II. Approach: Pearls
- Omit sugar beverages (soda, energy drinks) and juices
- Improves Glucose control immediately
- Use Non-nutritive Sweeteners in drinks or water
- Avoid skipping meals (3) and planned snacks (2)
- Increases Hypoglycemia risk
- Increases baseline hepatic Glucose output
- Appetite becomes dysregulated
- Additional points
- No set ADA diet
- No set caloric restriction
- Modify on an individual basis
III. Approach: Protein
- No Nephropathy
- Same intake as general population
- Percent of calories per day: 10-20%
- Nephropathy
- Normal GFR: <0.8 grams/kg/day Protein
- Falling GFR: <0.6g/kg/day Protein
IV. Approach: Carbohydrates
- Complex carbohydrates are generally preferred
- Simple carbohydrates (fruit juice, sucrose)
- Limit to occasional treats
- Nutritive sweeteners (Fructose)
- No benefit
-
Non-nutritive Sweeteners (e.g. Aspartame, Acesulfame-K, Sucralose)
- Safety confirmed
V. Approach: Dietary Fiber
- See Dietary Fiber
- Same recommendations as general population
VI. Approach: Fat
- First Priority: Blood Sugar control
- Second Priority: Weight control
- Third Priority: Dietary changes
VII. Approach: Alcohol
- Limit to 2 drinks per day
- Risk of Hypoglycemia if Insulin taken and Fasting
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| Definition (MEDLINEPLUS) |
If you have diabetes, your body cannot make or properly use insulin. This leads to high blood glucose, or blood sugar, levels. Healthy eating helps keep your blood sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood sugar can prevent the complications of diabetes. A registered dietitian can help make an eating plan just for you. It should take into account your weight, medicines, lifestyle, and other health problems you have. Healthy diabetic eating includes
NIH: National Institute of Diabetes and Digestive and Kidney Diseases |
| Definition (MSH) | A diet prescribed in the treatment of diabetes mellitus, usually limited in the amount of sugar or readily available carbohydrate. (Dorland, 27th ed) |
| Concepts | Therapeutic or Preventive Procedure (T061) |
| MSH | D003927 |
| SnomedCT | 138058003, 160670007 |
| English | Diabetic Diet, Diabetic Diets, Diet, Diabetic, Diets, Diabetic, diabetic diet, diabetic diet (treatment), diabetic diets, Diabetic diet, DD - Diabetic diet, Diabetic diet (finding) |
| Dutch | diabetisch dieet, Dieet, diabetisch |
| French | Régime antidiabétique, Régime pour diabétique, Régime alimentaire diabétique, Régime alimentaire pour diabétique, Régime diabétique |
| German | Diabetesdiaet, Diabetikerkost, Diabetikerdiät, Diät, Diabetiker- |
| Italian | Dieta antidiabetica, Dieta diabetica |
| Portuguese | Dieta diabética, Dieta para Diabéticos |
| Spanish | Dieta diabética, dieta modificada para diabéticos (hallazgo), dieta modificada para diabéticos, dieta para diabéticos (hallazgo), dieta para diabéticos, Dieta para Diabéticos |
| Swedish | Diabeteskost |
| Japanese | ﾄｳﾆｮｳﾋﾞｮｳｼｮｸ, 糖尿病食, 糖尿病治療食 |
| Czech | diabetická dieta, Diabetická dieta |
| Finnish | Diabetesruokavalio |
| Russian | DIABETICHESKAIA DIETA, ДИАБЕТИЧЕСКАЯ ДИЕТА |
| Croatian | DIJABETIČNA DIJETA |
| Polish | Dieta cukrzycowa |
| Hungarian | Diabeteses diéta |
| Norwegian | Kosthold ved diabetes, Diabetikerdiett |
