DIABETIC DIET

Definition

- An in-depth therapeutical diet

for people with diabetes in
order for them to manage their
blood glucose
 Importance

To achieve near normal blood glucose levels.

Protect the heart and aim for healthy lipid
levels and to control blood pressure.

Achieve normal weight for overweight
individuals.

Manage or prevent further complications of
diabetes.

Promote overall health of the individual.
 Guidelines

There is no one perfect diet for diabetics

Should follow the food pyramid but paying
attention to carbohydrate intake

A reduce in intake of carbohydrates should be
done

Should meet with a professional dietitian to plan
an individualized diet that takes into
consideration their own health needs

Should eat about the same mount of food at the
same time each day to keep blood sugar levels
stable
 Guidelines

Timing and spacing between different meals
is important to avoid extremely high or low
glucose levels

Use an exchange list in planning the diet

There should be variation in food intake
 Composition
 Calories
-1000kcal for seniors
-1700kcal for young individuals with sedentary
lifestyle
-2000kcal with sedentary lifestyle
-2300kcal for pregnant individuals
-2400-2600kcal for younger hardworking
individuals
 Composition
 Carbohydrates
-60-70% of total calorie intake.
 Fats
-should not go beyond 150grams a day
-fishes like salmon which contain a high amount
of polyunsaturated fatty acids
 Indication

Diabetic people

Overweight


In cases of hypoglycemia, they are advised to
have a food or drink that can raise blood
glucose quickly, followed by a long-acting
carbohydrate (such as rye bread).
 Target goals for blood sugar
Time Desirable Normal

Before Breakfast 70-120 70-105

Before Lunch, 70-140 70-110

Dinner or Snacks

1 hr after meals <180 <160

2 hrs after meals <150 <120

2 am- 4 am >70 >70

5'8”
5*12 = 60+8 = 68*2.54 = 172.72
172.72-100 = 72.7-7.27 = 65 kilos

65*30 = 1950
1950*.70 = 1365/4 = 340 CHO
1950*.15 = 293/4 = 75 CHON
1950*.20 = 390/9 = 45 FAT
 x CHO CHON FAT TOTAL
Veg A 2 3 1 - 16
B 1 3 1 - 16
Fruit 3 30 - - 120
Milk
whole 0 - - -
low fat 2 24 16 10 250
skimmed 0 - - -
Sugar 5 25 - - 100
Rice 11 253 22 -
110
Meat
low 2 - 16 2 82
medium 2 - 16 12 172
high 0 - - -
Fat 4 - - 20
Total: 338 72 44 2036
 Breakfast
(360 calories, 52.5 grams carbohydrate)
1 slice toasted whole wheat bread with 1 teaspoon
margarine
1/4 cup egg substitute or cottage cheese
1/2 cup oatmeal
1/2 cup skim milk
1/2 small banana
 Lunch
(535 calories, 75 grams carbohydrate)
1 cup vegetable soup with 4-6 crackers
1 turkey sandwich (2 slices whole wheat bread,
ounce turkey and 1 ounce low-fat cheese, 1
teaspoon mayonnaise)
1 small apple
 Dinner
(635 calories, 65 grams carbohydrate)
4 ounces broiled chicken breast with basil and oregano
sprinkled on top
2/3 cup cooked brown rice
1/2 cup cooked carrots
1 small whole grain dinner roll with 1 teaspoon
margarine
Tossed salad with 2 tablespoons low-fat salad dressing
4 unsweetened canned apricot halves or 1 small slice of
angel food cake
 Snack
(Each has 60 calories or 15 grams carbohydrate.
Pick two per day.)
16 fat-free tortilla chips with salsa
1/2 cup artificially sweetened chocolate pudding
1 ounce string cheese plus one small piece of fruit
3 cups "lite" popcorn