Re: [IP] Re: 1800 ADA Diet
>>Yeppers, there is too an 1800 cal. ADA Diet. They also have 2200, 2000,
1500, and even a 2500. Yes, they are outdated as of 1994 when carb counting
came into recognition, but the ADA exchange diets are still used by a lot of
DMers. Not everyone micromanages their DM like pumpers do and need
guidelines. Sounds like that is what this hospital is using.<<
This is the Position Statement for
Translation of the Diabetes Nutrition Recommendations for Health Care
in the 2003 Clinic Practice Recommendations
by the ADA.
Your doctor should be following these recommendations
if not ask why.
Sometimes the AACE (American Academy of Clinical Endocrinologists) differs in
their position but your doctor should be able to explain his / hers opinion.
an example is the ADA recommendation of 7.0 A1c
The AACE recommends an A1c of 6.0 to 6.5.
Anyway here is the ADA's position on hospital based Diabetic Diets:
"Although the term "ADA diet" has never been clearly defined, in the past it
has usually meant a physician-determined calorie level with a specified
percentage of carbohydrate, protein, and fat based on the exchange lists. It is
recommended that the term "ADA diet" no longer be used, since the ADA no longer
endorses any single meal plan or specified percentages of macronutrients as it
has done in the past. Hospitals should have a system for notifying the dietitian
of which patients with diabetes require an assessment. It is then the
dietitians responsibility to do the assessment, determine an appropriate
nutrition prescription, and plan for self-management education. While the
patient may receive a consistent-carbohydrate diabetes meal plan during
hospitalization, the meal plan for home may differ.
Meal plans such as no concentrated sweets, no sugar added, low sugar, and
liberal diabetic diets are no longer appropriate. These diets do not reflect the
diabetes nutrition recommendations and unnecessarily restrict sucrose. Such meal
plans may perpetuate the false notion that simply restricting sucrose-sweetened
foods will improve blood glucose control."
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