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Endocrine > Diabetes Nutrition > Flashcards

Flashcards in Diabetes Nutrition Deck (12):
1

How much salt is recommended in diabetes?

Less than 2300mg

2

What percentage of calories should be from carbs?
How many grams per meal?

50%
45-60g CHO / meal for women. 60-75g CHO / meal for men.

3

What percentage of calories should be from protein?
How many grams?

10-20%
.8-1.0 g/kg

4

What is necessary w/ diabetic nephropathy?

Restrict K due to hyporeninemic hypoaldosteonism --> hyperkalemia

5

What percentage of calories should be from fat?

30-35%

6

Fiber recommendations

25g/day for women, 38g/day for men. 44-50g / day improve hyperglycemia, hyperinsulinemia, and lipemia, especially soluble fiber.

7

Added sugar restrictions

Less than 24 g/day for women, less than 36 g/day for men.

8

3 sugar alcohols
What percentage are absorbed?
2 main effects

•Sorbitol, mannitol, erythritol
•50% of carbs are absorbed.
•Produce lower post-prandial glucose response.
•Potential laxative effect

9

3 artificial sweeteners

Sucralose, aspartame, saccharin

10

Fixed dose insulin vs intensive insulin regimen

•Fixed dose insulin regimen – consistent meal times from day to day w/ fixed amount of CHO per meal and snacks to match insulin dose.

•Intensive insulin regimen – insulin to carb ratio (ICR) determines basal insulin dose. Meal times are more flexible. Snacks are not required, but extra insulin is needed if snacks are eaten. A typical ICR ratio is 1 unit of insulin for every 15g CHO

11

3 options for treating hypoglycemia

3 glucose tabs, ½ can of soda, or 4 oz of juice
15 g

12

How many carbs need to be eaten for unplanned exercise

Unplanned exercise may require 10-15g of additional CHO for every hour of moderate exercise