Carbohydrate Awareness –
Portion size & Type
Community Dietitians,
Community Nutrition & Dietitian Service,
HSE South
15th 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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What patients need to know
Amount?
Type?
– carbohydrate
 Supporting information/training/materials
 Quiz
Carbohydrates (carbs.)
- what’s all the fuss?
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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
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WEIGHT management is the biggest issue!......
National Weight Management Algorithm
(HSE/ICGP 2011)
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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.
www.icgp.ie/weightmanagement
Understanding Energy Balance
Excess FOOD
including Carbs
increases ‘calories in’
Giving Advice on Carbohydrates
Giving Advice on Carbohydrates
•
What foods contain Carbohydrates?
Where do we get Carbohydrate?
Giving Advice on Carbohydrates
•
QUANTITY ?
VS.
Amount / Portion size
QUALITY ?
Vs. Type (GI)
Giving Advice on Carbohydrates
Day 1
Bowl of porridge
1 slice brown bread
Day 2
1 slice of white bread
Carbohydrate: Type (GI)
Giving Advice on Carbohydrates
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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
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:
Week 3 of X-PERT?
Carbohydrate Awareness Quiz
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
Supports for patients & health professionals
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
 Refer
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Poster for waiting room
Referral flyer
Health profile form
Tips on dietary treatment for patients
 Training
from HSE Community Dietitian
Supports for patients & health professionals
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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/
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www.healthpromotion.ie training calender, order health
literature
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www.icgp.ie/weightmanagement
mngt. algorithm, BMI charts, support info..
wt
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