Outline the basic principles for Mitch's nutrition therapy to ...

[bucstennis@aim.com]

Outline the basic principles for Mitch's nutrition therapy to assist in control of his DM.
 
  What will be an ideal response?

Question 2

Dietary factors associated with increased risk of overweight are increased dietary fat intake and increased calorie-dense beverages. Identify foods from Jamey's diet recall that fit these criteria.
 
  What will be an ideal response?

[joechoochoy]

Answer to Question 1

 Consistent carbohydrates throughout the day:
- Carbohydrate counting: 1 serving of carbohydrates is 15 g
- Educate patient on label reading to determine carbohydrate content
- Teach patient to recognize foods that are low in carbs and foods high in carbs
 Insulin therapy: his HbA1c is greater than 9, which warrants insulin therapy to help with blood glucose control and to prevent another episode of HHS.
- ICR: 15 g : 1 unit insulin
 Glucose-lowering medications if pt. is willing to comply.
 Choose snacks low in sugar such as vegetables. Sugar-free substitutes should be used as alternatives to sugary snacks.
 Healthy carbohydrate options include vegetables, fruits, whole grains, legumes, and dairy products.
 Limit amount of saturated fat, total fat, and trans fatty acids in the diet to help improve cholesterol profile and reduce risk of CVD.
 Weight reduction/increased exercise may improve insulin-resistance.

Answer to Question 2

 Whole milk
 Apple juice
 Coffee with cream and sugar
 Mayonnaise
 Fritos corn chips
 Bologna & cheese sandwich
 Twinkies
 Peanut butter
 Fried chicken
 Fried okra
 Mashed potatoes with whole milk and butter
 Sweet tea
 Coca-Cola

[bucstennis@aim.com]

Excellent

[komodo7]

Thanks for the timely response, appreciate it