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Abstract: This publication is intended to provide guidance concerning diabetes nutrition care. The guide emphasizes the need to individualize diabetic meal planning and expands the description of meal planning to include alternatives to the exchange system. The exchange system, however, is the model diabetic diet and receives special attention in this publication. Objectives and activities to be used when teaching the use of the exchange lists for meal planning are outlined. The complete nutrient-composition data base that was used to develop the 1986 Exchange Lists is included.
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Provides dietitians and other health care professionals with the information they need to provide comprehensive diabetes care and self-management training. Topics covered include understanding diabetes (pathophysiology, complications of diabetes); setting and achieving management goals (medical nutrition therapy, nutrition assessment, diabetes medications and delivery methods, exercise benefits and guidelines, comprehensive monitoring, blood glucose monitoring, preparing and evaluating diabetes education programs, counseling skills); selecting a nutrition approach (expanding meal-planning approaches, the exchange system, carbohydrate counting, weight reduction, cultural considerations); macr...
Synopsis Unhappy and rebellious, Brandi attracts trouble in and out of school. Fighting and drug abuse lead to suspension. Robbery and assault land her in a juvenile detention center, where she meets Muriel, a tough corrections officer who forms a relationship with the teen. Muriel helps Brandi begin to change her life. Dean, a casual friend, drug user and supplier, as well as a battered son, causes mayhem at a school gathering and, as a result, enters the court system. He and Brandi develop a strong bond, which initially changes both their lives for the better. In a startling confrontation with his father, Dean embarks on a dangerous journey, and Brandi suffers a painful setback. Brandi’s strength of character helps her reach an understanding of herself and of the world around her. She is a “typical teen” in many ways, in that no teen-ager is either typical or ordinary. She negotiates the pitfalls of young adulthood because of significant help from caring adults.
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