When helping an adult client plan a diabetic diet, it is important to include:
1. At least 130 gm of carbohydrates because they are a critical source of energy for the brain.
2. Only a small amount of foods with high fiber content (< 1%) to avoid constipation.
3. No fewer than 100 grams of simple carbohydrates because complex carbohydrates take much longer to metabolize.
4. Low-fiber foods to improve insulin sensitivity.
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Rationale: The American Diabetic Association does not specify a maximum amount of carbohydrates to be consumed daily, but the minimum recommendation is 130 grams/day from various fruits, vegetables, legumes, and whole grains. The addition of high-fiber foods is an important component in healthy bowels. Complex carbohydrates are recommended over simple carbohydrates which are high in calories and low in nutritional value. High-fiber foods are highly recommended as a source of complex carbohydrates and have been associated with improved insulin sensitivity.
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