Nutritional needs: Dietary control is an integral part of management for the diabetic. The diet should always provide the essentials of good nutrition and adjustments must be made from time to time for changing metabolic needs For example during growth, pregnancy, lactation or modified activity.
Proteins: Since diabetics in general are in negative nitrogen balance they should receive about twice as much protein as normal subjects. The proteins should be of high biological value and provide about 20 - 25 % of the calories in the diet. A diet high in protein is good for diabetics because
- It supplies the essential amino acids needed for tissue repair.
- Protein does not raise the blood sugar during absorption, as do carbohydrates.
- It does not supply as many calories as fats.
Carbohydrates: The daily intake of carbohydrate should provide about 40 % of the calories to prevent ketosis. Several studies shown that raising the carbohydrates intake does not adversely affect blood glucose levels, glucose tolerance, or insulin requirements provided that total calorie are not increased. |