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Diabetes Nutrition
Roseville & Sacramento Medical Centers
Health Education Department – Nutritional Services
2 | © Kaiser Permanente 2010-2011. All Rights Reserved.January 21, 2016
What do you know about how food affects your blood sugar?
3 | © Kaiser Permanente 2010-2011. All Rights Reserved.January 21, 2016
How are you eating to manage your diabetes or prediabetes?
4 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
What affects blood sugar?
Food/drinks Exercise Stress
– Physical (injury, illness)– Mental
Weight Poor sleep Medications (including timing) Insulin injection site (rotate it) Diabetes itself
Which foods have the biggest effect on blood sugar?
5 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
6 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Consistency
Eat about the same amount of carbohydrate at each meal
Eat at regular times No skipping meals
7 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
4 Diet Options
1. Plate Method
2. Menus
3. Diabetic Exchange Lists
4. Carbohydrate Counting
8 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
1. Plate method
9 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
2. Menus
The American Diabetes Association The Ultimate Diabetes Meal Planner
3. Diabetic exchange or food lists
Daily Meal Planning Guide
10 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
11 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
4. Carbohydrate counting
12 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
How much carbohydrate can I eat? For weight loss:
– Women: 30-45 grams per meal– Men: 45-60 grams per meal
For weight management:– Women: 45-60 grams per meal– Men: 60-75 grams per meal
For snacks:– Limit to 15 grams per snack
How will I know how much carbohydrate is in a food?
Refer to diabetic exchange or food lists Refer to Calorie King (book, app, website) Read food label
13 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
14 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Label readingFor good blood sugar:* Serving size* Total carbohydrate
More fiber is better (25-35g/day)
Nutrition Facts
Serving Size 1 Cup
(29/1.0 oz) Servings Per Container About 17
Amount Per Serving Cereal
Cereal with ½ Cup
Vitamins A&D Fat Free Milk
Calories 110 150 Calories from fat 0 0 % Daily Value** Total Fat 0g* 0% 0% Saturated Fat 0g 0% 0% Trans Fat 0g Cholesterol 0mg 0% 0% Sodium 220mg 9% 11% Potassium 35mg 1% 7% Total Carbohydrate 25g 8% 10% Dietary Fiber less than 4g 16% 16% Sugars 3g Sugar Alcohol 4 g Protein 2g
15 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Things to consider
Fat Fiber Protein Time of day Individual sensitivity to foods
16 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Consider a food journal
TimeBloodsugarbefore meal
Detailed Food Record
Carbs(gm)
Blood sugar
2 hours after
starting meal
CommentsAmount Item
8:00 am 110 1 cup Cooked oatmeal-plain 30g 130 Walked for 20 minutes after breakfast¾ cup Blueberries 15g
1 String cheese 0g
1 Slice bread with butter 15g
Total 60g
17 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
What can you DO to improve your blood sugar? Spread carbohydrate evenly over the day
1. Plate Method2. Menus3. Exchange (food) lists4. Carb counting
Control portions by measuring food Include lean animal or plant protein and fiber with all meals Eat regularly, at least every 4-5 hours
18 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Rule of 15
If blood sugar drops below 701. Eat 15g fast-acting carbohydrate2. Wait 15 minutes3. Recheck blood sugar
If it is still below 70, repeat If it is above 70, eat a meal if it is time
How do you treat a low blood sugar?
Set a goal
Specific Observable or measurable Do-able For 2 weeksEx. Eat at least ½ cup nonstarchy vegetables with Saturday and Sunday dinners
19 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Monitor your progress
Check blood sugar Keep food journal
20 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Arrange your world for success
Make it easy to do the right thing
Ex. Buy frozen vegetables the next time I’m at the grocery store.
21 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Recruit support
Ask someone to encourage your healthy habit
How do you want to be supported?
22 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Treat yourself
Recognize and reward your success– Action/behavior that is rewarded is more likely
to be repeated– Celebrate your success every time!
23 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Next steps
Where do you go from here?– Apply Action Plan you just wrote– Consider signing up for another class
Diabetes Nutrition, part B Plant-Based Nutrition Weight Management
– Consider signing up for telephone wellness coaching
24 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
25 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
Resources
Preventative Care App
Exclusive to Northern California Alerts for health screenings due Appointment reminders Video visits And much more Download at the Apple Store or Google
Play
27 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
What benefits do you see from managing your diabetes or prediabetes?
28 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.January 21, 2016
How soon will you get started?