Welcome to In-unit Seminar on Nutritional Management of Diabetes Mellitus. Meera kaur , Ph.D., R.D. May 13, 2009. Nutritional Management of DM. Goals are to achieve target blood sugar level achieve and maintain desirable body weight prevent the complications
Meerakaur, Ph.D., R.D.
May 13, 2009
One in two type-2 diabetes patients in Canada are not at target (<7%).
N Eng J Medicine 2001: 344: 1343-50.
Fasting or Before Meals Lifestyle Target – Diabetes Prevention Study
One or Two Hours after a Meal
Adapted from Stratton, IM, et al. UKPDS 35. BMJ 2000; 321:405.
Which food will raise blood sugar quicker?
2 c kraft dinner, ½ c cottage cheese, 3 toast with peanut butter, 1 c ice-cream for dessert.
If we were giving pt insulin based on CHO consumption, what would you recommend Sandra take for insulin at this meal?
1/3 cup All-Bran Buds
23 grams CHO, 12 grams fiber
23-12= 11 grams of digestible CHO.