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Guidelines...what have you had or found??
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<blockquote data-quote="milly mole" data-source="post: 47539" data-attributes="member: 13855"><p>Just signed in for a look and found this ‘gem’ of information! Are you actually saying, Ally that old people should be fed plenty carbs, because that is what this guideline says?</p><p></p><p>“GUIDELINE 6</p><p>Diabetes and Diet</p><p>A healthy varied diet is the cornerstone of treatment for diabetes. The main dietary</p><p>principles include:</p><p>Regular Meals</p><p>❖ Residents with diabetes need to eat regularly to prevent hypoglycaemia (a low blood glucose</p><p>level) if they are taking tablets or insulin injections. This means they need to eat regular</p><p>meals including breakfast, lunch, an evening meal and a small bedtime snack daily.</p><p>Fibre</p><p><strong>❖ Foods containing starchy carbohydrate such as bread, potatoes, cereals, rice and pasta</strong></p><p><strong>should be encouraged and form the main part of every meal. In particular high fibre</strong></p><p><strong>foods such as granary bread and wholegrain cereals help to prevent constipation. The</strong></p><p><strong>fibre in porridge, peas, beans, lentils, fruit and vegetables also helps to improve blood</strong></p><p><strong>glucose control.</strong></p><p>❖ When taking a high fibre diet it is very important to drink plenty of fluids 8-10 cups per day.</p><p>Sugar</p><p>❖ Cut down on sugar and very sweet foods such as sugary drinks, sweets, chocolate and</p><p>cakes. However there is no reason why residents with diabetes should not eat small portions</p><p>of cake or chocolate occasionally providing it is part of a healthy diet.</p><p>❖ Artificial sweeteners such as saccharin and aspartame are useful for sweetening puddings</p><p>and cereals.</p><p>❖ Sugar free drinks and reduced sugar jam and marmalade can be included.</p><p>Fruit and Vegetables</p><p>❖ Include plenty of fruit and vegetables at each meal including fresh, frozen and tinned</p><p>fruit in fruit juice. Five portions of fruit, vegetables or pulses are recommended each day,</p><p>although it is recognised that this may not be achievable, especially in elderly residents with</p><p>reduced appetite.</p><p>❖ A glass of unsweetened fruit juice with a meal, homemade vegetable soup, and offering a</p><p>selection of fruit and vegetable is also helpful.</p><p>Diabetic Products</p><p>Avoid specialist diabetic foods as they may contain as many calories as the ordinary version of</p><p>foods and may cause stomach upset and diarrhoea if taken in large amounts.</p><p>Special Occasions</p><p>Having diabetes doesn’t stop you from joining in on special occasions eg Christmas, birthdays.</p><p>The occasional sugary food or celebration meal will do no harm providing this is part of a</p><p>balanced, healthy diet. It is best if having something sugary to have it just after a meal.”</p><p></p><p>Also came on this while reading it,</p><p></p><p>“GUIDELINE 5</p><p>Blood Glucose Monitoring Guideline for Care Homes</p><p>Blood Glucose Monitoring</p><p>❖ Enables an understanding of a patient’s glycaemic control. Can help identify trends of</p><p>hyperglycaemia and hypoglycaemia. This will allow appropriate changes to be made to</p><p>diet or medication.</p><p><strong>The normal blood glucose is between 4-6mmols, however in the elderly targets can be relaxed</strong></p><p><strong>and range between 7-12mmols. Aim of treatment in the elderly is to avoid hypoglycaemia and</strong></p><p><strong>osmotic symptoms of hyperglycaemia (thirst and polyuria).”</strong></p><p></p><p>Which ,of course means that by relaxing the targets ,the elderly,who already probably have compromised blood flow etc will succumb even more quickly to diabetic complications!!</p><p></p><p>Are our elders not worth more than this to us?? Why should we not strive for good control in the elderly as well as younger people?</p></blockquote><p></p>
[QUOTE="milly mole, post: 47539, member: 13855"] Just signed in for a look and found this ‘gem’ of information! Are you actually saying, Ally that old people should be fed plenty carbs, because that is what this guideline says? “GUIDELINE 6 Diabetes and Diet A healthy varied diet is the cornerstone of treatment for diabetes. The main dietary principles include: Regular Meals ❖ Residents with diabetes need to eat regularly to prevent hypoglycaemia (a low blood glucose level) if they are taking tablets or insulin injections. This means they need to eat regular meals including breakfast, lunch, an evening meal and a small bedtime snack daily. Fibre [b]❖ Foods containing starchy carbohydrate such as bread, potatoes, cereals, rice and pasta should be encouraged and form the main part of every meal. In particular high fibre foods such as granary bread and wholegrain cereals help to prevent constipation. The fibre in porridge, peas, beans, lentils, fruit and vegetables also helps to improve blood glucose control.[/b] ❖ When taking a high fibre diet it is very important to drink plenty of fluids 8-10 cups per day. Sugar ❖ Cut down on sugar and very sweet foods such as sugary drinks, sweets, chocolate and cakes. However there is no reason why residents with diabetes should not eat small portions of cake or chocolate occasionally providing it is part of a healthy diet. ❖ Artificial sweeteners such as saccharin and aspartame are useful for sweetening puddings and cereals. ❖ Sugar free drinks and reduced sugar jam and marmalade can be included. Fruit and Vegetables ❖ Include plenty of fruit and vegetables at each meal including fresh, frozen and tinned fruit in fruit juice. Five portions of fruit, vegetables or pulses are recommended each day, although it is recognised that this may not be achievable, especially in elderly residents with reduced appetite. ❖ A glass of unsweetened fruit juice with a meal, homemade vegetable soup, and offering a selection of fruit and vegetable is also helpful. Diabetic Products Avoid specialist diabetic foods as they may contain as many calories as the ordinary version of foods and may cause stomach upset and diarrhoea if taken in large amounts. Special Occasions Having diabetes doesn’t stop you from joining in on special occasions eg Christmas, birthdays. The occasional sugary food or celebration meal will do no harm providing this is part of a balanced, healthy diet. It is best if having something sugary to have it just after a meal.” Also came on this while reading it, “GUIDELINE 5 Blood Glucose Monitoring Guideline for Care Homes Blood Glucose Monitoring ❖ Enables an understanding of a patient’s glycaemic control. Can help identify trends of hyperglycaemia and hypoglycaemia. This will allow appropriate changes to be made to diet or medication. [b]The normal blood glucose is between 4-6mmols, however in the elderly targets can be relaxed and range between 7-12mmols. Aim of treatment in the elderly is to avoid hypoglycaemia and osmotic symptoms of hyperglycaemia (thirst and polyuria).”[/b] Which ,of course means that by relaxing the targets ,the elderly,who already probably have compromised blood flow etc will succumb even more quickly to diabetic complications!! Are our elders not worth more than this to us?? Why should we not strive for good control in the elderly as well as younger people? [/QUOTE]
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