Menu and Diabetes Diet 
  Update date: 05/10/2010 
 
     authors :   
  Alejandra Rivera Torres Diploma in human and dietary nutrition 
  Luís J. Morán Fagúndez Diploma in Human and Dietetics Nutrition 
  Matilde Triviño Higher Technical Well in Dietetics.Clinical and Dietary Nutrition Unit.Virgen Macarena University Hospital (Seville) 
  J. María Rabat Restrepo Medical Clinical and Dietetic Nutrition Unit.Virgen Macarena University Hospital (Seville)  
      contents:     
      1.      generic diet denomination      > 
  2.     Features   
      3.      Objectives    
         5.      Dietotherapeutic variants    
       7.Menus     
  >
      week 1     
       week 2    
    
      8.Example Exchanges Exchanges 
       
      1.Generic diet denomination:     
   Diabetic diet   
      2.Characteristics:      
   Diet that is used as part of the treatment of diabetes mellitus are based on the control of the intake of calories, proteins, fats and carbohydrates.Additional considerations include regularity at meal schedule, the uniform distribution of kilocalories and carbohydrates between meals and the control of the intake of kilocalories, saturated fat and cholesterol.   
   specific dietary recommendations and the importance of additional considerations vary according to the type of diabetes mellitus and the integral medical treatment program.>
   In this document a diabetic diet has been established with an approximate contribution of 2,000 kcal.in 24 hours.   
        3.OBJECTIVES:      
 
 -   Provide adequate intake with a caloric level aimed at achieving and/or maintaining a desirable weight. 
 
 -   Prevent hyperglycemia and hypoglycemia. 
 
 -   Control lipid levels, blood pressure and other vascular risk factors. 
 
 -   Prevent and treat the appearance of acute and chronic complications. 
 
 -   Try to improve the eating habits of diabetic patients. 
 
 
 
      4.INDICATIONS:      
   The diet is aimed at diabetic patients (type1 and dm type 2).   
      5.Dietotherapeutic variants:      
   diabetic diet without salt (see recommendations  hyposodic diet ). 
  Diabetic diet rich in fiber (see recommendations  diet for constipation )   
      6.Additional dietary recommendations:      
   Below are common tips to all the diets that a patient with diabetes mellitus should follow:
 
 -   To reduce fat in the diet,  milk  can be  skimmed .It is a basic food that, if possible, should never be dispensed with.Half a liter daily in a healthy adult is recommended.100 cc of skim milk (half a glass) can be replaced by a skimmed yogurt, but not for cured cheeses, which are very rich in saturated fats. 
 
 -   The  bread  is the most recommended  , because its fiber content produces less blood lift (blood sugar) than white bread. 
 
 -   The  fruit  can be of any kind, perhaps with the exception of frequent or excessive consumption of bananas and grapes.Try to take them fresh and raw, not compote or prepared.It is recommended to take up  two or three pieces . 
 
 -   It is advisable that  meat  be chicken (skinless), turkey, rabbit or veal, always very clean.Only red meat will be taken about four times a month (cow, ox, bull, hunting meat). 
 
 -   The  fish  can be white or blue.Always try to take more fish than meat, and at least two or three times a week take blue fish. 
 
 -   It is recommended not to take more than  4 eggs a week . 
 
 -   The  vegetables  should be taken  twice a day , the most recommended are those that are consumed fresh (in salad, minced, gazpacho). 
 
 -   The  oil  is more advisable is that of  virgin olive extra .No butter or butter should be used in replacement of the oil, because they produce the same calories and carry saturated fats, which are more harmful to health. 
 
 -   To sweeten not use sugar.Use  aspartamo oSacrein , which do not carry calories and try to avoid sorbitol or fructose (they carry calories and provide carbohydrates). 
 
 -   It is advisable to take food for diabetics.You should try to have a diet as similar to the rest of the family. 
 
 -     
 
 -   The ideal drink throughout the day and at meals should be the  water .Tea and other infusions can also be taken freely. 
 
 -   depending on the content of the immediate principle predominant in food composition (carbohydrate; protein, fats), you can exchange them by consulting exchanges or equivalence tables: 
 
 
  PDF document:  Table5 , 22,9 kb.Updated: 02-09-2010 
  PDF document:  Table6 , 22,0 kb.Updated: 02-09-2010 
  PDF document:  Table7 , 26,4 kb.Updated: 02-09-2010 
  PDF document:  Table8 , 29,1 kb.Updated: 02-09-2010 
  PDF document:  Table9 , 19, 19,6 kb.Updated: 02-09-2010 
  PDF document:  Table10 , 34,6 kb.Updated: 02-09-2010 
  PDF document:  Table11  17.8Kb.Updated: 02-09-2010 
  PDF document:  Exchanges table .155 Kb.Updated: 02-09-2010 
 
 
    In section 8 of this document appears an example of how these diets should be developed.  
 
 
  
    strategies for dietary treatment          
 >
 
 
     factor  
  |     type 1 diabetes    | 
     type 2 diabetes    | 
 
     total calories     | 
           diet effect     | 
           distribution of calories     | 
           uniformity in food schedules     | 
           foods between meals or before bed
           7.Menu   
    breakfast options in the diabetic diet    
 
 
   
 
 
     Option 1     | 
  
    integral bread with extra virgin olive oil    natural juice or whole fruit 
 
     Option 2     | 
  
    integral cookies type "María"    natural juice or whole fruit 
 
     Option 3     | 
  
    whole -sugar -free breakfast cereals    natural juice or whole fruit 
 
     option 4     | 
    infusion with sweetener    whole wheat bread with fresh cheese or cottage cheese    natural juice or whole fruit 
 
     option 5     | 
    skim milk smooth> 
    integral bread with extra virgin olive oil and cooked ham/firleturkey
   | 
  |   |   |   | 
 
 
   
  
 
   
 
 
     Option 1     | 
    whole fruit 
 
     Option 2     | 
    skim milk or natural/skim yogurt without sugar with integral cookies type "Maria"  | 
 
     Option 3     | 
    whole wheat bread with cooked ham/turkey cold>  | 
  | 
 
 
   
      snack options in the diabetic diet      
 
    
 
 
     Option 1     | 
    skim milk alone/coffee and edulcorant or natural yogurt/freatment without sugar 
    integral cookies "María" type 
 
     Option 2     | 
    fresh cheese    integral bread    natural juice or whole fruit 
 
     Option 3     | 
    natural or skimmed yogurt without sugar    nuts 
 
     option 4     | 
    natural infusion or juice    whole wheat bread with extra virgin olive oil and cooked ham/turkey faste
  | 
 
     option 5     | 
    fruits macedonia with natural yogurt or skimmed without sugar    | 
  |  |   | 
 
 
   
    lunch and dinner options    
 
      week 1     
 
 
     Monday     | 
       | 
 
     lunch    |   | 
     dinner    |  | 
 
 
    -stewed lentils with lee -Baked cod 
  -Lettuce and tomato salad 
  -Integral bread and fruit 
    -Castilian soup with serrano ham (withoutbacon) 
  -Rearch to potatoes, mushroom and asparagus 
  -Comprehensive bread and skimmed yogurt 
 
     Tuesday 
        | 
 
     lunch    |      dinner    | 
 
    -green beans sauteed with garlic 
  -Encebollada veal with potatoes and carrots 
  -Integral bread and fruit    -cogollos seasoned with bell pepper 
  -Filet of grilled perca 
  -Sauteed rice 
  -Integral bread and fruit 
 
     Wednesday    | 
        | 
 
     lunch    |  | 
     dinner    |  | 
 
 
    -macaroni with tomato sauce 
  -Grilled sword fish 
  -Col lombard, tomato and corn salad 
  -Integral bread and fruit 
    -noodles with pictureses 
  -Spinach and cheese tortilla (20% mg) 
  -Aliñada carrot 
  -Integral bread and fruit 
 
     Thursday   | 
        | 
 
     lunch    |  | 
     dinner    |   | 
 
    -chickpea cooked (without sausages) 
  -Grilled turkey fillet 
  -Pipirrana (cucumber, pepper and onion) 
  -Integral bread and fruit    -manchego pisto 
  -Baked gold 
  -Bakestones 
  -Integral bread and fruit 
 
     Friday    |  | 
        | 
 
     lunch    |   | 
     dinner    | 
 
    -lettuce salad, mushroom, onion and pineapple 
  -Stewed potatoes with choco 
  -Comprehensive bread and skimmed yogurt   -Spaghetti with garlic and parsley 
  -Integral bread and fruit  
 
     Saturday 
        | 
 
     lunch    |  | 
     dinner    |  | 
 
    -vegetable soup 
  -Grilled salmon 
  -Potato and carrot puree 
  -Integral bread and fruit    -tomato, pepper, onion and tuna tuna 
  -Cooked potato tortilla 
  -Integral bread and fruit 
 
     Sunday    | 
       | 
 
     lunch    |  | 
     dinner   | 
 
    -spinach salad, tomato and cheese (20% mg)*
  -Paella rice with chicken 
  -Integral bread and fruit    -purrusalda (potatoes and leeks)  -Hake in green sauce 
  -Integral bread and fruit 
  | 
  
   
 *Low fat cheese (less than 20% fatty matter)  
   List of optional dishes (PDF format for download): 
 
 
  PDF Document:  Rice and Pasta   22.1 kb.Updated: 02-09-2010 
  PDF Document:    stews based on potatoes   19.2 kb.Updated: 02-09-2010 
  PDF Document:    SOUPS    16.8 Kb.Updated: 02-09-2010 
  PDF Document:    Cooking vegetables    20.5 kb.Updated: 02-09-2010 
  PDF Document:    Raw vegetables    20.1 kb.Updated: 02-09-2010 
  PDF Document:    White Fish    19.1 Kb.Updated: 02-09-2010 
  PDF Document:    Blue fish    19.1 kb.Updated: 02-09-2010 
  PDF Document:    Legumes    19.3 kb.Updated: 02-09-2010 
  PDF Document:    Eggs    19.7 Kb.Updated: 02-09-2010 
  PDF Document:    Birds  PDF Document:    meats    18.9 kb.Updated: 02-09-2010   
      week 2     
 
   
 
 
     Monday     | 
       | 
 
     lunch    | 
     dinner    | 
 
 
    -vegetable lasagna (zucchini, carrot, leek, tomato) 
  -Grilled Lubina fillet 
  -Dispogs with garlic and parsley 
  -Integral bread and fruit 
    -lettuce salad, tomato, olives, potatoes and beet 
  -Rearch with tender beans 
  -Comprehensive bread and skimmed yogurt 
 
     Tuesday 
        | 
 
     lunch    |      dinner    | 
 
    -spinach with chickpeas 
  -Garlic pork sirloin 
  -Sauteed artichoke 
  -Integral bread and fruit    -salmorejo 
  -Grilled pink 
  -Simple salad (lettuce and tomato) 
  -Integral bread and fruit 
 
     Wednesday    | 
        | 
 
     lunch    |  | 
     dinner    |  | 
 
    - lettuce salad, tomato, corn and  nuts - Stewed potatoes with cazón 
  - Integral bread and fruit    -rice three delights 
  -Grilled chicken fillet 
  -Salteado zucchini with carrot 
  -Integral bread and fruit 
 
     Thursday   | 
        | 
 
     lunch    |  | 
     dinner    |   | 
 
    -white beans stewed with clams 
  -French omelette 
  -Cucumber and tomato salad 
  -Integral bread and fruit    -vegetable soup 
  -Oven sole 
  -Avellana potatoes 
  -Integral bread and fruit 
 
     Friday    |  | 
        | 
 
     lunch    | 
     dinner    | 
 
    -Col lombard salad, apple, corn and tomato -Marinero cauldron with noodles (prawns, mussels andRape) 
  -Comprehensive bread and skimmed yogurt    -Guisante cream 
  -Oven eggplants gratin with cheese (20% mg)*
  -Natural tomato in slices 
  -Integral bread and fruit 
 
     Saturday 
        | 
 
     lunch    |  | 
     dinner    |  | 
 
    -huerta rice (with vegetables and beans) 
  -Salsa chicken 
  -Sauteed mushroom 
  -Integral bread and fruit    -noodle soup 
  -Mero in the oven 
  -Lettuce, corn and tomato salad 
  -Integral bread and fruit 
 
     Sunday    | 
       | 
 
     lunch    |  | 
     dinner   | 
 
    -zucchini cream 
  -Encebollado tuna 
  -Cooked potatoes 
  -Integral bread and fruit    -lettuce salad, tomato, pepper andasparagus 
  -Roasted turkey roti 
  -Sauteed rice 
  -Integral bread and fruit 
  | 
   |