Translation of the Diabetes Nutrition Recommendations for Health Care Institutions

Pragmatic dietary advice for diabetes during Navratris

“…[9] The American Diabetes Association (ADA) guidelines regards MNT as mandatory part of an overall treatment plan and considered it to be followed during fasting days as well for achievement of dietary goals. [1415] The dietary advice is a broad term to include the knowledge about eating patterns, meal planning, food selection, food preparation, dinning out, portion control, as well as appropriate responses to eating challenges. [16] The patients need to be educated about timings of meals, wise selection of food items, dietary modifications, healthful recipes, and nutritional requirements.…”

“…Standardized calorie-level meal pattern with a specified percentage of carbohydrate, protein and fat based on exchange lists and food stuffs allowed to be eaten during fasting can be helpful to plan complete balanced meals on individual basis. [15] The planning of menus for such days is a laborious task for people with diabetes and hence a sample menu can be an exemplar for planning nutritious meals [Table 3]. …”

Glycemic and Lipid Control in Hospitalized Type 2 Diabetic Patients: Evaluation of 2 Enteral Nutrition Formulas (Low Carbohydrate‐High Monounsaturated Fat vs High Carbohydrate)

“…The glucose response of diabetic patients receiving EN can be affected by a series of factors, of which the most important are total caloric intake, composition of the nutritional formula administered, amount given, route and method of administration (bolus or continuous, gravity fed or infusion pump) and, in the case of bolus administration, the number of daily boluses 2 . Among factors relating to the nutritional formula, the presence of fiber in the diet has not shown a significant effect on short‐term glucose response in diabetic patients 3 ; however, 1 study in patients with type 2 diabetes has demonstrated that enteral formulas enriched with fiber and fructose result in lower postprandial glucose response and decreased area under the insulin curve after a trial breakfast 4…”

Ernährungstherapie bei Diabetes mellitus

“…Zumindest muss aber während stationärer Aufenthalte sichergestellt werden, dass Diabetiker Speisen angeboten bekommen, die ihnen eine überschaubare Kohlenhydratkonstanz gewährleisten [54]. In Alten-und Pflegeheimen ist die Versorgung untergewichtiger Patienten oft häufiger gegeben, als die Notwendigkeit zu einer Gewichtsreduktion.…”