University College Hospital. Insulin Pump Advanced Bolus Options

Save this PDF as:
Size: px
Start display at page:

Download "University College Hospital. Insulin Pump Advanced Bolus Options"

Transcription

1 University College Hospital Insulin Pump Advanced Bolus Options Children and Young People s Diabetes Service Introduction When you use an insulin pump, the insulin given to cover food is called an insulin bolus. Different foods and meals have different effects on your blood glucose levels. Altering the timing and type of bolus to match the food eaten can help to keep post-meal blood glucose levels under control. Evidence suggests that those who use the pumps advanced bolus options, such as dualwaves, multiwaves or combo boluses, can achieve better control of their diabetes. The terminology vaies depending on the model of pump that you use. This information is designed to help you choose your bolus type and make the most of your insulin pump. Guide to Glycaemic Index The glycaemic index (GI) is a guide to how carbohydrate foods affect your blood glucose levels. The GI of glucose is 100 as it absorbed rapidly. A high GI food (more than 70) increases the blood glucose levels quickly for a shorter amount of time, whereas a low GI food (less than 55) results in a slower and more prolonged rise in your blood glucose levels, therefore two meals with the same carbohydrate content can affect your blood glucose levels differently depending on their glycaemic index. A normal or standard bolus, similar to an insulin injection, may not be appropriate for all meals. You may have noticed Blood glucose Low GI

2 that giving a normal or standard bolus with a low GI and/or high fat food, such as pizza or pasta, results in a low blood glucose level (hypoglycaemia) soon after eating followed by a subsequent rise in blood glucose level. This is due to the slow release of the carbohydrate in comparison to the insulin action. Very high GI foods may also be difficult to manage, for example a high GI breakfast may result in an initial rise in blood glucose levels followed by a low blood glucose level as the insulin action lasts longer than the release of carbohydrate into the bloodstream. The table below shows the glycaemic index of commonly eaten foods Glycaemic Index Table Glycaemic Index Starches Cereals Fruits and fruit juices Potatoes Vegetables and Pulses Desserts, Confectionary Drinks Low GI (GI = less than 55) Multigrain bread, rye bread, chapatti, corn tortilla, barley, pasta, tagliatelle, spaghetti, rice noodles, noodles, basmati rice. Rolled oat porridge, All Bran, Apple, orange, banana, mango, dates, peaches, Sweetcorn, peas, carrots, plantain, taro, chickpeas, kidney beans, lentils, soybeans, yam Strawberry jam, chocolate, ice cream, yoghurt, nuts Milk (all kinds), chocolate milkshake, apple juice, orange juice, pineapple juice Medium GI (GI = 56-70) Roti, brown rice, cous cous, pitta bread, crumpet Weetabix, millet porridge, muesli (varies depending on composition), Fruit and Fibre, Pineapple, Chips, baked potato, sweet potato, new potato Pumpkin Popcorn, potato crisps, honey, croissant Cola, fizzy orange drinks (GI = more than 70) White bread, whole meal bread, bagel, baguette, glutenfree bread, white rice, easy cook rice, gluten free pasta Cornflakes, Branflakes, Cheerios, Cocopops instant oat porridge, rice porridge, rice krispies, branflakes, Watermelon Boiled potatoes, instant mashed potato, mashed potatoes (without added fat and milk) Swede Rice crackers, doughnut, pancakes, jelly beans Cranberry juice, sports drinks, Rice milk

3 The glycaemic index is calculated based on a set amount (50g carbohydrate) of an individual food, however the amount you eat and combination of foods is likely to vary, which will change how the meal affects your blood glucose levels. Other factors that affect the blood glucose response to meals include: Fat and protein - the presence of fat (fried foods, oil, butter, cream, cheese) and protein (meat, fish, eggs) as part of a meal will slow down the rate of digestion meaning the glucose is released more slowly into the bloodstream. Fat may also increase resistance to insulin. Fibre higher fibre foods such as granary breads, wholegrain or bran cereals, fruits, vegetables, beans, pulses and potato skins are digested and released more slowly resulting in a slower rise in your blood glucose levels. Meal size - a larger amount of any type of carbohydrate will take longer to digest than a smaller amount, this is sometimes referred to as the glycaemic load (glycaemic index multiplied by the grams of carbohydrate). You may therefore find meals above a certain size require the use a dualwave, multliwave or combo bolus. You may find an amount of carbohydrate that is large for you. It is likely to vary from person to person, a starting point is more than 1.5g carbohydrate per kilogram of body weight. For example, if you weigh 50kg, try a dualwave, multliwave or combo bolus for 75g carbohydrate or more. Type of starch different types of starch have different chemical structures and are therefore digested and absorbed at different speeds. This is why pasta has a lower GI compared to rice. Processing for example, easy cook rice has a higher GI than basmati rice and whole jumbo oats has a lower GI than rolled oats. Different brands of the same cereal, such as cornflakes, can have different GI s due to different processing methods. Cooking methods for example, a mashed potato has a higher GI than a boiled new potato or chip due to the level of processing (and addition of extra fat) Ripeness for example, a riper banana will have a higher GI than an unripe banana as the starch naturally breaks down into sugars and is digested and absorbed more quickly. Individual variation different individuals respond differently to the same foods.

4 Choosing your bolus type Normal or Standard bolus this type of bolus works with small snacks and high glycaemic index foods. If you are not sure how much you are going to eat give half of the insulin at the beginning of a meal and the remainder at the end, the total amount should match the total amount of carbohydrate actually eaten. Remember you should always have some insulin before you eat. Bolusing 15-30mins in advance of eating may help to manage blood glucose levels after very high GI foods. Normal or standard bolus 100% 0% Dualwave or multiwave or combo bolus this type of bolus is recommended to help you achieve the best possible post meal blood glucose levels. It is a combination of the normal/standard and extended/squared bolus. Some of the insulin is delivered at the start of a meal; the remainder is given as an extended bolus. You can decide how much insulin is given immediately and how much is given as an extended bolus and for how long. 100% 0%

5 Extended or squarewave bolus - the bolus delivery is extended over a longer time period. Most foods will require a certain amount of insulin to be given initially, therefore you should always use a dualwave, multiwave or combo bolus. Only use the extended or squarewave bolus if you have been recommended to do so by your Diabetes team for a specific situation. 100% 0% When should I use a Dualwave or multiwave or combo bolus? Use the table below to help make choices about your bolus type, if you have found a normal bolus unsuccessful in managing your blood glucose levels. Continue to count the carbohydrates your are eating and use your insulin:carbohydrate ratio to work out your total insulin dose, then choose the bolus type and adjust the timing according to the type of meal you are eating. This is just a guide to get you started, each individual is likely to respond differently. If a normal bolus is working, there s no need to change the bolus. If the bolus doesn t work initially, make some adjustments to the duration or split and try again until you have worked out a suitable method. Keep a note of what has worked for specific meals. Meal/Snack type carbohydrate snacks Breakfast Mostly high GI carbohydrate, small meals Example Biscuits, crisps, fruits, cereal bars breakfast cereals and milk, toast Sandwich Amount of Carbohydrate When to start delivery Any Before eating standard bolus Small amount of carbohydrate Large amount of carbohydrate Up to minutes before eating Before eating standard bolus Dualwave or multiwave or combo bolus? No No (it may also be necessary to reduce basal rates after breakfast to prevent hypos mid-morning discuss this with your diabetes team) No

6 Meal/Snack type Low fat mixed meal with high GI carbs, larger meals High fat, high GI mixed meal or Low GI mixed meal Example Fish fingers, mash and peas or chicken, easy-cook rice and vegetables Cheese on toast, roast dinner Pasta with tomato sauce Amount of Carbohydrate Large amount of carbohydrate When to start delivery Before eating Dualwave or multiwave or combo bolus? Try 70%:30% or 50%:50% over 60-90minutes Any Before eating 70%:30% or 50%:50% over 1-3 hours* Any Before eating 70%:30% or 50%:50% over 1-3 hours High fat low GI mixed meal Pasta with cheese sauce, pizza, fish and chips, Chinese or Indian takeaway Any Before eating 70%:30% or 50%:50% over 4-8hours* *It may also be necessary to add additional insulin to account for the additional fat and/or protein if the dualwave or multiwave or combo bolus is not successful in preventing post-meal rises in blood glucose levels, you can discuss this with the diabetes team. What do I do if I decide to have more food, such as a pudding or snack, while the bolus is still running? You can deliver a normal or standard bolus for extra foods while a dualwave or multiwave or combo bolus is running, although this is not recommended if you are testing the bolus. The bolus can be stopped if necessary, each type of pump works slightly differently, therefore make sure you know how to stop the bolus should you need to. How do I know if the bolus is working? To check your bolus type is working you will need to check your blood glucose levels after eating. For a normal or standard bolus, check your blood glucose levels 2-3 hours after eating. For a dualwave or multiwave or combo bolus, check your blood glucose levels hourly for the duration of the bolus. For example, if you have extended your bolus for 3 hours, check your blood glucose level before eating, then at 1, 2 and 3 hours after eating. You can then decide if the chosen bolus has worked well for the food eaten or if you need to try something different next time. If you use sensors, they may also help you to test the bolus.

7 Remember, if you have been very active, have eaten low GI foods earlier in the day or if you are unwell it is likely to be difficult to test whether or not the advanced boluses are working. Worked Example Jack is having pasta with cheese sauce, chicken, mushrooms, and peas for dinner. His blood glucose is 6.9mmol/l He has counted the carbohydrate in his meal, which equals 50g carbohydrate His insulin:carbohydrate ratio is 1u:8g, therefore his pump calculates an insulin dose of 6.25units (no correction insulin is required). The pasta is low GI and the cheese sauce is high in fat, Jack has noticed his blood glucose levels are low an hour after eating and high during the night when he has eaten this meal before and used a normal insulin bolus. He decides to try a dual-wave bolus of 50% initially and the remaining 50% over 4 hours. His pump gives 3.125units straight away and 3.125units over the next 4hours. Jack checks his blood glucose levels each hour for the next four hours. His blood glucose levels are as follows: Before meal: 6.9mmol/l Post meal: 1 hour: 3.8mmol/l 2 hour: 7.8mmol/l 3 hour: 9.2mmol/l 4 hour: 10.1mmol/l A hypo soon after eating followed by a rise in blood glucose levels suggests too much insulin has been given initially. The blood glucose remains raised 4 hours after eating, therefore Jack makes a note of this and decides that next time he eats this meal he will give less insulin initially and extend the bolus for a longer period of time. He decides to 40% initially and the remaining 60% over five hours. Contact Numbers: Office Hours (8am 6pm): (Dietitian and Childrens Diabetes Nurses) Out of Hours: and page Paediatric On-call Registrar If you need a large print, audio or translated copy of this document, please contact us on We will try our best to meet your needs. First published: Sign off text style 31/07/13 Date last reviewed: 31/07/13 Date next review due: 01/08/14 Leaflet code: UCLH/ SH/PAED/CYPDS/BOLUS/1 University College London Hospitals NHS Foundation Trust

An introduction to carbohydrate counting

An introduction to carbohydrate counting An introduction to carbohydrate counting Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Paediatric Diabetes: Carbohydrate counting

Paediatric Diabetes: Carbohydrate counting Department of Nutrition and Dietetics Paediatric Diabetes: Carbohydrate counting Everyone with diabetes need to be careful about the foods they eat to ensure that their blood glucose levels stay as close

More information

Carbohydrate counting a pocket guide

Carbohydrate counting a pocket guide counting a pocket guide www.bayerdiabetes.ca Contents Starches 3 Vegetables 4 Fruit/Fruit juices 5 Milk/Yoghurt 5 Fast foods 6 Proteins (meat/meat substitutes) 6 Drinks 6 Sweets/Sugary foods 7 Combination

More information

Carbohydrate counting reference booklet

Carbohydrate counting reference booklet Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Carbohydrate counting reference booklet A supplement for use with Patient information leaflets: Carbohydrate counting for adults

More information

CARBOHYDRATE COUNTING AND DOSE ADJUSTMENT OF INSULIN

CARBOHYDRATE COUNTING AND DOSE ADJUSTMENT OF INSULIN CARBOHYDRATE COUNTING AND DOSE ADJUSTMENT OF INSULIN Information Leaflet Your Health. Our Priority. Page 2 of 11 Information for children and young people with Type 1 Diabetes on Carbohydrate Counting

More information

The Glycaemic Index (GI)

The Glycaemic Index (GI) The Glycaemic Index (GI) This booklet is designed to help you understand what the glycaemic index of food means and which foods have a high or low GI This booklet was given to you by: Name: Contact Tel

More information

Carbohydrate Counting for Patients with Diabetes. Lauren Dorman, MS RD CDE Registered Dietitian & Certified Diabetes Educator

Carbohydrate Counting for Patients with Diabetes. Lauren Dorman, MS RD CDE Registered Dietitian & Certified Diabetes Educator Carbohydrate Counting for Patients with Diabetes Lauren Dorman, MS RD CDE Registered Dietitian & Certified Diabetes Educator Program Purpose To increase knowledge of carbohydrate counting skills for nurses

More information

Healthy eating for young people with type 1 diabetes

Healthy eating for young people with type 1 diabetes Introduction Eating healthy foods is an important part of managing your child s diabetes. It will help to control your child s blood sugar (glucose) levels and reduce their risk of developing other illnesses

More information

MANAGING DIET ON AN INSULIN PUMP.

MANAGING DIET ON AN INSULIN PUMP. Patient Information MANAGING DIET ON AN INSULIN PUMP. Dietetic Department Therapy Services Shrewsbury and Telford NHS Trust 1 Food Bolusing on a pump (ADJUSTING YOUR INSULIN WITH YOUR DIET) Hopefully you

More information

Carbohydrate Counting for Patients With Diabetes. Review Date 4/08 D-0503

Carbohydrate Counting for Patients With Diabetes. Review Date 4/08 D-0503 Carbohydrate Counting for Patients With Diabetes Review Date 4/08 D-0503 Program Objectives At the end of the session you will know how to: Define carbohydrate counting Identify the relationship between

More information

The Glycemic Index of Foods

The Glycemic Index of Foods What is the Glycemic Index (GI)? It is a method used to classify carbohydrate containing foods, according to the effect that they may have on blood sugar levels. It is claimed that the higher the GI number,

More information

Dietary advice for impaired glucose tolerance and impaired fasting glucose

Dietary advice for impaired glucose tolerance and impaired fasting glucose Dietary advice for impaired glucose tolerance and impaired fasting glucose Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Polycystic ovary syndrome (PCOS) and Nutrition

Polycystic ovary syndrome (PCOS) and Nutrition Polycystic ovary syndrome (PCOS) and Nutrition Community Weight Management Team All Rights Reserved 2015. Document for issue as handout. The symptoms of PCOS are caused by imbalances in hormones and insulin

More information

Type 1 Diabetes Carbohydrate Counting and Insulin Adjustment

Type 1 Diabetes Carbohydrate Counting and Insulin Adjustment Type 1 Diabetes Carbohydrate Counting and Insulin Adjustment Page 24 Patient Information About this workbook Welcome to this workbook. Some of the topics in the workbook are addressed using a question

More information

Glycemic Index & Diabetes

Glycemic Index & Diabetes Glycemic Index & Diabetes Carbohydrates are the sugars and starches in the foods you eat. They are broken down into glucose, which your body uses for energy. Carbohydrates are found in grains & cereals,

More information

A practical workbook to make it work for you CARBOHYDRATE COUNTING

A practical workbook to make it work for you CARBOHYDRATE COUNTING A practical workbook to make it work for you CARBOHYDRATE COUNTING The Next Steps CARBOHYDRATE COUNTING THE NEXT STEPS A practical workbook to make it work for you Contents Basal Insulin BolusInsulin HowDoICheckmyICR?

More information

Healthy Eating for Diabetes

Healthy Eating for Diabetes Healthy Eating for Diabetes What is diabetes and why is it important to manage it? Diabetes occurs when there is too much glucose in the blood. Learning how to manage your diabetes will help you feel better

More information

HEALTHY EATING FOR TYPE 2 DIABETES

HEALTHY EATING FOR TYPE 2 DIABETES HEALTHY EATING FOR TYPE 2 DIABETES Information Leaflet Your Health. Our Priority. Page 2 of 11 Introduction This leaflet provides general guidance about food choices if you have Type 2 diabetes. Making

More information

Carbohydrate Counting for Pediatric Patients With Type 1 Diabetes. Review Date 4/08 K-0591

Carbohydrate Counting for Pediatric Patients With Type 1 Diabetes. Review Date 4/08 K-0591 Carbohydrate Counting for Pediatric Patients With Type 1 Diabetes Review Date 4/08 K-0591 Program Purpose To increase knowledge of carbohydrate counting and insulin management skills for those caring for

More information

It is thought that as many as 1 in 5 pre-menopausal women may be affected to various degrees by this syndrome.

It is thought that as many as 1 in 5 pre-menopausal women may be affected to various degrees by this syndrome. N &N utrition ietetics &D Diet sheet Polycystic Ovarian Syndrome What is Polycystic Ovarian Syndrome? Polycystic ovarian syndrome (PCOS) is a health condition linked with an increased amount of certain

More information

University Hospitals of Leicester NHS Trust. Carbohydrates. A guide to carbohydrate containing foods for people with diabetes

University Hospitals of Leicester NHS Trust. Carbohydrates. A guide to carbohydrate containing foods for people with diabetes University Hospitals of Leicester NHS Trust Carbohydrates A guide to carbohydrate containing foods for people with diabetes This information is designed to help you to understand how carbohydrates affect

More information

Ready, Set, Start Counting!

Ready, Set, Start Counting! Ready, Set, Start Counting! Carbohydrate Counting a Tool to Help Manage Your Blood Glucose When you have diabetes, keeping your blood glucose in a healthy range will help you feel your best today and in

More information

Nonalcoholic Fatty Liver Disease. Dietary and Lifestyle Guidelines

Nonalcoholic Fatty Liver Disease. Dietary and Lifestyle Guidelines Nonalcoholic Fatty Liver Disease Dietary and Lifestyle Guidelines Risk factors for NAFLD Typically, but not always seen in patients who are overweight. May have Diabetes and or insulin resistance high

More information

Healthy Eating and your Diabetes

Healthy Eating and your Diabetes Healthy Eating and your Diabetes Patient Information Leaflet Why is Healthy Eating Important? Healthy eating is important to everyone but is even more important if you have diabetes. This is because some

More information

Women and Children s Directorate

Women and Children s Directorate Women and Children s Directorate Gestational diabetes mellitus Milton Keynes Hospital NHS Foundation Trust Standing Way, Eaglestone, Milton Keynes, MK6 5LD Telephone: 01908 660033 Page 1 of 8 What is gestational

More information

A Beginner s Guide to Carbohydrate Counting

A Beginner s Guide to Carbohydrate Counting A Beginner s Guide to Carbohydrate Counting This slide show explains: What foods contain carbohydrates How much of these foods you can eat Where to look up the carb content of foods Pia has a Bachelors

More information

Your Guide to Diabetes & Food

Your Guide to Diabetes & Food Your Guide to Diabetes & Food Now you have diabetes your diet is key in helping you control your blood sugar levels. With Diabetes you have an increased risk of heart disease, which needs to be considered

More information

Carbohydrate Counting

Carbohydrate Counting Carbohydrate Counting This booklet is designed to provide information on carbohydrate counting for people managing their diabetes with insulin This booklet was given to you by: Name: Contact Tel No: Introduction

More information

Low Residue Diet A low residue diet is easier for your gut to digest. It

Low Residue Diet A low residue diet is easier for your gut to digest. It Low Residue Diet A low residue diet is easier for your gut to digest. It may be recommended to help improve your symptoms, to prepare you for an investigation or to reintroduce food after a period without

More information

Healthy Eating for Diabetes

Healthy Eating for Diabetes Healthy Eating for Diabetes What is diabetes? Diabetes is when your blood sugar (glucose) levels are higher than normal. For some people, this is because the insulin in their body doesn t work as well

More information

A quick guide to eating less sugar

A quick guide to eating less sugar A quick guide to eating less sugar Avoid these foods high in sugar Try these more suitable alternatives Sugar Candarel, Hermesetas, Sweetex Squashes and pure fruit juice Sugar-free squashes Fizzy drinks,

More information

Oxford Bariatric Service Pre bariatric surgery diet Information for patients

Oxford Bariatric Service Pre bariatric surgery diet Information for patients Oxford Bariatric Service Pre bariatric surgery diet Information for patients Why do I need to follow a pre-operative diet? Before obesity surgery, it is essential that you follow a strict calorie controlled

More information

PAVING YOUR PATH TO DIABETES MANAGEMENT:

PAVING YOUR PATH TO DIABETES MANAGEMENT: African and Caribbean PAVING YOUR PATH TO DIABETES MANAGEMENT: Basic Carbohydrate Counting and The Glycemic Index What is carbohydrate? Carbohydrate is one of the three main nutrients found in foods. Starches,

More information

Carbohydrate Counting (Quiz Number: Manatee3032009)

Carbohydrate Counting (Quiz Number: Manatee3032009) Page 1 The goal of Carbohydrate Counting is to make clear to you which foods affect your blood glucose and then to spread these foods evenly throughout the day (or to match insulin peaks and durations).

More information

Diabetes: Carbohydrate Counting

Diabetes: Carbohydrate Counting COLLEGE OF AGRICULTURE AND LIFE SCIENCES COOPERATIVE EXTENSION AZ1617 February 2014 Diabetes: Carbohydrate Counting Nicole A. Greene, Natalia N. Billias, Nobuko Hongu Figure: Diabetes, hyperglycemia What

More information

Carbohydrate Counting For Persons with Diabetes

Carbohydrate Counting For Persons with Diabetes MINTO PREVENTION & REHABILITATION CENTRE CENTRE DE PRÉVENTION ET DE RÉADAPTATION MINTO Carbohydrate Counting For Persons with Diabetes About This Kit This kit focuses on basic carbohydrate counting. Remember

More information

Insulin Dependent Diabetes Trust

Insulin Dependent Diabetes Trust Insulin Dependent Diabetes Trust Type 2 and You Issue 6 - January 2011 Registered Company Number 3148360 Registered Charity No 1058284 Welcome to the sixth issue of Type 2 and You. Counting Carbs Why count

More information

My Diabetic Meal Plan during Pregnancy

My Diabetic Meal Plan during Pregnancy My Diabetic Meal Plan during Pregnancy When you have diabetes and are pregnant, you need to eat small meals and snacks throughout the day to help control your blood sugar. This also helps you get in enough

More information

Eating well with diabetes

Eating well with diabetes Eating well with diabetes How will this booklet help me? The information in this booklet will help you to control your diabetes by giving you information on how to eat a healthy balanced diet. These changes

More information

Ready, Set, Start Counting!

Ready, Set, Start Counting! Ready, Set, Start Counting! Carbohydrate Counting a Tool to Help Manage Your Blood Glucose When you have diabetes, keeping your blood glucose in a healthy range can help you feel your best today and in

More information

Meal Planning for a Mushy Soft Diet After Nissen Fundoplication

Meal Planning for a Mushy Soft Diet After Nissen Fundoplication Meal Planning for a Mushy Soft Diet After Nissen Fundoplication Name: Date: Dietitian: Telephone: Questions? CALL YOUR DIETITIAN! Patient Food and Nutrition Services University of Michigan Hospital 1500

More information

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY BREAKFAST

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY BREAKFAST CHILD DEVELOPMENT CENTER/FAMILY CHILD CARE WEEK 1 DATES: December 29 - January 2, 2015 Diced Peaches Grape Juice Banana Slices Orange Slices Pineapple Juice English Muffin Whole Wheat Waffles Rice Krispies

More information

How to Increase Volume in Your Meals

How to Increase Volume in Your Meals How to Increase Volume in Your Meals By adding certain types of food to your diet and drinking more water, you can actually increase the amount of food you eat, while staying within your fat gram and calorie

More information

10 Week Nutrition Plan

10 Week Nutrition Plan 10 Week Nutrition Plan Welcome and thank you for your interest in taking the next step to health! We hope you find this eating plan a starting point to making healthier food choices and a tool to reach

More information

Glycemic Index and Diabetes

Glycemic Index and Diabetes Glycemic Index and Diabetes Carbohydrates are the starches and sugars in the foods you eat. The glycemic index (GI) is a scale that ranks carbohydrate-rich foods based on how quickly and how high they

More information

Useful Websites for more information. www.eatwell.gov.uk. www.lovefoodhatewaste.com. www.nutrition.org.uk. www.bda.uk.com

Useful Websites for more information. www.eatwell.gov.uk. www.lovefoodhatewaste.com. www.nutrition.org.uk. www.bda.uk.com Useful Websites for more information www.eatwell.gov.uk www.lovefoodhatewaste.com www.nutrition.org.uk www.bda.uk.com Community Development Dietitians 2010 This Leaflet has been awarded: Commendation from

More information

Meal Planning for a Mushy Soft Diet After Laparoscopic Myotomy

Meal Planning for a Mushy Soft Diet After Laparoscopic Myotomy Meal Planning for a Mushy Soft Diet After Laparoscopic Myotomy Name: Date: Dietitian: Telephone: Why is it necessary to follow this diet? This diet is necessary for individuals who have had some types

More information

Carbohydrate Counting

Carbohydrate Counting COOPERATIVE EXTENSION SERVICE UNIVERSITY OF KENTUCKY COLLEGE OF AGRICULTURE, FOOD AND ENVIRONMENT, LEXINGTON, KY, 40546 FCS3-546 Carbohydrate Counting Ingrid Adams, Dietetics and Human Nutrition What is

More information

Healthy eating for Gestational Diabetes Mellitus

Healthy eating for Gestational Diabetes Mellitus Healthy eating for Gestational Diabetes Mellitus health care people This information has been developed for use in educating women about healthy eating and the dietary management of gestational diabetes.

More information

Women s & Children s Hospital. Healthy Eating for. Gestational Diabetes

Women s & Children s Hospital. Healthy Eating for. Gestational Diabetes Women s & Children s Hospital Healthy Eating for Gestational Diabetes Gestational Diabetes Contents 1 What is Gestational Diabetes? 1 Why diet is important? 2 Healthy eating during pregnancy 4 Healthy

More information

When you have diabetes be careful about what you eat to help you control your blood sugar.

When you have diabetes be careful about what you eat to help you control your blood sugar. PART 5 INTRO TO EATING WITH DIABETES When you have diabetes be careful about what you eat to help you control your blood sugar. Foods are in three main groups: Carbohydrates (Carbs) Higher Carbohydrates

More information

Understanding the Carbohydrate Portions in Gluten Free Foods 1 Portion/Exchange = 15g

Understanding the Carbohydrate Portions in Gluten Free Foods 1 Portion/Exchange = 15g Understanding the Carbohydrate Portions in luten Free Foods 1 Portion/Exchange = 15g Know your Carbohydrate Foods Dairy Fruit Starchy vegetables Breads, cereals, rice, pasta/noodles, biscuits, flour(s)

More information

F.A.Q. about bowel preparation and colonoscopy

F.A.Q. about bowel preparation and colonoscopy F.A.Q. about bowel preparation and colonoscopy The instructions issued by your consultant should be followed to ensure that the bowel is clear for your colonoscopy. What can I eat? Tender lean meat, poultry,

More information

Nutrition Guidelines for Diabetes

Nutrition Guidelines for Diabetes Nutrition Guidelines for Diabetes Eating healthy foods and keeping a healthy body weight are very important parts of a diabetes treatment plan. A healthy diet and weight helps to keep your blood sugar

More information

Try pancakes, waffles, french toast, bagels, cereal, English muffins, fruit or juice. These foods are all high in carbohydrates.

Try pancakes, waffles, french toast, bagels, cereal, English muffins, fruit or juice. These foods are all high in carbohydrates. Healthy Meals for Swimmers on the Go Notes on BREAKFAST - Start your day off right! Try pancakes, waffles, french toast, bagels, cereal, English muffins, fruit or juice. These foods are all high in carbohydrates.

More information

gestational diabetes my pregnancy, my baby, and me

gestational diabetes my pregnancy, my baby, and me gestational diabetes my pregnancy, my baby, and me What is Gestational Diabetes? Gestational diabetes occurs when your body cannot make adequate use of sugar in the blood. It is first found during pregnancy.

More information

Do children with diabetes need a special diet?

Do children with diabetes need a special diet? Do children with diabetes need a special diet? No! The basic nutritional needs of a child or adolescent with diabetes is the same as their peers Healthy eating is important for all children Children with

More information

Healthy Eating with Diabetes

Healthy Eating with Diabetes Department of Nutrition and Dietetics Healthy Eating with Diabetes This leaflet is for people with diabetes What is diabetes? Diabetes is a common condition in which the amount of glucose (sugar) in the

More information

Diet for Oral Surgery/Wired Jaw

Diet for Oral Surgery/Wired Jaw Diet for Oral Surgery/Wired Jaw After oral surgery no chewing is allowed for a period of 4-8 weeks. During this time you will need a blenderized or liquid diet. This pamphlet will help you to get adequate

More information

Registered Trade Mark

Registered Trade Mark 2008 High Energy, High Protein, Low Fiber Guidelines Registered Trade Mark High Energy, High Protein, Low Fibre Guidelines Eating well, even though you may not feel hungry, is an important part of taking

More information

Carbohydrate Counting

Carbohydrate Counting Carbohydrate Counting What is Carbohydrate Counting? Carbohydrate counting is a meal-planning tool that many people use to manage their blood sugar. Carbohydrate counting, or carb counting, is done by

More information

Carbohydrate Counting

Carbohydrate Counting Carbohydrate Counting Carbohydrate When carbohydrates; sugars & starches are digested, they break down to form glucose in the blood stream. Your quick acting insulin dose can be based on how much carbohydrate

More information

To help manage your diabetes, your meals need to be:

To help manage your diabetes, your meals need to be: Food choices for people with diabetes Healthy eating for people with diabetes is no different to that which is recommended for everyone. By choosing healthy foods and being active you will help manage

More information

Healthy Eating with Diabetes

Healthy Eating with Diabetes Exceptional healthcare, personally delivered Healthy Eating with Diabetes Exceptional healthcare, personally delivered What is diabetes? Diabetes means that the body can no longer control the level of

More information

High blood sugars caused by steroids

High blood sugars caused by steroids High blood sugars caused by steroids Your blood sugars are high because you are taking a medication called steroids. Steroids are used to: decrease swelling decrease the natural response of your immune

More information

Bariatric Surgery: Step III Diet

Bariatric Surgery: Step III Diet Bariatric Surgery: Step III Diet This diet is blended foods with one new solid food added daily. The portions are very small to help prevent vomiting. Warning: This diet does not have enough calories,

More information

Nutritional Advice for Competitive Swimmers

Nutritional Advice for Competitive Swimmers Nutritional Advice for Competitive Swimmers Motivation, training and the genes you get from your parents are considered by many athletes and coaches to be the most important factors for successful athletic

More information

MAKING CARBS COUNT Why totting up totals can help your control

MAKING CARBS COUNT Why totting up totals can help your control ISSUE 17 MAGAZINE MAKING CARBS COUNT Why totting up totals can help your control WINTER FEET Seasonal care to avoid sore paws PLUS New Products roovy giveaways News (for T1 and T2) ELEANA PAPADOPOULOU,

More information

healthy eating for gestational diabetes

healthy eating for gestational diabetes Talking diabetes No.19 healthy eating for gestational diabetes Gestational diabetes occurs in 5 8% of Australian women during pregnancy. It happens because the changing hormone levels in the body have

More information

Gaining Weight for Athletes

Gaining Weight for Athletes Gaining Weight for Athletes Prepared by Jenn Van Ness, ATC June 2008 Gain Weight the Healthy Way To gain one pound, you need to eat approximately 500 more calories a day. Approximately one pound of fat

More information

2) Herewith the 2nd question in our Q&A series with Ria Catsicas about 'Nutrition and Diabetes':

2) Herewith the 2nd question in our Q&A series with Ria Catsicas about 'Nutrition and Diabetes': DIABETES Q&A WITH RIA CATSICAS 1) Today is World Diabetes Day! We ve been chatting to clinical dietitian and nutrition consultant Ria Catsicas about nutrition and diabetes. Ria is a specialist in the practice

More information

GUIDELINES FOR CONSISTENCY MODIFICATIONS OF FOODS AND LIQUIDS

GUIDELINES FOR CONSISTENCY MODIFICATIONS OF FOODS AND LIQUIDS GUIDELINES FOR CONSISTENCY MODIFICATIONS OF FOODS AND LIQUIDS 1. Alterations to the consistency of foods and/ or liquids presented to the individual are made in accordance with the recommendation of an

More information

online version Dietary Fibre Patient Information for the Gloucestershire Health Community GHPI0811_08_07 Author: Continence Review due: August 2010

online version Dietary Fibre Patient Information for the Gloucestershire Health Community GHPI0811_08_07 Author: Continence Review due: August 2010 GHPI0811_08_07 Author: Continence Review due: August 2010 Patient Information for the Gloucestershire Health Community Dietary Fibre Notes Introduction Fibre is an extremely important component of a balanced,

More information

Sutton and Merton Community Services. High fibre diet. Community Nutrition and Dietetics. Patient information

Sutton and Merton Community Services. High fibre diet. Community Nutrition and Dietetics. Patient information Sutton and Merton Community Services High fibre diet Community Nutrition and Dietetics Patient information Contents Contents What is a high fibre diet? 1 Why do I need fibre in my diet? 1 Good sources

More information

Resources for Carbohydrate Counting

Resources for Carbohydrate Counting Resources for Carbohydrate Counting The Diabetes Carbohydrate and Fat Gram Guide By LeaAnn Holzmeister, RD, CDE American Diabetes Association See contact information below The Doctor s Pocket Calorie,

More information

Low Fat Diet after Cardiac Surgery With or Without Chyle Leak

Low Fat Diet after Cardiac Surgery With or Without Chyle Leak Low Fat Diet after Cardiac Surgery With or Without Chyle Leak What is chyle? Chyle (sounds like kyle) is a milky white fluid that contains protein, fat, cholesterol, lymphocytes, and electrolytes. It is

More information

HEALTHY EATING FOR PEOPLE WITH TYPE 2 DIABETES. Prepared by the Diabetes Interest Group of the Irish Nutrition & Dietetic Institute

HEALTHY EATING FOR PEOPLE WITH TYPE 2 DIABETES. Prepared by the Diabetes Interest Group of the Irish Nutrition & Dietetic Institute HEALTHY EATING FOR PEOPLE WITH TYPE 2 DIABETES Prepared by the Diabetes Interest Group of the Irish Nutrition & Dietetic Institute Introduction This booklet has been prepared for those who have recently

More information

Easier Swallowing. Texture C

Easier Swallowing. Texture C Easier Swallowing Texture C Consistencies You have been found to have difficulties with eating and drinking. It has been recommended that you follow a consistency modified diet and the one that has been

More information

Your liver shrinkage diet prior to surgery (Diet Option)

Your liver shrinkage diet prior to surgery (Diet Option) Your liver shrinkage diet prior to surgery (Diet Option) Introduction All people who need obesity surgery have a large fatty liver, which causes difficultly for the laparoscopic surgery. Therefore, before

More information

Take Control Nutrition Tools for Diabetes. 50/50 plate Portions Servings

Take Control Nutrition Tools for Diabetes. 50/50 plate Portions Servings Take Control Nutrition Tools for Diabetes 50/50 plate Portions Servings Eat more Vegetables Especially non starchy vegetables Choosing Foods to manage blood glucose Select a variety of colors and types

More information

AN INTRODUCTION TO CARBOHYDRATE COUNTING

AN INTRODUCTION TO CARBOHYDRATE COUNTING AN INTRODUCTION TO CARBOHYDRATE COUNTING Information Leaflet Your Health. Our Priority. Page 2 of 10 Carbohydrate counting The aim of carbohydrate counting is to allow you to have the freedom to choose

More information

Food Sources of Fibre

Food Sources of Fibre Food Sources of Fibre Information About Fibre Fibre includes all parts of plant foods that your body can't digest or absorb. Fibre is also known as roughage or bulk. Insoluble fibre helps promote regularity

More information

FEEDING YOUNG CHILDREN AGED 1-5 YEARS

FEEDING YOUNG CHILDREN AGED 1-5 YEARS FEEDING YOUNG CHILDREN AGED 1-5 YEARS Information Leaflet Your Health. Our Priority. Page 2 of 10 A Healthy Eating Guide Feeding Young Children Aged 1-5 Years By 12 months of age your child should be eating

More information

Nutritional Guidelines for Roux-en-Y, Sleeve Gastrectomy and Duodenal Switch. Gastric Restrictive Procedures. Phase III Regular Consistency

Nutritional Guidelines for Roux-en-Y, Sleeve Gastrectomy and Duodenal Switch. Gastric Restrictive Procedures. Phase III Regular Consistency Nutritional Guidelines for Roux-en-Y, Sleeve Gastrectomy and Duodenal Switch Gastric Restrictive Procedures Phase III Regular Consistency The University of Chicago Hospitals Center for the Surgical Treatment

More information

2013-2014 Annual Menu

2013-2014 Annual Menu WEEK 1 Toasty O's [WG] English Muffin, 2 oz French Toast Stick [WG], 0.87 oz Crispy Rice Bagel, 1-2 oz Vegetable/Fruit Bananas [C] Apricots [A] Applesauce [C] Oranges [C] Fruit Cocktail [A, C] Fruit Cocktail

More information

Glycemic Index. of macaroni and cheese by themselves is because the processed cheese used in macaroni & cheese has sugar added to it.

Glycemic Index. of macaroni and cheese by themselves is because the processed cheese used in macaroni & cheese has sugar added to it. Glycemic Index The Glycemic Index is a numerical system of measuring how fast a carbohydrate triggers a rise in circulating blood sugar - the higher the number, the greater the blood sugar response. So

More information

Optimising Mealtime Insulin Dosing:

Optimising Mealtime Insulin Dosing: Optimising Mealtime Insulin Dosing: Do Protein & Fat Matter? Dr Kirstine Bell APD, CDE & PhD Not everything that can be counted counts, and not everything that counts can be counted Albert Einstein Overview

More information

BALANCE OF GOOD HEALTH MAT & CARDS

BALANCE OF GOOD HEALTH MAT & CARDS SHEET 1 BALANCE OF GOOD HEALTH MAT & CARDS The Balance of Good Health Mat shows the types of food you need to eat, and the proportions in which you should eat them, if you re to enjoy a healthy balanced

More information

MEAL PLANNING FOR MECHANICAL SOFT DIET

MEAL PLANNING FOR MECHANICAL SOFT DIET MEAL PLANNING FOR MECHANICAL SOFT DIET Definition of Terms Calories Protein Blenderized Pureed Units of energy. A nutrient used by your body for growth and repair. The best sources are milk, meats, fish,

More information

Fiber. What is fiber? Fiber is a part of plant food. There are two types of fiber:

Fiber. What is fiber? Fiber is a part of plant food. There are two types of fiber: Fiber An important part of a healthy diet is eating fiber-rich foods. This handout will explain what fiber is, where it s found, and how to increase the amount of fiber in your diet. What is fiber? Fiber

More information

Dietary advice for individuals with diabetes treated with insulin

Dietary advice for individuals with diabetes treated with insulin Dietary advice for individuals with diabetes treated with insulin Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

CDA Professional Conference October 2004 Making Carbs Count: Advanced Carbohydrate Counting for Intensive Diabetes Management Case Study #1

CDA Professional Conference October 2004 Making Carbs Count: Advanced Carbohydrate Counting for Intensive Diabetes Management Case Study #1 CDA Professional Conference October 4 Making Carbs Count: Advanced Carbohydrate Counting for Intensive Diabetes Management Case Study #1 Guy is a pleasant 3 year old male who has had type 1 diabetes for

More information

WELCOME TO IMPERIAL COLLEGE HEALTHCARE NHS TRUST

WELCOME TO IMPERIAL COLLEGE HEALTHCARE NHS TRUST Children s Ward Menu WELCOME TO IMPERIAL COLLEGE HEALTHCARE NHS TRUST Please find enclosed your full guide to meals, drinks & snacks. Your hostess will take your lunch and dinner orders at your bedside.

More information

Dietary advice for people starting treatment for Hepatitis C. Information for patients Sheffield Dietetics

Dietary advice for people starting treatment for Hepatitis C. Information for patients Sheffield Dietetics Dietary advice for people starting treatment for Hepatitis C Information for patients Sheffield Dietetics Do I need to follow a special diet? You don t need to have a special diet but you should try and

More information

Re-Education And Carbohydrate Counting Training

Re-Education And Carbohydrate Counting Training Page 1 of 15 Re-Education And Carbohydrate Counting Training REACCT Guide 1 Introduction You have been recommended to attend the REACCT group and we are delighted that you have chosen to accept this support.

More information

BAKED REGULAR. Nutrition Facts /Valeur nutritive. Nutrition Facts /Valeur nutritive

BAKED REGULAR. Nutrition Facts /Valeur nutritive. Nutrition Facts /Valeur nutritive Carb Counting Quiz Before you begin administering multiple daily injections of insulin (MDI) or using an insulin pump to manage diabetes, you will need to become comfortable with advanced carbohydrate

More information

Now that I have diabetes, do I have to give up my favorite foods?

Now that I have diabetes, do I have to give up my favorite foods? 14 STAYIng HeALTHY with Diabetes: Simple Steps for HeALTHY Eating Eating healthy can keep your blood sugar in good control. Eating healthy also helps avoid weight gain. These simple steps will get you

More information

Committee on Medical Aspects of Food and Nutrition Policy

Committee on Medical Aspects of Food and Nutrition Policy Nutrient Intakes Last updated: December 2014 This paper describes how nutrient intakes are calculated from food purchases and how they are compared to nutrient recommendations and other dietary guidelines.

More information

Optimizing Insulin Therapy. Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors

Optimizing Insulin Therapy. Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors Optimizing Insulin Therapy Calculating Insulin to Carbohydrate Ratios and Correction/Sensitivity Factors Introduction Diabetes management, and particularly self-management, has come a long way. Unfortunately,

More information

DIABETES & HEALTHY EATING

DIABETES & HEALTHY EATING DIABETES & HEALTHY EATING Food gives you the energy you need for healthy living. Your body changes most of the food you eat into a sugar called glucose. (glucose) Insulin helps your cells get the sugar

More information