Nutrition in Diabetes Mellitus

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  • Created by: Becca
  • Created on: 22-12-13 23:31
Define type 1 & type 2 diabetes.
Type 1: genetic, pancreatic B-cell destruction, insulin deficiency (dependent). Type 2: tissue resistant to insulin, 75% obese, non-dependent
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What is metabolic syndrome?
Central obesity + two of the following: raised triglycerides/HDL cholesterol/BP/fasting glucose
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What are nutritional therapies for both types of diabetics?
Type 1: integrate insulin regime into lifestyle, count CHOs, consistent day-to-day CHO. Type 2: lifestyle changes to improve glycaemia/dyslipidaemia/BP, reduce energy intake
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What carbohydrate changes should be made?
Consistent day-to-day, 55-65% energy requirements, low GI, avoid low CHO 'fad' diets, 44-50g fibre/day, alcohol is safe within recommended guideline
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What effects can protein have on diabetics?
Should not be used to treat night-time hypoglycaemia, can increase acute insulin responses, high protein intake may impair renal function in individuals with chronic kidney disease
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What fat changes should be made?
Limit fat to
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What is the significance of hypoglycaemia during exercise in type 1 diabetes?
Systemic insulin concentrations considerable higher than normal, high circulating insulin may suppress hepatic glucose output, lack of glucagon impairs hepatic glucose output/suppress FFA mobilisation from adipose. Lower insulin does before exercise!
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What is the significance of carbohydrate ingestion & exercise?
CHO ingestion prior to exercise will increase liver glycogen. Ingestion during prolonged exercise will improve performance. Ingestion immediately after will maximise liver & muscle glycogen recovery
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Other cards in this set

Card 2

Front

What is metabolic syndrome?

Back

Central obesity + two of the following: raised triglycerides/HDL cholesterol/BP/fasting glucose

Card 3

Front

What are nutritional therapies for both types of diabetics?

Back

Preview of the front of card 3

Card 4

Front

What carbohydrate changes should be made?

Back

Preview of the front of card 4

Card 5

Front

What effects can protein have on diabetics?

Back

Preview of the front of card 5
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