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Nutrition Management of Diabetes. Helpful tools you can use. Introduction. No one diabetic diet No special foods are required Goals of nutrition management: Blood sugar control Lose or maintain weight Promote heart health. A healthy diet for an adult. Each day have at least:

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nutrition management of diabetes

Nutrition Management of Diabetes

Helpful tools you can use

  • No one diabetic diet
  • No special foods are required
  • Goals of nutrition management:
    • Blood sugar control
    • Lose or maintain weight
    • Promote heart health
a healthy diet for an adult
A healthy diet for an adult

Each day have at least:

  • 2 cups of non-starchy vegetables
  • 1½ cups of fruit
  • 5 ounces of grains, beans or starchy vegetables
  • 3 cups of low-fat or fat-free milk
  • 5 ounces of meat or meat substitutes
  • Small amounts of fat and sugar
exchange list basics
Exchange List Basics
  • Based on standardized portion sizes that provide 15 grams of carbohydrates
  • Encourages consistency
  • Food Groups:
    • Carbohydrate
      • Starch, vegetables, fruit, milk
    • Meat and meat substitutes
    • Fat
    • Free foods
carbohydrate containing foods
Carbohydrate Containing Foods
  • Starch/Bread
  • Vegetable – starchy and non-starchy
  • Fruit
  • Milk
  • One carbohydrate “serving” or “choice”

= 15 grams carbohydrate

how much carbohydrate should you have
How much carbohydrate should you have?

At meals

  • 3 to 4 carb servings which is equal to
  • 45-60 grams of carbohydrate


  • 1 to 2 carbs servings which is equal to
  • 15-30 grams of carbohydrate
meat meat substitute
Meat/Meat Substitute
  • Lean: skinless chicken, turkey, beef loin, pork loin, fish, egg whites, non-fat and low fat cheese
  • Medium-fat: Ground beef, dark meat chicken, fried chicken, ribs, eggs, mozzarella cheese
  • High-fat: Sausage, regular cheese (cheddar, Swiss, etc.), bologna, hot dogs, bacon
  • Plant-based: Peanut butter, beans, hummus, tofu, soy-based imitation meat products
free foods
Free Foods
  • Drinks – Bouillon or fat-free broth, sugar free soda, coffee, tea, water
  • Reduced-fat foods – Nonstick cooking spray, fat-free mayonnaise and salad dressing, fat-free cream cheese and sour cream
  • Sugar-free condiments – jelly, syrup, gum, candy
  • Condiments – Ketchup, salsa, mustard, vinegar
  • Seasoning – Flavored extracts, lemon pepper, soy sauce, hot sauce
starch list
Starch list

What counts as a serving?

In general…

  • ½ cup cooked cereal, grain or starchy vegetable
  • 1/3 cup cooked rice or pasta
  • 1 ounce of a bread product such as 1 slice of bread
  • ¼ ounce to 1 ounce of most snack foods
fruit list
Fruit List

Fresh, frozen, canned and dried fruits and fruit juices are on the Fruits list.

In general, 1 fruit choice is:

  • ½ cup of canned or fresh fruit or unsweetened fruit juice
  • 1 small fresh fruit (4 ounces)
  • 2 tablespoons of dried fruit
milk list
Milk List

Milks and yogurts are grouped in three categories based on the amount of fat they have:

  • fat-free/low-fat
  • reduced-fat
  • whole
non starchy vegetable list
Non-starchy Vegetable List

In general, 1 non-starchy vegetable choice is:

  • ½ cup of cooked vegetables or vegetable juice
  • 1 cup of raw vegetables
  • Monounsaturated – Avocados, olives, almonds, walnuts, peanut butter, pecans, olive oil, peanut oil, canola oil
  • Polyunsaturated – Corn oil, sunflower oil, soy oil, tub margarine, mayonnaise, regular salad dressing, pumpkin seeds
  • Saturated – Butter, bacon, cream, sour cream, salt pork, lard, cream cheese, stick margarine
nutrition facts label
Nutrition Facts Label

Total Carbohydrate 40 gmDietary Fiber6 gm

Sugars 0 gm

Starch____________34 gm

Total Carbohydrate = Fiber + Sugar + Starch

nutrition facts activity

Nutrition Facts Activity

Choose a partner

Come to the table and find packages for two similar products

Work with your partner to complete the worksheet

what s the point
What’s the Point??

Unstable blood sugars


what s the point1
What’s the Point??

Stable blood sugars


  • Good nutrition is key to diabetes management
  • Practice
  • Be patient with yourself
mediterranean diet
Mediterranean Diet
  • Lots of fresh fruits and vegetables including beans
  • Whole grains
  • Fish and seafood
  • Olive oil
  • Herbs, spices and vinegar
  • Wine
let s taste
Let’s Taste!
  • White Bean and Tuna Salad
  • Baked Pita Chips