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    for People with Diabetes and Their Families

    September 2008 CS115685NDEP-51

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    The U.S. Department of Health and

    Human Services National Diabetes

    Education Program is jointly sponsored

    by the National Institutes of Health and the

    Centers for Disease Control and Prevention

    with the support of more than 200 partner

    organizations.

    2

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    Rcp Boo

    What is diabetes?

    Diabetes means that yourblood glucose (blood sugar)is too high. Glucose comesfrom the food we eat. Anorgan called the pancreas(PAN-kree-as) makes insulin(IN-suh-lin). Insulin helpsglucose get from your bloodinto your cells. Cells take

    the glucose and turn it intoenergy.

    When you have diabetes,your body has a problemmaking or properly usinginsulin. As a result, glucosebuilds up in your blood andcannot get into your cells. Ifthe blood glucose stays toohigh, it can damage yourbody.

    What are the symptoms ofdiabetes?

    Common symptoms ofdiabetes include:

    Having to urinate often. Being very thirsty.

    Feeling very hungry or tired.

    Losing weight without trying.

    But many people withdiabetes have no symptomsat all.

    Why should I be concernedabout diabetes?

    Diabetes is a very seriousdisease. Do not be misled byphrases that suggest diabetesis not a serious disease,such as a touch of sugar,

    borderline diabetes, or myblood glucose is a little bit

    high.

    Diabetes can lead to otherserious health problems.When high levels ofglucose in the blood are notcontrolled, they can slowlydamage your eyes, heart,

    kidneys, nerves, and feet.

    What are the types ofdiabetes?

    There are three main types ofdiabetes.

    Type 1 diabetesIn thistype of diabetes, thebody does not makeinsulin. People with type1 diabetes need to takeinsulin every day.

    Type 2 diabetesIn thistype of diabetes, the bodydoes not make enoughinsulin or use insulin well.

    Some people with type2 diabetes have to takediabetes pills, insulin, orboth. Type 2 diabetes isthe most common form ofdiabetes.

    Gestational diabetesThistype of diabetes can

    occur when a womanis pregnant. It raises therisk that both she andher child might developdiabetes later in life.

    3

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    Good news!You can control diabetes.

    Diabetes can be managed.You can successfully managediabetes and avoid the

    serious health problems itcan cause if you follow thesesteps:

    Ask your doctor how youcan learn more aboutyour diabetes to help youfeel better today and inthe future.

    Know your diabetes

    ABCs (see page 5). Make healthy food

    choices and be physicallyactive most days.Following this advice willhelp you keep off extrapounds and will also helpkeep your blood glucoseunder control.

    Check your blood glucoseas your doctor tells you to.

    If you are taking diabetesmedications, take themeven if you feel well.

    To avoid problems withyour diabetes, see yourhealth care team at least

    twice a year. Finding andtreating any problemsearly will prevent themfrom getting worse. Askhow diabetes can affectyour eyes, heart, kidneys,nerves, legs, and feet.

    Be actively involved inyour diabetes care. Workwith your health careteam to come up with aplan for making healthyfood choices and beingactivea plan that youcan stick to.

    Creating a healthy mealplan.

    This recipe booklet is a placeto start creating healthymeals. Ask your doctor to

    refer you to a registereddietitian or a diabeteseducator who can help youcreate a meal plan for youand your family. The dietitianwill work with you to comeup with a meal plan tailoredto your needs. Your mealplan will take into account

    things like: Your blood glucose levels.

    Your weight.

    Medicines you take.

    Other health problemsyou have.

    How physically active youare.

    Making healthy food choices.

    Eat smaller portions. Learnwhat a serving size is fordifferent foods and howmany servings you needin a meal.

    Eat less fat. Choose fewerhigh-fat foods and useless fat for cooking. Youespecially want to limitfoods that are high insaturated fats or trans fat,such as:

    Fatty cuts of meat.

    Whole milk and dairyproducts made from

    whole milk.Cakes, candy, cookies,crackers, and pies.

    Salad dressings.

    Lard, shortening, stickmargarine, and nondairy creamers.

    Fried foods.

    4

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    Your Diabetes ABCs.

    A stands for A1C test. This test measures youraverage blood glucose levels for the past threemonths. Your doctor should test your A1C at leasttwice a year. For most people with diabetes, the goalis to have an A1C score of less than 7.

    B stands for blood pressure, a measurement of howhard your heart needs to work to keep your bloodcirculating. For most people with diabetes, the goal isto keep blood pressure below 130/80.

    C stands for cholesterol, a fat found in your blood.There are two kinds of cholesterol: LDL, or badcholesterol, and HDL, or good cholesterol. Formost people with diabetes, the goal is to keep:

    LDL cholesterol below 100.

    HDL cholesterol above 40 (HDL for men > 40and for women > 50).

    Ask your doctor what you can do to reach your targets for A1C,blood pressure, and cholesterol.

    5-

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    Eat more fiber by eatingmore whole-grain foods.Whole grains can befound in:

    Breakfast cereals made

    with 100% wholegrains.

    Oatmeal.

    Whole grain rice.

    Whole-wheat bread,bagels, pita bread, andtortillas.

    Eat a variety of fruits andvegetables every day.Choose fresh, frozen,canned, or dried fruit and100% fruit juices mostof the time. Eat plenty ofveggies like these:

    Dark green veggies(e.g., broccoli, spinach,

    brussel sprouts).Orange veggies(e.g., carrots, sweetpotatoes*, pumpkin,winter squash).

    Beans and peas (e.g.,black beans*, garbanzobeans*, kidney beans*,

    pinto beans*, splitpeas*, lentils*).

    *Portions of these vegetables count asa bread exchange. (See discussion ofExchange Method below if you are notalready familiar with it.)

    Note: There are several ways to makea diabetes meal plan. One popular andflexible approach is the Exchange Program

    method, which provides a quick way toestimate energy, carbohydrates, protein,and fat content in any food or meal. Foodfrom each exchange (starch, meat andmeat substitute, fruit, vegetable, milk,and fat) is defined so that one serving ofeach food contains the same amount ofcarbohydrate, protein, fat, and energy(calories). Another method is carbohydratecounting. Using this method, you focus oneating a specific number of carbohydratesat specific times of the day.

    Eat fewer foods that arehigh in sugar, such as:

    Fruit-flavored drinks.

    Sodas.

    Tea or coffeesweetened with sugar.

    Use less salt in cookingand at the table. Eat fewerfoods that are high in salt,such as:

    Canned and packagesoups.

    Canned vegetables.Pickles.

    Processed meats.

    6

    Never skip meals. Stickto your meal plan as bestyou can.

    Limit the amount ofalcohol you drink.

    Make changes slowly.It takes time to achievelasting goals.

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    Following a meal plan thatis made for you will helpyou feel better, keep yourblood glucose levels in yourtarget range, take in the rightamount of calories, and getenough nutrients.

    Where can you learn moreabout making a diabetesmeal plan?

    Contact a registereddietitian to make a mealplan just for you.

    Visit the AmericanDietetic Association Website to find a nutritionprofessional that can helpyou develop a healthymeal plan(www.eatright.org).

    Visit the AmericanAssociation of DiabetesEducators to find a

    diabetes educator (www.diabeteseducator.org).

    Visit the AmericanDiabetes Association Website for more informationon carbohydrate countingand the exchange method(www.diabetes.org).

    Visit http://diabetes.org/uedocuments/DiabetesBasics0407.pdf toget more information oncarbohydrate counting.

    Where can you learn how to

    read food labels?You can learn a lot aboutfoods by reading food labels.Visit these Web sites to learnmore about reading foodlabels:

    U.S. Food and DrugAdministration (www.

    cfsan.fda.gov/~dms/foodlab.html).

    U.S. Department ofAgriculture (www.fns.usda.gov/tn/Resources/Nibbles/healthful_labels.pdf).

    American DiabetesAssociation (www.diabetes.org/nutrition-andrecipes/nutrition/foodlabel.jsp).

    7

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    Get moving!

    Being physically active canreduce your risk for type 2diabetes.

    Engage in moderate-

    intensity physical activityat least 30 minutes perday on five days of theweek.

    To meet the goal of30 minutes a day ofmoderate-intensityphysical activity, you

    dont have to do all 30minutes at once. You canget the health benefit frombreaking 30 minutes upinto three 10-minute ortwo 15-minute sectionsthroughout the day.

    Examples of moderate-intensity physical activity

    are:Biking at a casualpace.

    Actively playing withyour children.

    Yard work (raking/bagging leaves or usinga lawn mower).

    If you want to lose weightor prevent regainingweight, you might needto do 60 to 90 minutesof moderate-intensityphysical activity a day onmost days.

    Are your family members atrisk for diabetes?

    Your family members mightbe at risk for diabetes. Thingsthat increase their risk ofgetting diabetes include:

    Being 45 years of age orolder.

    Having a parent, brother,or sister with diabetes.

    Having a familybackground of AfricanAmerican, Hispanic/

    Latino, American Indian,Asian American, or PacificIslander descent.

    Having diabetes duringpregnancy (gestationaldiabetes) or giving birth toa baby weighing 9 poundsor more.

    Being told that theirglucose levels are higherthan normal.

    Being told that their bloodpressure is 140/90 orhigher.

    Having cholesterol (lipid)levels that are not normal.

    Being fairly inactivedoing physical activity lessthan three times a week.

    Most people who developtype 2 diabetes have prediabetes first, which meansyour blood glucose levelsare higher than normal butnot yet high enough for

    diabetes. People with prediabetes are at a higher riskfor a heart attack and stroke,not just diabetes. If you orsomeone else in your familyhas diabetes, then otherfamily members might havepre-diabetes and not know it.

    Good news! Type 2 diabetescan be prevented or delayed.

    According to the DiabetesPrevention Programstudy (DPP), diabetes is apreventable and controllablechronic disease. The study

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    suggests individuals canprevent or delay the onset oftype 2 diabetes if they:

    Lose 5 to 7 percent oftheir weight, if they

    are overweightthat is10 to 14 pounds for a200-pound person.

    Maintain the weight losswith a healthy diet byeating a variety of foodsthat are low in fat andreducing the number ofcalories eaten per day.

    Get at least 30 minutesof moderate-intensityphysical activity (briskwalking, yard work, oractively playing withchildren) five days a week.

    Remember, the tips andtasty recipes in this bookletare not just for peoplewith diabetesthey are forthe whole family! Makinghealthy food choices andbeing physically active aregood for everyone.

    Where can I learn more? Find out what else you can

    do to prevent and controldiabetes by visiting:

    http://ndep.nih.gov/diabetes/prev/prevention.htm.

    http://ndep.nih.

    gov/campaigns/ControlForLife/ControlForLife_index.htm.

    www.cdc.gov/diabetes.

    For more informationon weight control, visitthe Weight-controlInformation Network athttp://win.niddk.nih.gov.

    For materials in Spanish,go to:

    http://win.niddk.nih.gov/publications/index.htm#spanish.

    www.cdc.gov/diabetes/spanish/index.htm.

    The National Diabetes

    Education Programs Control

    Your Diabetes. For Life.

    campaign and the brochure 4

    Steps to Control your Diabetes.

    For Life. can help you learn

    how to manage your diabetes.

    To order materials on diabetes

    control, call;1-888-693-NDEP or visit

    www.ndep.nih.gov.

    To order this recipe

    booklet, ask for

    Code NDEP-51.

    To speak with a bilingual

    operator, or to order printer-

    ready files to reproducematerials, call;

    1-800-860-8747.

    Publication Date:

    September 2008

    The U.S. Department of Health

    and Human Services National

    Diabetes Education Program

    is jointly sponsored by the

    National Institutes of Healthand the Centers for Disease

    Control and Prevention with

    the support of more than 200

    partner organizations.

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    Spanish Omelet /Tortilla espaola

    ts sy ds provds y rry o vgbs

    d c b usd or brs, bruc, or y

    ! Srv w rs ru

    sd d wo gr

    dr ro.

    Ingredients:

    5 small potatoes,peeled and sliced

    Vegetable cooking spray

    medium onion,minced

    1 small zucchini, sliced

    1 cups green/redpeppers, sliced thin

    5 medium mushrooms,

    sliced3 whole eggs, beaten

    5 egg whites, beaten

    Pepper and garlic saltwith herbs, to taste

    3 ounces shreddedpart-skim mozzarella

    cheese1 Tbsp. low-at

    parmesan cheese

    Directions:

    Preheat oven to 375 F.

    Cook potatoes in boiling wateruntil tender.

    In a nonstick pan, add vegetablespray and warm at medium heat.

    Add onion and saut until brown.Add vegetables and saut untiltender but not brown.

    SpaniSh

    O m e

    10

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    In a medium mixing bowl, slightlybeat eggs and egg whites, pepper,garlic salt, and low-fat mozzarellacheese. Stir egg-cheese mixtureinto the cooked vegetables.

    In a 10-inch pie pan or ovenproofskillet, add vegetable spray andtransfer potatoes and egg mixtureto pan. Sprinkle with low-fatparmesan cheese and bake untilfirm and brown on top, about2030 minutes.

    Remove omelet from oven, coolfor 10 minutes, and cut into fivepieces.

    l e t

    11

    Exchanges:

    Me

    Bred

    Vegeble

    F

    2

    2

    2

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

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    Beef or Turkey Stew / Carnede res o de pavo guisada

    ts ds gos cy w

    gr uc d

    cucubr sd d drro. Ps or cor c b

    usd pc o poos.

    Ingredients:

    1 pound lean bee orturkey breast, cut intocubes

    2 Tbsp. whole wheatour

    tsp. salt (optional)

    tsp. pepper

    tsp. cumin

    1 Tbsp. olive oil

    2 cloves garlic, minced

    2 medium onions,sliced

    2 stalks celery, sliced

    1 medium red/greenbell pepper, sliced

    1 medium tomato,fnely minced

    5 cups bee or turkeybroth, at removed

    5 small potatoes,peeled and cubed

    12 small carrots, cut intolarge chunks

    1 cups green peas

    Directions:

    Preheat oven to 375 F. Mix the whole wheat flour with

    salt, pepper, and cumin. Rollthe beef or turkey cubes in themixture. Shake off excess flour.

    In a large skillet, heat olive oilover medium-high heat. Addbeef or turkey cubes and saut

    until nicely brown, about 710minutes.

    BEEF

    stew12

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    Nutrition FactsBeef or Turkey Stew

    Serving Size 1 cup

    Amount Per Serving Calories Calories from Fat

    320 60

    % Daily Value (DV)*

    Total Fat 7g 11%Saturated Fat 1.5g 8%Trans Fat 0g

    Cholesterol 40mg 13%Sodium 520mg 22%Total Car bohydrate41g 14%Dietary Fiber 8g 32%Sugars 9g

    Protein 24g

    Vitamin A 340%Vitamin C 80%Calcium 6%Iron 15%* Percent Daily Values are based on a2,000 calorie diet.

    Place beef or turkey in anovenproof casserole dish.

    Add minced garlic, onions, celery,and peppers to skillet and cookuntil vegetables are tender, about5 minutes.

    Stir in tomato and broth. Bring to aboil and pour over turkey or beefin casserole dish. Cover dish tightlyand bake for 1 h our at 375 F.

    Remove from oven and stir inpotatoes, carrots, and peas. Bakefor another 2025 minutes oruntil tender.

    Exchanges:

    Le Me 3

    Vegeble 2

    Bred 2

    F 1

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

    13

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    CArIBBeAN

    red

    snap

    Caribbean Red Snapper /Pargo rojo caribeo

    ts fs c b srvd o

    op o vgbs og

    w wo gr rc dgrsd w prsy.So or cc brs

    c b usd pc o rd

    sppr.

    Ingredients:

    2 Tbsp. olive oil

    1 medium onion,chopped

    cup red pepper,chopped

    cup carrots, cut intostrips

    1 clove garlic, minced

    cup dry white wine

    pound red snapperfllet

    1 large tomato,chopped

    2 Tbsp. pitted ripeolives, chopped

    2 Tbsp. crumbledlow-at eta or low-atricotta cheese

    14

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    Directions:

    In a large skillet, heat olive oilover medium heat. Add onion,red pepper, carrots, and garlic.Saut mixture for 10 minutes.

    Add wine and bring to boil. Pushvegetables to one side of the pan.

    Arrange fillets in a single layer incenter of skillet. Cover and cookfor 5 minutes.

    Add tomato and olives. Top withcheese. Cover and cook for 3minutes or until fish is firm butmoist.

    Transfer fish to serving platter.Garnish with vegetables and panjuices.

    Serving Suggestion: Serve with whole grainrice. cup cooked rice = 1 serving of rice.

    Exchanges:

    Me 2

    Vegeble 1

    Bred

    F 2

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

    Nutrition Facts

    Caribbean Red Snapper

    Serving Size red snapperwith cup vegetables (233g)

    Amount Per Serving

    Calories Calories from Fat

    220 80

    % Daily Value (DV)*Total Fat 10g 15%Saturated Fat 2g 10%Trans Fat 0g

    Cholesterol 35mg 12%Sodium 160mg 7%Total Car bohydrate8g 3%Dietary Fiber 2g 8%

    Sugars 4gProtein 19g

    Vitamin A 80%Vitamin C 70%Calcium 8%Iron 4%* Percent Daily Values are based on a2,000 calorie diet.

    per

    15-

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    Two Cheese Pizza / Pizza dedos quesos

    Srv your p w rsru d xd gr sd

    grsd w rd bs obc your .

    Ingredients:

    2 Tbsp. whole wheatour

    1 can (10 ounces)

    rerigerated pizzacrust

    Vegetable cookingspray

    2 Tbsp. olive oil

    cup low-at ricottacheese

    tsp. dried basil1 small onion, minced

    2 cloves garlic, minced

    tsp. salt (optional)

    4 ounces shreddedpart-skim mozzarellacheese

    2 cups mushrooms,chopped

    1 large red pepper, cutinto strips

    Exchanges:

    Me 2

    Bred 3Vegeble 1

    F 3

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

    Directions:

    Preheat oven to 425 F. Spread whole wheat flour over

    working surface. Roll out doughwith rolling pin to desired crustthickness.

    Coat cookie sheet with vegetablecooking spray. Transfer pizza crustto cookie sheet. Brush olive oilover crust.

    two chEESE

    P i z z a

    16

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    Mix low-fat ricotta cheese withdried basil, onion, garlic, and salt.Spread this mixture over crust.

    Sprinkle crust with part-skimmozzarella cheese. Top cheesewith mushrooms and red pepper.

    Bake at 425 F for 1315 minutesor until cheese melts and crust isdeep golden brown.

    Cut into 8 slices.

    Nutrition Facts

    Two Cheese Pizza

    Serving Size 2 slices(of pie)

    Amount Per Serving

    Calories Calories from Fat420 170

    % Daily Value (DV)*

    Total Fat 19g 29%Saturated Fat 7g 35%Trans Fat 0g

    Cholesterol 25mg 8%Sodium 580mg 24%

    Total Car bohydrate44g 15%Dietary Fiber 3g 12%Sugars 5g

    Protein 20g

    Vitamin A 30%Vitamin C 90%Calcium 40%

    Iron 15%* Percent Daily Values are based on a2,000 calorie diet.

    17

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    Rice with Chicken, SpanishStyle / Arroz con pollo

    this is a good way o gevegeables ino he meal plan.

    Serve wih a mixed greensalad and some whole whea

    bread.

    Ingredients:

    2 Tbsp. olive oil

    2 medium onions,chopped

    6 cloves garlic, minced2 stalks celery, diced

    2 medium red/greenpeppers, cut intostrips

    1 cup mushrooms,chopped

    2 cups uncooked wholegrain rice

    3 pounds bonelesschicken breast, cutinto bite-sized pieces,skin removed

    1 tsp. salt (optional)

    2 cups low-fat chickenbroth

    Saffron or SaznTM

    for color

    3 medium tomatoes,chopped

    1 cup frozen peas

    1 cup frozen corn1 cup frozen green

    beans

    Olives or capers forgarnish (optional)

    Directions:

    Heat olive oil over medium heatin a non-stick pot. Add onion,

    garlic, celery, red/green pepper,and mushrooms. Cook overmedium heat, stirring often, for 3minutes or until tender.

    Add whole grain rice andsaut for 23 minutes, stirringconstantly to mix all ingredients.

    RicEwith

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    Add chicken, salt, chicken broth,water, Saffron/Sazn

    TM

    , andtomatoes. Bring water to a boil.

    Reduce heat to medium-low,cover, and let the casserolesimmer until water is absorbedand rice is tender, about 20minutes.

    Stir in peas, corn, and beans andcook for 810 minutes. Wheneverything is hot, the casseroleis ready to serve. Garnish with

    olives or capers, if desired.

    Exchanges:

    Me 5

    Bred 3

    Vegeble 1

    F 1

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

    Nutrition Facts

    Rice with Chicken, SpanishStyle

    Serving Size 1 cup

    Amount Per Serving

    Calories Calories from Fat

    400 60

    % Daily Value (DV)*

    Total Fat 7g 11%Saturated Fat 1.5g 8%Trans Fat 0g

    Cholesterol 85mg 28%Sodium 530mg 22%Total Car bohydrate46g 15%Dietary Fiber 3g 12%Sugars 5g

    Protein 37g

    Vitamin A 30%Vitamin C 70%Calcium 4%Iron 20%* Percent Daily Values are based on a2,000 calorie diet.

    ChiCken19

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    Pozole

    Oy s ou o o s

    dd o su .

    Ingredients:

    2 pounds lean bee,cubed

    1 Tbsp. olive oil

    1 large onion, chopped1 clove garlic, fnely

    chopped

    tsp. salt

    tsp. pepper

    cup resh cilantro,chopped

    1 can (15 ounces)stewed tomatoes

    2 ounces tomato paste

    1 can (1 pound 13ounces) hominy

    Nutrition Facts

    Pozole

    Serving Size 1 cup

    Amount Per Serving

    Calories Calories from Fat

    220 70

    % Daily Value (DV)*Total Fat 7g 11%Saturated Fat 2g 10%Trans Fat 0g

    Cholesterol 70mg 23%Sodium 390mg 16%Total Carbohydrate17g 6%Dietary Fiber 3g 12%

    Sugars 5gProtein 21g

    Vitamin A 4%Vitamin C 10%Calcium 4%Iron 15%* Percent Daily Values are based on a2,000 calorie diet.

    Directions:

    In a large pot, heat olive oil. Addbeef and saut.

    Add onion, garlic, salt, pepper,cilantro, and enough water tocover meat. Stir to mix ingredientsevenly. Cover pot and cook over

    low heat until meat is tender.

    Add tomatoes and tomato paste.Continue cooking for about 20minutes.

    Add hominy and continuecooking another 15 minutes,stirring occasionally. If too thick,

    add water for desired consistency.

    Option: Skinless, boneless chickenbreasts can be used instead of beefcubes.

    P

    O

    20

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    Exchanges:

    Me 3

    Bred 1

    Vegeble

    F 1

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

    zOle

    21

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    Avocado Tacos/Tacos deaguacate

    ts rs sg cos r

    gr or g !

    Ingredients:

    1 medium onion, cutinto thin strips

    2 large green peppers,

    cut into thin strips2 large red peppers, cut

    into thin strips

    1 cup resh cilantro,fnely chopped

    1 ripe avocado, peeledand seeded, cut into12 slices

    1 cups resh tomatosalsa (see ingredientsbelow)

    12 our tortillas

    Vegetable cookingspray

    Fresh Tomato SalsaIngredients:

    1 cup tomatoes, diced

    cup onions, diced

    clove garlic, minced

    2 tsp. cilantro

    tsp. jalapeopeppers, chopped

    tsp. lime juice

    Pinch o cumin

    Exchanges:

    Bred 3Vegeble 1

    F 1

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

    Directions:

    Mix together all salsa ingredientsand refrigerate in advance.

    Coat skillet with vegetable spray.

    Lightly saut onion and greenand red peppers.

    Warm tortillas in oven and fillwith peppers, onions, avocado,and salsa. Fold tortillas and serve.Top with cilantro.

    22

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    taCOSaVocaDo

    Nutrition Facts

    Avocado Tacos

    Serving Size 1 taco

    Amount Per Serving

    Calories Calories from Fat

    270 80

    % Daily Value (DV)*Total Fat 8g 12%Saturated Fat 2g 10%Trans Fat 0g

    Cholesterol 0mg 0%Sodium 460mg 19%Total Car bohydrate43g 14%Dietary Fiber 5g 20%

    Sugars 4gProtein 7g

    Vitamin A 25%Vitamin C 100%Calcium 10%Iron 15%* Percent Daily Values are based on a2,000 calorie diet.

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    Tropical Fruits Fantasia/Fantasa de frutas tropicales

    t ropcs or grvry o rus w

    s dcous d coorurcp sd ou; w so

    your ou wr v

    bor sg !

    Ingredients:

    8 ounces at-ree,sugar-ree orangeyogurt

    5 medium strawberries,cut into halves

    3 ounces honeydewmelon, cut into slices(or cup cut intocubes)

    3 ounces cantaloupemelon, cut into slices

    (or cup cut intocubes)

    1 mango, peeled andseeded, cut intocubes

    1 papaya, peeled andseeded, cut intocubes

    3 ounces watermelon,seeded and cut intoslices (or cup cutinto cubes)

    2 oranges, seeded andcut into slices

    cup unsweetened

    orange juice

    Directions:

    Add yogurt and all fruits to abowl and carefully mix together.

    Pour orange juice over fruitmixture.

    Mix well and serve cup as yourdessert.

    tRopicaL

    ant

    24

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    FRuitS

    aSia

    Exchanges:

    Fr 2

    Mlk

    ne: Dbe exges relled bsed e amerDbees ass ExgeSysem.

    Nutrition Facts

    Tropical Fruits Fantasia

    Serving Size cup

    Amount Per Serving

    Calories Calories from Fat

    170 5

    % Daily Value (DV)*

    Total Fat 0.5g 1%Saturated Fat 0g 0%Trans Fat 0g

    Cholesterol 0mg 0%Sodium 40mg 2%Total Carbohydrate41g 14%Dietary Fiber 5g 20%Sugars 30g

    Protein 4g

    Vitamin A 50%Vitamin C 230%Calcium 15%Iron 2%* Percent Daily Values are based on a2,000 calorie diet.

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    References

    American DiabetesAssociation. Reading FoodLabels. American Diabetes

    Association Web site.Available at www.diabetes.org/nutrition-and-recipes/nutrition/foodlabel.jsp.

    American DiabetesAssociation. Virtual GroceryStore. American DiabetesAssociation Web site.

    Available at http://vgs.diabetes.org/homepage.jsp.

    Bestfoods CPC International,Inc. Live Healthy America,A Guide from Mazola.Coventry, CT: Mazola; 1991.

    Centers for Disease Control

    and Prevention. TakeCharge of Your Diabetes.3rd edition. Atlanta: U.S.Department of Health andHuman Services; 2003.Available at www.cdc.gov/diabetes/pubs/pdf/tctd.pdf.

    Centers for Disease Control

    and Prevention. Fruits &VeggiesMore Matters.Centers for Disease Controland Prevention Website. Available at www.fruitsandveggiesmatter.gov.

    Gardner L. Health and theHispanic Kitchen/La Salud y

    la Cocina Latina. Potomac,MD: Precepts, Inc.; 1996.

    National CattlemensBeef Association. EatingSmart Even When You ArePressed for Time. Chicago:National Cattlemans BeefAssociation; 1996.

    National Cancer Institute.Celebre la Cocina Hispana,Healthy Hispanic Recipes.Washington, DC: U.S.Department of Health and

    Human Services; 1995.NIH Publication Number95-3906(s).

    Pockenpaugh N, PolemanC. Nutrition: Essential andDiet Therapy. 8th edition.Philadelphia: WB Saunders;1996.

    Sizer F, Whitney E. Nutrition:Concepts and Controversies.8th edition. Belmont, CA:Wadsworth Publishing;2000.

    U.S. Department ofAgriculture. Nutrition

    Value of Foods. Home andGarden Bulletin Number 72.Department of AgricultureWeb site. Available at www.nal.usda.gov/fnic/foodcomp/Data/HG72/hg72_2002.pdf.

    U.S. Department of Healthand Human Services.A

    Healthier You. Departmentof Health and HumanServices Web site. Availableat www.health.gov/dietaryguidelines/dga2005/healthieryou/contents.htm.

    U.S. Department of Healthand Human Services

    and U.S. Departmentof Agriculture. DietaryGuidelines for Americans.6th edition. Washington,DC: U.S. GovernmentPrinting Office; 2005.Available at http://health.gov/dietaryguidelines.

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    U.S. Food and DrugAdministration. How toUnderstand and Use theNutrition Facts Label. Foodand Drug Administration

    Web site. Available at www.cfsan.fda.gov/~dms/foodlab.html. Available in Spanishat www.cfsan.fda.gov/~dms/stransfa.html.

    Warshaw H. Diabetes MealPlanning Made Easy: Howto Put the Food Pyramid to

    Work for Your Busy Lifestyle.Alexandria, VA: AmericanDiabetes Association; 2000.

    Authors for ThirdEdition (2008) of

    Recipe BookletJane Kelly, MDSenior Medical Officer,National Diabetes EducationProgram, Division ofDiabetes Translation, Centersfor Disease Control andPrevention

    Betsy Rodrguez, MSN, CDEPublic Health Advisor,National Diabetes EducationProgram, Division ofDiabetes Translation, Centersfor Disease Control andPrevention

    Andrea Zaldivar, MS,C-ANP, CDE ClinicalDirector, North GeneralDiagnostic and TreatmentCenter

    Luby Garza-Abijaoude,MS, RD, LD DiabetesNutrition Consultant, TexasDepartment of State HealthServices

    Rita V. Daz-Kenney, MPH,RD, LD Public HealthAdvisor, Division of DiabetesTranslation, Centers forDisease Control andPrevention

    Jennifer Seymour, PhD

    Acting Associate Directorfor Policy and Planning,Division of Nutrition,Physical Activity, andObesity, Centers for DiseaseControl and Prevention

    Laura Tanase, MS, RD, LDORISE Fellow, National Fruit

    and Vegetable Program,Division of Nutrition,Physical Activity, andObesity, Centers for DiseaseControl and Prevention

    Acknowledgments

    We greatly appreciate theexpertise of the authors andwould like to acknowledgetheir contributions to thedevelopment of this recipebooklet. We would like tothank Luz Myriam Neira,PhD, LN, for her work on

    the first edition of this recipebooklet.

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    Contributors/Reviewers (ThirdEdition)

    Isabel Salinas-Almendrez,

    MPH Program Manager,Corporate Health, InovaHealthSource

    Julia BurgosNational Director of LatinoInitiatives, AmericanDiabetes Association

    Ana Toro, MAVice President, Fleishman-Hillard

    Leticia R. Dvila, MPHORISE Fellow, NationalDiabetes Education Program,Division of DiabetesTranslation, Centers for

    Disease Control andPrevention

    Jamie Rayman, MPHEmerging Leader Intern,Centers for Disease Controland Prevention

    Other NDEP Hispanic/Latino Work GroupMembers/Contributors

    Xchitl CastaedaDirector, California-MexicoHealth Initiative

    Josephine F. Garza, MADeputy Director, NationalLatino Childrens Institute

    Agustn Lara, MDDirector del Programade Salud del Adulto y elAnciano de Mxico

    Laiza Fuentes Chaparro, LNCoordinadora de Nutricindel Programa de Saluddel Adulto y del Anciano,Centro Nacional de

    Vigilancia Epidemiologa yControl de Enfermedades,Secretara de Salud deMxico

    Leonardo Prez, MPH, CHESProgram Coordinator, PuertoRico Department of HealthDiabetes Program

    Josephine Phyllis Preciado,MD, National HispanicMedical Association

    Rebeca L. Ramos, MPH, MAActing Executive Director,Asociacin FronterizaMexicano Estadounidense de

    Salud, United States-MexicoBorder Health Association

    Rosalba Ruiz-Holguin,MD, MPH, Bi-NationalCoordinator, U.S. MexicoBorder Diabetes Preventionand Control Project,Pan American Health

    Organization

    Virginia ValadezCommunity Health Worker,Migrant Health Promotion

    CDC-Funded National

    OrganizationsElena M. AlvaradoExecutive Director/ProjectManager, National LatinaHealth Network

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    Marisol MoralesCommunications Manager,National Latina HealthNetwork

    Jeanette BeltrnPresident and CEO,JBD and Associates

    Eliana T. LoveluckDirector, Center forConsumers, NationalAlliance for Hispanic Health

    Paul M. BakerDeputy Director,Center for ConsumersNational Alliance forHispanic Health

    Ad Hoc Members

    Adolfo Prez-Comas,MD, PhD, FACE Member,Governing Board, PuertoRico Diabetes Research andEducation Center

    Jaime R. Torres, DPM, MSAssociate Director of

    Consultative Services,Coler-Goldwater SpecialtyHospital

    Wanda Montalvo, RN,MSN, ANP, RWJ ExecutiveNurse Fellow, MontalvoConsulting, LLC

    Nelva Ancona ParaisonHost/Coordinator, DiabticosHispanos/Perfil LatinoTV,Inc.

    Elizabeth Ortiz de Valdz,MD, President and ChiefExecutive Officer, ConcilioLatino de Salud, Inc.

    Top DiabetesPrevention andControl Program(DPCP) State Partnerswith a High Hispanic/Latino Population

    ArizonaCarmen D. RamrezCommunity ProgramCoordinator, DiabetesPrevention and ControlProgram, ArizonaDepartment of HealthServices

    California

    Javier Carrillo, MPHArea Health PromotionSpecialist, Greater Bay AreaCalifornia Diabetes ProgramCalifornia Department ofPublic Health

    Colorado

    Maria Elena Carren-AyersDiabetes OutreachCoordinator, DiabetesPrevention and ControlProgram, ColoradoDepartment of Public Healthand Environment

    Florida

    Alisha Bradley-Nelson, MSWProgram Coordinator,Diabetes Prevention andControl Program, FloridaDepartment of Health

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    Illinois

    Cheryl A. Metheny, MS, RD/LDN, CDE, CLCProgram Coordinator,Diabetes Prevention and

    Control Program,Illinois Department ofHuman Services

    Nevada

    Beth Handler, MPHProgram Manager, DiabetesPrevention and Control

    Program, Nevada Bureau ofCommunity Health

    New Jersey

    Nirmala (Nimi) Bhagawan,MS, RD, ProgramCoordinator, Division ofFamily Health Services

    New Jersey Department ofHealth and Senior Services

    New Mexico

    Judith GabrieleProgram Manager, DiabetesPrevention and ControlProgram, New MexicoDepartment of Health

    Texas

    Carol Filer, MS, RD, LDProgram Coordinator,Texas Department of StateHealth Services

    NDEP AgenciesCDC

    Sabrina Harper, MSActing Director, NationalDiabetes Education Program,

    Division of DiabetesTranslation, Centers forDisease Control andPrevention

    Margret Chang, BAORISE Fellow, Division ofDiabetes Translation, Centersfor Disease Control and

    Prevention

    Ana Alfaro-Correa, ScDPublic Health Advisor,Division of DiabetesTranslation, Centers forDisease Control andPrevention

    NDEP AgenciesNIH

    Joanne Gallivan, MS, RDDirector, National Institute ofDiabetes and Digestive andKidney Diseases, NationalInstitutes of Health

    Rachel Weinstein, MEdDeputy Director,National Institute ofDiabetes and Digestive andKidney Diseases, NationalInstitutes of Health

    The U.S. Department of Health and Human Services National Diabetes

    Education Program is jointly sponsored by the National Institutes of Health

    and the Centers for Disease Control and Prevention with the support of more

    than 200 partner organizations.

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    YOUR FAVORITE RECIPES-

    MY RECIPE FOR:

    MY RECIPE FOR: