Professional Documents
Culture Documents
Diabetes Mellitus and Therapeutic Nutrition Dr. Manalo February 19, 2014
Diabetes Mellitus and Therapeutic Nutrition Dr. Manalo February 19, 2014
Diabetes Mellitus and Therapeutic Nutrition Dr. Manalo February 19, 2014
ABNORMALITIES
Carbohydrate metabolism
Protein metabolism
Fat metabolism
o DKA: represents the most serious dehydration; it affects intracellular, intravascular, and interstitial compartments.
**Treatment: Rapid infusion of IV fluids/ rapid hydration. (2-3 L fluids in the 1st hour)
o HONK
o Without fats, these 2 complications will not occur
PREDISPOSING FACTORS
Heredity
Obesity
Big babies
MODY
-Type II DM in patients less than 40 years old
4. Compute for Carbohydrates, Fats and Protein allowances in calories and grams
o Carbohydrates: 50% TCR (divided by 4 to get grams)
o Proteins: 20% TCR (divided by 4 to get grams)
o Fats: 30% TCR (divided by 9 to get grams)
**Increase intake of fiber in all patients with DM because it will absorb the excess sugar
**No sugar or use sugar substitutes because sugar is vasculotoxic
SAMPLE PROBLEMS