MNT for Diabetes Mellitus: Additional

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1
a heterogeneous group of diseases of the endocrine system with common symptoms
Diabetes
2
fasting glucose of 100-125 mg/dL
Impaired Fasting Glucose (IFG)
3
2 hour post challenge glucose of 140 to 199 mg/dL
Impaired Glucose Tolerance (IGT)
4
Increased blood sugar
Hyperglycemia
5
Excessive thirst
Polydipsia
6
Excessive urination
Polyuria
7
Increased appetite
Polyphagia
8
Accumulation of ketone bodies
Ketosis
9
Excretion of sugar in urine
Glycosuria
10
Excretion of ketone bodies in urine
Ketonuria
11
Decreased capacity of the tissues to heal leads to?
Gangrene
12
What are the antagonists of insulin? (3)
1. Glucagon
2. Adrenal Glucocorticoids
3. Growth Hormone
13
T or F: There is not a "one size fits all eating pattern for individuals with diabetes"
True!
14
A1C levels must decrease by
_ to _% in Type I DM
_ to _% in Type II DM
1.0 to 1.9% in Type I DM
0.3 to 2% in Type II DM
15
What are the MNT Goals in those with diabetes? (4)
1. Normal or as near normal as possible glucose, lipids, and BP
2. Prevent or slow down the rate of development of chronic complications
3. Address individual nutrition needs
4. Maintain pleasure of eating by only limiting food choices when indicated by scientific evidence
16
What is the recommended diet for DM? (3)
Low Kcal - for weight loss
Mediterranean eating pattern
Low Carbohydrate
17
What are the MNT goals for Type I DM?
1. Adequate energy
2. Total carbohydrate content
3. Consistency of carbohydrate intake
18
What is CAMP COPE?
Children Overcoming Diabetes Problems Everywhere
19
What is the duration of Short-acting, Intermediate, and Long-acting Insulin?
Short-acting: 6-8 hours
Intermediate: 28-30 hours
Long-acting: 24-36 hours
20
Make-up Diet
CHO: _% convertible to glucose
PRO: _% convertible to glucose
FAT: _% convertible to glucose
100, 58, 10
21
What are the MNT goals for Type 2 DM? (5)
1. Mild to moderate weight loss even if DBW is not achieved
2. Nutritional balance
3. Meal spacing
4. Physical activity
5. Coordinating insulin and exercise through meal timing
22
What is the recommended CPF Distribution for DM?
C: 45 - 60%
P: 15 - 20%
F: 20 - 30%
23
Body weight is found to affect (3)
1. Insulin requirements
2. Insulin resistance
3. Subsequent management of blood glucose
24
For DM patients with Hypertension, how much sodium?
Mild to Moderate Hypertension:
With nephropathy, hypertension and edema:
<2400 mg/day
<2000 mg/day
25
1 drink is equally to?
_ oz of beer
_ oz of wine
_ oz of 80 proof spirits
12, 5, 1.5
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