HUN 4446 Lecture Notes - Lecture 29: High-Density Lipoprotein, Skeletal Muscle, Abdominal Obesity
19 Apr 2018
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Document Summary
Historical perspective of nutrition therapy: used to treat dm with low carb, high fat, in 70"s and 80"s we do more high carb, lower fat, lower protein with medication management, threw away diabetic diet in 1994. Mnt goals: type 1 and type 2. Achieve glucose, lipid, bp and body weight goals. Only limit choices when backed by science. Prevent/slow rate of development of chronic complications. Matching carb intake with insulin intake: individualized mnt should be provided by rd, type 1. Insulin treatment and education on cho counting: people on fixed daily insulin does consistent cho intake, type 2 not on insulin with limited literacy. Reduction in energy intake benefits obese adults with type 2: eating patterns/macronutrient distribution. No ideal percentage of kcals from cho, protein, fat. Individualized macronutrient intake while keeping total kcal goal in ming. Cho intake from whole grains, veg, fruit, legumes, dairy. Foods high in fiber, low in glycemic load, low in sugar.
