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    Diabetes Nutrition/Dietetics Worksheets

    Uploaded by

    Syeda Zainab Abbas
    The document contains worksheets on various topics related to the nutritional management of diabetes. It includes definitions and discussions of key terms like fasting blood sugar, HbA1c, blood glucose monitoring, and complications of diabetes. Tables compare type 1 and type 2 diabetes and outline insulin preparations and oral hypoglycemic medications. The worksheets provide guidance on meal planning, sick day management, physical activity, alcohol consumption and use of artificial sweeteners for individuals with diabetes. The overall goal of the nutritional management of diabetes is to help patients make appropriate food choices and lifestyle changes to improve blood glucose control and health outcomes.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Diabetes Nutrition/Dietetics Worksheets

    Uploaded by

    Syeda Zainab Abbas
    231 views14 pages
    The document contains worksheets on various topics related to the nutritional management of diabetes. It includes definitions and discussions of key terms like fasting blood sugar, HbA1c, blood glucose monitoring, and complications of diabetes. Tables compare type 1 and type 2 diabetes and outline insulin preparations and oral hypoglycemic medications. The worksheets provide guidance on meal planning, sick day management, physical activity, alcohol consumption and use of artificial sweeteners for individuals with diabetes. The overall goal of the nutritional management of diabetes is to help patients make appropriate food choices and lifestyle changes to improve blood glucose control and health outcomes.

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    © © All Rights Reserved

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    The document contains worksheets on various topics related to the nutritional management of diabetes. It includes definitions and discussions of key terms like fasting blood sugar, HbA1c, blood glucose monitoring, and complications of diabetes. Tables compare type 1 and type 2 diabetes and outline insulin preparations and oral hypoglycemic medications. The worksheets provide guidance on meal planning, sick day management, physical activity, alcohol consumption and use of artificial sweeteners for individuals with diabetes. The overall goal of the nutritional management of diabetes is to help patients make appropriate food choices and lifestyle changes to improve blood glucose control and health outcomes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    231 views14 pages

    Diabetes Nutrition/Dietetics Worksheets

    Uploaded by

    Syeda Zainab Abbas
    The document contains worksheets on various topics related to the nutritional management of diabetes. It includes definitions and discussions of key terms like fasting blood sugar, HbA1c, blood glucose monitoring, and complications of diabetes. Tables compare type 1 and type 2 diabetes and outline insulin preparations and oral hypoglycemic medications. The worksheets provide guidance on meal planning, sick day management, physical activity, alcohol consumption and use of artificial sweeteners for individuals with diabetes. The overall goal of the nutritional management of diabetes is to help patients make appropriate food choices and lifestyle changes to improve blood glucose control and health outcomes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 14

    Diabetes Worksheets

    Briefly define and be prepared to discuss the following.


    a. Fasting blood sugar (FBS)

    b. Glycosylated hemoglobin (HgA1C)

    c. Self Blood Glucose Monitoring

    d. Postprandial blood sugar (PC)

    e. Urine ketone testing f Microalbumin (random and 24 hour)

    f. Cardiac Risk Profile (CRP)

    g. Diabetic nephropathy

    h. Diabetic neuropathy

    i. Diabetic retinopathy

    j. Gastroparesis

    k. Diabetic amyotrophy

    l. Diabetic ketoacidosis

    m. Syndrome X

    n. Somogyi Effect

    o. Dawn phenomenon

    p. Hypoglycemia

    q. Hypoglycemia unawareness

    r. Hyperglycemic hyperosmolar non-ketotic syndrome

    s. Fructosamine testing

    t. Polyphagia

    u. Polyuria

    v. Nocturia

    w. Ketonuria

    x. Polydipsia

    y. Gangrene and tissue necrosis

    z. Mucormycosis

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    1. Define Diabetes Mellitus. What is the incidence of all types of diabetes in the World?

    Common Characteristics of Type I and Type II Diabetes: Complete the following chart
    describing the difference between Type I and Type II.

    Characteristic Type I Diabetes (IDDM) Type II Diabetes (NIDDM)


    Percentage of
    Diabetics

    Insulin Production

    Status of Insulin
    Receptors

    Age of Onset

    Etiology/Metabolic
    Abnormalities

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    Genetic Influences
    on Disease
    Development

    Common Disease-
    related Symptoms

    Rate at which
    Symptoms Appear

    Associated
    Conditions

    Risk of Metabolic
    Ketoacidosis

    Possibility of
    Elimination of the
    Disease from One’s
    Life
    Medications

    Primary Dietary
    Objectives

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    3. Labs Important to the Diagnosis and Management of Diabetes Mellitus:Describe the
    following labs, including acceptable ranges for the lab measurement.

    Laboratory Measurement Description & Significance Accepted Lab


    Value Range
    Blood Urea Nitrogen
    (BUN)

    Creatinine

    Fasting Blood Glucose

    Fingerstick Blood Sugar


    Evaluations

    Glucose Tolerance Test


    (GTT)

    Glycosolated Hemoglobin
    (Hgb A1C)

    Total Cholesterol,
    including HDL and LDL
    components

    Triglycerides

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    Urine Glucose Tests

    Urine Ketone Tests

    4. Diabetes-related Complications and Symptoms: Describe the following potential


    complications related to diabetes mellitus and provide solutions for each dilemma.

    Diabetes-Related
    Symptoms & Causes Dietary and Medical Solutions
    Symptoms
    Chronic Renal Failure

    Constipation

    Diabetic Coma

    Dyslipidemia

    Gastroparesis

    Glycosuria

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    Hyperglycemia

    Hypoglycemia

    Insulin Shock

    Ketoacidosis

    Nephropathy

    Polydipsia

    Polyphagia

    Polyuria

    Retinopathy

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    5. Define and describe the role of insulin and oral hypoglycemic medications in the
    treatment of type I and type II diabetes?

    6. Diabetes Specific Medications: Fill in the following chart to outline some of the
    characteristics of insulin and some common oral hypoglycemic agents. This information
    should be considered when planning meal and medication times.

    ACTIVITY OF INSULIN PREPARATIONS


    Type of Insulin Onset of Action Peak of Action Duration
    of Action
    Rapid-Acting -
    Humalog (lispro) -
    NovoLog (aspart)

    Short-Acting (Regular) -
    Humulin R
    -Novolin R

    Intermediate-Acting (NPH)
    -Humulin N
    -Novolin N
    -Humulin L
    -Novolin L

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    Intermediate- and Short-
    Acting Mixtures -
    Humulin 50/50 -
    Humulin 70/30 -
    Humalog Mix 75/25
    Humalog Mix 50/50 -
    Novolin 70/30
    -Novolog Mix 70/30

    Long-Acting -
    Ultralente
    -Lantus (glargine)

    Antidiabetic Drugs
    Sulfonylureas
    Actions/Duration of Action Adverse Effects
    First Generation
    Acetohexamide
    Chlorpropamide
    Tolbutamide
    Tolazamide
    Second Generation
    Glipizide
    Gliclazide
    Glibenclamide
    (glyburide)
    Gliquidone

    Third Generation
    Glimepiride

    Biguanide
    Metaformin

    Thiazolidinedione
    Rosiglitazone
    (Avandia)

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    Pioglitazone
    (Actos)
    Alpha-Glucosidase Inhibitors
    Acarbose

    Miglitol

    Meglitinide
    Nateglinide

    Repaglinide

    Dipeptidyl Peptidase-4 Inhibitors


    Actions/Duration of Action Adverse Effects
    Saxagliptin

    Sitagliptin

    Vildagliptin

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    7. Briefly describe the rationale for use of insulin pumps, intensive insulin therapy and
    multiple daily insulin injections.

    8. Explain the importance and/or provide solutions for the following issues commonly
    addressed as part of the dietary management of type I and type II diabetes.

    i. Timing and frequency of meals and snacks

    ii. Managing sick days

    c. Necessary changes to medication administration and food choices when physical


    activity is added to the equation

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    d. Alcohol’s consumption and its’ influence on the diabetic condition (optional)

    e. The use of artificial sweeteners in the dietary treatment of diabetes

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    DIABETIC WORKSHEETS

    The nutritional management of diabetes guides the person with diabetes in making appropriate
    food choices and behavioral changes that will result in improved glucose levels, improved
    nutritional status and self management of diabetes. Diabetic diets are intended for individuals
    with abnormal glucose levels due to insulin resistance or the lack of insulin. Medical nutrition
    therapy approaches to the dietary management of diabetes include diabetic meal patterns and
    carbohydrate counting. The goal of the following worksheets is to assist the dietetic intern in
    gaining a better understanding of these dietary approaches.

    NUTRIENT BREAKDOWN OF THE EXCHANGE LISTS:

    Food Group Portion Size Protein


    Carbohydrate (g) Fat Energy
    (g) (g) (Kcal)
    Starch/Bread
    Meat
    Lean
    Medium-Fat
    High-Fat
    Vegetable

    Fruit
    Milk
    Skim
    Low-fat
    Whole
    Fat

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    DIET PLANNING WITH THE EXCHANGE SYSTEM:
    Fill in the number of servings that you would recommend from each food group for each calorie
    level. Use the following guidelines to calculate the following meal patterns:
    (1) Determine caloric needs based on usual eating habits, medications, medical condition(s),
    and activity level.
    (2) Distribute calories as follows: Carbohydrate (g) = 50-60% total calories, 4 kcal/g,
    Protein
    (g) = 10-20% total calories, 4 kcal/g; Fat (g) = 25-30% total calories, 9 kcal/g.
    (3) Convert carbohydrate, protein and fat into exchanges according to individual
    preferences.
    (4) Distribute exchanges into meals and snacks according to medication and lifestyle.

    Food Group 1,200 1,500 1,800 2,000 2,200 2,600 3,000


    calories calories calories calories calories calories calories
    Starch/Bread

    Vegetable

    Fruit

    Meat

    Milk

    Fat

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas
    Diet Plan

    Meal Food Serving kcal

    HAMEED LATIF HOSPITAL Department of Clinical Nutrition


    CARE, CONCERN, COMPASSION Internship Program
    created by
    Syeda Zainab Abbas

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