By C. Brunzell, D. S. Hardin, A. Moran, T. Schindler, K. Schissel
Read Online or Download Managing Cystic Fibrosis-Related Diabetes (CFRD): An Instruction Guide for Patients & Families PDF
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Additional resources for Managing Cystic Fibrosis-Related Diabetes (CFRD): An Instruction Guide for Patients & Families
The total for the lunch example above would then be 7 units of insulin: 6 units for the meal and 1 extra unit for correction. Your doctor or diabetes care team can give you a correction scale when needed. Only rapid-acting insulins are used for correction. Rapid-acting insulins: • Humalog® • NovoLog® • Apidra® 39 n Chapter 9 / Nutrition and CFRD THE FOOD GUIDE PYRAMID Modified for CF Fats & Sweets (use fats liberally for added calories) Milk (minimum 3-4 servings) • 1 cup milk • 1 cup yogurt Meat, Fish, Poultry, Eggs, Legumes, Nuts (3 or more servings) • 3 ounces cooked meat, fish, poultry • 2-3 ounces cheese • 1 egg • 2 Tbsp peanut butter • 1/2 cup legumes Non-Starchy Vegetables (3 or more servings) Fruits (2 or more servings) • 1 piece fresh fruit • 1/2 cup cooked vegetables • 1 cup raw vegetables • 1/2 cup canned fruit • 1/2 cup vegetable juice • 1/4 cup dried fruit • 1/2 cup fruit juice Grains, Beans, Starchy Vegetables (6 or more servings) • 1 slice bread • 1 small dinner roll • 1 cup winter squash • 1/3 cup pasta • 1/3 cup rice • 3/4 cup dry cereal • 1/2 cup cooked cereal • 1 small tortilla • 4-6 crackers • 1/2 bagel, English muffin, • 1/2 cup corn, peas, bun, or pita potatoes, or legumes • 1/3 cup sweet potato Use the food guide pyramid to plan a healthy diet.
Adding fats and sugars will increase your total calories. If you are trying to gain weight, choose high-fat foods. The enzymes you take when you eat help your body to absorb the nutrients and calories that fats provide. Even with enzymes, you may still end up losing or malabsorbing some of the fat you eat. That’s why you need a high-fat diet to help you maintain your weight. Make sure your enzyme doses are correct so you can get the most from the food you eat. Fat does not have a big effect on blood sugar.
Because of your CF, you need more calories than what is advised for people without CF. If you have CF and are pregnant, you need even more! You will have to eat three meals and many snacks each day to meet your and your baby’s nutritional needs. Because your need for protein, calcium, iron, and folic acid are increased, you need to take extra vitamins. Check your blood sugar many times each day. Take the right amount of insulin to cover your carbohydrates. Control your blood sugars (see Chapter 9, “Nutrition and CFRD”).
Managing Cystic Fibrosis-Related Diabetes (CFRD): An Instruction Guide for Patients & Families by C. Brunzell, D. S. Hardin, A. Moran, T. Schindler, K. Schissel