1.41 CME

Nutrition and Diabetes

Speaker: Dr. NOUR AL MAHMOUD​

CLINICAL DIETITIAN AND NUTRITIONIST

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Description

Diabetes occurs at approximately the same rate in people experiencing homelessness as in the general population. However, the diagnosis and management of diabetes in people experiencing homelessness remains challenging. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains. In fact, a diabetes diet is the best eating plan for most everyone. For many individuals with diabetes, the most challenging part of the treatment plan is determining what to eat and following a meal plan. There is not a one-size-fits-all eating pattern for individuals with diabetes, and meal planning should be individualized. As an essential and integral role in overall diabetes management, individualized or group MNT should be offered by an RDN or Certified Diabetes Educator knowledgeable and skilled in providing diabetes-specific Medical Nutritional Therapy

Summary Listen

  • Carbohydrate counting distinguishes between simple carbohydrates (rice, bread, pastries, sweets) and complex carbohydrates (whole grains, vegetables, fruits with skin). Simple carbs lead to quick sugar absorption, while complex carbs, rich in fiber, promote slower absorption.
  • The glycemic index (GI) measures a food's ability to raise blood sugar. Factors influencing GI include processing, fiber content, ripeness of fruit, acidic food presence, and food combinations.
  • Fruits are good sources of vitamins, minerals, and fiber, ideally consumed fresh and with minimal peeling. Fruit juices should be avoided due to their high sugar content and lower fiber. Two to three fruit exchanges (15g of carbs) are generally allowed per day.
  • Sucrose and fructose produce a lower blood glucose response compared to starch. Sugars do not cause diabetes but should be consumed in moderation as part of a healthy meal plan. Non-nutritive sweeteners can be used, but aren't always necessary.
  • Fat and protein have minimal effect on blood sugar. Adding these to a meal can lower the overall GI, but fats are calorie-dense and require healthy choices like nuts and avocados.
  • Limiting sodium intake to under 2400mg daily is crucial for diabetic patients with hypertension. Hypoglycemia, a drop in blood sugar, requires fast-acting carbs (15-20g of glucose). Exercise improves insulin function and blood sugar control.
  • Lifestyle modifications include eliminating sweetened drinks, incorporating vegetables, planning meals from home, and adopting healthier cooking methods. Snacks should be low GI and include fruits, yogurt, or nuts.
  • Case studies reveal the importance of identifying triggers and implementing dietary changes. Patients saw results from dietary changes, exercise, and lifestyle adjustments.
  • Key nutritional tips involve distributing food intake into three meals, minimizing snacking, and ensuring dinner is the lightest meal with high fiber. Consistent eating habits and avoiding meal skipping are crucial.

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