Diabetic Patterns

Diet 1 B Starch Meat Vege Fruit Milk Fat Goal TOTAL 2 1 2 2 2 79 84 AM L 4 2 2 1 2 79 75 PM D 4 3 2 1 2 79 75 HS 2 Total 12 6 4 4 3 7 %C 180 20 60 36 296 1184 %P 36 42 8 24 110 440 %F 12 12 Percent of calories: Carbs 54.3% Pro 20.2% Fat 25.6% Total Calories: Goal: 2182 2200

0 0

0 0

1 1 39 Total Grams 42 Total Kcal

3 35 62 558

Diet 2 B Starch Meat Vege Fruit Milk Fat Goal TOTAL AM Snack 4 2 1 1 2 1 60 60 PM Snack 6 3 3 2 1 1 1 1 3 1 119 60 117 57 L D HS Snack Total 7 3 Exchanges25 4 9 3 6 1 6 1 5 3 2 12 119 60 Total Grams 117 60 Total Kcal %C 375 30 90 60 555 2220 %P 75 63 12 40 190 760 %F 25 45

2 2 2 119 114

Percent of Calories: Carbs 52.9% Pro 18.1% Fat 29.0% Total Calories: Goal: 4195 4200

5 60 135 1215

Diet 3 B Starch Meat Vege Fruit Milk Fat Goal TOTAL 2 AM Snack L 3 1 1 1 1 56 60 PM Snack 1 2 1 2 56 57 1 28 30 D 3 3 2 HS Snack 2 Total Exchanges 10 5 3 4 2 5 Total Grams Total Kcal %C 150 15 60 24 249 996 %P 30 35 6 16 %F 10 16 Percent of calories: Carbs 54.7% Pro 19.1% Fat 26.2% 1821 1800

1 1 1 56 57

28 0

30

2 25 Total Calories: 87 53 Goal: 348 477 One high fat meat included.

Diet 4

B Starch Meat Vege Fruit Milk Fat Goal TOTAL 2

AM Snack

L 2 1 1

PM Snack

D 2 2 2

HS Snack

Total Exchanges 6 3 3 2 3 9

%C 90 15 30 36 171 684

%P 18 21 6 24 69 276

%F 6 6 Percent of calories: Carbs 45.6% Pro 18.4% Fat 36.0% Total Calories: Goal: 1500 1500

1 1 1 38 42 1 2 38 42

1 4 38 30 1 2 19 Total Grams 12 Total Kcal

19 15

19 15

3 45 60 540

Diet 5 Total B AM Snack L PM Snack D HS Snack Exchanges 4 5 3 5 2 19 1 2 3 6 2 2 4 1 3 1 1 6 2 1 3 1 2 1 3 1 8 92 46 92 46 92 46 Total Grams 99 45 90 45 87 45 Total Kcal %C 285 20 90 36 431 1724 %P 57 42 8 24 %F 19 18

Starch Meat Vege Fruit Milk Fat Goal TOTAL

Percent of calories: Carbs 57.4% Pro 17.4% Fat 25.2%

7 40 Total Calories: 3004 131 84 Goal: 3000 524 756 One high fat meat and medium fat dairy included.

Diet 6

Starch Meat Vege Fruit Milk Fat Goal TOTAL

AM B Snack 3 2 1 1 2 63 60

L 3 1 2 1 2 63 60

PM Snack

HS D Snack 4 1 3 1 1 3 63 60

31 30

0 0

Total Exchanges 13 5 3 3 0 1 8 31 Total Grams 30 Total Kcal

%C 195 15 45 0 255 1020

%P 39 35 6 0

%F 13 22

Percent of calories: Carbs 50.6% Pro 15.9% Fat 33.5% 2015 2000

0 40 Total Calories: 80 75 Goal: 320 675 Two high fat meats included.

Menus based on Diabetic Patterns

Diet 3 Menu Meal Food Item Amount 1 1/2 cups 1 1/4 cup 1 cup 6 each 2 slices 1 Tbsp 1 Small 1 cup 12 chips 1/4 cup 1 cup 1 cup 3 oz 1 cup 1 cup 2 tsp 3 cups 1 cup Exchange 2 Starch 1 Fruit 1 Milk 1 Almond 2 Starch 1 Meat 1 Fruit 1 Vegetable 1 Starch + 1 Fat 1 meat 2 Fruit 3 Starch 3 Meat 2 Vegetables 1 Milk 2 Fat 1 Starch 1 Starch + 1 Fat Fat x x Low x x High x x x Low x x Low x Low x x x

Breakfast Cheerios Cereal 9:00 AM Strawberries 1% Milk Almonds Whole Grain Lunch Bread 12:00 PM Peanut Butter Small Banana Baby Carrots Potato Chips PM Snack Cottage Cheese 3:00 PM Canned Pears Dinner White Rice 6:00 PM Chicken Breast Broccoli, Cooked 1 % Milk Butter HS Snack Popcorn 8:00 PM Hot Chocolate

Diet 5 Menu Meal Food Item Breakfast Bagel 9:00 AM Cream Cheese Granola Yogurt, Vanilla Strawberries AM Snack Cottage Cheese 11:00 AM Peaches, Canned Lunch Tortilla, 6 inches 1:00 PM Refried beans Cheddar spinach Tomato Onion, cooked Sour Cream Avacado Apple PM Snack Bagel 3:00 PM Cream Cheese Pretzels Dinner Halibut 5:00 PM Brown Rice Asparagus, steamed Olive Oil Sweet Potato Fries, Baked 1% Milk HS Snack Popcorn, with Butter 7:00 PM Apple Juice Pretzels Amount 1/2 each 1 Tbsp 1/2 cup 1 1/3 cups 1 1/4 cup 1/4 cup 1 1/2 cups 2 each 1/2 cup 1 oz 1 cup 1/2 cup 1/2 cup 2 Tbsp 2 Tbsp 1 Small 1/2 each 1 Tbsp 3/4 oz 3 oz 2/3 cup 1 cup 2 tsp 1 cup 1 cup 3 cups 1/2 cup 3/4 oz Exchange 2 Starch 1 Fat 2 Starch 2 Milk 1 Fruit 1 Meat 3 Fruits 2 Starch 1 Starch + 1 Meat 1 Meat 1 Vegetable 1/2 Vegetable 1/2 Vegetable 1 Fat 1 Fat 1 Fruit 2 Starch 1 Fat 1 Starch 3 oz meat 2 Starch 2 Vegetables 2 Fat 2 Starch + 1 Fat 1 Milk 1 Starch + 1 Fat 1 Fruit 1 Starch Fat x x x Medium x Low x x Low High x x x x x x x x x Low x x x x Low x x x

Diet 6 Menu Meal Food Item Breakfast Oatmeal 9:00 AM Brown Sugar Margerine, low fat Blueberries Almonds AM Pita Bread, 6 Snack inches 11:00 Hummus AM Lunch Whole Wheat Bread 1:00 PM Peanut Butter Banana Carrots Sugar Snap Peas Salad Dressing Orange Juice Dinner Lettuce 5:00 PM Spinach Black Beans Tomato Onion Tortilla Chips Refried Beans Salad Dressing HS Snack Potato Chips 8:00 PM Apple Amount 1 cup 1 Tbsp 1 Tbsp 3/4 cup 6 Nuts 1/2 each 1/3 cup 2 Slices 1 Tbsp 1 Small 1 cup 1 cup 2 Tbsp 1/2 cup 1 cup 1/2 cup 1/2 cup 1/4 cup 1/4 cup 3/4 oz 1 cup 2 Tbsp 3/4 oz 1 Small 2 Starch 1 Meat 1 Fruit 1 Vegetable 1 Vegetable 2 Fat 1 Fruit Free Food 1/2 Vegetable 1 Starch + 1 Meat 1/4 Vegetable 1/4 Vegetable 1 Starch + 1 Fat 2 Starch + 2 meat 2 Fat 1 Starch + 1 Fat 1 Fruit x High x x x x x x x Low x x x Low x x x Exchange 2 Starch 1 Starch 1 Fat 1 Fruit 1 Fat 1 Starch 1 Starch + 1 Meat Fat x x x x x x High

Diet 3 Analysis
Spreadsheet: Abby2 Diabetic | All Days Spreadsheet Item Name Abby2 Diabetic Day 1 (11/10/2012) Breakfast Cereal, Cheerios Strawberries, fresh, whole Milk, 1% Nuts, almonds, whole, USDA Lunch Bread, whole wheat, 100% Peanut Butter, natural, creamy Banana, fresh, extra sml, 6" or shorter Carrot, baby, fresh Chips, potato Afternoon Snack Cottage Cheese Pears, cnd, w/juice, halves Dinner Rice, white, steamed Chicken, breast, lemon herb, w/o skin, raw Broccoli, stmd Butter, salted Milk, 1% Evening Snack Popcorn, popped in oil, unsalted Hot Cocoa, rich chocolate, dry pkt % Recommendation 3 Cup 1 Individual Packet 1 Cup 3 Ounce-w... 1/4 Cup 1 Cup 2 Slice 1 Tablespo... 1 Each 1.5 Cup 1.25 Cup 1 Cup 6 Each Quantity Measure Cals (kcal) 1721.00 1721.00 357.30 155.82 57.60 102.48 41.40 471.31 140.00 100.00 72.09 Prot (g) 72.50 72.50 16.03 5.08 1.21 8.22 1.53 13.13 6.00 3.50 0.88 Carb (g) 265.83 265.83 58.32 30.76 13.82 12.18 1.56 73.29 28.00 3.50 18.50 Fat (g) 50.76 50.76 9.29 2.83 0.54 2.37 3.56 16.62 2.00 8.00 0.27

1 Cup 12 Each

53.33 105.88 174.00 50.00 124.00 518.39 199.32 98.72

1.33 1.41 7.34 6.50 0.84 33.23 4.22 16.71

12.00 11.29 34.09 2.00 32.09 71.18 44.72 2.28

0 6.35 2.42 2.25 0.17 12.68 0.36 2.28

1 Cup 2 Teaspoon 1 Cup

50.00 67.88 102.48 200.00 120.00 80.00 88.67

4.00 0.08 8.22 2.76 2.16 0.60 153.69

12.00 0.01 12.18 28.94 13.94 15.00 99.60

0 7.68 2.37 9.74 6.74 3.00 84.06

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Discrepancies in ESHA grams of carbohydrate: Overall there was only a 17 gram difference between estimated carbohydrates, and the carbohydrates measured in ESHA. One major difference was the carrots. One cup of baby carrots was equal to 12 grams of carbohydrate on ESHA, and only equal to 5 grams according the diabetic exchanges. The banana was 18.5 grams of carbohydrate instead of 15. Most of the foods however were plus or minus 3 grams of carbohydrate, but these small differences added up to 17 grams throughout the day. Following the diabetic diet: I chose to follow the third diet, an 1800 calorie diet. This was much harder than I expected. The hardest part was eating at the correct times. I would plan to eat dinner at 5:00, but with homework, and food preparation it took longer to get dinner ready. Some of my times conflicted with class and work schedules so I had to eat a large quantity of food in a short amount of time. Following this diet took a lot of planning. It took me much longer to get out the door in the morning when I had to worry about how many exchanges I was bringing with me. Overall following this diabetic diet made eating less of a spontaneous and enjoyable experience, and more of a stressful one. I did find that I was able to eat healthier because I was more aware of what I ate, I snacked less, and I consumed more fruits and vegetables that I had planned into the diet. This experience has really helped me to have empathy for diabetics. I also found myself going back and making changes to my original diet plan because some exchanges were impractical for one meal. I feel that I will be able to better help diabetic patients after completing this assignment.