Shelby Polk DNP, FNP-BC, CDE April 21, 2010 2 Exercise Legal Rights Health & Learning Nutrition...
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Transcript of Shelby Polk DNP, FNP-BC, CDE April 21, 2010 2 Exercise Legal Rights Health & Learning Nutrition...
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Shelby Polk DNP, FNP-BC, CDEApril 21, 2010
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2
Exercise
LegalRights
Health&
Learning
Nutrition
InsulinAdministration
Hypoglycemia &
Hyperglycemia
Ketones
MonitoringBlood Glucose
Glucagon Administrati
on
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Management of children with diabetes Asked to do more with less staff
◦ Monitoring blood glucose◦ Recording results◦ Carbohydrate counting◦ Calculate insulin needs◦ Check urine for ketones◦ Treat low blood sugar◦ Administer glucagon
7 hours/day – 5 days/week = 35 hours/week
YOU ARE VITAL!!!!!
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WHY COUNT CARBOHYDRATES
HOW DO CARBOHYDRATES AFFECT BLOOD SUGAR?
WHAT IS A CARBOHYDRATE?◦ Protein◦ Fat◦ Carbohydrate
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◦ Brussel sprouts◦ Skim milk◦ Oreos◦ Orange Juice◦ Fat free frozen yogurt◦ Sugar free cookies◦ Diet Coke◦ Mayonnaise◦ Ketchup◦ Butter
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Do we need carbohydrates? Good versus bad?
The amount of carbohydrate is more important than the type◦ 1 frosted brownie = 2 slices bread◦ 1 cup ice cream = 1 cup of cereal
30 grams carbohydrates
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1 serving = 15 grams
Meals◦ 3 – 4 carb servings
45 – 60 grams carbohydrates
Snacks◦ 1 – 2 carb servings
15 – 30 grams carbohydrates
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1st – Serving Size 2nd – Total Carbohydrates
◦ ?? Deduct fiber from total carbohydrates if > 4grams
◦ ?? Deduct ½ of sugar alcohol from the total carbohydrates
3rd – Count Carbohydrates for each food item for a Total Carbohydrate amount for the meal/snack
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Serving Size
Total Carbohydrate
Total Fat
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Fresh fruit1 cup, 1/2 banana, 15 grapes, 1/8 cantaloupe, tennis-ball size piece
Canned fruit1/2 cup
100% fruit juice 4 ounces
Dried fruit 2 Tablespoons
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Starches 1 slice bread, 1/3 cup rice, 1/2 cup pasta, 1/2 cup cereal, 1 small roll, 1/2 bun
Starchy vegetables 1/3 cup corn, ½ cup potatoes, dried beans, peas
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Milk 8 ounces
Yogurt 1 cup
Pudding & ice cream1/3 - 1/2 cup
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BREAKFAST◦ 1 large bagel (4 oz)◦ 1 tsp margarine◦ ½ cup orange juice◦ 1 cup skim milk
DINNER◦ Spaghetti noodles 1 cup◦ Spaghetti sauce ½ cup◦ Tossed salad with lettuce, tomato◦ 2 Tbs salad dressing◦ Garlic Bread 2 slices (2 oz)◦ Coke
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