Assessment : 1

DIABETES MEAL PLAN, SELF-MONITORING OF BLOOD

GLUCOSE
AND QUALITY OF LIFE ASSESSMENT

GROUP -3
Materials used

 Glucometer
 Glucostix
 Quality of life Inventory
 Reflective Framework
 Paper
 Pen
 Meal Plan
Introduction

Diabetes Mellitus is a group of metabolic disease

characterized and diagnosed by a chronic elevation of blood

glucose that results from defects in insulin secretion, insulin

action or both. This may be accompanied by a variety of

disturbances of carbohydrate, protein and fat metabolism.

(Levene, 2003)

The low-glycogenic index (GI) foods may improve the

management of diabetes or lipid profile(Opperman , 2004) .

Epidemiology

Type 2 diabetes is a common public health concern in the

UK.
According to Department of Health(DH)2007, the diabetes
prevalence was about 2.35 million.
2.6 million people have been diagnosed with
diabetes(Diabetes UK,2010)
90% of people with diabetes have type 2 in the UK
(Whitmore, 2010)
The estimated diabetes prevalence for 2030 is more than
366 million worldwide(World Health Organisation, 1999)
More than half million people suffer from diabetes but not
yet diagnosed(Holt et al, 2008)
1st Week
Initial Quality of life
assessment
 Severity Score: 0
Unlikely to have depression
 First week meal plan of Laxmi
DATE DAY BREAKFAST POST LUNCH POST SUPPER POST PRANDIAL
PRANDIAL PRANDIAL (MMOL/L)
(MMOL/L) (MMOL/L)

06/11/2014 THURSDAY BREAD EGG AND 6.8 CHICKEN SANDWICH 6.4 CHICKEN 6.00
COFFEE AND CHIPS MOMO, SOUP
AND
LEMONADE
07/11/2014 FRIDAY NOODLES AND 6.00 FISH AND CHIPS 6.4 RICE, DAL AND 5.8
COFFEE BLACKCURRANT VEGETABLES
JUICE
08/11/2014 SATURDAY MILK, 7.00 NIL 6.6 CHICKEN 5.9
CROSSIANTS, MOMO AND
EGG SAUCE
09/11/2014 SUNDAY COFFEE AND 6.00 RICE, DAL AND 6.3 CHICKEN 5.8
CROSSIANTS VEGETABLES MOMO AND
TOMATO
CHUTNEY
10/11/2014 MONDAY COFFEE AND 7.3 RICE, LAMB, 9.2 RICE, CHICKEN 5.7
CROSSIANTS VEGETABLES AND
AND LUCOZADE VEGETABLES

11/11/2014 TUESDAY NOODLES WITH 6.2 CHAPATIS, 7.1 CHICKEN 5.9

BAKEN BEANS VEGATBLES AND MOMO AND
AND SAUSAGE CHICKEN CHOWMEIN
COFFEE POMEGRANATE
JUICE

12/11/2014 WEDNESDAY NOODLES WITH 6.00 CHAPATIS, 5.8 CHICKEN 5.9

FISH VEGETABLES AND MOMO AND
COFFEE CHICKEN LEMONADE
RASPBERRY AND
APPLE JUICE
Firsrt week Meal plan of Ramita
Date Day Breakfast PPBGL Lunch PPBGL Supper PPBGL
Mmol/l) (Mmol/l) (Mmol/l)

06/11/14 Thursday Tea 5.8 Steamed white 6 Veg momo 5.6

Bread with jam rice,lentil soup,chicken and soup
curry,tomato and
coriander pickle

07/11/14 Friday Orange juice 5.6 Fish and chips 5.9 Steamed rice. 5.5
Banana Vegetable salad Lentil soup,
vegetables

08/11/14 Saturday Orange juice 6 Chicken chow Mein 5.8 Rice chicken 6
Fruitcake yoghurt curry,
vegetables

09/11/14 Sunday Milk Coffee Rice and peas,roast 6.5 Fruit salad
Toast with jam 5.6 potato,roast Juice 5.2
chicken,vegetables
Icecream

10/11/14 Monday Milk coffee 5.5 Prawn fried rice,lamb 6 Mutton 6.8
Biscuits curry,vegetables, chhoyela,man
Banana vegetable salad go lassi,
Fruit salad

11/11/14 Tuesday Milk coffee Noodle soup, 5.8 Steamed sea 5.2
Avocado 5.5 vegetable salad food
yoghurt Vegetable
salad
12/11/14 Wednesday Milk tea 5.6 5.7 Fruit salad, 5
Biscuits Steamed rice, lentil yoghurt
apple soup,chicken curry
vegetables
First week meal plan of samjhana
Day Breakfast PPBGL (mmol/l) Lunch PPBGL (mmol/l) Supper PPBGL (mmol/l)

Thursday Milk tea + 2 slices 5.7 Egg fried rice + 6.1 Chapatti and 5.8
(06/11/14) toast tomato pickle vegetable curry

Friday (07/11/14) Whole grain 5.6 Noodles with egg 6.1 Steamed rice with 6.2
shredded wheat vegetable curry
with milk + tea

Saturday Porridge with milk + 5.9 Pasta + apple + tea 6 Steamed rice + 6.2
(08/11/14) tea lentil soup +
chicken+ pickle

Sunday Wheetabix with 5.6 Egg chowmein + 6 Chicken momo + 5.9

(09/11/14) milk + tea tea pickle + soup

Monday Whole grain 5.7 Toasts with beans 5.8 Chicken pasta 6
(10/11/14) shredded wheat + tea
with milk + tea

Tuesday 2 slices toast + 5.9 Fried rice + plain 6 Fruit sandwich + 5.9
(11/11/14) omelette + tea yoghurt tea

Wednesday Whole grain 5.7 Chapatti + pickle + 5.9 Fruid salad + 5.9
(12/11/14) shredded wheat tea yoghurt
with milk + tea
 First week meal plan of Shanti
Date Day Breakfast PPBGL Lunch PPBGL Supper PPBGL
Mmol/l) (Mmol/l) (Mmol/l)

06/11/14 Thursday Milk tea with 5.6 Rice with black lentils 6.1 Vegetable 5.1
poridge and mixed vegetable soup and
curry toast
07/11/14 Friday Milk tea and 5.8 Fish curry and chapati 5.9 Steamed rice. 5.5
Banana Lentil soup,
vegetables

08/11/14 Saturday Glass of juice and 6.9 Sea food chowmin and 6.1 Rice, Yellow 6
apple yoghurt lentils and
spinach

09/11/14 Sunday Milk tea and 5.9 Rice, black lentils, Banana and Fruit salad 5.9
porridge potato curry and ice salad Juice
cream
10/11/14 Monday Milk coffee ,toast 5.5 Egg, fried rice, salad 6.7 Mango shake 7.1
with butter ,tomato pickle and Chinese
food

11/11/14 Tuesday Milk coffee and 5.6 Pasta with tomato 6 Chapati and 5.6
biscuits sauce and ice cream mixed
vegetable
curry

12/11/14 Wednesday Milk tea 5.6 Noodles and banana 5 Yoghurt, 5.4
Biscuits, vegetable ,
banana fried rice and
juice
 First week meal plan of Sushma
Date Day Breakfast PPBGL Lunch PPBGL Supper PPBGL
(mmol/l) (mmol/l) (mmol/l)

06/11/14 Thursday Toast 5.2 Pizza 5.4 MO MO 5.6

Milk tea Coffee

07/11/14 Friday Toast 5.2 Fried rice 5.4 Soup 5.4

Milk tea

08/11/14 Saturday Porridge 5.4 Rice 5.6 Pasta 5.6

Milk tea Curry
Dal

09/11/14 Sunday Porridge 5.4 Rice 5.6 Chowmin 5.6

Milk tea Curry
Dal

10/11/14 Monday Porridge 5.6 Fried rice 5.4 Noodles 5.8

Milk tea

11/11/14 Tuesday Cornflakes 5.8 Chapati 5.4 Pasta 5.6

Milk tea curry

12/11/14 Wednesday Toast 5.4 MOMO 5.8 MO MO 5.8

Milk tea
2nd Quality of life assessment

 Result:
Severity score:5(mild)
The score indicates we are unlikely to be clinically
depressed. However, we may have mild symptoms. The
general practitioner has to be contacted if the symptom
worsened and affected the daily life.
2nd Week
DIABETES MEAL
PLAN DAY 2

41
AVERAGE GI LOW
TOTAL GL : 97
CALORIES : 1405
BREAKFAST
AVERAGE PORTION AMOUNT
GI
70 Weetabix whole wheat cereal 1*1 cup
32 Milk, calcium fortified, cow’s , fluid, skim or non 1*1 cup
fat
38 Apple , raw 1*1 medium
LUNCH
42 Noodle soup 1*1 CUP
32 Lettuce, salad with assorted vegetables including 1*1 CUP
tomatoes
32 Milk, evaporated , skim, used in coffee or tea 1*1 cup
50 Pork roast, smoked or cured, cooked, lean and fat 1*1 thin slice
eaten
50 Orange juice 1*1 cup
DINNER
40 Vegetable soup, with pasta, chunky style 1*1 cup
61 Ice cream 1*1 cup
50 Egg omelet or scrambled egg, with fish 1*1 medium egg
SNACK

32 Milk, calcium fortified, cow’s , 1*1 cup

fluid, skim or non fat
55 Cracker, snack 1*1round
cracker
DIABETES MEAL PLAN
DAY 3

45
AVERAGE GI LOW
TOTAL GL :99
CALORIES : 1428
BREAKFAST
AVERAGE PORTION AMOUNT
GI
48 Oatmeal , made with milk cooked 1*1 cup
50 Tea, made from powdered instant, unsweetened 1*1 cup
52 Banana raw 1*1 medium
LUNCH
51 Tuna and rice with mushroom soup mixture 1*1 cup
42 Mixed vegetables (corn, lima beans , peas and 1*1 cup
green beans
44 Chocolate, white 1*1 piece
46 Pineapple juice 1*1 cup
DINNER
52 Chicken soup 1*1 cup
52 Dumpling, potato or cheese-filled 2*1 dumpling

SNACK

36 Cocoa, hot chocolate , not from dry mix, made 1*1 cup
with whole milk
DIABETES MEAL PLAN
DAY 4

37
AVERAGE GI LOW
TOTAL GL:75
CALORIES:1492
BREAKFAST
AVERAGE GI PORTION AMOUNT
50 Egg, whole, boiled 1*1 jumbo
31 Bread, oat bran, reduced calorie and / or high fibre 1*1 slice
32 Milk, evaporated, skim, used in coffee or tea 1*1 cup
LUNCH
54 Rice, brown and wild, cooked, fat not added in 1*1 cup
cooking
55 chicken or turkey and vegetables (including carrots, 1*1 cup
broccoli )
19 Yogurt, fruit variety, non fat milk, sweetened with 1*1 6oz container
low calorie
DINNER
50 Noodles, chowmein 1*1 cup
27 Mushroom soup , cream of, prepared with water 1*1 cup
32 Milk, evaporated , skim, used in coffee or tea 1*1 cup
SUPPER
55 Fruit cocktail or mix (including citrus fruits) 1*1 cup
DIABETES MEAL
PLAN DAY 5

41
AVERAGE GI LOW
TOTAL GL : 97
CALORIES : 1405
BREAKFAST

AVERAGE PORTION AMOUNT

GI
70 Weetabix whole wheat cereal 1*1 cup
32 Milk, calcium fortified, cow’s , fluid, skim or non 1*1 cup
fat
38 Apple , raw 1*1 medium
LUNCH
42 Noodle soup 1*1 cup
32 Lettuce, salad with assorted vegetables including 1*1 cup
tomatoes
32 Milk, evaporated , skim, used in coffee or tea 1*1 cup
50 Pork roast, smoked or cured, cooked, lean and fat 1*1 thin slice
eaten
50 Orange juice 1*1 cup
DINNER
40 Vegetable soup, with pasta, chunky style 1*1 cup
61 Ice cream 1*1 cup
SNACK

32 Milk, calcium fortified, cow’s , 1*1 cup

fluid, skim or non fat
55 Cracker, snack 1*1round
cracker
DIABETES MEAL PLAN DAY 6

45
AVERAGE GI LOW
TOTAL GL :99
CALORIES : 1428
BREAKFAST

AVERAGE PORTION AMOUNT

GI
48 Oatmeal , made with milk cooked 1*1 cup
50 Tea, made from powdered instant, unsweetened 1*1 cup
52 Banana raw 1*1 medium
LUNCH
51 Tuna and rice with mushroom soup mixture 1*1 CUP
42 Mixed vegetables (corn, lima beans , peas and 1*1 CUP
green beans
44 Chocolate, white 1*1 piece
46 Pineapple juice 1*1 cup
DINNER
52 Chicken soup 1*1 cup
52 Dumpling, potato or cheese-filled 2*1 dumpling

SNACK
DIABETES MEAL PLAN
DAY 7

37
AVERAGE GI LOW
TOTAL G:75
CALORIES:1492
BREAKFAST

AVERAGE GI PORTION AMOUNT

50 Egg, whole, boiled 1*1 jumbo
31 Bread, oat bran, reduced calorie and / or high 1*1 slice
fibre
32 Milk, evaporated, skim, used in coffee or tea 1*1 cup
LUNCH
54 Rice, brown and wild, cooked, fat not added in 1*1 cup
cooking
55 chicken or turkey and vegetables (including 1*1 cup
carrots, broccoli )
19 Yogurt, fruit variety, non fat milk, sweetened with 1*1 6oz
low calorie container
DINNER
50 Noodles, chowmein 1*1 cup
27 Mushroom soup , cream of, prepared with water 1*1 cup
32 Milk, evaporated , skim, used in coffee or tea 1*1 cup
SUPPER
55 Fruit cocktail or mix (including citrus fruits) 1*1 cup
Line graph showing the differences in body
weight between 06/11/14 to 19/11/14.
Table showing the random
blood glucose in week 2
Quality of life assessment week 2

 Result:
Severity score:6(mild)
The score indicates we are unlikely to be clinically depressed. However,
we may have mild symptoms. The general practitioner has to be
contacted if the symptom worsened and affected the daily life.
Week 3
Reflective Framework
Feelings:

1st stage:
No stress
No change in daily schedule
Satisfied with QLA result
No intervention required

2nd stage:
Stress due to blood test (pain, anxiety and concerned about
time for PP)
Worried for elevated blood glucose level
Feelings

3rd stage:
Restriction in eating as we had to comply with meal plan
Changes in lifestyle
Changes with family food menu
Felt good due to consumption of healthy food
Pain and anxiety due to pricking for blood test
Worried about complications of diabetes mellitus
QLA : 6 mild depression
Evaluation:
Good points:
Healthy eating habit (regular meals)
Gained broad knowledge about Glycaemic Index (GI)
Overcome fear needle pricks
Able to make diabetic meal plan

Bad Points:
Time consuming
Stressful (new food, needle prick)
Less concentration in work due to time keeping to check BGL
Common Themes

 Blood Glucose Level

 Quality of Life
 Diabetes Meal Plan
 Body Weight
Data Analysis

 Data is extracted from the quality of life inventory and

the activities conducted in the practice development/
improvement activity
 Presented in the form of pie charts, bar diagrams, table
and line graph
 Low GI Diet of ELLIS application was used to prepare
diabetic meal plan
 Gibbs Modal of Reflection(1988).
Action Plan:
 Along with diabetic meal, if exercise was included it
would have been more effective (Exercise and Type 2
Diabetes, 2005).
 Do more research on GI of ethnic foods to include
comfortably in daily meals
 Consult GP promptly if blood glucose level fluctuates or
is uncontrolled
References
Department of Health (2007) working together for better diabetic care.
Clinical case for change.
Diabetes UK (2010) Diabetes in the UK 2010 key statistics on diabetes.
[ online] Available at: www.diabetes.com.uk [ Accessed: 8th
December 2014].
Exercise and Type 2 Diabetes (2005) Medicine & Science in Sports &
Exercise.32 (7), p. 1345-1360.[online] Available at
http://web.a.ebscohost.com.ezproxy.uwl.ac.uk [ Accessed: 9th
December 2014].
hsc.uwe.ac.uk, (2014) Practice Support Net - Brief information on
models of reflection. [Online] Available at:
http://hsc.uwe.ac.uk/practicesupport/default.aspx?pageid=117
[Accessed: 7 December 2014].
Holt, T., Stables, D., and Hipposley , C. (2010) Identifying undiagnosed
diabetes: cross sectional survey of 3.6 million patients.12(8), p.716-
722.
Levene, S. (2003) Management of type 2 diabetes mellitus in primary
care. First ed. China: Elsevier science limited.
Opperman, A., Venter, S., Oostnizen, W. and Thompson, R. (2004) Met
analysis of the health effects of using the glycaemic index in meal
planning.4(5), p. 200-210.
World Health Organisation (1999) Definition, diagnosis and classification of
Diabetes mellitus and its complications.
Whitemore, C. (2010) Type 2 diabetes and obesity in adults.19(14), p.880-
886.