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December 26, 2004

Meal Planning, Food and Diet

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Question from Winnipeg, Canada:

I am trying to keep track of fat and carbohydrates. When I was told I was diabetic, I stopped eating sugars such as candy. I took diabetes education and it was an overload for me. I think I went into denial and didn’t do much for a year or so. Finally, I went back to the clinic and started dealing with carbohydrates in my diet. /p>

I have done okay, but unknowingly substituted fats for sugar and carbohydrates. I started with the fats last February and have cut out so much fat in my diet that I am about 70 to 80 grams per day. My goal is 65. I have been told yesterday, by my doctor, that my blood work is good, except for triglycerides. She suggested medication, which I refused. I want to change my diet again and lower them that way. I have searched the web for hours for information regarding how many carbohydrate grams are recommended in a 2000 calorie diet. I keep getting percentages, but no actual carbohydrate numbers.

My plan is to create a compilation of food that I can eat and break it down into breakfast, snack, lunch, snack, dinner, snack. For each meal/snack I want to have a list of possible foods to eat and create a basic 10 day meal plan for myself where I can pick and choose what I want to eat. Each group will have carbohydrates and fats listed. As I eat different foods than an average North American diet, the pre-made plans don’t work for me. This is what I need to do to get control of my body.

So, how many carbohydrate grams are allowed in a day per meal and per snack? Do the 28 fat grams in avocados count as 28 grams or is it a good fat since its a vegetable? I have lots more questions, some of which have been answered by Health Canada and my nutritionists. Are people allowed to ask you more questions than one? My next visit with my nutritionist is February so I appreciate being able to ask you.

Answer:

From: DTeam Staff

Diabetes meal planning nowadays is very individualized based on the patient’s health status. Individualized meal plans developed by a registered dietitian who specializes in diabetes meal planning works best. When you visit your nutritionist in February, please ask for an individualized meal plan with some food examples to work in with each meal and snack. A good book you can purchase from the American Diabetes Association is Month of Meals. This book gives you meals based on individual calorie and carbohydrate levels.

Avocados contain monounsaturated fats, which are the healthiest fats. Monounsaturated fats can be beneficial because of their cholesterol lowering capabilities.

JMS