Balancing Your Meals

Balancing Your Meals

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NDR-UK Ref No: 9383
Publication Format: A5 leaflet
Classification: HP  
Pack size: 10
Publication date: 07/13
Last Review: 09/16
Next Review: 09/19

Simple information for adults with diabetes on how to have a healthy balance diet and aid diabetes management. Includes information on portion sizes of common foods, suggested meal and snack ideas and reading food labels. Update to NDR-UK resource ref 9214.

Classification: HP (Health Professional)

Advice requires some explanation from a Health Professional who has basic nutrition knowledge to enable correct implementation.

  • To encourage and promote self-management of diabetes.
  • To optimise diabetes control.
  • Promote general health and wellbeing.

The Target Group will

  • Understand the links between diabetes and overweight/obesity; heart disease and pregnancy.
  • Understand the causes and treatments of hypo and hyper glycaemia.
  • Understand the secondary complications of diabetes such as Renal disease and CVD.
  • Know the importance of diet in relation to the management of their diabetes including health eating, CHO awareness, lipids, food labels, glycaemic index (sugar and fibre), fruit, alcohol, eating out, weight (physical activity), portion size.
  • Understand that extra consideration has to be taken when managing diabetes during illness with illness.
  • Ajala O. English P. Pinkey J. Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. American Journal Clinical Nutrition (2013)  97;3:505-16.
  • Bantle JP, Wylie-Rosett J et al. Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association.  Diabetes Care 2008, 31 (1);S61-78.
  • Diabetes UK Evidence-based nutrition guidelines for the prevention and management of diabetes. Available at www.diabetes.org.uk/nutrition-guidelines. Diabetes UK, May 2011
  • Dyson P. Kelly T. Deakin T. et al. Diabetes UK evidence based nutrition guidelines for the prevention and management of diabetes. Diabetes Medicine (2011) 28;11: 1282-1288
  • Dyson P. Low Carbohydrate Diets and Type 2 Diabetes: What is the Latest Evidence? Diabetes Therapy ( 2015) 6;4:411-424
  • Emadian et al The effect of macronutrients on glycaemic control: a systematic review of dietary randomised controlled trials in overweight and obese adults with type 2 diabetes in which there was no difference in weight loss between treatment groups. British Journal of Nutrition, 2015 (114) 10; 1656-1666
  • Esposito et al, A journey into a Mediterranean diet and type 2 diabetes: a systematic review with meta-analyses. BMJ Open 2015;5:e008222 doi:10.1136/bmjopen-2015-008222
  • Evert A. Boucher J. Cypress M et al. Nutrition therapy recommendations for the treatment of adults with diabetes. Diabetes care (2014) 37S; S120- S143
  • Franz et al, Lifestyle Weight-Loss Intervention Outcomes in Overweight and Obese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Clinical Trials. Journal of the Academy of Nutrition and Dietetics. 2015; 115: 1447–1463
  • Franz MJ et al. The Evidence for Medical Nutrition Therapy for Type1 and Type 2 Diabetes in Adults. Journal of the American Dietetic Association 2010, Dec, 1852-1889
  • Gepner et al, Effects of Initiating Moderate Alcohol Intake on Cardiometabolic Risk in Adults With Type 2 Diabetes: A 2-Year Randomized, Controlled Trial. Ann Intern Med. 2015;163(8):569-579. doi:10.7326/M14-1650
  • Mann J, De Leeuw I et al. Evidence-based nutritional approaches to the treatment and prevention of diabetes mellitus. Nutrition, metabolism and Cardiovascular Diseases 2004, 14; 373-394.
  • Shukla A. Iliesku R. Thoams C. Aronne L. Food Order Has a Significant Impact on Postprandial Glucose and Insulin Levels. Diabetes Care 2015;38:e98–e99
  • SIGN Guideline 116 - Management of Diabetes (2010 (2014)) SIGN, 2010 www.sign.ac.uk/guidelines/fulltext/116/index.html
  • Thomas D, Elliott EJ. Low glycaemic index, or low glycaemic load, diets for diabetes mellitus. Cochrane Database of Systematic Reviews (2009) Issue 1
  • Type 2 diabetes in adults: management. NICE guidelines (NG28) www.nice.org.uk/nicemedia/pdf/CG063Guidance.pdf. December 2015
    Type 2 diabetes: The management of type 2 diabetes
  • NICE guidelines [CG87] Published date: May 2009
  • Wang Q. Xia W.  Zhao Z.  Zhang  H. Effects comparison between low glycemic index diets and high glycemic index diets on HbA1c and fructosamine for patients with diabetes: A systematic review and meta-analysis. Primary Care Diabetes, 2015, 9, 5, 362-369
Gestational Diabetes

Gestational Diabetes

Information for women who have gestational diabetes to help them manage their health during and following pregnancy. Update to NDR-UK resource ref 9222.

  • Pack size: 10
  • Classification: HP
  • NDR-UK ref: 9384

Price per pack

£8.00
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Healthy Living with Diabetes

Healthy Living with Diabetes

Reissued following popular demand. A comprehensive guide summarising healthy eating with diabetes for adults. Ideal for use during an annual dietetic consultation and/or to complement resources from N...

  • Pack size: 10
  • Classification: HP
  • NDR-UK ref: 9223

Price per pack

£10.00
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Healthy Eating and Diabetes

Healthy Eating and Diabetes

Information for adults with Type 2 Diabetes to help them make healthy choices and follow a healthy eating plan to control their diabetes and reduce the risk of complications.

  • Pack size: 10
  • Classification: HP
  • NDR-UK ref: 9382

Price per pack

£9.00
best seller