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How much do you weigh? __________
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What is a healthy weight for you? ______
(Ask your doctor or diabetes teacher if you don't know.)
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Do you need to lose weight? ________
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What are two food habits you can change to
get to or stay at a healthier weight? ________
_____________________________________
_____________________________________
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Do you exercise? Yes or No (circle one)
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If you exercise, what do you do?__________
____________________________________
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How often do you exercise? _____________
____________________________________
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How many minutes do you exercise each time?
____________________________________
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Do you need to exercise more? Yes or No (circle
one)
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What are two changes you can make to get more exercise?
______________________________________
______________________________________
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What starches do you eat?
_______________________________________
_______________________________________
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What starches do you like best?
_______________________________________
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How do you cook and eat starches?
_______________________________________
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Name two starch servings you might choose for
breakfast: _____________________________
dinner: ________________________________
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Write down two things you can do to buy, cook, or eat starches
in healthier ways. ________________________________________
________________________________________
________________________________________
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What raw vegetables do you eat?
_______________________________________
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What cooked vegetables do you eat?
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What vegetables do you like best?
_______________________________________
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How do you cook and eat vegetables?
_______________________________________
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Name two vegetable servings you might choose for
lunch: _________________________________
dinner: ________________________________
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Write down two things you can do to buy, cook, or eat vegetables
in healthier ways.
_______________________________________
_______________________________________
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I Have Diabetes: What Should I Eat?
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- What fruits do you eat?
_______________________________________
_______________________________________
- What fruits do you like
best?
_______________________________________
_______________________________________
- How do you buy and eat fruits?
_______________________________________
_______________________________________
- Name two fruit servings
you might choose for
breakfast: _____________________________
dinner: ________________________________
- Write down two things you
can do to buy, cook, or eat fruits in healthier ways.
_______________________________________
_______________________________________
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- Do you eat milk and yogurt?
___________
- What types of milk and yogurt
do you buy?
_______________________________________
- Name one milk or yogurt
serving you might choose for
breakfast: _____________________________
dinner: ________________________________
- Write down two things you
can do to buy, cook, or eat milk or yogurt in healthier
ways.
_______________________________________
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- What
protein foods do you eat?
_______________________________________
_______________________________________
- What
protein foods do you like best?
_______________________________________
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- What
cuts of beef, pork and ham, and lamb do you buy?
_______________________________________
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- How
do you cook your meats, poultry, fish, and eggs?
_______________________________________
_______________________________________
- Name
one protein food serving you might choose for
lunch: _________________________________
dinner: ________________________________
- Write
down two things you can do to buy, cook, or eat protein
foods in healthier ways.
_______________________________________
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What high-fat foods do you eat?
_______________________________________
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What fats do you use when you cook?
_______________________________________
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What fats do you use on foods when you eat them?
_______________________________________
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What two changes can you make to buy lower fat foods?
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Name one fat or oil serving you might choose for
lunch: _________________________________
dinner: ________________________________
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Write down two things you can do to buy, cook, or eat less
fat.
_______________________________________
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What sugary foods do you eat?
_______________________________________
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What are your favorite sugary foods?
_______________________________________
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What two changes can you make to eat fewer sugary foods?
_______________________________________
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to I Have Diabetes: What Should I Eat?
NIH Publication No. 98-4192
November 1997
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