • 1 drink = 1 bottle of beer
    • 3.5 ounces of wine
    • 1.5 ounces of hard liquor
  • Be careful!
    • Never drink on an empty stomach especially if you take medication
a little bit of everything
A little bit of everything....
  • A small serving of lean meat
  • A good quantity of colourful vegetables
  • Always have some starch like whole grain bread, rice or corn
  • Finish the meal with some low fat plain yogurt with fresh fruit
  • Respect your quantities
  • Never skip a meal!
let s build a good breakfast
Let’s build a “good” breakfast....
  • 2 servings grains and starches 2 slices brown bread
  • 1 lean protein 1 ounce low fat cheese
  • 1 fruit 1 small banana
  • 1 milk product ¾ cup plain yogurt
  • 1 fat 1 tsp of margarine
  • Other foods sugar free jam
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