Author Question: When helping an adult client plan a diabetic diet, it is important to include: 1. At least 130 gm ... (Read 47 times)

darbym82 · **on:** Aug 2, 2018

When helping an adult client plan a diabetic diet, it is important to include:

1. At least 130 gm of carbohydrates because they are a critical source of energy for the brain.
2. Only a small amount of foods with high fiber content (< 1) to avoid constipation.
3. No fewer than 100 grams of simple carbohydrates because complex carbohydrates take much longer to metabolize.
4. Low-fiber foods to improve insulin sensitivity.

Question 2

Quality-of-life issues are a priority in the elderly, especially in residents of long-term care facilities. What are the key components in meeting quality-of-life standards among older adults who are residents of long-term care facilities?

A) Prevention of depression and diabetes
B) Prevention of unintentional weight loss and pressure ulcers
C) Prevention of weight gain and hyperlipidemia
D) Prevention of low albumin and anorexia

durant1234 · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

1
Rationale: The American Diabetic Association does not specify a maximum amount of carbohydrates to be consumed daily, but the minimum recommendation is 130 grams/day from various fruits, vegetables, legumes, and whole grains. The addition of high-fiber foods is an important component in healthy bowels. Complex carbohydrates are recommended over simple carbohydrates which are high in calories and low in nutritional value. High-fiber foods are highly recommended as a source of complex carbohydrates and have been associated with improved insulin sensitivity.

Answer to Question 2

B
Feedback:
Long-term care residents tend to be frail elderly with multiple diseases and conditions. Malnutrition has a negative impact on both the quality and length of life. Pressure ulcers may be a symptom of inadequate food and fluid intake. Loss of appetite is a key indicator for malnutrition which can lead to weight loss.