1. Culturally Sensitive Nutrition Education
Providing Effective Treatment for Diabetes in Ethnic Elders
Prepared and based on work by:
Caroline Fee, MA
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2. Stanford GEC Copyright © 2005
Does it Really Matter?
Adherence to Diet Therapy
Compliance to Total Treatment Plan
Provider/Patient Implications
Respect
Caring
Rapport
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3. Culturally Specific Nutrition Education Resource Modules
Traditional Foods
Acculturation Issues
Further Resources for information on cultural perspective, traditional, and contemporary food habits in the US
Kittler and Sucher, (2004).Food and culture (4th ed.)
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4. Strategies for Culturally Appropriate Dietary Interventions
Make Healthy food choices
Choose foods low in total fat, saturated fat, and cholesterol
Avoid trans fats (found in processed foods)
Increase intake of complex carbohydrate
Fresh vegetables and fruits, whole grains
Use low fat sources of protein
Legumes (beans)
Lean poultry, meat, and fish
Return to Healthy Traditional Foods
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Control Food Portions
Use food replicas to teach serving sizes
Use culturally specific food guide pyramids to show adequate servings and recommended healthy choices from each food group
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Modify Recipes
Recommend recipes that reformulate traditional dishes
Emphasize low fat cooking methods
Emphasize using only a small amount of oil for cooking
Promote cooking classes
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7. Resources for Implementation of Strategies
Culturally specific cookbooks
American Dietetic Association Cultural food booklets
Food replicas
Culturally specific food guide pyramids
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8. Individualize Treatment
Consult a Registered Dietitian (RD) or Certified Diabetic Educator (CDE)
Individual goals are needed:
To maintain blood glucose levels in normal range
To reduce risk for complications of diabetes
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9. Issues to Address Include:
Obesity/weight loss
Co-morbidity considerations
Percentage of daily carbohydrate, fat, and protein intake
Timing of meals and snacks
Carbohydrate counting
Food adjustments based on glucometer readings
Exercise recommendations
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10. Resources to Locate RD’s and CDE’s
How to find a professional with cultural specialization:
Referrals
Identify names that appear to match the culture of the client
Follow-up with a phone call or to get specific information on cultural and bilingual expertise
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11. Cultural Remedies Used for Treatment of Diabetes
Refer to tables listed for each specific ethnic group
Selected herbs
Dietary practices
Spiritual practices
Cultural healers
Other
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