Breanna Keller NDFS 300 Diabetic Patterns and Menu Assignment PART ONE

Transcription

1 reanna Keller NFS 00 iabetic Patterns and Menu Assignment PART ONE Write diabetic patterns for the following diets (you must be within kcal of goal, all diets should provide a bare bones minimum of % kcals from fat more is more realistic): PART TWO Translate the meal patterns for # s,, and into a one-day diet.. 00 AA diet. Evenly distribute the CHO s between meals and include an snack (/, /, /, /). 00 AA Starch 0 Meat 4 4 Vege Fruit 4 Milk 4 Fat 9 4 Goal 9 grams 0 TOTA 4 Kcals

2 . 400 AA diet for an athlete who wears a pump. He needs - grams CHO per kg body weight (he weighs kg). 400 Pump 4.. Starch 4 Meat Vege 4 Fruit 0 4 Milk 4 Fat Goal grams TOTA Kcals AA diet. Evenly distribute the CHO s. They need an afternoon and snack. 00 AA.. 0. Starch 0 4 Meat 4 Vege Fruit 4 0 Milk 4 Fat 4 Goal grams 0 TOTA 4 0 Kcals 94 40

3 Meal Time Food Items Portion Size reakfast :00 am unch :00 pm :00 pm inner :00 pm :00 pm Pancakes utter Whipped cream Plain yogurt Raspberries Whole-grain bread Tuna Reduced-fat mayonnaise Tomato Orange Honeydew melon Cantaloupe Chicken Olive oil Quinoa Cooked broccoli Reduced-fat milk Graham crackers Reduced-fat milk, 4 across,! thick tbs tbs / cup slices oz tbs small, cubed, cubed oz 4 tsp, " square Starch Fat Fat Milk Fruit Starch Meat Fat Vege Fruit Fruit Fruit Meat 4 Fat Starch Vege Milk Starch Milk For either diet,, or, analyze it on ESHA. Report on how the calories and grams of CHO compare to the exchange diet. calories calculated on ESHA for the 00 AA diet was kcal (<00 kcal). There were some discrepancies in grams of CHO compared to the diabetic exchange list. For instance, at breakfast the exchange list calculated total grams of CHO as g, whereas on ESHA grams of CHO were 49 g. More specifically, exchanges of starch are equal to 0 g CHO, but on ESHA pancakes, 4 across, was only g CHO. However, cup of raspberries was g CHO for both the diabetic exchange list and ESHA. The Exchange ist for iabetes allows people to compare carbohydrate, protein, and fat in food items and eat about the same amount of carbohydrate at about the same time each day. However, those who take multiple daily injections of insulin to control blood glucose levels have more freedom to choose their foods and mealtimes. iscrepancies between the exchange list and ESHA can be contributed to the different brands and serving sizes used.

4 4. 00 AA diet. You choose how to balance the CHO s in between the meals. They are on conventional Insulin therapy. 00 Conven Starch 90 Meat Vege 4 0 Fruit 0 Milk 4 Fat 40 Goal grams TOTA 4 4 Kcals

5 . 000 AA diet. meals and snacks. 000 AA. Starch 4 0 Meat 4 Vege Fruit 90 Milk Fat Goal grams 4 44 TOTA Kcals 4 4 Meal Time Food Items Portion Size reakfast :00 am 0:00 am unch :00 pm :00 pm inner :00 pm Oatmeal rown sugar lueberries Almonds Egg Canned pears s tbs # cup Starch count as carbohydrate Fruit Fat Meat Fruit Smoothie 0 oz count as fat-free milk + " carbohydrates Whole-grain bread slices Starch Cheddar cheese oz Meat Green peas Starch Cooked carrots Vege Apple small Fruit Pretzels # oz Starch Animal crackers anana Cooked pasta Olive oil Meatballs Cooked broccoli Reduced-fat milk small / cup tsp 4 oz Starch Fruit Starch Fat 4 Meat Vege Milk :00 pm Chocolate chip cookie Reduced-fat milk 4,! across count as carbohydrates + 4 fat Milk

6 . 000 AA diet for a vegan who is wearing an insulin pump. Vegetarian diets should have a minimum of grams protein for adults. 000 Vegan 49. Starch 0 0 Meat Vege 4 0 Fruit 4 Milk Fat / / " Goal grams 90 TOTA Kcals Meal Time Food Items Portion Size reakfast :00 am unch :00 pm inner :00 pm :00 pm Hash browns Grapefruit lueberries ight soymilk Flour tortilla Cooked black beans ight tofu Hummus Tomato ean sprouts Spinach ight soymilk Cooked pasta Olive oil Acorn squash entils Cooked red peppers Almonds Mango ight soy milk 9 oz " large # cup, across / cup tsp " small Starch Fruit Fruit count as carbohydrate + " fat Starch count as starch + lean meat medium-fat meat count as carbohydrate + high-fat meat Vege Vege Vege count as carbohydrate + " fat Starch Fat Starch count as carbohydrate + lean meat Vege Fat Fruit count as carbohydrate + " fat

7 PART THREE Following the 00 kcal AA diet was more stressful than I originally thought it would be. I don t typically worry too much about counting carbohydrates, fats, or proteins. My belief is that if I eat a wide variety of foods, healthy portion sizes, at consistent times of the day, I will meet recommended requirements for calories and nutrients. I also try to eat only when I m hungry and as well as eat slower during meals. Of course, it is still difficult to follow this at times. I can imagine the frustration felt by diabetics who need to control their blood glucose levels or else health concerns arise. One woman I visited with while performing an annual assessment for Meals on Wheels explained that she was allergic to most medications, including insulin. It is difficult for her to control arthritic pain and manage her type II diabetes. She requires assistance from her son to help prepare meals. It is important for her to be very careful with what food she eats, in order to control blood glucose levels. In recent years, she has lost a significant amount of weight with the restrictions she has had to place on her diet. Although this is an extreme case, it demonstrates the difficulty diabetics have in preparing controlled carbohydrate meals that satisfy the appetite. It s easy to understand why diabetics are often non-compliant in following controlled diets.

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