Dining Out with Diabetes Elizabeth Mellott Sodexo Dietetic

Dining Out with Diabetes Elizabeth Mellott Sodexo Dietetic Intern

Carbohydrates �Bagels, biscuits, bread, crackers, taco shells, tortillas �Pasta, rice, ready-to-eat or cooked cereal, pancakes �Fruit juice and fruit (canned, dried, or fresh) �Milk, soymilk, and yogurt �Corn, peas, potatoes, dried beans (pinto, black, garbanzo)

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http: //trialx. com/curebyte/2011/07/09/pictures-for-blood-glucose/

Normal Blood Glucose American Diabetes Association American Association of Clinical Endocrinologists �A 1 C: < 7 % �A 1 C: ≤ 6. 5 % �Before a Meal: 70 -130 mg/d. L �Before a Meal: < 110 mg/d. L � 2 Hours After the Start of a Meal: < 180 mg/d. L � 2 Hours After the Start of a Meal: < 140 mg/d. L

How Much Carbohydrate? � 45 – 75 grams at each meal � 15 grams at a snack �Avoid skipping meals �No more than 4 -6 hours between meals

Sodium � 1500 mg- for adults over 51, and certain at risk populations… �Hypertension, Diabetes, Chronic Kidney Disease, African Americans �Your body only needs 500 mg/day to function properly

Fiber � 25 -35 grams of fiber per day �To meet this goal, choose high fiber foods with at least 5 grams of fiber per serving. �Soluble Fiber Foods: fruits, vegetables, legumes, lentils, dried beans, whole grain foods made with oats, barley, and rye

Food Labels

�Blueberry Bagel- CHO: 68 g Fiber: 2 g �Small Orange Juice- CHO: 26 g Fiber: 1 g �Grilled Egg and Cheese Sandwich- CHO: 43 g Fiber: 2 g �Low-Fat Garden Vegetable Soup with Pesto- CHO: 26 g Fiber: 12 g �Smoked Turkey Sandwich CHO: 66 g Fiber : 3 g

�Eggplant Parmigiana. CHO: 70 g Fiber: 11 g �Lasagna Classico- CHO: 35 g Fiber: 7 g �Cheese Ravioli with Meat Sauce- CHO: 64 g Fiber: 6 g �Grilled Chicken Caesar Salad- CHO: 14 g Fiber: 4 g �Chicken Alfredo- CHO: 71 g Fiber: 4 g

Sugar Substitutes �Contain no calories �Have no effect on blood glucose or insulin levels �Diet soda, diet tea, diet jello are free foods �Also referred to as non-nutritive sweeteners

�Nutrition Information Serving Size: 5 pieces (40. 00 Serving Size: 5 pieces g) (43. 00 g) Total Calories: 160 Calories Total Calories: 210 Calories from Fat: 110 Total Fat: 13 g Saturated Fat: 8 g Saturated Fat: 7 g Cholesterol: 10 mg Cholesterol: 5 mg Sodium: 15 mg Sodium: 55 mg Total Carbohydrate: 24 g Total Carbohydrate: 25 g Dietary Fiber 3 g Protein 1 g Dietary Fiber 2 g Sugars 22 g Protein 3 g

Fast Food Dining �Watch out for words like jumbo, giant, deluxe, biggie-sized or super-sized �Choose grilled or broiled sandwiches with meats such as lean roast beef, turkey or chicken breast, or lean ham. �Add flavor with mustard, and crunch with lettuce, tomato, and onion.

More Tips �Eat slowly �Ask for no extra salt or butter to be added to your dish �Order salad dressings, sauces, and gravies on the side �Avoid fried foods �Ask what is in a dish if you do not know

More Tips �Put half of your entrée in the box right away, or order an appetizer instead �Be careful at buffets �Drink water, diet soda, or diet iced tea �Try fruit or fat-free frozen yogurt for dessert

Questions?

References �http: //www. diabetes. org/food-and-fitness/food/whatcan-i-eat/eating-out/ �http: //nutritioncaremanual. org/ �http: //www. cnpp. usda. gov/dietaryguidelines. htm �http: //fnic. nal. usda. gov/nal_display/index. php? info_c enter=4&tax_level=2&tax_subject=256&topic_id=1342