diabetes nutrition- part b - thrive · bed-time; bs 122 bs 119 bs 170 bs 209 1 cup cooked oatmeal,...
TRANSCRIPT
Diabetes Nutrition- Part BRoseville & Sacramento Medical Centers
Health Education Department – Nutritional Services
2 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Agenda
Carbohydrate review and counting
Carbohydrate counting resources
Menu planning
Dining out
Insulin-to-carbohydrate ratio
3 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Introduction
How many of you already count carbohydrates?What are some of your carbohydrate-counting challenges?How many of you are using insulin with your meals?
4 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Review carbohydrate sources
Sources of carbohydrates – quick review
Let’s count the carbohydrates – sample meal
5 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Carbohydrate review: Dinner
Spaghetti and meat sauce:1 cup cooked spaghetti ________ grams carbohydrate½ cup spaghetti sauce _________ grams carbohydrateDinner roll _________ grams carbohydrateMargarine _________ grams carbohydrateTotal _________ grams carbohydrate
6 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Carbohydrate review
At first, takes time and practice
Make a list of commonly-eaten foods and their carbohydrate grams
7 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Carbohydrate counting resources
See “Diabetes and Nutrition Web Sites and Smart Phone Apps” handout
Calorie King® Calorie, Fat and Carbohydrate Counter book (or website or smartphone app)
8 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Whoever said “winning isn’t everything”, was not fighting diabetes!
9 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Menu planning
Did anyone bring a food record?
Can you count the carbohydrate in your meals?
How much carbohydrate do you need at your meals?
10 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Dining out
Bring Diabetes supplies, medications and insulin
What foods will contain carbohydrates?
Can you look up the carbohydrate grams?
Practice Worksheet
7AMBreakfast
12 PM Lunch 2:30 PM Snack
6 PM Dinner 8 PM Snack 10:30 PM Bed-time
BS 122 BS 119 BS 170 BS 2091 cup cookedoatmeal,2 Tbsp. raisins, black coffee
Large tossed salad: 2 cups lettuce, 1 medium tomato, 1 cup sliced cucumbers, grilled chicken breast, 2 Tbsp. light Ranch dressing
1 cup chocolate frozen yogurt
Taco salad: 2 oz. ground beef, 1 cup lettuce, 1 medium tomato, ¼ cup onion, 2 Tbsp. tomato salsa, ¼ cup cheese, 1 Tbsp. sour cream, ½ cup beans, 20 tortilla chips
4 cups popcorn
Example of 1 day food log
30 minute walk
12 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Nice try diabetes, but I’m still here!
13 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Insulin and carbohydrates
Are you on set doses of meal-time insulin (either Regular or Humalog insulin) Need to keep carbohydrates same at each meal for best blood sugar managementTry to space meals 4-5 hours apartIf snacking, choose low-carbohydrate snacks
14 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Insulin – to – Carbohydrate Ratio
What is an insulin – to – carbohydrate ratio?How much carbohydrate one unit of meal-time insulin coversMore flexibility with carbohydratesDaily Carbohydrate/Insulin record form
15 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Where to go from here
Record your meals & count the carbohydratesPractice at one meal at a time if overwhelmedIf wanting an ICR, complete 4 days of the Daily Carbohydrate/Insulin records forms & contact a RD for more assistance
16 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Today I will conquer diabetes, tomorrow the world!
Preventative Care App
Exclusive to Northern CaliforniaAlerts for health screenings dueAppointment remindersVideo visits And much moreDownload at the Apple Store or Google Play
Other Classes
18 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016
Diabetes Nutrition-Part A
Plant Based Nutrition
Taking Care of Your Kidneys (with referral)
Nutrition Basics
Managing Your Weight
Healthy Weight
CHF (Congestive Heart Failure)
To schedule, call Health Education at (916) 784-5775