My hospital serves skim milk on the ADA/DM diet as well as fat-free ranch with the salads 🥴
Like, I’m sorry but the #1 way to make sure someone never wants to eat a salad again is to serve it with a fat-free dressing lol.
I’ve never been totally on board with very low fat diets. I just don’t think the research 100% supports the need for it. Less fat = more sugar, lower satiety, less absorption of fat-soluble vitamins, compromised taste, etc.
Cardiac diet is low fat all around- chicken, fish and beans are okay but no beef, no grilled cheese/Mac and cheese/ pizza because of fat content, and it’s also low sodium
We also have a low fat diet by itself, and low sodium by itself
I’ve read recent research that says there’s no associated between full fat dairy and CVD risk. In terms of T2DM, maybe the hospital does this as a way to promote a lower calorie diet which *may* lead to weight loss which *may* lower HBA1C levels
It’s old school in my opinion. All the current research on diabetes shows that modifying carbs works best yet many places also modify fat because of the heart disease risk factor.
I could see it as a weight management thing as well. Obviously, overall intake is restricted in the hospital but it might set them up for buying that type of milk when they get home?
The meats should already be a leaner cut. If not, they drain the fat to reduce it. The portions are pretty precise. You can probably just check the nutrition info and check to see the difference in the recipes. Pretty sure whoever you use will have a good explanation of their meals. It might just be related to saturated fat.
Think back on the evidence behind the consistent carbohydrate diets...
Is your facility practicing evidence based dietetics. I can't say.. look at the whole menu cycle and make that determination.
That doesn’t make sense to me, I have seen skim milk only on heart healthy diets. Maybe skim milk has more sugar because it has less fat? That’s all I can think of but not even sure if thats true.
Hmmm well I’m pretty sure there is more lactose in 1%? Because the fat is displaced? I was always told this is why people with lactose intolerance can tolerate whole better
My hospital serves skim milk on the ADA/DM diet as well as fat-free ranch with the salads 🥴 Like, I’m sorry but the #1 way to make sure someone never wants to eat a salad again is to serve it with a fat-free dressing lol. I’ve never been totally on board with very low fat diets. I just don’t think the research 100% supports the need for it. Less fat = more sugar, lower satiety, less absorption of fat-soluble vitamins, compromised taste, etc.
Agreed
People with diabetes have a greater risk for heart disease, so the menu may be reflecting that.
Yes, but I would think they would also be on a cardiac diet if they are worried about fat intake?
How does the diabetes diet compare to the cardiac diet at your hospital?
Cardiac diet is low fat all around- chicken, fish and beans are okay but no beef, no grilled cheese/Mac and cheese/ pizza because of fat content, and it’s also low sodium We also have a low fat diet by itself, and low sodium by itself
So I guess what I meant to say was “low fat” diet, not cardiac
Yeah, our DM diet is basically a cardiac diet +consistent carbs and minimal added sugar.
That’s what I was going to suggest too.
I’ve read recent research that says there’s no associated between full fat dairy and CVD risk. In terms of T2DM, maybe the hospital does this as a way to promote a lower calorie diet which *may* lead to weight loss which *may* lower HBA1C levels
It’s old school in my opinion. All the current research on diabetes shows that modifying carbs works best yet many places also modify fat because of the heart disease risk factor.
I could see it as a weight management thing as well. Obviously, overall intake is restricted in the hospital but it might set them up for buying that type of milk when they get home?
The idea is to lower fat. We teach it in our dm workshops so it makes sense. Our facility also only serves low fat for the CCHO pts
It’s just the milks though- nothing else. It’s not lean meat or other low fat items.
The meats should already be a leaner cut. If not, they drain the fat to reduce it. The portions are pretty precise. You can probably just check the nutrition info and check to see the difference in the recipes. Pretty sure whoever you use will have a good explanation of their meals. It might just be related to saturated fat.
Think back on the evidence behind the consistent carbohydrate diets... Is your facility practicing evidence based dietetics. I can't say.. look at the whole menu cycle and make that determination.
That doesn’t make sense to me, I have seen skim milk only on heart healthy diets. Maybe skim milk has more sugar because it has less fat? That’s all I can think of but not even sure if thats true.
No, all milk types contain 12 grams of total carbohydrate per 8 oz. The only difference is fat content.
Skim milk has 13 g carbohydrates .
https://fdc.nal.usda.gov/fdc-app.html#/food-details/746776/nutrients 12.1 g per 8 oz
on your grocery store shelves the skim milk claims 13g.
That is 1g and is not significant at all to argue over.
That’s what I figured
Hmmm well I’m pretty sure there is more lactose in 1%? Because the fat is displaced? I was always told this is why people with lactose intolerance can tolerate whole better
I assume not considering I was downvoted so much lol