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Diabetes Diets. How to develop diets that assist in the control of diabetes. Choices. No Concentrated Sweets Calorie Count. Questions. Do the limitations of a strict calorie count diet affect the resident’s quality of life? Will the resident be compliant with a calorie count diet?
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Diabetes Diets How to develop diets that assist in the control of diabetes.
Choices • No Concentrated Sweets • Calorie Count
Questions • Do the limitations of a strict calorie count diet affect the resident’s quality of life? • Will the resident be compliant with a calorie count diet? • Will a no concentrated sweets (NCS) diet significantly affect the resident’s health?
The NCS diet • Is simpler to handle • Usually provides approximately 2,000 calories per day • Requires purchasing sugar free products • Must be ordered by a physician • Does not require preparation of special foods for diabetics
Calorie Count diets • Provide most effective control of blood sugar levels • Require good planning • Require exchange planning • Require understanding of carbohydrates and how they affect blood sugar levels
Carbohydrates • Converted to sugar by the body • Increase sugar levels in the body • Diabetics have more trouble controlling • Less processing equals longer digestive time
Documentation • Menu • Foods served • Receipts for foods purchased • Times meals are served
Calorie Count Diet • Requires extensive staff training • Requires some understanding of diabetes
Scenario • Mrs. Jones • Long time resident • New diagnosis of diabetes • New order for a 2,000 calorie diet • You offer only NCS
review • Calorie count or NCS – the choice is yours. • Documentation is a requirement no matter which diet you chose • Exchanges = like for like foods
Bibliography • Assisted Living Residences, West Virginia Title 64, Series 14. §§16-5D-5, 17; 16-1-4 (2010) • Williams, S.R. (1994). Essentials of nutrition and diet therapy. (6th Ed.). Philadelphia, PA: Mosby.