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Diabetes and Nutrition Services Order Form 801 S Milwaukee Ave. Libreville, IL 60048 To make an appointment, call 8479902595Patients Name Phone number Birth date Referring provider: Phone Fax Diabetes
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How to fill out diabetes and nutrition services

01
Start by gathering necessary information such as medical history, current medications, and any specific dietary restrictions or allergies of the individual.
02
Assess the individual's nutritional needs and create a personalized meal plan that takes into account their diabetes diagnosis.
03
Educate the individual about portion control, carbohydrate counting, and the importance of incorporating a balance of fruits, vegetables, lean proteins, and whole grains into their diet.
04
Provide guidance on meal timing and frequency, and emphasize the importance of regular physical activity for managing blood sugar levels.
05
Monitor the individual's progress closely and make necessary adjustments to their meal plan and lifestyle recommendations if needed.
06
Offer ongoing support, counseling, and education to empower the individual to make healthy food choices and manage their diabetes effectively.

Who needs diabetes and nutrition services?

01
Individuals diagnosed with diabetes who require guidance on managing their blood sugar levels through proper nutrition.
02
Individuals at risk of developing diabetes or prediabetic individuals who need assistance in making dietary and lifestyle changes to prevent or delay the onset of diabetes.
03
Individuals with other medical conditions who require specialized nutrition counseling to manage their diabetes alongside their existing health condition.
04
Family members or caregivers of individuals with diabetes who need education and support in understanding the dietary needs and restrictions of their loved ones.
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