A special thank you to Meijer for hosting this shopping tour! Shopping with a Focus on Diabetes General Guidelines: The foods we choose can affect our health. Eating a healthy diet can: Help you control your blood sugars and blood lipids Help you maintain a healthy weight or lose weight if you are overweight Allow you to take less medication or avoid taking medication for your diabetes Prevent complications from high blood sugars like nerve problems, kidney problems, and vision problems Prevent other complications like heart disease and circulatory problems Make a shopping list and stick with it! For quick menu planning assistance visit websites such as www.diabetescare.net and www.meijermealbox.com/healthy-living. The Meijer site also suggests weekly dinner menus that are easy, healthy and based on weekly sale items at Meijer. Recipe ideas. Take advantage of the recipe kiosk located in the produce department. Choose variety. When shopping, make sure to add things to your cart from the different food groups: fruits and vegetables, whole grains, lean meats and beans, and low-fat dairy products. Use NuVal and Read labels. Compare the calorie, fat and nutrition content between brands and varieties of your favorite foods. Carbohydrate Counting Carbohydrate counting, or "carb counting," is a meal planning technique for managing your blood glucose levels. Foods that contain carbohydrate raise blood glucose. By keeping track of how many carbohydrates you eat and setting a limit for your maximum amount to eat, you can help to keep your blood glucose levels in your target range. Finding the right amount of carbohydrate depends on many things including how active you are and what, if any, medicines you take. How Much Carbohydrate? Your dietitian will give you a more specific calorie and carbohydrate amount that is best for you, but these are general guidelines that you may find helpful: Carbohydrate intake should not fall below 130 grams per day. In general, women should consume 45 to 60 grams of carbohydrates per meal plus 1 to 2 snacks of 15 to 30 carbohydrates. In general, men should consume 60 to 75 grams of carbohydrates per meal plus 1 to 2 snacks of 15 to 30 carbohydrates. Using Food Labels Carbohydrate counting is easier when food labels are available. You can look at how much carbohydrate is in the foods you want to eat and decide how much of the food you can eat. The two most important lines with carbohydrate counting are the serving size and the total carbohydrate amount. Look at the serving size. All the information on the label is about this serving of food. If you will be eating a larger serving, then you will need to double or triple the information on the label. Look at the grams of total carbohydrate. o Total carbohydrate on the label includes sugar (natural and added sugar), starch, and fiber. o Know the amount of carb you can eat, figure out the portion size to match. NOTE: You’ll find that sugar-free product varieties often have the same amount of carbohydrates as traditional products. Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 2 General Label Info General Guide to Calories: 40 calories is low 100 calories is moderate 400 calories or more is high Quick Guide to Percent Daily Values 5% or less is low 20% or more is high Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 3 Create Your Plate (American Diabetes Association) Five Easy Steps to Create Your Plate Using your dinner plate, put a line down the middle of the plate. 1. Then on one side, cut it again so you will have 3 sections on your plate. 2. Fill the largest section with non-starchy vegetables such as: 1. spinach, carrots, lettuce, greens, cabbage, bok choy 2. green beans, broccoli, cauliflower, tomatoes, 3. vegetable juice, salsa, onion, cucumber, beets, okra, 4. mushrooms, peppers, turnip 3. Now in one of the small sections, put starchy foods such as: 1. whole grain breads, such as whole wheat or rye 2. whole grain, high-fiber cereal 3. cooked cereal such as oatmeal, grits, hominy, or cream of wheat 4. rice, pasta, dal, tortillas 5. cooked beans and peas, such as pinto beans or black-eyed peas 6. potatoes, green peas, corn, lima beans, sweet potatoes, winter squash 7. low-fat crackers and snack chips, pretzels, and fat-free popcorn 4. And then on the other small section, put your meat or meat substitutes such as: 1. chicken or turkey without the skin; fish such as tuna, salmon, cod, or catfish; other seafood such as shrimp, clams, oysters, crab, or mussels 2. lean cuts of beef and pork such as sirloin or pork loin 3. tofu, eggs, low-fat cheese 5. Add an 8 oz glass of non-fat or low-fat milk. (or 6 oz. container of light yogurt or a small roll if you don’t drink milk) 1. And a piece of fruit or a 1/2 cup fruit salad and you have your meal planned. Examples are fresh, frozen, or canned in juice or frozen in light syrup or fresh fruit. Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 4 Aisle-by-Aisle Guide: Produce Department o o o o o Buy several different colors of fruits and vegetables to get the advantage of all the nutrients and antioxidants they contain. (Red, Green, Yellow/Orange, Blue, White) Good sources of vitamins, minerals and fiber Seasonal items are usually less expensive and more flavorful Wash all items under cold running water being sure to remove any visible dirt Choose items that are already pre-washed and cut up if time is an issue for you when preparing meals and snacks Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 5 Grains and Breads – Half of your grain servings should be whole grains o Read labels to find whole-grain breads. The first ingredient listed should be a whole grain, such as: 100% whole-wheat flour o o o o Whole oats or oatmeal Cracked wheat o Brown rice Look for items that contain at least 2.5 grams of dietary fiber per serving. Whole-grain corn Barley Bulgur Bread: choose bread that has no more than 3 grams of fat per serving, less than 1 gram of saturated fat per serving and at least 2.5 grams of fiber. Choose 100% whole wheat breads, whole-wheat pita bread, whole-wheat pasta, and whole-grain snack crackers. In the rice aisle, look for whole-grain brown rice. Flavored and instant prepackaged cereal, rice, and pasta mixes tend to be higher in sugar, fat and sodium. Look for whole-grain mixes like bulgur wheat, quinoa, and flavored brown rice dishes. Stock up on whole grain cereals and oatmeal. Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 6 Meats Good source of protein, iron & zinc Also contains cholesterol and saturated fat Limit breaded and fried options white meat cuts like the breast are lower in calories and fat Buy skinless cuts, or remove the skin yourself before cooking or eating. o o o Try turkey cutlets, boneless skinless chicken breasts, and lean ground turkey breast made from 100% turkey breast. Pork: For lean cuts, look for the words, loin or leg. Try sliced pork loin or lean ground pork. Beef: Beef cuts are now labeled with the percent of fat they contain — choose cuts that are 90-95% lean. For lean cuts, choose “loin” or “round” – eye of round, top round, round tip, top sirloin, top loin, tenderloin. Cured and processed meats may be higher in sodium. Seafood: High in protein and low in saturated fat. Fish: Good source of Omega-3’s include tuna, mackerel, salmon, halibut, and cod. Shellfish: Shellfish is also good in moderation as they are higher in cholesterol, but they are low in fat. Try crab or grilled shrimp on top of a salad. Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 7 Snack aisle Most importantly, check serving size, calories and carbohydrates. o o o o If you decide to choose a low-fat or reduced-fat chip, read and compare labels. Often fat-free or reduced-fat chips have the same number of calories as regular chips, so make sure you keep portions small and don't eat directly out of the bag. Take Snack Tips: your portion, and put the bag away. Choose snacks that: Don't pass up the rice cakes and popcorn cakes. Caramel rice cakes are delicious, crunchy, and sweet. Look for other flavors to satisfy a crunch-craving without all the fat and calories of regular potato chips. Try soy crisps! do not contain more than 3 grams of fat per serving do not contain more than 1 gram of saturated fat per serving Reduced-fat microwave popcorn is a great snack. There are also single-serving microwave popcorn bags, which can help with portion control. Chocolate craving? A moderate portion of dark chocolate can actually be heart healthy. Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 8 Canned Foods o o o o Soups: Keep an assortment of soups stocked in your pantry. Choose lower fat, lower sodium varieties. Add cooked whole wheat pasta and frozen veggies to give more of a nutritious boost. Canned Fruits: Choose canned fruits packed in juice or water instead of heavy syrup. Canned Vegetables: Look for salt-free varieties. Canned Beans: Beans are a great protein source and they are full of fiber. Choose low sodium options or rinse the beans under water before you use them to reduce the sodium content. Add beans to soups, tacos, casseroles or salads. One ½ cup of dried beans such as black and pinto beans contains approximately 15 grams of carbohydrates. Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 9 Dairy Department – choose low-fat or fat-free dairy products Excellent sources of calcium and protein. o o o o Yogurt: Compare nutrition labels and NuVal scores. Greek yogurt contains more protein. Watch for added sugars. Yogurt contains carbohydrates. Cheese: Choose reduced-fat and fatfree cheeses. Choose cheeses with more flavor so you can use less (ex. sharp Cheddar, parmesan, aged swiss). Typically, cheese does not contain carbohydrates. Cheese Guide Low-fat Cheese: 3 grams of fat or less per ounce Moderate Fat Cheese: 4-7 grams of fat per ounce High Fat Cheese: 8 or more grams of fat per ounce Milk: Switch to 1% or fat-free milk to help reduce your fat intake. If you don't like fat-free, try switching gradually. Start with 2% milk and then gradually work your way to fat-free. Milk contains carbohydrates. Eggs: Eggs are a great source of protein, iron, vitamin A. Egg whites contain protein while the yolk contains the fat and cholesterol. Both contain nutrients. Or you can choose cholesterol-free egg substitutes, as well. o Margarine: Look for margarine that has zero (0) trans fats. Tub margarines do not contain trans fats. Some margarines have plant sterols added to help lower cholesterol. Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 10 Don’t forget your store’s pharmacy department. They have a variety of diabetes products and pharmacists to help you. Some examples: Immediate release metformin and atorvastatin (These are available free at Meijer Pharmacies.) Diabetes testing section including availability of A1C testing, diabetes foot care Oral Nutritional supplements such as Glucerna Immunizations available, including flu and Hepatitis B which are recommended for anyone with diabetes. Shingle immunizations are also available. Diabetes Care Pharmacists available at many stores including all Meijer store locations. Source: Carbohydrate counting information adapted from the American Diabetes Association at http://www.diabetes.org/food-and-fitness/food/planning-meals/carbcounting/ Provided By: Janine Faber, MEd, RD, LD Meijer Dietitian and Healthy Living Advisor and Julie Shapero, MEd, RD, LD, Northern Kentucky Health Department Page 11
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