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Case Study Report: Diabetes

Introduction

Patients with diabetes are a special population that requires a special dietary approach due to specific metabolic challenges they are faced with. Notably, diabetes is a disease where insulin production and utilization are either impaired or not functioning properly which requires careful dietary management to prevent complications and control blood sugar levels. Usually, a set of Acceptable weight distribution criteria (AMDRs) is used in a typical diet which means it is not appropriate for those questioned, so the necessary adjustments might be implemented to these criteria to meet the health goals (Awuchi et al., 2020). Besides, there are key changes like allowing carbohydrates to slowly digest rather than rapidly taken in, and making sure the essential nutrients are to the body such as fibre, iron, and vitamins. This restricts the intake of saturated fat to limit the risk of cardiovascular disease. According to Awuchi et al. (2020), adjustment of food sources should not only consider overall satisfaction but must include low-glycemic-index carbs, lean protein, and healthy fat. Failure to adjust the diet wisely for people with diabetes may cause different health problems such as hyperglycemia, a higher risk of cardiovascular disease, peripheral neuropathy and lack of ability to heal wounds. This paper seeks to examine these dietary considerations and the best practices for following them for health outcomes in individuals with diabetes.

Comparison of “Typical” vs Population diet AMRDs

Usually, the food intake, planned by the set of Acceptable Macronutrient Distribution Ranges (AMDRs) given by tools like the Harris-Benedict Calculator, contains proper amounts of carbohydrates, proteins, and fats (Choi et al., 2020). Nevertheless, individuals with diabetes get macronutrient considerations as part of dieting then problems start to arise beyond this. Individuals with diabetes should always put in place caution while dieting as carbohydrates have a direct impact on the blood sugar level than any other food group. Contrary to the usual diet that still has moderate to high-carb food content, the diet of a diabetic person involves controlling their consumption of carbs to manage the glucose levels in their blood. However, they will frequently pick complex carbohydrates with a lower glycemic index (GR) to avoid blood sugar spikes.

In addition, fibre-rich foods that are recommended by diabetes patients more significantly than any foods of a normal diet hamper blood sugar control which in turn, increases overall health problems. Hence, dietetic planning for diabetic people significantly highlights higher consumption of fibre-rich foods such as fruits, vegetables, whole grains, and legumes (Mirahmadizadeh et al., 2020). Furthermore, most people’s ordinary diet contains huge amounts of saturated fats which mostly come from animal fat and processed foods. However, patients with diabetes are recommended to go for a low-fat diet with very low saturated fat intake to prevent heart disease. Therefore, different sources of healthier fats such as nuts, seeds, and avocados, which supply fatty acids without being limited by cardiac health, are recommended for the diet plan for people with diabetes.

3Key adjustments to maintain optimal health

The three basic measures that are destined to improve the health of diabetic patients are mentioned below. First, Carbohydrate consumption management is essential for better blood sugar level control. People with diabetes should aim at using a low glycemic index carbo for consumption thereby ensuring blood glucose levels fall lower after food intake. This means we must choose whole grains, beans, and vegetables with fewer starches and a small amount of sugar (Mirahmadizadeh et al., 2020). Furthermore, people with diabetes need to make sure that they consume enough of the vital nutrients like minerals and vitamins to enjoy a healthy life. The same as some other trace minerals with insulin sensitivity in particular, magnesium and chromium are essential for glucose management. This signifies how it is important to utilize foods like green leafy vegetables, nuts, seeds, and whole grains in diabetic diets. In essence, keeping a proper level of saturated fats is a very crucial aspect of decreasing the diabetes risk to generate cardiovascular issues. Moreover, diabetic patients should eat less saturated foods in fats and they must instead go for healthier alternatives like monounsaturated and polyunsaturated fats from olive oil, avocados, sea fishes and nuts (any, 2020).

Description of Food/Nutrient Replacement Options

Food replacements for diabetics should lower the glycemic index carbohydrate sources from high to low glycemic index ones and this will aid diabetic patients in maintaining their blood sugar at an appropriate level. For instance, white rice substitution with brown rice and quinoa is a good example since the latter contains more fibre and nutrients, leading to slower digestion and consequently, stabilized blood sugar (Vlachos et al., 2020). Also, red meat can be replaced by lean protein sources like chicken, fish, tofu, and beans to minimize saturated fat intake, which closes in on cardiovascular complications connected with diabetes. Individuals following a plant-based diet do not have to compromise on their need for high-quality protein since these sources provide amino acids in the same pattern and with the added benefit of not being saturated fat. Besides, turning to water, herbal teas, or infused water can remarkably prevent sugar from entering the bloodstream by replacing sugar-loaded beverages (Awuchi et al., 2020). This could lead to better blood sugar control. These alternatives provide hydration without excessive surges in blood glucose which in turn leads to a better overall health status of these individuals.

Health-related consequences of lack of diet adjustment

Failure to adjust the diet properly for individuals with diabetes can lead to several health consequences. To start with, uncontrolled glucose levels in the blood increase the chances of hyperglycemia and that may lead to symptoms such as dry mouth, constant urinating, uneven vision, and tiredness. For quite a long and long-run period hyperglycemia is present which can permit you to enter into long-term complications such as nerve damage, kidney disease, and cardiovascular diseases (Awuchi et al., 2020). Also, not getting the necessary nutrients, particularly vitamins and minerals, may worsen your total health and likely aggravate diabetes-linked complications. For instance, lack of vitamin D, magnesium, or B vitamins may decrease insulin sensitivity as well as glucose metabolism, which may insidiously lead to more advanced metabolic disorders and increase the chance of complications. In addition to that, consuming high amounts of saturated fats and refined carbohydrates can cause diabetes, insulin resistance, and heart diseases which can be serious conditions for diabetes complication control. In this respect, adopting poor nutrition habits may spiral other conditions (hypertension, dyslipidemia) associated with diabetes, expanding the cycle of deteriorating health outcomes.

Conclusion

The dietary treatment for diabetes involves the individualistic modifications that are most suitable for people with this condition. Through a comparison of a standard diet with the nutritional needs of individuals with diabetes, there is the issue of restricting carbohydrate consumption, preferring fibre-rich foods, and replacing fat sources with healthier options. The implementation of these adaptations plays a major role in achieving good health and also reduces the complications induced by this metabolic disease. Finally, an alternative food option for example low glycemic index carbohydrates, lean proteins, and non-sugary beverages can help to manage blood sugar highly effectively. Not making these adjustments can have health consequences for diabetic people as they can struggle for optimal health results.

References

Awuchi, C. G., Echeta, C. K., & Igwe, V. S. (2020). Diabetes and the nutrition and diets for its prevention and treatment: A systematic review and dietetic perspective. Health Sciences Research6(1), 5-19.

Choi, Y. J., Jeon, S. M., & Shin, S. (2020). Impact of a ketogenic diet on metabolic parameters in patients with obesity or overweight and with or without type 2 diabetes: a meta-analysis of randomized controlled trials. Nutrients12(7), 2005.

Magkos, F., Hjorth, M. F., & Astrup, A. (2020). Diet and exercise in the prevention and treatment of type 2 diabetes mellitus. Nature Reviews Endocrinology16(10), 545-555.

Mirahmadizadeh, A., Khorshidsavar, H., Seif, M., & Sharifi, M. H. (2020). Adherence to medication, diet, and physical activity and the associated factors amongst patients with type 2 diabetes. Diabetes Therapy11, 479-494.

Vlachos, D., Malisova, S., Lindberg, F. A., & Karaniki, G. (2020). The glycemic index (GI) or glycemic load (GL) and dietary interventions for optimizing postprandial hyperglycemia in patients with T2 diabetes: A review. Nutrients12(6), 1561.

 

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