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109 Cards in this Set

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  • Back
What is Nutrition?
-is a science that studies the interactions between living organisms and food.

Food provides nutrients and energy.
Nutrients
are chemical substances in foods that provide energy and structure and help regulate body processes.
Dietetics
is the science or art of applying the principles of nutrition to the diet
Why is the American diet unhealthy?
Too many SoFAS (Solid Fats and Added Sugars), calories, and sodium
Too few vegetables and fruits

Lack of knowledge?
Limited access to healthy foods?
Limited ability to prepare foods, due to lack of skills, lifestyle?
Taste preferences developed during childhood
Essential Nutrients
must be provided in the diet.
Fortified Foods
foods have nutrients added
Enriched Grains
grains have thiamin, riboflavin, niacin, iron and folic acid added after they were removed during processing
Dietary Supplements
contains one or more of the following: vitamins, minerals, plant-derived substances, amino acids, or concentrates or extracts.
Macronutrients
-Energy-yielding nutrients include carbohydrates, proteins and fats.
-Energy-yielding nutrients are also called
macronutrients.
-Macronutrients are needed in the body in large amounts each day.
The grams of carbohydrates, fat, and protein determine the number of kcalories in a food
Carbohydrates
Carbohydrates include sugars and starches.
Carbohydrates provide 4 kilocalories/gram.
Fiber belongs to the category of carbohydrates but provides less energy.
Lipids
Lipids are commonly called “fats” or “oils.”
Lipids are a concentrated form of energy.
Lipids contain 9 kilocalories/gram.
Proteins
Proteins are required for growth, maintenance and repair of the body.
Proteins can also supply energy.
Proteins are made up of different combinations of amino acids.
Proteins provide 4 kilocalories/gram.
Classes of Nutrients: Micronutrients
Micronutrients provide no energy for the body but are necessary for proper functioning of the body.
Micronutrients include vitamins and minerals.
Micronutrients are very important for good health but are required in small amounts.
Micronutrients can be found in most fresh foods.
Water
Water is a macronutrient, meaning that it is required in large amounts.
Water does not provide kilocalories.
Water makes up approximately 60% of the healthy human body.
Functions of Nutrients
Providing Energy

Working together, macronutrients and micronutrients help the body to stay healthy.
Biochemical reactions in the body help to release the energy contained in carbohydrates, fats and proteins.
Energy is used to maintain body functions and fuel physical work.
Functions of Nutrients
Forming Structures

Most of the weight of the body is due to water, fat and protein.
Nutrients help to form and maintain the shape and structure of the body.
Proteins form ligaments and tendons that hold bones together and attach muscles to bones.
At the cellular level, lipids and proteins make up the membranes that surround cells.
Regulating Body Processes
All the reactions that occur in the body are called metabolism.
The proper regulation of metabolism is called homeostasis.
Each nutrient plays a role in helping to maintain homeostasis.
Water helps to regulate temperature.
Protein, vitamins and minerals help to speed up or slow down metabolic reactions.
Diet, Genes and Health: Nutrigenomics
Diet, Genes and Health: Nutrigenomics
The study of how diet affects genes and how genetic variation can affect the impact of nutrients on health.
Food Choices: Availability
Geography
Transportation and mobility
Available income
Food storage and preparation equipment
Food Choices: Cultural and Personal Background
Religious dietary laws
Ethnic menu preferences
Social acceptability
Personal preference
-Vegetarian, vegan
-Environmental concerns
Psychological and emotional factors
Health concerns
Nutrient Density
Nutrient Density
is a measure of the nutrient a food provides compared to its energy content.
Eat a Variety of Foods
No one food provides all necessary nutrients.
Selecting a variety of foods helps the body to obtain all necessary nutrients.
There are many interactions between foods. Selecting a variety of foods means you will provide the fuel the body needs, even if some of the food interactions are not positive.
Balance Your Choices
There is no good food/bad food.
Balancing foods allow all foods to fit in a healthy diet.
Everything in Moderation
Moderation means all types of foods and beverages are okay, as long as they are taken in moderation.
Moderation means not consuming too much energy, fat, sugar, sodium or alcohol.
Understanding Science
Nutrition is a science.
Developing an understanding of the processes in nutritional science will help us to understand the relationship between nutrition and health.
Understanding nutritional processes will help us to make wise nutrition decisions.
The Scientific Method
The Scientific Method
Advances in nutrition are made using the scientific method.
The scientific method uses an unbiased approach to examine the interaction of food, nutrients and health.
The steps in the scientific method are:
Observation
Hypothesis
Theory
What Makes a Good Experiment?
A well-conducted experiment requires:

Quantifiable Data
- Can we measure the information in a scientific manner?
Appropriate Experimental Population
- Is the population large enough and pertinent to the study?
Proper Controls
- Can we ensure that the population ate or drank what we said they did?


Control groups act as a standard of comparison.
Placebos are identical in appearance to the actual treatment but of no therapeutic value.
Single-blind study: subjects do not know which treatment they are receiving
Double-blind study: neither the subjects nor the investigators know which treatment is being received
The peer review system allows for scientific interpretation of experimental results.
Types of Nutrition Research Studies
Observational studies can include epidemiology, the study of diet, health and disease patterns, and correlation.

Human intervention studies are also known as clinical trials.

Laboratory studies are conducted in research facilities such as hospitals or universities.
Identifying Reliable Nutrition Information
Does the information make sense?
For example, can you really lose forty pounds in one week?
What’s the source?
Is it selling something?
Is it someone’s opinion?
Who is a legitimate source of information?
Who will benefit when you purchase this product?

Is it based on good science?
Is the information based on well-designed, accurately-interpreted research studies?
Has this product stood the test of time?
Many studies duplicated over a period of time show the same results
USDA: Nutrition Guidelines Timeline
1956
USDA: Nutrition Guidelines Timeline
1956
The Basic 4 recommend a minimum number of foods from each of four food groups, milk, meat, vegetables and fruits, and bread and cereal
1992
1992
The 1992 Food Guide Pyramid organized food into a pyramid shape to emphasize the relative distribution of each group, more should be consumed from the larger food groups at the bottom
2005
2005
MyPyramid: Steps to a Healthier You kept the pyramid concept, but changed the shapes and arrangement of the food groups and added activity to the graphic
2011
2011
MyPlate, shown here, was introduced in 2011 and is the latest food guide
MyPlate, shown here, was introduced in 2011 and is the latest food guide
Alternate view of MyPlate
Alternate view of MyPlate
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Britain's Eatwell Plate
Britain's Eatwell Plate
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Dietary Reference Intakes
Nutrition recommendations need to satisfy a variety of needs.
Different types of dietary guidelines target different populations.
The original dietary standards were the RDAs (Recommended Dietary Allowances).
The DRIs (Dietary Reference Intakes) are energy and nutrient recommendations that have replaced the RDAs.
Dietary Reference Intakes
Dietary Reference Intakes
DRIs have been developed for six nutrient groups:
1. Calcium, phosphorus, magnesium, vitamin D and fluoride
2. B vitamins and choline
3. Vitamin C, vitamin E, selenium and beta-carotene
4. Energy and macronutrients
5. Electrolytes and water

DRIs are designed for planning and assessing diets of healthy people.
Amounts recommended by DRIs are meant to promote good health and reduce incidence of chronic disease.
The DRIs are not necessarily to be consumed every day but should be consumed on most days, as an average intake.
Dietary Reference Intakes: 4 Sets
Dietary Reference Intakes: 4 Sets
The DRIs for macro- and micronutrients are listed in four different sets of values:
1. Estimated Average Requirement (EAR) is used to evaluate nutrient intakes of populations.
2. Adequate Intakes (AI) recommend specific amounts of nutrients for individuals.
3. Recommended Dietary Allowances (RDAs) also recommend specific amounts of nutrients for individuals.
4. Tolerable Upper Intake Levels (ULs) help with the prevention of nutrient toxicities.
Dietary Reference Intakes: Energy Recommendations
Dietary Reference Intakes: Energy Recommendations
The DRIs make two types of energy intake recommendations:
1. Estimated Energy Requirements (EERs) can be used to calculate kcalories needed to ensure a stable weight in a healthy individual.
2. Acceptable Macronutrient Distribution Ranges (AMDRs) are expressed as ranges, or proportions, of nutrients for healthy intake.
Dietary Guidelines for Americans
The Dietary Guidelines for Americans are a set of diet and lifestyle recommendations designed to promote health and reduce chronic disease risks.

Adequate Nutrients within kcalorie needs
Weight Management
Physical Activity
Food Groups to Encourage
Fats
Carbohydrates
Sodium and Potassium
Alcoholic Beverages
Food Safety
Dietary Guidelines: Foods to Increase
Increase fruits and vegetables
Half of grain servings are whole grain
Increase low fat dairy
Variety of protein including seafood
Use oils rather than solid fats
These changes will increase potassium, dietary fiber, calcium, and vitamin D
Dietary Guidelines: Foods to Reduce
Reduce saturated fat, trans fat, cholesterol and sodium
Reduce beverages with sugar
Dietary Guidelines: Building Healthy Eating Patterns
Dietary Guidelines: Building Healthy Eating Patterns
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Dietary Guidelines: Building Healthy Eating Patterns
Dietary Guidelines: Building Healthy Eating Patterns
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Dietary Guidelines: Building Healthy Eating Patterns
Dietary Guidelines: Building Healthy Eating Patterns
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Food Labels: Nutrition Facts Label
Food Labels: Nutrition Facts Label
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Food Labels: Daily Value
Food Labels: Daily Value
Food labels list amounts of certain macro- and micronutrients.
These nutrients are expressed as the Daily Value.
Daily Value is the amount of a nutrient in a food shown as a percentage of the recommendation for a person consuming a 2000 kcalorie diet.
Food Labels: List of Ingredients
Food Labels: List of Ingredients
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Food Labels: Nutrient Content Claims
Food Labels: Nutrient Content Claims
Food Labels: Health Claims
Authorized Health Claims: Based on Significant Scientific Agreement
Authorized Health Claims: Based on an Authoritative Statement
Qualified Health Claims
Assessing Nutritional Health
Assessing Nutritional Health
Nutritional assessments can help individuals determine if their intake is healthy.
Dietary Intake can be assessed in several ways:
24-hour recall
Food diary or food intake record
Food frequency questionnaire
Diet history
Analyzing Nutrient Intake
To get a general nutritional “snapshot,” individual nutrient intake can be compared to recommended intakes.
Nutrient analysis tools can include:
MyPlate
Food labels
Nutrient content tables
Computer programs
Digestion
process of breaking food into components small enough to be absorbed by the body
Absorption
process of taking substances into the interior of the body
Gastrointestinal tract
hollow tube consisting of the mouth, pharynx, esophagus, stomach, small intestine, large intestine and anus
Food which is inside in the GI tract is considered outside the body
Digestive Secretions
Digestion inside the GI tract is assisted by digestive secretions.
Mucus
viscous material produced by goblet cells; mucus moistens, lubricates and protects the GI tract
Enzymes
protein molecules that speed up chemical reactions; enzymes are not changed during reactions
Mouth
-The mouth is the entry point for food into the digestive tract.
-Saliva:
Moistens food
Contains salivary amylase (salivary amylase breaks down starch, lysozyme prevents bacterial growth)
Contains lysozyme
-You really do need to chew! (physically breaking down food into smaller pieces)
Pharynx and Epiglottis
Pharynx and Epiglottis
Can’t swallow and breath at the same time
Epiglottis ensures that food can’t go into the lungs
Dysfunctional epiglottis can cause aspiration pneumonia
Esophagus
Esophagus
Esophogous: Gastroesophageal sphincter prevents stomach acid from coming back into the esophogus and pushes food through
Stomach
-Reservoir
-Gastric Juice
-Water, mucus, HCl, pepsinogen
-Stomach function regulated by both nerves and hormones
-Gastric emptying

Stomach: stores food and trickles it into the small intestine
Stomach is where all of the food is liquified (like a washing machine with mechanical acid
Highly acidic environment (cells can handle the acidiity, but not the cells that line the esophogus)
Avg person produces 2L/day of gastric juice
Hormones manage GI motility

high fat meals are where the hormones slow things down and slow gastric emptying
Pasta leaves the stomach first leaving you hungrier than after eating ice cream

Exercise after eating means blood flow to the muscles and not to gatric emptying
Small Intestine
Digestion & Absorption
Large surface area: folds, villi
Segmentation
Enzymes
Hormonal Regulation

Mostly Absorbption
~20ft long
-very large surface area (you want to absorb as much as possible) Segmentation is the process of food moving forward and back and forward and back to maximize exposure of food to the surface area so they can be absorbed.

Enzyme list and hormone list in book
Gallbladder, Liver and Pancreas
Gallbladder stores bile which is produced by the liver.
Pancreas secretes digestive enzymes and bicarbonate ions into the small intestine during digestion.
Hormonal Regulation

Bicarbonate ion: neutralize the acidity
Digestion Nutrient Breakdown
Digestion Nutrient Breakdown
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Nutrient Absorption
Nutrient Absorption
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Large Intestine
The large intestine can absorb water and some vitamins and minerals.
Intestinal microflora
Live on food which has not been absorbed
Produce nutrients
Produce gas

Most absorption in the small intestine!
Large intestine: hundreds of types of bacteria which produce nutrients and help the immune system
Things slow down in large intestine (24-72hr)
Probiotics
Live, beneficial bacteria

cfa = colony forming area (should tell on supplement box, that’s how many were alive at the time of manufacture, not how many you are eating)

Look at package to see if there were studies done, about how they package them

MIxed Research as to whether or not they are helpful

Activia Yogurt: Bifidus Regularis (not a real thing)
contain 2 different bacterias
Prebiotics
Food for the beneficial bacteria
Work together with probiotics

Food they like: bananas, onions, garlic, and soy beans
Celiac Disease
-Gluten triggers an immune response which damages the villi of the small intestine
-Different than a wheat allergy
-Gluten found in wheat, rye, and barley
-Gluten free foods are a $4B food industry
-Gluten sensitivity?

Villi are important because they inc surface area of small intestine which diminishes absorption of small intestine
Some cases can be symptomless, while others are highly sensitive
Different then wheat allergy

Gluten sensitivity: has some digestive issues and choses to reduce the amount of gluten

People that adopt a gluten free diet that don’t have to and feel great, it maybe because they are eating healthier generally, it could be confirmation bias (how did she track her symptoms, recording food logs decrease calorie intake and they end up eating more fruits and vegies)

If someone is following a gluten free diet, they might make such a large shift that they stop getting the essential food groups
Common Digestive Problems
Common Digestive Problems
Dry Mouth: caused by medications and some diseases, can move foods around the mouth and gets in the waay of getting in enough food

Dental issues: limit the food you can eat and you can’t do the initial mechanical breakdown

Refluxe: when lo...
Dry Mouth: caused by medications and some diseases, can move foods around the mouth and gets in the waay of getting in enough food

Dental issues: limit the food you can eat and you can’t do the initial mechanical breakdown

Refluxe: when lower esophogeal sphincter doesn’t close and has a large span of what it can cause (prevent GERD by remaining upright after eating and reduce meal size the fuller the stomach, the more likely the valve is to open, avoid high fat food because they relax the sphincter)

Diarrhea: cause dehydration and if the food moves too fast through the small intestine, then you are not absorbing all that you could

Constipation: caused by fiber and fluid deficiency, lack of activity, causes discomfort and you might not feel like eating very much. treated by increasing fiber slowly and increasing fluid to match
Alternate Feeding Methods
Alternate Feeding Methods
If an individual cannot take adequate food or fluid by mouth:
Enteral or tube feeding
TPN: total parenteral nutrition

Enteral or tube feeding (unable to eat by mouth, can’t swallow or perhaps they have had surget on math): tube into stomach and formula can be put through the tube, tube can also be put into the small intestine

TPN: no GI function: put the food directly into the blood stream
Transport of Nutrients
Cardiovascular System
Liver is the gatekeeper between water-soluble nutrients absorbed in the small intestine and circulation
Lymphatic system transports larger, fat soluble materials

Nutrients go into the blood
Most everything goes through liver into blood stream
Metabolism of Nutrients
Metabolic pathways are a series of reactions needed to transform food into a final product that can be used by the body.
Catabolic pathways release energy trapped in chemical bonds.
Energy from catabolic reactions is converted into ATP.
ATP is the energy currency of the cell.

Know what the Krebs cycle does, need O2 to make energy, what goes in and what comes out (stick to the high lights)
Carbohydrates in the Modern Diet
Carbohydrates comprise over half of the American diet.
The AMDR for CHO is 45-65% total calories.

Carbohydrates have very negative connotation
Whole versus Refined Carbohydrates
Whole versus Refined Carbohydrates
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Whole Grains
Whole Grains
Whole grain 3 parts:
Bran
Endosperm
Germ (where the fat of the grain is and vitamin E)
Whole Grains versus Refined Grains
Refined grains are enriched with thiamin, riboflavin, niacin, and iron
Refined grains are fortified with folate

Refined grain: they just take the endosperm and then they have to enrich them

fortified with folate (added and it was never there). They fortify to prevent neural tube defect in babied. The fiber and vitamin E is not put back
Added Sugars in Our Diet
Added Sugars in Our Diet
Added sugars make up 16% of the calories consumed in the American diet:
Soda/Juice
Cereal
fast food restaurants
yogurt
chocolate milk
Simple Carbohydrates
The basic unit of a carbohydrate is a single sugar molecule, known as a monosaccharide.
The three most common monosaccharides in the diet are glucose, galactose and fructose.
Fructose: fruits, vegetables, honey
Galactose: milk (as part of lactose)
Disaccharides
Disaccharides
Disaccharides are simple carbohydrates made of two monosaccharides linked together.
Sucrose, or white table sugar, is formed by linking glucose with fructose.
Sucrose is the only sweetener in the US that can be labeled “sugar.”
Complex Carbohydrates
Complex carbohydrates are made up of many monosaccharides linked together in chains.
Oligosaccharides are short chains of less than ten monosaccharides.
Polysaccharides are long chains of monosaccharides and include glycogen found in animals and starch and fiber found in plants.

“good carbs”
oligosaccharides: beans, onions
Glycogen: stored in liver and muscle (not a lot of storage space)
Carboloading : athletes use to store a little bit more glycogen
Dietary Fiber
Dietary Fiber
Fiber includes certain complex carbohydrates that cannot be digested by human enzymes.
Soluble fiber:
Dissolves in water to form a viscous solution
Bacteria in large intestine can break it down, producing small quantities of nutrients
Insoluble fiber:
Does not dissolve in water
Cannot be broken down by bacteria

-soluble (dissolves in water and forms gel like solution, bacteria in large intestine can eat it and they can produce very small amount of nutrients) vs insoluble (does not dissolve and can’t be broken down)
-You need both kinds
“Stealth Fiber”: Inulin
May be derived from chicory root
Tolerance can vary; may cause gas, bloating, cramps
Found in:
Fiber One products
Starbucks Smoothies?
Is this a good way to increase fiber intake?

Inulin: Stealth FIber because it is not naturally occurring but is used to bump up the amount of fiber
People have varying tolerance to inulin

Steers people away from the more natural sources of fiber
Digestion and Absorption of Carbohydrates
Digestion and Absorption of Carbohydrates
Salivary amylase stops in the stomach due to acidity in the stomach
Lactose Intolerance
The enzyme lactase is needed to digest lactose, the sugar found in milk.
If lactose is not digested in the small intestine, it passes through to the large intestine.
Undigested lactose in the small intestine can cause cramping, abdominal distention and diarrhea. Why?

Lactose (disaccharide) can’t be broken down into monosaccharides
Osmosis pulls water in to help create this environment of distention and diarrhea

More common in certain ethnic groups
May be diagnosed with a hydrogen breath test
Foods with a high content of lactose may be avoided
Lactase may be taken in conjunction with foods containing lactose

African American, Asian, Native american

H breath test:
your body is not digesting lactose, the bacteria is digesting it and produce H

Milk Allergy: immune reaction to milk, must stay away from milk completely
Lactose Intolerance: Lactase deficiency

Treatment:
consume lactose free items
pill: lactaid supplement, pill provides lactase, pill survives until they need to break down the lactase
Indigestible Carbohydrates Slow Nutrient Absorption
Indigestible Carbohydrates Slow Nutrient Absorption
Resistant Starch, fiber and oligosaccharides are not digested in the small intestine.
These carbohydrates affect:
Transit time
The type of intestinal microflora
The amount of intestinal gas
Nutrient absorption

Transit time: decrease time, increase the bulk of the material
-Increase type of microflora by providing food, bacteria produces gas
-fiber binds to nutrients, but will not decrease absorbancy so much to make you deficient
-oatmeal helps to reduce cholestrol (soluble fiber, binds to cholesterol so it doesn’t get absorbs and just gets excreted)
-fiber will cause you to feel fuller (bulk) and delay gastric emptying
Carbohydrate Function
PROVIDE ENERGY
Brain and red blood cells (RBC) can only use glucose

By eating carbs you are getting macro and micro nutrients
Regulating Blood Glucose
Regulating Blood Glucose
In order to provide a steady supply of glucose to the cells, the concentration of glucose in the blood is regulated by the liver and by enzymes secreted from the pancreas.


Glycemic response is how quickly and how high blood glucose rises after carbohydrates are consumed.
Amount of CHO
Type of CHO
Amount of PRO and FAT consumed with CHO
Regulating Blood Glucose
The glycemic index is a ranking of how a food affects the glycemic response.
Measured against reference food
>70 = High; <55 = Low
Glycemic load Calculated by multiplying a food’s glycemic index by the amount of available carbohydrate in a serving of the food.

People eat a food an are tested
Slower = lower index
Faster = higher
Reference - 100 which is glucose

As fruit ripen, the structure of the carb changes, which changes index

GI can vary with how the food is prepared
Cellular Respiration
To generate energy, glucose is metabolized through cellular respiration.
C6 H12 O6 + O2 --->6 CO2 + 6 H2O + ATP

Steps
1. Glycolysis yields (2) 3C molecules of pyruvate, ATP, high energy electrons
2. When O2 present, (2) 2C acetyl CoA is formed, also yielding CO2 and high energy electrons
3. Acetyl CoA enters the Citric Acid cycle, yielding more CO2, ATP, and high energy electrons
4. Electron Transport Chain takes high energy electrons to make ATP

Cellular Respiration = ATP!!!!
When CHO is Limited
Gluconeogenesis:
-Occurs in liver and kidney cells
-Some amino acids can form 3C molecules of pyruvate or oxaloacetate
When CHO is Limited
Ketone Formation:
-Oxaloacetete (derived from CHO) is conserved, so acetyl CoA derived from fatty acids will not enter Citric Acid Cycle
-Instead, liver converts acetyl CoA to ketones
-Ketones can be used as energy by some tissues
-Severe ketosis increases blood’s acidity, and can cause death
Abnormal Blood Glucose: Diabetes
Abnormal Blood Glucose: Diabetes
-Diabetes mellitus is the leading cause of blindness in the United States and accounts for 44% of all new cases of kidney failure.
-Gestational diabetes occurs in women during pregnancy. There may be an increased risk of developing type 2 diabetes later in life.
-Diabetes mellitus can be classified as:
-Type 1 Diabetes: Insulin is no longer made in the body.
-Type 2 Diabetes: Insulin is present, but the cells do not respond.

Gestational: pregnant woman can lose glucose control, woman are routinely tested when pregnant, that can resolve once they deliver, but they remain at a hgher risk for type 2 diabetes, puts baby and mom at risk

Type 2: Pancreas may not produce enough insulin or the cells are not as receptive to the insulin
-slower progression of disease
Prediabetes (associated to type 2): some indications that the blood glucose level isn’t stabilized as well as it should be
Risk factors
-genetics
-family history
-obesity
-lifestyle

-hormonal changes cause cells to not be as receptive to insulin
-diagnosis is close to 20 weeks into pregnancy
Diabetes Symptoms and Complications
Diabetes Symptoms and Complications
Immediate Symptoms: excessive thirst, frequent urination, blurred vision and weight loss.

Long Term Complications: damage to the heart, blood vessels, kidneys, eyes and nervous system. Infections are more common in patients with diabetes, and amputations may be necessary.
Diabetes Treatment
The goal of diabetes treatment is to keep blood glucose levels within normal ranges.
Diet
Exercise
Oral Medication
Insulin

Low carb diet with enough insulin to store glucose
Diet*-eat consistently

A1C: avg blood glucose over the last 90 days (blood test)

Exercise: increases how our muscle cells respond to insulin

Oral Medication: aim to increase insulin, to decrease liver production of glucose, and several other targets

Insulin: required for type 1, type 2 and gestational may or may not rquire insulin
Insulin: long acting (~day), slow acting (take right before meal), options vary for different people, type 1 take both, type 2 might just start with the long term and then add slow acting as needed

Type 1 diabetes: glucose remains in blood, cells don’t have have glucose, body makes ketones for energy and indicates a high blood glucose level
Hypoglycemia
Symptoms: Sweating, Rapid HR, Confusion, Weakness
Treatment: CHO
Prevention
Balance between insulin and CHO

Can happen to anyone (with or without diabetes)

Good food:
-juice or soda (fast acting) get to the small intestine quickly to be absorbed (pure carbs, no fat to slow down digestion)
-it doesn’t take that much (15g of carbohydrate)
-glucose tablets, glucose gels

-check blood sugar 15 min after

Common cold or infection can raise blood sugar
-different eating, sleeping, exercising can mess with it
-stress can upset balance
Carbohydrates and Dental Caries
Carbohydrates and Dental Caries
Carbs are a source of cavities
Saliva contains lysozymes that help digest carbs
Anything that remains on the teeth will cause cavities
Low-Carbohydrate Weight Loss Diets
-The rationale for low-carbohydrate diets is that foods high in carbohydrates stimulate the release of insulin.
Insulin promotes energy storage, mostly from fat.
The more insulin you release, the more fat you store.
-Additional protein promotes satiety

Diets usually target foods high in carbs with low nutrient density
Diets promote more protein, which help people feel more satisfied

Diabetes diet: goal is to be consistent with amount of carbs

Low carb can range from 30-150g depending on the diet

When you remove something from your diet, you have to think about what you will replace it with.
Carbohydrates and Heart Disease
Diets high in whole grains have been found to reduce the risk of heart disease.
Water-soluble fiber binds dietary cholesterol and reduces absorption.
Fiber and Bowel Disorders
Fiber and Bowel Disorders
Diets high in fiber and indigestible carbohydrates, can relieve or prevent certain bowel disorders:
Hemorrhoids
Diverticulosis
Diverticulitis
Constipation

Diverticulosis: pockets in large intestines
Diverticulitis: when pockets become inflamed (more of a problem)

Increase water intake to match fiber intake
Colon Cancer and Fiber Intake
Colon Cancer and Fiber Intake
Epidemiological studies have shown that the incidence of colon cancer is lower in populations that consume diets high in fiber, data from intervention studies does not support those studies.

Colon Cancer:

Observational research: high fiber lowers risk of colon cancer
Clinical research do not reveal the same results
CHO Intake Recommendations***
DRI: RDA 130g/day
DRI: AMDR 45%-65% total energy
DRI: AI for fiber
38g/day adult men; 25g/day adult women
2010 Dietary Guidelines: “reduce added sugars”
WHO: <10% total energy from added sugars

130g represents what your brain has to have for daily operations (not necessarily practical when talking about a complete diet)

WHO = Worlds Health Organization
Tools for Assessing Carbohydrate Intake
Tools for Assessing Carbohydrate Intake
1 exchange or choice = 15g carbs
1 exchange or choice = 15g carbs
Sugar Intake
Sugar on label include natural and added sugars, which makes it difficult to limit sugar intake
Choosing Carbohydrates Wisely
Choose whole grains
Limit added sugars
Increase fruits and vegetables
Monitor portions sizes
Carbohydrates in Nutrition Labels
Carbohydrates in Nutrition Labels
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Alternative Sweeteners
Nonnutritive – no kcal
FDA has defined ADI (Acceptable Daily Intakes) based on body weight
Useful for weight management?


Helpful with weight loss if you directly replace sugar with nonnutritive

Research shows that alternative sweeteners may make you crave more sweets