1. By ,
Ghazala Matin

2. Medical Nutrition Management is the corner
stone in management of a person with
diabetes. Diet plays a major role in regulating
carbohydrate, Fat ,protein in patients with
diabetes . Further more proper dietary
management is required for safe & effective
use of insulin .

3. 1)
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Achieve and maintain – blood glucose level in
the normal range or as close to normal as is
safely possible ; lipid & lipoprotein profile that
reduce the risk of vascular disease ; blood
pressure levels in the normal range or as close
to normal as is safely possible .
To prevent or at least slow the rate of
development of the chronic complications of
diabetes by modifying nutrient intake and
lifestyle.
To address individual nutrition needs .
To maintain the pleasure of eating by only
limiting food choices when indicates by
scientific evidence.

4. Calories ---
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Caloric requirements of adults ---obese or
very inactive adults , chronic dieters (20
kcal/kg).
Adults older than 55years of age , active
women, sedentary men ( 28 kcal/kg ).
Active men or very active women ( 30
kcal/kg).
Thin or very active men ( 40 kcal/kg).

5. 1000 kcal + Age * 100 kcal for girls.
1000 kcal + Age * 125 kcal for boys.
*( From Raghuram TC et al; Diet and
Diabetes,NIN,1991)

6. Carbohydrate should provide 50-60% of
energy intake .Generally in Indian diet CHO
provide 60-65% of total calories . Diabetics
need to restrict CHO intake and can alter the
type of CHO in their diet. Unrefined CHO ,
with natural fiber intact is beneficial coz of
there low glycaemic index.

7. The adult recommended dietary intake ( RDI )
of 0.8 to 1gm /kg IBW.,or 10-15% .
Protein of high biologic value should be given
consideration .

8. Fats are concentrated source of energy .Fat
intake generally should not exceed 30% of
energy. Excessive fat intake contribute to
obesity , insulin resistance, hypertension &
atherosclerotic cardiovascular disease .

9. Different carbohydrates raise blood sugar
level…It is there important to know ,while
recommending a diet for diabetic, to what
extent different foods raise the blood sugar
levels. The glycaemic index indicates the
extent of rise in blood sugar in response to
consumption of food in comparison with the
response to an equivalent amount of glucose
.

10. 
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Simple Steps to Lower Your Risk
Making a few lifestyle changes can
dramatically lower the chances of developing
diabetes. The same changes can also lower
the chances of developing heart disease and
some cancers.
Control Your Weight
Get Moving—and Turn Off the Television. ..

11. 
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Choose whole grains and whole grain
products over highly processed
carbohydrates.
Skip the sugary drinks .
Choose good fats instead of bad fats.
. Limit red meat and avoid processed meat;
choose nuts, whole grains, poultry, or fish
instead.

12. 
If You Smoke, Try to Quit.
…….Thank You,