DIABETES DIETS

How to develop diets that assist in the

control of diabetes.

CHOICES No Concentrated Sweets Calorie Count

QUESTIONS Do the limitations of a strict calorie count diet affect the resident’s quality of life?

Will the resident be compliant with a calorie count diet?

Will a no concentrated sweets (NCS) diet significantly affect the resident’s health?

THE NCS DIET Is simpler to handle Usually provides approximately 2,000 calories per day

Requires purchasing sugar free products

Must be ordered by a physician

Does not require preparation of special foods for diabetics

CALORIE COUNT DIETS Provide most effective control of blood sugar levels

Require good planning Require exchange planning Require understanding of carbohydrates and how they affect blood sugar levels

CARBOHYDRATES Converted to sugar by the body

Increase sugar levels in the body

Diabetics have more trouble controlling

Less processing equals longer digestive time

DOCUMENTATION Menu Foods served Receipts for foods purchased Times meals are served

CONFUSED??

CALORIE COUNT DIET Requires extensive staff training

Requires some understanding of diabetes

SCENARIO Mrs. Jones Long time resident New diagnosis of diabetes New order for a 2,000 calorie diet

You offer only NCS

REVIEW Calorie count or NCS – the choice is yours.

Documentation is a requirement no matter which diet you chose

Exchanges = like for like foods

BIBLIOGRAPHY Assisted Living Residences, West

Virginia Title 64, Series 14. §§16-5D-5, 17; 16-1-4 (2010)

Williams, S.R. (1994). Essentials of nutrition and diet therapy. (6th

Ed.). Philadelphia, PA: Mosby.