1. How to develop diets that assist in the control of diabetes.

2.  No Concentrated Sweets  Calorie Count

3.  Do the limitations of a strict calorie count diet affect the resident’s quality of life?  Will the resident be compliant with a calorie count diet?  Will a no concentrated sweets (NCS) diet significantly affect the resident’s health?

4.  Is simpler to handle  Usually provides approximately 2,000 calories per day  Requires purchasing sugar free products  Must be ordered by a physician  Does not require preparation of special foods for diabetics

5.  Provide most effective control of blood sugar levels  Require good planning  Require exchange planning  Require understanding of carbohydrates and how they affect blood sugar levels

6.  Converted to sugar by the body  Increase sugar levels in the body  Diabetics have more trouble controlling  Less processing equals longer digestive time

7.  Menu  Foods served  Receipts for foods purchased  Times meals are served

9.  Requires extensive staff training  Requires some understanding of diabetes

10.  Mrs. Jones  Long time resident  New diagnosis of diabetes  New order for a 2,000 calorie diet  You offer only NCS

11.  Calorie count or NCS – the choice is yours.  Documentation is a requirement no matter which diet you chose  Exchanges = like for like foods

12.  Assisted Living Residences, West Virginia Title 64, Series 14. §§16-5D-5, 17; 16-1-4 (2010)  Williams, S.R. (1994). Essentials of nutrition and diet therapy. (6 th Ed.). Philadelphia, PA: Mosby.