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AIMS OF THE SESSION

Dietary Management of Type 2 Diabetes- the Role of structured education Yvonne McCluskey RD Wendy Beeston RD Sarah Kay RD Specialist Diabetes Dietitians. AIMS OF THE SESSION. Highlight the importance of structured education programmes for patients with Type 2 Diabetes

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AIMS OF THE SESSION

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  1. Dietary Management of Type 2 Diabetes- the Role of structured educationYvonne McCluskey RDWendy Beeston RDSarah Kay RDSpecialist Diabetes Dietitians

  2. AIMS OF THE SESSION • Highlight the importance of structured education programmes for patients with Type 2 Diabetes • To provide a brief update on the dietary management of diabetes

  3. General diet principles • Diet advice should focus on: • Maintaining and improving health • Achieving and maintaining optimal metabolic and physiological outcomes: • As near normoglycaemic as possible • Management of body weight, dyslipidaemia and hypertension • Diet should be individualised and take into account: • Shift patterns • Nutritional inadequacies • Cultural or religious beliefs

  4. How to be effective in communicating this advice: • Ideally, each patient should have a 1- to- 1 with a dietitian. If lucky, this may be 45minutes or it may be a shorter appointment with GP or Nurse? • Or…. They attend a structured education programme such as Juggle or T2onic and receive 10 hours of evidence-based education

  5. Structured Education Programmes for Type 2 diabetes in Nottingham city • T2ONIC for those taking insulin • JUGGLE for those on non-insulin therapy

  6. T2ONIC • 3x3 hour weekly sessions with 1x3 hour review after 3 months • Content very similar to Juggle but also includes additional information regarding different insulins, injection technique and sites, the importance of monitoring and adjusting doses

  7. JUGGLE • 4x 2.5 hours weekly sessions for 6-10 patients with partners • All aspects of diabetes covered- blood tests, medications, how food is absorbed, eatwell guide, portion control, importance of good control to minimise complications

  8. Eatwell Guide

  9. Fruit and vegetables: aim for 5 – 7 portions each day • 1 portion vegetables/salad = 1 large handful • 1 portion fruit = palm of hand measure e.g. 1 apple or 1 small banana or 2 kiwi or 8-10 grapes • 150ml. fruit juice • 1 dessertspoon dried fruit

  10. Dietary Guidelines – Fruit Breakfast Lunch Evening meal When to be cautious: • Breakfast – fruit on cereal, dried fruit, fruit juice • Multiple portions in 1 sitting • Fruit salads • Grazing

  11. Fats All fats need reducing if weight loss is required Eggs, liver and shellfish contain cholesterol but it has little impact on blood cholesterol levels Saturated fat and trans fat have the greatest effect on increasing LDL cholesterol levels so advice is to limit

  12. MONOUNSATURATED FAT – Lowers LDL and increase HDL Olive oil Rapeseed oil Margarines made from any of these oils Care with quantity if weight loss required

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