NUTR-4240 Lecture Notes - Lecture 4: Blood Glucose Monitoring, Blood Sugar, Postprandial
15 Dec 2018
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Document Summary
Optimal diabetes treatment goal: provide patient with tools to achieve maximal control of, glycemia, lipidemia, blood pressure, to prevent, delay, or arrest diabetes" microascualr and macrovascular complications while minimizing hypoglycemia and excess weight gain. Management of diabetes: monitoring (smbg) self monitoring of blood glucose, medical nutrition therapy cornerstone of blood glucose control, physical activity, medications, self-management education (dsme) diabetes self-management education. Blood glucose levels may be affected by: food intake, physical activity, medications, hormonal fluctuations. Individualized meal planning should include optimization of food choices to meet rdas and dris for all micronutrients. Individualize energy needs and nutrition care based on metabolic profile, treatment goals, changes person is willing and able to make. Mnt for diabetes mellitus nutrients: carbs, fiber, sweeteners, proteins, fat, alcohol, micronutrients. Cho intake: executive summary: monitor cho key strategy in achieving glycemic control, cho counting, exchanges, experience, use of the glycemia index and glycemic load may aid glycemic control over using total cho intake alone.
