Page 265 - fourth year book

DIABETES MELLITUS

The Elements of diabetes management plan:

1) Non-pharmacologic management of diabetes and life style
intervention

a) Dietary modifications.
b) Physical activity.

2) Pharmacologic management of diabetes.
3) Monitoring and follow up.

4) Psychosocial assessment and care.
5) Diabetes self-management education.

1) Non-pharmacologic management and life style intervention of
diabetes.

a) Dietary modifications.

The goals of Medical Nutrition Therapy ( MNT) that apply to all persons

with diabetes mellitus are as follows:

 To control and maintain the ABCs of diabetes.

 To prevent and treat the chronic complications of diabetes.
 To provide individual’s nutritional needs, and adequate calories in

order to promote a healthy weight.
 To improve health through healthy food choices and physical

activity.
 Daily Caloric Requirement: (Kcal/Kg)

The total daily caloric requirement should be determined according to
activity level:

Sedentary Life Moderate Very Active

Activity

Obese 25 Kcal./kg 30 Kcal./kg 35 Kcal./kg

Average weight 30 Kcal./kg 35 Kcal./kg 40 Kcal./kg

Under-weight 35 Kcal./kg 40 Kcal./kg 45 Kcal./kg

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