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疾病飲食原則(英文版)

 

To help manage your diabetes, here are some dietary advices for you

n  Eat regular meals and spread them evenly throughout the day

n  Eat a diet lower in fat, particularly saturated fat

n  If you take insulin or diabetes tablets, you may need to have between meal snacks

n  All people with diabetes should see an Accredited Dietitian in conjunction with their diabetes team for personal advice.

n  Energy balance

ü   Matching the amount of food you eat with the amount of energy you burn through activity and exercise

ü   Being overweight or obese can make it difficult to manage your diabetes and diabetes complications including heart disease, stroke and cancer.

ü   It is advised for all individuals to lose weight if you are overweight or obese.

ü   Limit foods high in energy such as take away foods, cakes, sugar sweetened drinks and cookies.

ü   Being active has many benefits. Along with healthy eating, regular physical activity can help you to manage your blood glucose levels, optimize blood lipids and maintain a healthy weight.

n Fat

ü   Eating too much fat can make you put on weight

ü  It is important to limit saturated fat because it raises your LDL (‘bad’) cholesterol levels.

ü  Avoid saturates are to limit intakes of fatty meat, whole-fat milk, butter and cheese, saturated vegetable fats such as palm oil, snack foods or convenience foods, and coconut products. Choose lean meat and trim any fat off before cooking, and remove the skin from chicken, duck and other poultry.

ü  Choose oils rich in polyunsaturated fats such as sunflower, safflower, soybean, corn, grapeseed and canola oils as your cooking oils. You can also choose oils rich in monounsaturated fats including olive oils.  Seeds and nuts are also good for your heart.

ü  Eat more fish (at least three times a week) because it contains a special type of fat (omega-3) that is good for your heart.

n  Carbohydrate

ü   Carbohydrate foods play an important role in our diet. They are the best energy source for your body, especially your brain.

ü   Of the three key nutrients in our food – fat, protein and carbohydrate, carbohydrate is the nutrient that will have the biggest impact on your blood glucose levels. If you eat regular meals and spread your carbohydrate foods evenly throughout the day, you will help maintain your energy levels without causing large rises in your blood glucose levels. If you take insulin or diabetes tablets, you may need to have between meal snacks. Discuss this with your doctor, dietitian or Credentialled Diabetes Educator.

ü   For good health, carbohydrate intake from vegetables, fruits, whole grains, legumes, and dairy products should be advised over intake from other carbohydrate sources, especially those that contain added fats, sugars, or sodium. The type of carbohydrate you eat is very important as some can cause higher blood glucose after eating. The best ones are those with ample amount of fiber

ü   Limit high energy foods such as sweets, and standard soft drinks.

ü   Small amounts of sugar as part of a balanced meal plan shouldn’t have a large effect on blood glucose levels. However sweeteners such as Equal and Splenda can be used in place of sugar. Foods and drinks that have been sweetened with an alternative sweetener, such as diet soft drinks.

n  Protein

ü  Protein foods are needed by the body for growth and repair. Protein does not break down into glucose, so it does not directly raise blood glucose levels. Recommended main protein foods are Meats, chicken, fish, & tofu and eggs

n  Micronutrients and herbal supplements

ü  There is no clear evidence of benefit from vitamin or mineral supplementation in people with diabetes who do not have underlying deficiencies

ü  Routine supplementation with antioxidants, such as vitamins E and C and carotene, is not advised because of lack of evidence of efficacy and concern
related to long-term safety.

 

Reference: American Diabetes Association, Diabetes Care 2019 Jan; 42 (Supplement 1)

 

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•疾病飲食原則(英文版)•