Hello, i am gbola, the dietitian here at shadow general. i read in her ehr that ms. jones has diabetes, and is on medicine for diabetes and nausea. i was going to go in to educate and take her menu order. given her medical conditions and preferences, what do you think are some important teaching points about diet for ms. jones

When controlling or managing diabetes,diet so given a major consideration,the amount of calories that should be maped out to each type of food for Ms Jones will be approximately 55-50% carbohydrate,12-20% protein and less than 30% fats.

Some certain types of carbohydrates example;some sugar,honey, beverages,sweets,jam, will be strictly limited in the diet of Ms Jones and can only be eaten as part of meal not as a whole meal inorder prevent rapid increase in blood sugar levels.

Unrefined carbohydrates like beans, fruits and vegetables,unripe plantain, potatoes,whole grain breads, millets,guinea corn with fibre and cereals,will be will be give to her in place of the refined carbohydrates.

Foods with a high soluble fibre content improves glucose tolerance,lower insulin secretion,reduce hyperglycemia and glucosuria and lower lipoprotein levels,the mechanism of action of fibre achieving these results is not entirely understood but there is an improvement in glycemia and lipid regulation.Therefore,foods with a high soluble fibre content will be greatly included in Ms Jones diet regimen.

In the selection of fat for her,the substitution of unsaturated fats is recommended because of the diabetic predisposition to development of arteriosclerosis and vascular lesions.

There is also a great need for adequate water intake to prevent dehydration.

To crown it all, Ms Jones will not go into diabetes coma, develop diabetic ketoacidosis or develop any other complications of diabetes if she strictly monitor her diet, excercise moderately and regularly,keep her urine sugar free and is careful about her insulin administration.

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