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using the exchange method it is best to first, distribute the exchanges that fulfill the carbohydrate requirements (milk, vegetables, fruit, and bread). Forty to fifty percent of the total amount of calories prescribed are carbohydrates and are to be divided equally into several mini-meals throughout the day to regulate blood sugar levels. Secondly, distribute the protein, primarily the meat and then, distribute the fat exchanges to supply the remaining caloric requirement. It is advised that every meal be completely eaten, especially if insulin or a hypoglycemic agent is prescribed, to prevent insulin shock.

Diabetes is one of America's killers but with strict diet and medication control along with constant medical supervision the diabetic can live a healthy normal life. However, if medical orders are not followed it could be severely detrimental to the diabetic's health. Diabetes disturbs metabolism which causes structural changes in the kidneys, eyes, blood vessels and nerves. It also increases the chance of vascular disease, pneumonia and tuberculosis.

The American Diabetes Association publishes a bimonthly magazine for diabetics and their families. It contains information on the disease, recipes based on exchange method and helps the diabetic adjust to their new life style as well as helping family members who also may need encouragement and support in learning to live with a diabetic.

Learn more about this author, Cheryl Kottke.
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