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teshaoliphant4GuestMarch 17, 2023 at 8:26 amPost count: 219
Diabetic calic needs calculator
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One of the conditions for good nutrition is to balance the calories ingested in 24 hours with which we burn throughout the day, so the calories ingested will have to do with the size, sex, age and physical activity that we usually do.
A balance between intake and caloric spending will keep a constant weight on the person.
In the diabetics, it is important to control the weight and keep it at levels of normopeso.
Taking this into account and how complicated it is to maintain a diet, in order not to bore the patient, it should know the amount of carbohydrates that each food contains, without paying attention to the type of gly acid that is, and this amount of glucids, should pass it to rations. Thus, in this way, you can change a ration of carbohydrates from the fruit by a ration of carbohydrates from the bread.
If you have any sort of concerns regarding where and how you can make use of additional hints, you could contact us at our own page. Logically, a fruit ration, having the fructose very diluted in water, will have more weight and volume as a whole than a bread ration.
This knowledge should be acquired by the diabetic in the consultation of the training nurse in diabetes.
To adjust the daily calories, the health care professional must make use of a series of calculations.
The nutrition of the diabetic patient, the caloric needs in 24 hours must be determined by the weight, size, sex, age and physical activity that it usually does.
Of the anthropometric values we will determine the body mass index (BMI), if it is within a normal weight (MCI 30), as well as the maximum acceptable weight of the patient.
The BMI is determined by the relationship between weight in kilograms divided by size, in height to square meters (IMC = weight/size in meters2).
The maximum acceptable weight (LDP) is determined by multiplying the size in square meters, by a constant, depending on the patient’s sex: 27 for men and 25 for women, so that the LDC in man =27 x size in meters2 and LDC in women = 25 x size in meters2.
According to WHO, the daily energy needs of the healthy adult will depend on the patient’s weight, according to his daily physical activity, as described in the table below.
Baseline Metabolism 24 Kcal x Kgr. in 24 hours
Minimum physical activity 30 Kcal x Kgr. in 24 hours
Light activity in men 42 Kcal x Kgr. in 24 hours
Light activity in women 36 Kcal x Kgr. in 24 hours
Average male activity 46 Kcal x Kgr. in 24 hours
Average activity in women 40 Kcal x Kgr. in 24 hours
Intense activity in men 54 Kcal x Kgr. in 24 hours
Intense activity in women 47 Kcal x Kgr. in 24 hours
The Kgr. that we’ll use for these calculations will be the ones in the LDCs.
WHO recommends a reduction in calorie requirements depending on age, according to the following table:
From 40 to 49 years, reduce calorie needs by 5 per cent
From 50 to 59 years, reduce calorie needs by 10%
From 60 to 69 years, reduce calorie needs by 20%
From the age of 70, reduce calorie needs by 30%
Also, depending on the weight of the patient, we should subtract calories to daily calorie needs, according to the following table:
If the patient is overweight, decrease the daily caloric requirements between 10 and 20% (the calculator has used 15%)
If the patient has obesity, decrease the daily caloric requirements between 30 and 40 per cent (for the calculator 35% have been used)
According to the calculation of the patient’s daily caloric needs, we will adjust the ratios of carbohydrates to be consumed by the patient in each meal.
We will take into account that 50% of calories should be carbohydrates, and we will distribute them according to the following table:
If the patient performs five intakes a day, it would be ideal:
Breakfast: 15% carbohydrates of the day
Midmorning: 10% of carbohydrates of the day
Lunch: 30% carbohydrates of the day
Merienda: 15% carbohydrates of the day
Dinner: 30% of carbohydrates of the day
If the patient only performs three intakes a day, the cast would be
Breakfast: 20% carbohydrates of the day
Lunch: 40% carbohydrates of the day
Dinner: 40% carbohydrates of the day
All of these calculations are cumbersome to do, especially if we have the patient in the consultation, so we have done a tool that executes, instantaneously, the calculation of the rations with only introducing the anthropometric data of the patient.
The tool is a Microsof Offices Excel book with three sheets.
In the first one, we introduced the patient’s data (name and anthropometric data) and calculate the calories it should consume in 24 hours, the carbohydrate ratios it should consume in each meal and the calories it contains, as well as the net fats of carbohydrates.
The second sheet is the calculator itself
The third sheet is a summary of the first sheet, which we can print to give it to the patient.
This tool is done by Manuel Carlos Cid González, a primary care nurse and Blanca Cid Alcón, a nurse, with the data provided by Augusto A. Pérez Mateo, an educator in diabetes.