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Community Dietitians, Community Nutrition & Dietitian Service, HSE South 15 th October 2014

Carbohydrate Awareness – Portion size & Type. Community Dietitians, Community Nutrition & Dietitian Service, HSE South 15 th October 2014. Today’s Workshop. Why focus on Carbohydrates? Size matters! Weight management & Portion size in Type 2 Diabetes Educating patients on Carbohydrates

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Community Dietitians, Community Nutrition & Dietitian Service, HSE South 15 th October 2014

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  1. Carbohydrate Awareness – Portion size & Type Community Dietitians, Community Nutrition & Dietitian Service, HSE South 15th October 2014

  2. Today’s Workshop • Why focus on Carbohydrates? • Size matters! Weight management & Portion size in Type 2 Diabetes • Educating patients on Carbohydrates • What patients need to know • Amount? • Type? • Quiz – carbohydrate • Supporting information/training/materials

  3. Carbohydrates (carbs.) - what’s all the fuss? • most important nutrient in diabetes control as directly manages blood glucose levels • +++ myths around ‘carbs.’: ‘bread/pasta fattening’, ‘no grapes/ bananas’ ‘cut out carbs. to lose weight’ ‘having diabetes requires a sugar free diet’ • Size matters! Excess carbohydrate portions lead to raised blood glucose AND weight gain • WEIGHT management is the biggest issue!......

  4. National Weight Management Algorithm(HSE/ICGP 2011) • National evidence based resources • Goal: healthy lifelong weight management for all. • Different info available at: www.hse.ie/weightmanagement/ www.healthpromotion.ie www.icgp.ie - supplementary info pack Valuable to review all websites.

  5. www.icgp.ie/weightmanagement

  6. Understanding Energy Balance Excess FOOD including Carbs increases ‘calories in’

  7. Giving Advice on Carbohydrates

  8. Giving Advice on Carbohydrates • What foods contain Carbohydrates?

  9. Where do we get Carbohydrate?

  10. Giving Advice on Carbohydrates • QUANTITY ? VS. QUALITY ? Amount / Portion size Vs. Type (GI)

  11. Giving Advice on Carbohydrates

  12. Carbohydrate: Type (GI)

  13. Giving Advice on Carbohydrates • Educate on foods containing carbohydrate • Amount / Portion size – most important to BGL Type(GI) – modest additional benefit • Distribution throughout the day – meal times • Consistency from one day to next • Fibre Content • Fruit – amount, types – dried, juice, tinned • Checking blood glucose – 2hr postprandial levels

  14. Using the Food Pyramid… • Food pyramid servings are NOT equal in carbohydrate or calorie content • Need to watch portions & choose wisely for wt mngt. (lower calories) & BG control (slower absorption) ~100 calories: ~ 200 calories:

  15. Week 3 of X-PERT?

  16. Carbohydrate Awareness Quiz

  17. So to summarise….What do patients need to know? • Value in regular nourishing meals everyday • What part of their meal is actually CHO • Importance of portion sizes/amounts • Value in increasing veg. at lunch/main meal • Role of activity, weight, alcohol, meds on BG • What will influence their weight • How they can put it all into practice

  18. Supports for patients & health professionals • Refer to Community Dietitian – X-PERT /1-1 • Referral via online form www.hse.ie/xpert to 3 HSE areas - HSE South, Dublin North East, Dublin Mid-Leinster (not HSE West) • www.digp.ie – supporting info being added • Poster for waiting room • Referral flyer • Health profile form • Tips on dietary treatment for patients • Training from HSE Community Dietitian

  19. Supports for patients & health professionals • www.weigh2live.safefood.eu online wt loss support • www.indi.ie (Irish Nutrition & Dietetic Institute) factsheets, private dietitians… • www.carbsandcals.com (user friendly resources to count carbohydrate & calorie content of common foods, APP) • www.getirelandactive.ie apps, physical activity recommendations, tips, whats on. E-learning module: http://www.icgp-education.ie/physical-activity/ • www.healthpromotion.ie training calender, order health literature • www.icgp.ie/weightmanagementwt mngt. algorithm, BMI charts, support info..

  20. Any queries: Community Dietitian Team in Cork/Kerry • Cork City: 021-4921641 • North Cork via Mallow: 022-58700 • West Cork via Clonakilty: 023-8832749 • Kery via Killarney: 064- 6670763 or Tralee: 066-7195617

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