Page 268 - fourth year book
P. 268

DIABETES MELLITUS



                General Dietary Considerations

               Meal planning            1.  Assessment of dietary intake.


                                        2.  Meals  and  food  intake  should  be  planned  in
                                            relation to economic factors, availability, cultural

                                            and social value.

                                        3.  Dietary  counseling  should  be  a  continuing
                                            process  to  be  reinforced  during  each  visit  by  all

                                            members of the health team.

                                        4.  Meals  should  be  evenly  distributed  throughout

                                            the day.

                                        5.  Consistency  of  food  timing  and  energy  intake
                                            from day to day should be emphasized especially

                                            by those taken insulin.



                Dietary care plan estimated by the following steps:
                   1)  Calculate ideal body weight = height – 100.

                   2)  Calculate the daily caloric requirements= ideal body weight* level

                      of activity.
                   3)  Divide the calories of day among meals per day.


               Meals          &          Calories             Composition of                 Gram
               Snacks                  distributed              Diet-Calories



               Breakfast               20% of total            CHO = 50% of
                                        calories =                 breakfast


                                    20*total calories          Proteins = 20%
                                           /100                    breakfast
                                                                                         CHO gram=
                                                            Fats =30% breakfast
                                                                                        CHO calories
               Snack                   10% of total                                            / 4

                                        calories =

                                    10*total calories                                      Proteins

                                           /100                                             gram=



                                                          237
   263   264   265   266   267   268   269   270   271   272   273