Type 2 Diabetes Diet Guidelines: Energy and Nutrient Requirements - CBC

Type 2 Diabetes Diet Guidelines

Diabetes Mellitus Type 2 disease is a degenerative disease (a disease that decreases the benefits of organs/body tools) characterized by hyperglycemia (high blood sugar levels). The causes of diabetes mellitus include genetic, environmental aspects and include lifestyle. Therefore, the diet must be accompanied by physical exercise and dietary changes.

The purpose of Diabetes Mellitus Disease Diet Administration is to improve the habit of eating to be able to control the metabolic better, along with steps:

• Provide energy and nutrients as needed
• Maintain a measure of blood glucose
• Stay away from complications
• Maintain the optimal state of the body  

Energy and Nutrition Needs dm disease

Calculation of energy needs:

1. We must be aware of the need for basal energy (AMB)

• For Women the formula = 25 kcal / ideal body weight
• For Men the formula = 30 kcal / ideal weight

[Ideal weight formula = 90% x ( Height cm – 100) x 1 kg]

2. Pay attention to aspects of age correction and activity

Correction factor Age 40 – 59 years. = basal energy requirement minus 5%

                       Age 60 – 69 years. = basal energy requirement minus 10%

                       Age >70 years. = basal energy requirement minus 20%

Bed Rest / Wheelchair activity factor = basal energy requirement plus 10%

                        Normal activities together there is a problem = basal energy needs plus 20%

                        Normal activities without any problems = basal energy requirement plus 30%

3. Energy Requirement Figure (AKE) is AMB + Activity Factor – Age Factor

Example: A patient Mr. M aged 65 years, weight 59 kg, height 165 cm. Diagnosed DM 2. With a general state of Bedrest/just sleep. Does Rice energy need a day?  

The calculation for Diabetes Mellitus Type 2

Calculate ever the ideal weight of Mr. M, obtained 58.5 kg. Then input into the formula AMB (Remember input to the formula for men), obtained 1755 kcal. Because Mr. M is 65 years old. means the correction aspect of the age is reduced by 10%. Then for the aspect of activity correction because Mr. M's bedrest means plus 10%. Just enter into the third formula (1755 +10%-10%) obtained energy needs of 1755 kcal.

Diabetes Mellitus Type 2 Treatment

Treatment for high blood sugar disease or diabetes mellitus (DM) type 2 is focused on lifestyle changes. It is also necessary to use medications such as oral hypoglycemic drugs (OHO) or insulin injections. To ensure proper treatment, of course, it is necessary to consult a doctor first.