Outline the basic principles for Mitch's nutrition therapy to assist in control of his DM
What will be an ideal response?
• Consistent carbohydrates throughout the day:
- Carbohydrate counting: 1 serving of carbohydrates is 15 g
- Educate patient on label reading to determine carbohydrate content
- Teach patient to recognize foods that are low in carbs and foods high in carbs
• Insulin therapy: his HbA1c is greater than 9%, which warrants insulin therapy to help with blood glucose control and to prevent another episode of HHS.
- ICR: 15 g : 1 unit insulin
• Glucose-lowering medications if pt. is willing to comply.
• Choose snacks low in sugar such as vegetables. Sugar-free substitutes should be used as alternatives to sugary snacks.
• Healthy carbohydrate options include vegetables, fruits, whole grains, legumes, and dairy products.
• Limit amount of saturated fat, total fat, and trans fatty acids in the diet to help improve cholesterol profile and reduce risk of CVD.
• Weight reduction/increased exercise may improve insulin-resistance.
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