obesity & diabetics
TRANSCRIPT
Dietary Guidelines for Obesity, Diabetic &
Hypertension
KusumaNeela Bolla M.Sc,M.B.A
Nutrition Specialist
causes
Physical
activity
Eating
habits
Age & Sex
Genetic
factors
Stress
Endocrine
factors
Trauma
Dietary principal: low calorie, normal protein, vitamin, mineral expect sodium, restricted CHO, restricted fat, high fiber, liberal fluids
Energy : 20k.cal / kg bdwt Protein : 0.8 to 1g/kg bdwt Fat : 0.5g / kg bdwt Mineral: sodium is reduced Vitamins: A & D High fiber : 50g / day
Never skip breakfast Get plenty of sleep Eat regularly Don’t try to loss weight too quickly Make fruits and vegetables your best friends Keep moving Don’t deny yourself the food you enjoy Watch what you drink as well as eat Avoid extremes of any kind Streamline cooking
Based on range on obesity 300- 500k.cal / day reduce 0.5kg/ week
Diabetes Diabetes is known as a disorder of carbohydrates metabolized characterized by high blood sugar level (hyperglycemia) and high levels of glucose in urine (glycosuria)
Types of Diabetes Type 1 DM or Insulin Dependent DM or Juvenile Onset
DM Type 2 DM or Noninsulin Dependent DM or Adult Onset
DM Gestational Diabetes Mellitus Malnutrition Related Diabetes Mellitus
Causes Genetics infection: caxsaxkie B4 virus Exocrine pancreatic defects Thyroid hormone Sedentary life style Drugs : glucocorticoids other
Symptoms Polydipsia Polyphogia Polyuria Dehydration Fatigue & weight loss Glycosuria Hyperglycaemia Acidosis Fluid electrolyticimbalance
Diagnosis
NORMAL VALUE: (Plasma) Fasting blood sugar - 70-110mg/dl Random blood sugar - 120-140mg/dl Post paridal - 140-200mg/dl Glycosylated hemoglobin : Normal ≥ 6.5%
Blood testUrine test
Diabetic complications
MANAGEMENT OF DIABETES: The main modes of treatment of diabetes: 1. Diet and diet counseling. 2. Drugs 3. Exercise 4. Education (dietary guidelines). THE USUAL DISTRIBUTION OF NUTRIENTS
IN THE DIET: Carbohydrates - 55-60% Proteins - 20% or 1g/kg bd wt Fats - 20-25%
Diabetic Food Pyramid
Ground nut oil 1tspSunflower oil 1 tspGhee 1tsp
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Sodium and The Dietary
Guidelines
=2300 mg sodium
=40% sodium
Healthy
Adults
< 2300 mg
High Blood Pressure< 1500 mg
Sodium
Kempner’s dietDASH Diet
Kempner’s diet means rice-fruit-sugar diet
High sodium foods1. Salt2. Baking powder3. Bicarbonate of soda4. Canned foods5. Salted nuts6. Salted meat7. Pappads8. Sodium benzoate9. Others
DASH PYRAMID
Be Physically Active
Intentional exercise Walking Running Cycling Swimming
Active lifestyle Take the stairs Walk to work Sit less, move more
THANK YOU