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
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Welcome to In-unit Seminaron Nutritional Management of Diabetes Mellitus
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
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.