First Line Dietary Advice for Carbohydrate Awareness

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1 York Teaching Hospital NHS Foundation Trust First Line Dietary Advice for Carbohydrate Awareness Information for patients, relatives and carers For more information, please contact: Department of Nutrition and Dietetics Scarborough Hospital Tel: Woodlands Drive, Scarborough, YO12 6QL The York Hospital Tel: Wigginton Road, York, YO31 8HE

2 Our Values: Caring about what we do Respecting and valuing each other Diet plays a very important part in the treatment of your diabetes. The diet recommended for diabetes is based on healthy eating guidelines. Carbohydrates are an important part of a healthy diet. They are the only food group that break down into glucose (sugar) during digestion. This means they are the only food group that will cause a rise in blood glucose levels. Thinking about your carbohydrate portions and types can help to stabilise blood glucose levels. 2 Caring with Pride: Our ultimate objective is to be trusted to deliver

3 Listening in order to improve Always doing what we can to be helpful What are carbohydrates? Two main types sugars and starches Sugars Sugar, glucose, syrup Sugar y drinks Jams, marmalades, honey and treacle Cakes, biscuits, chocolate Milk, yoghurts and ice cream Fruit and fruit juices Starches Bread and bread products (pizza bases/pitta breads) Pasta, rice, noodles Potatoes and crisps Grains cous cous, quinoa, bulghar wheat Cereals Flour products (pastry, Yorkshire puddings, batter) safe, effective and sustainable healthcare within our communities 3

4 Our Values: Caring about what we do Respecting and valuing each other Portions Carbohydrates affect your blood glucose levels. Eating a similar amount at each meal and eating in a regular pattern can help to keep blood glucose levels stable. Vegetables/Salad Carbohydrates Protein This picture illustrates how much of your plate should be taken up by the different food groups. Protein foods include meat, fish, eggs, beans and pulses, meat alternatives and nuts and seeds. 4 Caring with Pride: Our ultimate objective is to be trusted to deliver

5 Listening in order to improve Always doing what we can to be helpful Types of carbohydrate Different carbohydrates break down into sugar at different rates. Carbohydrates that break down slowly are preferable for your blood glucose levels. The following foods are slow release carbohydrates and are good options to include in your diet. Wholegrain/granary/seeded breads Basmati rice Pasta Sweet potatoes Breakfast cereals that are oat, wheat or bran based (i.e. porridge, All Bran, no added sugar Muesli) Beans (including baked beans), lentils and chickpeas Fibre from other sources can also make you feel fuller for longer and help to slow down the release of sugar. Good sources of fibre are: Vegetables and salad Fruit Beans, lentils and chickpeas Nuts and seeds safe, effective and sustainable healthcare within our communities 5

6 Our Values: Caring about what we do Respecting and valuing each other Meal timing A regular meal pattern can help with blood glucose management. Aim to space meals about 5-6 hours apart, if you are hungry in between meals a small healthy snack would be recommended. This could include: One portion of fruit (a cupped handful i.e. one apple, one pear, two satsumas, a handful of berries or grapes) One slice of granary/wholegrain bread Two wholegrain/oat based crackers Diet or light or healthy yoghurt 6 Caring with Pride: Our ultimate objective is to be trusted to deliver

7 Listening in order to improve Always doing what we can to be helpful Tell us what you think We hope that you found this leaflet helpful. If you would like to tell us what you think, please contact Department of Nutrition and Dietetics, The York Hospital, Wigginton Road, York, YO31 8HE, telephone Teaching, Training and Research Our Trust is committed to teaching, training and research to support the development of staff and improve health and healthcare in our community. Staff or students in training may attend consultations for this purpose. You can opt-out if you do not want trainees to attend. Staff may also ask you to be involved in our research. Patient Advice and Liaison Service (PALS) Patients, relatives and carers sometimes need to turn to someone for help, advice or support. Our PALS team is here for you. PALS can be contacted on , or via at An answer phone is available out of hours. safe, effective and sustainable healthcare within our communities 7

8 Providing care together in York, Scarborough, Bridlington, Whitby, Malton, Selby and Easingwold Owner Department of Nutrition and Dietetics Date first issued April 2016 Review Date March 2018 Version 1 (issued April 2016) Approved by Catherine Dunn, Advanced Clinical Specialist Document Reference PIL 1030 v York Teaching Hospital NHS Foundation Trust. All Rights reserved

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