The goals of the diabetic diet are:
(a) To improve the overall health of the patient by attaining and
To attain and maintain an ideal body weight.
(c) To provide for the pregnant woman and her fetus: normal physical
growth in the child, adequate nutrition for lactation needs if she chooses to breast-feed her
To maintain plasma glucose as near the normal physiologic range as
(e) To prevent or delay the development and progression of
cardiovascular, renal, retinal, neurologic, and other complications associated with
(f) To modify the diet as necessary for complications of diabetes and for
i. Liberal Bland Diet. This diet is indicated for any medical condition requiring
treatment for the reduction of gastric secretion, such as gastric or duodenal ulcers,
gastritis, esophagitis, or hiatal hernia.
(1) The diet consists of any variety of regular foods and beverages, which are
prepared or consumed without black pepper, chili powder, or chili pepper. Chocolate,
coffee, tea, caffeine-containing products, and decaffeinated coffee are not included in the
diet. The diet should be as liberal as possible and individualized to meet the needs of the
patient. Foods, which cause the patient discomfort, should be avoided. Small, frequent
feedings may be prescribed to lower the acidity of the gastric content and for the physical
comfort of the patient.
(2) The standard menu mat, DA Form 2902-1-R, provides 3213 calories. The
liberal bland diet is slightly below the RDA for thiamine and niacin for men 19 to 22 years
of age. It is also below the RDA in iron for women of all ages.
j. Low Fat Diet. Fat restricted diets may be indicated in diseases of the liver,
gallbladder, or pancreas in which disturbances of the digestion and absorption of fat may
occur (pancreatitis, post-gastrointestinal surgery, cholelithiasis, and cystic fibrosis).
(1) The diet contains approximately 40 grams of fat from the six ounces of
lean meat, fish, or poultry, one egg and three teaspoons of butter, margarine, or other
allowed fats. Only lean, well-trimmed meats and skim milk are used. All foods are
prepared without fat.