9225Introduction to CHOCounting.pdf - NDR-UK

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Fruit and vegetables • Aim to have a minimum of 5 portions of fruit and vegetables every day. • Try to choose from a wide variety of fruit and vegetables. Fatty foods • These foods include butter, margarine and cooking oils and many snack and convenience foods such as mayonnaise, salad dressings, c r i s p s, n u t s, savoury and sweet pastries, ice cream and chocolate. • These foods should be used sparingly as eating too much can lead to being overweight. • Try to choose spreads and cooking oils which are higher in monosaturated or p o l y u n s a t u rated oil, for example olive oil or sunflower oil. Aim to use small amounts of these as the calorie content is the same as butter or lard. • G r i l l i n g , b a k i n g , boiling and stir frying are healthier methods of cooking. • Low-fat or reduced-fat alternatives can be a healthier alternative, but ensure that you read food labels to check the nutritional information. Sugar and sweet foods • These do not have to be avoided but eating too much of these can lead to tooth decay and being overweight. S a l t • Salt intake should be kept to a minimum as too much can lead to health problems such as high blood pressure. Processed foods such as crisps, pastries, ready meals and soups all contain salt so try not to have these too often. • If you have used a little salt in cooking try to avoid adding any more at the table. R e m e m b e r: • Base your meals on starchy foods. • Try to have at least 5 portions of fruit and vegetables a day. • Eat more fish. • Cut down on fatty and sugary foods. • Try to limit salt. 27 00
Other Things to Think A b o u t As you become more confident with your treatment plan, you can think more about your food c h o i c e s, m e a l t i m e s, activities and lifestyle to give you even more flexibility. Keeping a diary of these points will help you to spot trends and have better control. S n a c k s You do not need regular snacks on your treatment plan. • If you want a snack, think about when your last bolus was and how much carbohydrate is in your snack. • If your snack contains more than g of carbohydrate or is after hours of your last bolus, you will need to take a bolus of insulin. The best way to check if this works is to regularly check your blood glucose. You generally won’t need to bolus if you take carbohydrate to treat a hypo or for extra energy during activity. Discuss this with your diabetes team. What about bedtime snacks? It can be tempting to avoid a bolus with your bedtime snack if you are worried about hypos during the night. H o w e v e r, your blood glucose may be high for several hours and only come down with your basal insulin. Discuss this with your diabetes team. R e m e m b e r, you don’t really know what your blood glucose is during the night unless you test it from time-to-time. Delaying or skipping meals and flexible meal times It is important to try and have three regular meals a day. G e n e ra l l y, your treatment plan means that you won’t need to stick to set mealtimes. This is most likely to happen on special o c c a s i o n s, if you are away from home or not at school. If you delay or even skip a meal you: • should follow your standard ICR when you do have your meal • may need to have an extra bolus if you want to have an extra snack • still need to take your basal insulin at the same time regardless of when you are going to eat. Food choices Not all carbohydrate foods are digested at the same ra t e. Some are digested quicker and will raise your blood glucose level faster than others. This is covered in detail in C a r b o h y d r a t e Counting, The Next Steps (workbook 2), where you will also consider the timing of your b o l u s. 00 28
Page 1: A practical guide to support you th
Page 4 and 5: I n t r o d u c t i o n Managing yo
Page 6 and 7: R e m e m b e r: • You always nee
Page 8 and 9: For a healthy diet most of your car
Page 10 and 11: The labels below show suggested por
Page 12 and 13: Fruit Biscuits Fruit Biscuits SUITA
Page 14 and 15: If you are calculating the amount o
Page 16 and 17: Always carefully read labels that p
Page 18 and 19: The handy hints below will help you
Page 20 and 21: My favourite recipes Use the space
Page 22 and 23: Think of more meals and snacks that
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Page 26 and 27: How do I use my ICR to work out my
Page 28 and 29: For example • You are going to ha
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