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Dietary Advice for People with Diabetes The information in this leaflet is about healthy eating for diabetes. When you see the dietitian you will be given further dietary advice. It is recommended that all people with diabetes receive nutritional advice either via a structured education programme or on an individual basis. Initial Diabetes Advice Diabetes is a condition in which the amount of glucose (sugar) in the blood is too high. This is caused by your body not producing enough insulin or not using it efficiently. 10 Steps to following a Healthy Diet and Lifestyle 1. Try to establish a regular meal pattern. 2. Try not to skip meals. 3. Although a completely sugar free diet is not necessary, you may need to cut down on sugar and sugary foods. (See table page 2) 4. Try and eat smaller portions of starchy carbohydrates e.g. bread, as all carbohydrate is converted into glucose. The amount of carbohydrate you eat has the biggest impact on blood glucose. Smaller portions will, help to manage your diabetes better. Good choices of starchy food include wholegrain or seeded bread, basmati rice, pasta, pitta bread, potatoes or wholegrain cereals. Leaflet No: cssd0039 v1 review date 1/19 page 1 of 4 Foods high in sugar Foods to try instead Sugar, honey, syrup Artificial sweeteners (it is best to use a variety), for example, Splenda, Hermesetas, Canderel, Sweetex, Truvia, supermarket own brands Sugar and sweet drinks Diet, Light or Zero fizzy drinks. Sugar free or “no added sugar” squash. 1 small glass of pure fruit juice or smoothie a day. Cream and chocolate biscuits 1 to 2 plain biscuits such as Rich Tea, Oatcakes, Ginger or Garibaldi Cakes, sweet pastries and puddings A small serving of low fat milk puddings such as rice pudding, semolina or low fat custard. 1 scone/ crumpet/ small currant teacake or 1 small slice of malt loaf. 1 portion of fruit. Thick and creamy yoghurts and fromage frais. Note some brands of low fat yoghurts can also be high in sugar Healthy option, light, diet, virtually fat free or low calorie yoghurts (aim for about 5-8g of sugar per 100g). Jams and marmalade Spread thinly or use reduced-sugar varieties or pure fruit spreads. Tinned fruit in syrup Tinned fruit in juice, drained. Sweets, chocolate, sugary foods such as laddoo, gulab jamun, kheer, halma and rassomalai Sugar free mints or one portion of fruit. Sugar, honey or chocolate coated breakfast cereals Wholegrain breakfast cereals e.g. porridge, All Bran, branflakes, Weetabix or no added sugar muesli, Simply Oat Granola Leaflet No: cssd0039 v1 review date 1/19 page 2 of 4 5. Aim for 5 portions of fruit and vegetables a day, of which 2-3 portions should be fruit, but as many vegetables or as much salad as you wish. A portion is often best described as a small handful, for example: • 1 average size apple, pear, banana, orange. • 2 smaller fruits, e.g. plums, kiwis, satsumas. • 1 large slice of melon or pineapple. • 10 grapes or any type of berries. • 2-3 tablespoons of fruit salad, stewed fruit or tinned fruit in juice. • 2 dessert spoons of dried fruit. • 3-4 dried prunes or apricots. • Small (200ml) glass of fruit juice – this is best consumed alongside a meal. • 2-3 heaped tablespoons of vegetables including pulses (e.g. baked beans). • A small cereal bowl of salad. 6. Reduce your fat intake, especially saturated fat, which is found in foods such as pies and pastries, and processed meats such as sausages and burgers. Grill, steam, bake, casserole, boil, dry roast or microwave rather than frying foods. 7. Use less salt. Try flavouring with pepper, herbs and spices rather than adding salt. Salt substitutes are not recommended. 8. If you drink alcohol, drink in moderation. The current recommendations are up to: 14 units per week for women and men. Two alcohol free days are also recommended. Drinking alcohol may not be advisable for some people. Your Doctor will be able to discuss this with you. 9. Avoid special diabetic products such as sweets, biscuits and chocolates, are not necessary. They can be high in calories and are usually expensive. 10.Try to keep active. Aim for 30 minutes of moderate intensity activity (for example a brisk walk) 5 times a week. Leaflet No: cssd0039 v1 review date 1/19 page 3 of 4 For information about other aspect of diabetes please contact: Diabetes UK Macleod House 10 Parkway London NW1 7AA Diabetes UK Careline: 0845 120 2960 Website: www.diabetes.org.uk British Heart Foundation (BHF) Greater London House 180 Hampstead Road London NW1 7AW Telephone No: 0207 554 0000 Website: www.bhf.org.uk NHS Choices Website: www.nhs.uk If you have any comments about this leaflet or the service you have received you can contact : Dietetic Team Co-ordinator Huddersfield Royal Infirmary Telephone No: 01484 342749 Diabetes Centre Calderdale Royal Hospital Telephone No: 01422 222033 www.cht.nhs.uk If you would like this information in another format or language contact the above. Potřebujete-li tyto informace v jiném formátu nebo jazyce, obraťte se prosím na výše uvedené oddělení Amennyiben ezt az információt más formátumban vagy nyelven szeretné megkapni, vegye fel a kapcsolatot fenti részlegünkkel. Jeżeli są Państwo zainteresowani otrzymaniem tych informacji w innym formacie lub wersji językowej, prosimy skontaktować się z nami, korzystając z ww. danych kontaktowych ਰ ਤੁਸ ਇਹ ਜਾਣਕਾਰੀ ਿਕਸੇ ਹੋਰ ਪ੍ਰਾਰੂਪ ਜਾਂ ਭਾਸ਼ਾ ਿਵੱ ਚ ਲੈ ਣਾ ਚਾਹੁੰ ਦੇ ਹੋ, ਤਾਂ ਿਕਰਪਾ ਕਰਕੇ ਉਪਰੋਕਤ ਿਵਭਾਗ ਿਵੱ ਚ ਸਾਡੇ ਨਾਲ ਸੰ ਪਰਕ ਕਰੋ। تو،ی زبان م یں درکار ہوں ی معلومات کسی اور فارم یٹ ا اگر آپ کو ه .برائے مہربانی مندرجہ باال شعبے م یں ہم سے رابطہ کریں Leaflet No: cssd0039 v1 review date 1/19 page 4 of 4 © Calderdale and Huddersfield NHS Foundation Trust. All rights reserved. Not to be reproduced in whole or in part without the permission of the copyright holder CHFT