DINING WITH DIABETES Ohio State University Extension Signature Program Program Objectives • Increase knowledge about healthy foods • Present healthy versions of familiar foods • Demonstrate new cooking techniques • Provide taste testing of new recipes • Provide basic information regarding diabetes and nutrition • Provide opportunities for sharing and learning from one another and from diabetes health professionals Carbohydrates and Sweeteners Day 1 Overview • Diabetes: A Balancing Act • Meal Planning • • Carbohydrates • The Plate Method • Food Labels • Portion Sizes Artificial Sweeteners The Diabetes Balancing Act Physical Activity Meals Medications Exercise: An Important Part of a Healthy Lifestyle • • • Exercise and diet work together Aim for 150 minutes of physical activity each week Check with your physician when starting a new exercise program Tests that Help with Diabetes Control • Hemoglobin A1C • Total Cholesterol, LDL, HDL • Triglycerides • Micro albumin • Blood Pressure • Dilated Eye Exam • Foot Exams • Home Glucose Testing • Immunizations Know Your Numbers • Blood Pressure • Cholesterol and Triglycerides • Fasting Glucose • A1C • BMI • Waist Circumference Meal Planning What is Carbohydrate • 1 carbohydrate serving = 15 grams of carbohydrate • Food groups containing carbohydrates • Grain • Fruit • Starchy vegetable • Milk/yogurt The Plate Method: A Tool for Diabetes Meal Planning Fruit Milk Meat Starches Vegetables Grains and Starches • Contain carbohydrates • 1 serving = 15 grams of carbohydrate • Note these equivalents: • • • • • • • 1 slice bread ½ cup cooked cereal ¾ cup dry cereal ½ cup beans ⅓ cup cooked pasta or rice ½ cup starchy vegetables Potatoes, peas, corn, lima beans Fruit Milk Meat Starches Vegetables Vegetables • • Includes non-starchy vegetables • Spinach, broccoli, Brussels sprouts, cauliflower, kale, carrots, tomatoes, cucumbers, Fruit lettuce, etc. Milk Note ½ cup equivalents • • • • ½ cup raw dense vegetables ½ cup cooked vegetables 1 cup raw, leafy vegetables 6 baby carrots Meat Starches Vegetables Fruit • Contain carbohydrates • 1 serving = 15 grams of carbohydrate • Note these ½ cup equivalents: • • • • • • 1 small fresh fruit ½ cup cut fresh fruit ½ cup canned fruit Canned in its own juice ¼ cup dried fruit ½ cup fruit juice Fruit Milk Meat Starches Vegetables Milk and Yogurt • Contain carbohydrates • 1 serving = 15 grams of carbohydrate • Choose low fat and fat free options • Fruit Milk Note these equivalents: • • 8 fluid ounces milk 1 cup yogurt (plain) Meat Starches Vegetables Meat and Meat Alternatives • Go lean with protein • Note these 1 ounce meat equivalents: • • • • • • 1 oz.. meat, poultry or fish ½ cup beans, peas, or tofu • Contribute carbohydrates 1 egg 1 oz.. cheese ¼ cup cottage cheese 1 tablespoon peanut butter Fruit Milk Meat Starches Vegetables Sample Day – 1800 Calories Remember, 1 carbohydrate serving equals 15 grams of carbohydrates Breakfast – 3 carb servings (45 g) Snack – 2 carb servings (30 g) Lunch – 3 carb servings (45 g) Snack – 2 carb servings (30 g) Dinner – 3 carb servings (45 g) Snack – 2 carb servings (30 g) Food Labels Total Carbohydrate 31 g Dietary Fiber 3g Look at the “Total Carbohydrate” to determine the carbohydrates in a food item Downsize Portion Sizes • • The bigger the portion, the more people tend to eat Larger portions add up! • • 100 extra calories per day will add up to a 10 pound weight gain in one year Know the right sized portion to keep calorie intake in check A Few Serving Size Visuals 4 stacked dice = 1 oz. of cheese Deck of cards = 3 oz.. of meat Baseball = medium potato or fruit 1 cup cold cereal Compact disk = pancake Artificial Sweeteners Types of Artificial Sweeteners Stevia Aspartame Saccharin Sucralose Acesulfame Potassium Baking with Artificial Sweeteners Sugar Sweet Taste Color Tenderness Moisture Volume Artificial Sweeteners Sweet Taste Tips for Using Artificial Sweeteners • Check official websites • Replacing sugar with artificial sweeteners • • Start with a little and add more if needed • Combine different classes of sweeteners Different recipes work well with different sweeteners More Tips • • Try flavoring agents Using pudding or dry milk to add volume and moisture • Small amounts of sugar are acceptable Try These Websites Artificial Sweeteners caloriecontrol.org WebMD diabetes.webmd.com/artificialsweeteners-diabetes-patients Mayo Clinic mayoclinic.com/health/artificialsweeteners/AN00348 Academy of Nutrition and Dietetics eatright.org American Diabetes Association diabetes.org What’s Next • Fats and Sodium • More about the Plate Method • Heart Healthy Tips • More Recipes to Sample What Questions Do You Have? CREDITS: American Diabetes Association Food and Drug Administration Ohio State University Extension Diabetes Education Team West Virginia University Extension Christine Kendle, MS, RD, LD, Tuscarawas County Family and Consumer Sciences Educator, Ohio State University Extension
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