clinical focus
Don ’ t desert dessert
Diabetes can affect people ’ s nutrition and hydration as they age . The simple steps below will help ensure a healthy diet without sacrificing the occasional treat .
By Samantha Ling
As we get older , staying nourished and maintaining healthy eating habits can be challenging . Our lifestyle , appetite , ability to chew or swallow and sometimes even our access to nourishing foods may change , influencing our intake .
Living with diabetes is an added complication , but it does not mean an end to desserts , cakes , biscuits and other discretionary food items .
Optimising nutritional status should be at the forefront of healthcare for all ageing Australians . With malnutrition and frailty affecting 40 per cent of elderly Australians on admission to hospital , and nearly 10 per cent of those in the community living with chronic diseases , the additional dietary restrictions related to diabetes may amplify poor intake and dehydration .
ENJOY A VARIETY OF FOODS We often experience changes to our sense of smell and taste as we age . Food therefore needs to be flavoursome and enjoyable .
To assist in managing blood glucose levels , a regular intake of carbohydrates with meals and snacks is important . Try to provide nourishing foods like :
• Wholemeal or multigrain breads
• High-fibre breakfast cereals like oats
• Fibrous fruits like bananas , apples and oranges
• Vegetables like potato or corn
• Dairy products like yoghurt and milk . The occasional consumption of discretionary foods such as cakes will not impact on the long-term management of diabetes . For those who are undernourished , a slice of fruit cake as a snack can contribute an important serving of fibre , fats , protein and many vitamins and minerals .
If low energy is a problem , try swapping the main meal to the middle of the day when energy levels and hunger are higher . Smaller , more frequent meals may be more appetising than larger meals . For those living independently , cooking meals in large batches and freezing them may save time and effort across the week . Alternatively , alternating meal preparation with friends and family can ease the load , as can meal delivery services .
LOW GLYCAEMIC INDEX OPTIONS Low glycaemic index foods break down slower , which helps to stabilise blood glucose levels . Including at least one low glycaemic item at a meal can assist with overall blood glucose control . For example , combining boiled sweet potato ( low GI ) with regular boiled potato ( high GI ). For more information on the glycaemic index , go to www . glycemicindex . com
STAY HYDRATED As we age , it is natural to lose our sense of thirst . However , drinking adequate amounts of fluids is still important . Hydration is essential for good health . It assists in bowel
26 agedcareinsite . com . au