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Diet:
Reducing caloric intake is the primary
mechanism for weight loss, although increasing
energy expenditure by becoming more
physically active is necessary for maintaining
weight loss.
Lifestyle Modification s for patients with
diabetes:
I. Diet prescription
1. weight reduction
2. carbohydrate: 40-65%
3.Restriction of the saturated fats
4. Increase monosaturated fats
5. Decrease cholesterol intake <200mg/d
6. Sodium restriction in patient prone to
hypertension
Calculate the Desirable Body Weight
(DBW)
Determine appropriate Total Energy
Allowance (TEA) per day
Distribution of energy allowance into
Carbohydrate, Protein and Fat
Estimation of Desirable Body Weight
(DBW)
1. HAMWI Method
Male = 105 lbs for the 1st 5 ft of height plus
5 lbs per inch for each inch above 5 ft
Female = 100 lbs for the 1st 5 ft of height plus
5 lbs per inch above 5 ft
Estimation of Desirable Body Weight (DBW)
2. NDAP Method
Male - 5 feet = 112 lbs (add 4 lbs for every inch
over 5 ft.)
Female 5 ft = 106 lbs (add 4 lbs for every inch
over 5 ft.)
Determination of the Total Energy Allowance (TEA)
- multiply DBW with the corresponding values according to
the following activities
DIETARY PRESCRIPTION:
1,500 kcal
CHO 225 g
CHON 55 g
FAT 40 g
Healthful food choices:
Foods containing carbohydrates
whole grains, fruits, vegetables and low-fat dairy
Sucrose (e.g., table sugar) and sucrose-containing
foods do not need to be restricted