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for People with Diabetes and Their Families
March 2011 CS115685
NDEP-51
The U.S. Department of Health and
Human Services’ National Diabetes
Education Program is jointly sponsored
by the National Institutes of Health and the
Centers for Disease Control and Prevention
with the support of more than 200 partner
organizations. 2
Recipe Booklet

What is diabetes?
Diabetes means that your
blood glucose (blood sugar)
is too high. Glucose comes
from the food we eat. An
organ called the pancreas
(PAN-kree-as) makes insulin
(IN-suh-lin). Insulin helps
glucose get from your blood
into your cells. Cells take
the glucose and turn it into
energy.
When you have diabetes,
your body has a problem
making or properly using
insulin. As a result, glucose
builds up in your blood and
cannot get into your cells. If
the blood glucose stays too
high, it can damage your
body.
What are the symptoms of
diabetes?
Common symptoms of
diabetes include:
• Having to urinate often.
• Being very thirsty.
• Feeling very hungry or tired.
• Losing weight without trying.
But many people with
diabetes have no symptoms
at all.
Why should I be concerned
about diabetes?
Diabetes is a very serious
disease. Do not be misled by
phrases that suggest diabetes
is not a serious disease,
such as “a touch of sugar,”
“borderline diabetes,” or “my
blood glucose is a little bit
high.”
Diabetes can lead to other
serious health problems.
When high levels of
glucose in the blood are not
controlled, they can slowly
damage your eyes, heart,
kidneys, nerves, and feet.
What are the types of
diabetes?
There are three main types of
diabetes.
• 	Type 1 diabetes—In this
type of diabetes, the
body does not make
insulin. People with type
1 diabetes need to take
insulin every day.
• 	Type 2 diabetes—In this
type of diabetes, the body
does not make enough
insulin or use insulin well.
Some people with type
2 diabetes have to take
diabetes pills, insulin, or
both. Type 2 diabetes is
the most common form of
diabetes.
• 	Gestational diabetes—This
type of diabetes can
occur when a woman
is pregnant. It raises the
risk that both she and
her child might develop
diabetes later in life.
3
Good news!
You can control diabetes.
Diabetes can be managed.
You can successfully manage
diabetes and avoid the
serious health problems it
can cause if you follow these
steps:
• Ask your doctor how you
can learn more about
your diabetes to help you
feel better today and in
the future.
• Know your diabetes
“ABCs” (see page 5).
• Make healthy food
choices and be physically
active most days.
Following this advice will
help you keep off extra
pounds and will also help
keep your blood glucose
under control.
• Check your blood glucose
as your doctor tells you to.
• If you are taking diabetes
medications, take them
even if you feel well.
• To avoid problems with
your diabetes, see your
health care team at least
twice a year. Finding and
treating any problems
early will prevent them
from getting worse. Ask
how diabetes can affect
your eyes, heart, kidneys,
nerves, legs, and feet.
• Be actively involved in
your diabetes care. Work
with your health care
team to come up with a
plan for making healthy
food choices and being
active—a plan that you
can stick to.
Creating a healthy meal
plan.
This recipe booklet is a place
to start creating healthy
meals. Ask your doctor to
refer you to a registered
dietitian or a diabetes
educator who can help you
create a meal plan for you
and your family. The dietitian
will work with you to come
up with a meal plan tailored
to your needs. Your meal
plan will take into account
things like:
• Your blood glucose levels.
• Your weight.
• Medicines you take.
• Other health problems
you have.
• How physically active you
are.
Making healthy food choices.
• Eat smaller portions. Learn
what a serving size is for
different foods and how
many servings you need
in a meal.
• Eat less fat. Choose fewer
high-fat foods and use
less fat for cooking. You
especially want to limit
foods that are high in
saturated fats or trans fat,
such as:
Fatty cuts of meat.
Whole milk and dairy
products made from
whole milk.
Cakes, candy, cookies,
crackers, and pies.
Fried foods.
Salad dressings.
Lard, shortening, stick
margarine, and non­
dairy creamers.
4
Your Diabetes ABCs.
• A stands for A1C test. This test measures your
average blood glucose levels for the past three
months. Your doctor should test your A1C at least
twice a year. For most people with diabetes, the goal
is to have an A1C “score” of less than 7.
• B stands for blood pressure, a measurement of how
hard your heart needs to work to keep your blood
circulating. For most people with diabetes, the goal is
to keep blood pressure below 130/80.
• C stands for cholesterol, a fat found in your blood.
There are two kinds of cholesterol: LDL, or “bad”
cholesterol, and HDL, or “good” cholesterol. For
most people with diabetes, the goal is to keep:
LDL cholesterol below 100.
HDL cholesterol above 40 (HDL for men > 40
and for women > 50).
Ask your doctor what you can do to reach your targets for A1C,
blood pressure, and cholesterol.
5
• Eat more fiber by eating
more whole-grain foods.
Whole grains can be
found in:
Breakfast cereals made
with 100% whole
grains.
Oatmeal.
Whole grain rice.
Whole-wheat bread,
bagels, pita bread, and
tortillas.
• Eat a variety of fruits and
vegetables every day.
Choose fresh, frozen,
canned, or dried fruit and
100% fruit juices most
of the time. Eat plenty of
veggies like these:
Dark green veggies
(e.g., broccoli, spinach,
brussel sprouts).
Orange veggies
(e.g., carrots, sweet
potatoes*, pumpkin,
winter squash).
Beans and peas (e.g.,
black beans*, garbanzo
beans*, kidney beans*,
pinto beans*, split
peas*, lentils*).
• Eat fewer foods that are
high in sugar, such as:
Fruit-flavored drinks.
Sodas.
Tea or coffee
sweetened with sugar.
• Use less salt in cooking
and at the table. Eat fewer
foods that are high in salt,
such as:
Canned and package
soups.
Canned vegetables.
Pickles.
Processed meats.
• Never skip meals. Stick
to your meal plan as best
you can.
• Limit the amount of
alcohol you drink.
• Make changes slowly.
It takes time to achieve
lasting goals.
*Portions of these vegetables count as
a bread exchange. (See discussion of
Exchange Method below if you are not
already familiar with it.)
Note: There are several ways to make
a diabetes meal plan. One popular and
flexible approach is the Exchange Program
method, which provides a quick way to
estimate energy, carbohydrates, protein,
and fat content in any food or meal. Food
from each exchange (starch, meat and
meat substitute, fruit, vegetable, milk,
and fat) is defined so that one serving of
each food contains the same amount of
carbohydrate, protein, fat, and energy
(calories). Another method is carbohydrate
counting. Using this method, you focus on
eating a specific number of carbohydrates
at specific times of the day.
6
Following a meal plan that
is made for you will help
you feel better, keep your
blood glucose levels in your
target range, take in the right
amount of calories, and get
enough nutrients.
Where can you learn more
about making a diabetes
meal plan?
• Contact a registered
dietitian to make a meal
plan just for you.
• Visit the American
Dietetic Association Web
site to find a nutrition
professional that can help
you develop a healthy
meal plan
(www.eatright.org).
• Visit the American
Association of Diabetes
Educators to find a
diabetes educator (www.
diabeteseducator.org).
• Visit the American
Diabetes Association Web
site for more information
on carbohydrate counting
and the exchange method
(www.diabetes.org).
• Visit http://www.diabetes.
org/food-and-fitness/
food/planning-meals/
carb-counting/ to get
more information on
carbohydrate counting.
Where can you learn how to
read food labels?
You can learn a lot about
foods by reading food labels.
Visit these Web sites to learn
more about reading food
labels:
• U.S. Food and Drug
Administration (www.
cfsan.fda.gov/~dms/
foodlab.html).
• U.S. Department of
Agriculture (www.fns.
usda.gov/tn/Resources/
Nibbles/healthful_labels.
pdf).
• American Diabetes
Association (http://www.
diabetes.org/food-and­
fitness/food/what-can-i-eat/
taking-a-closer-look-at­
labels.html).
7
Get moving!
Being physically active can
reduce your risk for type 2
diabetes.
• Engage in moderate-
intensity physical activity
at least 30 minutes per
day on five days of the
week.
• To meet the goal of
30 minutes a day of
moderate-intensity
physical activity, you
don’t have to do all 30
minutes at once. You can
get the health benefit from
breaking 30 minutes up
into three 10-minute or
two 15-minute sections
throughout the day.
• Examples of moderate-
intensity physical activity
are:
Biking at a casual
pace.
Actively playing with
your children.
Yard work (raking/
bagging leaves or using
a lawn mower).
• If you want to lose weight
or prevent regaining
weight, you might need
to do 60 to 90 minutes
of moderate-intensity
physical activity a day on
most days.
Are your family members at
risk for diabetes?
Your family members might
be at risk for diabetes. Things
that increase their risk of
getting diabetes include:
• Being 45 years of age or
older.
• Having a parent, brother,
or sister with diabetes.
• Having a family
background of African
American, Hispanic/
Latino, American Indian,
Asian American, or Pacific
Islander descent.
• Having diabetes during
pregnancy (gestational
diabetes) or giving birth to
a baby weighing 9 pounds
or more.
• Being told that their
glucose levels are higher
than normal.
• Being told that their blood
pressure is 140/90 or
higher.
• Having cholesterol (lipid)
levels that are not normal.
• Being fairly inactive—
doing physical activity less
than three times a week.
Most people who develop
type 2 diabetes have pre-
diabetes first, which means
your blood glucose levels
are higher than normal but
not yet high enough for
diabetes. People with pre-
diabetes are at a higher risk
for a heart attack and stroke,
not just diabetes. If you or
someone else in your family
has diabetes, then other
family members might have
pre-diabetes and not know it.
Good news! Type 2 diabetes
can be prevented or delayed.
According to the Diabetes
Prevention Program
study (DPP), diabetes is a
preventable and controllable
chronic disease. The study
8
suggests individuals can
prevent or delay the onset of
type 2 diabetes if they:
• Lose 5 to 7 percent of
their weight, if they
are overweight—that is
10 to 14 pounds for a
200-pound person.
• Maintain the weight loss
with a healthy diet by
eating a variety of foods
that are low in fat and
reducing the number of
calories eaten per day.
• Get at least 30 minutes
of moderate-intensity
physical activity (brisk
walking, yard work, or
actively playing with
children) five days a week.
Remember, the tips and
tasty recipes in this booklet
are not just for people
with diabetes—they are for
the whole family! Making
healthy food choices and
being physically active are
good for everyone.
Where can I learn more?
• Find out what else you can
do to prevent and control
diabetes by visiting:
www.YourDiabetesInfo.
org/am-i-at-risk/
DiabetesIsPreventable.
aspx
www.YourDiabetesInfo.
org/i-have-diabetes/.
www.cdc.gov/diabetes.
• For more information
on weight control, visit
the Weight-control
Information Network at
http://win.niddk.nih.gov.
• For materials in Spanish,
go to:
http://win.niddk.nih.
gov/publications/index.
htm#spanish.
www.cdc.gov/diabetes/
spanish/index.htm.
The National Diabetes
Education Program’s Control
Your Diabetes. For Life.
campaign and the brochure 4
Steps to Control your Diabetes.
For Life. can help you learn
how to manage your diabetes.
To order materials on diabetes
control, call;1-888-693-NDEP
(1-888-693-6337 or visit www.
YourDiabetesInfo.org.To order
this recipe booklet, ask for
Code NDEP-51.
To speak with a bilingual
operator, or to order printer-
ready files to reproduce
materials, call;
1-800-860-8747.
Publication Date:
March 2011
The U.S. Department of Health
and Human Services’ National
Diabetes Education Program
is jointly sponsored by the
National Institutes of Health
and the Centers for Disease
Control and Prevention with
the support of more than 200
partner organizations.
9
Spanish Omelet /
Tortilla española
This tasty dish provides a
healthy array of vegetables
and can be used for
breakfast, brunch, or any
meal! Serve with fresh fruit
salad and a whole grain
dinner roll.
Ingredients:
5	 small potatoes,
peeled and sliced
Vegetable cooking
spray
½	 medium onion,
minced
1	 small zucchini, sliced
1½ cups green/red
peppers, sliced thin
5	 medium mushrooms,
sliced
3	 whole eggs, beaten
5	 egg whites, beaten
Pepper and garlic salt
with herbs, to taste
3	 ounces shredded
part-skim mozzarella
cheese
1	 Tbsp. low-fat
parmesan cheese
Directions:
• Preheat oven to 375 °F.
• Cook potatoes in boiling water
until tender.
• In a nonstick pan, add vegetable
spray and warm at medium heat.
• Add onion and sauté until brown.
Add vegetables and sauté until
tender but not brown.
OME
SPANISH
10
• In a medium mixing bowl, slightly
beat eggs and egg whites, pepper,
garlic salt, and low-fat mozzarella
cheese. Stir egg-cheese mixture
into the cooked vegetables.
• In a 10-inch pie pan or ovenproof
skillet, add vegetable spray and
transfer potatoes and egg mixture
to pan. Sprinkle with low-fat
parmesan cheese and bake until
firm and brown on top, about
20–30 minutes.
• Remove omelet from oven, cool
for 10 minutes, and cut into five
pieces.
LET
11
Exchanges:
Meat 2
Bread 2
Vegetable
Fat 2
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
Total Servings 5
Nutrition Facts
Spanish Omelet
Serving Size of omelet
Amount Per Serving	
Calories	 Calories from Fat
260	90
% Daily Value (DV)*
Total Fat 10g
Saturated Fat 3.5g
Trans Fat 0g	
Cholesterol 135mg
Sodium 240mg
TotalCarbohydrate30g
Dietary Fiber 3g
Sugars 3g
Protein 16g	
Vitamin A
Vitamin C
Calcium
Iron
* Percent Daily Values are based on a
2,000 calorie diet.
15%
18%
45%
10%
10%
12%
8%
60%
15%
8%
Beef or Turkey Stew / Carne
de res o de pavo guisada
This dish goes nicely with
a green leaf lettuce and
cucumber salad and a dinner
roll. Plantains or corn can be
used in place of the potatoes.
Ingredients:
1	 pound lean beef or
turkey breast, cut into
cubes
2 Tbsp. whole wheat
flour
¼	 tsp. salt (optional)
¼	 tsp. pepper
¼	 tsp. cumin
1½ Tbsp. olive oil
2	 cloves garlic, minced
2	 medium onions,
sliced
2	 stalks celery, sliced
1	 medium red/green
bell pepper, sliced
1	 medium tomato,
finely minced
5	 cups beef or turkey
broth, fat removed
5	 small potatoes,
peeled and cubed
12	 small carrots, cut into
large chunks
Directions:
• Preheat oven to 375 °F.
• Mix the whole wheat flour with
salt, pepper, and cumin. Roll
the beef or turkey cubes in the
mixture. Shake off excess flour.
• In a large skillet, heat olive oil
over medium-high heat. Add
beef or turkey cubes and sauté
until nicely brown, about 7–10
minutes.
1¼ cups green peas
ST EW
BEEF
12
• Place beef or turkey in an
ovenproof casserole dish.
• Add minced garlic, onions, celery,
and peppers to skillet and cook
until vegetables are tender, about
5 minutes.
• Stir in tomato and broth. Bring to a
boil and pour over turkey or beef
in casserole dish. Cover dish tightly
and bake for 1 hour at 375 °F.
• Remove from oven and stir in
potatoes, carrots, and peas. Bake
for another 20–25 minutes or
until tender.
Exchanges:
Lean Meat 3
Vegetable 2
Bread 2
Fat 1
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
Total Servings 4
Nutrition Facts
Beef or Turkey Stew
Serving Size 1½ cup
Amount Per Serving
Calories Calories from Fat
320 60
% Daily Value (DV)*
Total Fat 7g
Saturated Fat 1.5g
Trans Fat 0g
Cholesterol 40mg
Sodium 520mg
TotalCarbohydrate41g
Dietary Fiber 8g
Sugars 9g
Protein 24g
Vitamin A
Vitamin C
Calcium
Iron
* Percent Daily Values are based on a
2,000 calorie diet.
11%
8%
13%
22%
14%
32%
340%
80%
6%
15%
13
S NAP
RED
C
ARIBBEAN
Caribbean Red Snapper /
Pargo rojo caribeño
This fish can be served on
top of vegetables along
with whole grain rice and
garnished with parsley.
Salmon or chicken breast
can be used in place of red
snapper.
Ingredients:
2	 Tbsp. olive oil
1	 medium onion,
chopped
½	 cup red pepper,
chopped
½	 cup carrots, cut into
strips
1	 clove garlic, minced
½	 cup dry white wine
¾	 pound red snapper
fillet
1 large tomato,
chopped
2 Tbsp. pitted ripe
olives, chopped
2 Tbsp. crumbled
low-fat feta or low-fat
ricotta cheese
14
Directions:
• In a large skillet, heat olive oil
over medium heat. Add onion,
red pepper, carrots, and garlic.
Sauté mixture for 10 minutes.
Add wine and bring to boil. Push
vegetables to one side of the pan.
• Arrange fillets in a single layer in
center of skillet. Cover and cook
for 5 minutes.
• Add tomato and olives. Top with
cheese. Cover and cook for 3
minutes or until fish is firm but
moist.
• Transfer fish to serving platter.
Garnish with vegetables and pan
juices.
Exchanges:
Meat 2
Vegetable 1 ¼
Bread ½
Fat 2
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
Total Servings 4
Serving Suggestion: Serve with whole grain
rice. ½ cup cooked rice = 1 serving of rice.
Nutrition Facts
Caribbean Red Snapper
Serving Size ¼ red snapper
with ½ cup vegetables (233g)
Amount Per Serving
Calories Calories from Fat
220 80
% Daily Value (DV)*
Total Fat 10g 15%
Saturated Fat 2g 10%
Trans Fat 0g
Cholesterol 35mg 12%
Sodium 160mg 7%
TotalCarbohydrate8g 3%
Dietary Fiber 2g 8%
Sugars 4g
Protein 19g
Vitamin A 80%
Vitamin C 70%
Calcium 8%
Iron 4%
* Percent Daily Values are based on a
2,000 calorie diet.
P E R
15
Two Cheese Pizza / Pizza de
dos quesos
Serve your pizza with fresh
fruit and a mixed green salad
garnished with red beans to
balance your meal.
Ingredients:
2	 Tbsp. whole wheat
flour
1	 can (10 ounces)
refrigerated pizza
crust
Vegetable cooking
spray
2	 Tbsp. olive oil
½	 cup low-fat ricotta
cheese
½	 tsp. dried basil
1	 small onion, minced
2	 cloves garlic, minced
¼	 tsp. salt (optional)
4	 ounces shredded
part-skim mozzarella
cheese
2	 cups mushrooms,
chopped
1	 large red pepper, cut
into strips
Exchanges:
Meat 2 ½
Bread 3
Vegetable 1
Fat 3 ¾
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
Directions:
• Preheat oven to 425 °F.
• Spread whole wheat flour over
working surface. Roll out dough
with rolling pin to desired crust
thickness.
• Coat cookie sheet with vegetable
cooking spray. Transfer pizza crust
to cookie sheet. Brush olive oil
over crust.
TWO CHEESE

PIZZA
16
• Mix low-fat ricotta cheese with
dried basil, onion, garlic, and salt.
Spread this mixture over crust.
• Sprinkle crust with part-skim
mozzarella cheese. Top cheese
with mushrooms and red pepper.
• Bake at 425 °F for 13–15 minutes
or until cheese melts and crust is
deep golden brown.
• Cut into 8 slices.
Total Servings 4
Nutrition Facts
Two Cheese Pizza
Serving Size 2 slices(¼ of pie)
Amount Per Serving
Calories Calories from Fat
420 170
% Daily Value (DV)*
Total Fat 19g
Saturated Fat 7g
Trans Fat 0g
Cholesterol 25mg
Sodium 580mg
TotalCarbohydrate44g
Dietary Fiber 3g
Sugars 5g
Protein 20g
Vitamin A
Vitamin C
Calcium
Iron
* Percent Daily Values are based on a
2,000 calorie diet.
29%
35%
8%
24%
15%
12%
30%
90%
40%
15%
17
Rice with Chicken, Spanish
Style / Arroz con pollo
This is a good way to get
vegetables into the meal plan.
Serve with a mixed green
salad and some whole wheat
bread.
Ingredients:
2 Tbsp. olive oil
2 medium onions,
chopped
6	 cloves garlic, minced
2	 stalks celery, diced
2	 medium red/green
peppers, cut into
strips
1	 cup mushrooms,
chopped
2	 cups uncooked whole
grain rice
3	 pounds boneless
chicken breast, cut
into bite-sized pieces,
skin removed
1½ tsp. salt (optional)
2½ cups low-fat chicken
broth
Saffron or Sazón
TM
for color
3 medium tomatoes,
chopped
1	 cup frozen peas
1	 cup frozen corn
1	 cup frozen green
beans
Olives or capers for
garnish (optional)
Directions:
• Heat olive oil over medium heat
in a non-stick pot. Add onion,
garlic, celery, red/green pepper,
and mushrooms. Cook over
medium heat, stirring often, for 3
minutes or until tender.
• Add whole grain rice and
sauté for 2–3 minutes, stirring
constantly to mix all ingredients.
RICE WITH
18
• Add chicken, salt, chicken broth,
water, Saffron/Sazón
TM
, and
tomatoes. Bring water to a boil.
• Reduce heat to medium-low,
cover, and let the casserole
simmer until water is absorbed
and rice is tender, about 20
minutes.
• Stir in peas, corn, and beans and
cook for 8–10 minutes. When
everything is hot, the casserole
is ready to serve. Garnish with
olives or capers, if desired.
Exchanges:
Meat 5
Bread 3
Vegetable 1
Fat 1
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
Total Servings 8
Nutrition Facts
Rice with Chicken, Spanish Style
Serving Size 1½ cup
Amount Per Serving
Calories Calories from Fat
400 60
% Daily Value (DV)*
Total Fat 7g 11%
Saturated Fat 1.5g 8%
Trans Fat 0g
Cholesterol 85mg 28%
Sodium 530mg 22%
TotalCarbohydrate46g 15%
Dietary Fiber 3g 12%
Sugars 5g
Protein 37g
Vitamin A
Vitamin C
Calcium
Iron
* Percent Daily Values are based on a
2,000 calorie diet.
30%
70%
4%
20%
CHICKEN19
Pozole
Only a small amount of oil is
needed to sauté meat.
Ingredients:
2	 pounds lean beef,
cubed
1 Tbsp. olive oil
1 large onion, chopped
1 clove garlic, finely
chopped
¼ tsp. salt
tsp. pepper
¼ cup fresh cilantro,
chopped
1 can (15 ounces)
stewed tomatoes
2 ounces tomato paste
1 can (1 pound 13
ounces) hominy
Directions:
• In a large pot, heat olive oil. Add
beef and sauté.
• Add onion, garlic, salt, pepper,
cilantro, and enough water to
cover meat. Stir to mix ingredients
evenly. Cover pot and cook over
low heat until meat is tender.
• Add tomatoes and tomato paste.
Continue cooking for about 20
minutes.
• Add hominy and continue
cooking another 15 minutes,
stirring occasionally. If too thick,
add water for desired consistency.
Option: Skinless, boneless chicken
breasts can be used instead of beef
cubes.
Total Servings 8
Nutrition Facts
Pozole

Serving Size 1 cup

Amount Per Serving
Calories Calories from Fat
220 70
% Daily Value (DV)*
Total Fat 7g 11%
Saturated Fat 2g 10%
Trans Fat 0g
Cholesterol 70mg 23%
Sodium 390mg 16%
TotalCarbohydrate17g 6%
Dietary Fiber 3g 12%
Sugars 5g
Protein 21g
Vitamin A 4%
Vitamin C 10%
Calcium 4%
Iron 15%
* Percent Daily Values are based on a
2,000 calorie diet.
P O
20
Exchanges:
Meat 3
Bread 1
Vegetable ½
Fat 1
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
ZOLE
21
Avocado Tacos/Tacos de
aguacate
These fresh tasting tacos are
great for a light meal!
Ingredients:
1	 medium onion, cut
into thin strips
2	 large green peppers,
cut into thin strips
2	 large red peppers, cut
into thin strips
1	 cup fresh cilantro,
finely chopped
1	 ripe avocado, peeled
and seeded, cut into
12 slices
1½ cups fresh tomato
salsa (see ingredients
below)
12	 flour tortillas
Vegetable cooking
spray
Fresh Tomato Salsa
Ingredients:
1	 cup tomatoes, diced
cup onions, diced
½ clove garlic, minced
2 tsp. cilantro
tsp. jalapeño
peppers, chopped
½ tsp. lime juice
Pinch of cumin
Exchanges:
Bread 3
Vegetable
Fat
1
1 ½
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
Directions:
• Mix together all salsa ingredients
and refrigerate in advance.
• Coat skillet with vegetable spray.
• Lightly sauté onion and green
and red peppers.
• Warm tortillas in oven and fill
with peppers, onions, avocado,
and salsa. Fold tortillas and serve.
Top with cilantro.
22
TACO S
AVOCADO
Total Servings 12
Nutrition Facts
Avocado Tacos
Serving Size 1 taco
Amount Per Serving
Calories Calories from Fat
270 80
% Daily Value (DV)*
Total Fat 8g 12%
Saturated Fat 2g 10%
Trans Fat 0g
Cholesterol 0mg 0%
Sodium 460mg 19%
TotalCarbohydrate43g 14%
Dietary Fiber 5g 20%
Sugars 4g
Protein 7g
Vitamin A 25%
Vitamin C 100%
Calcium 10%
Iron 15%
* Percent Daily Values are based on a
2,000 calorie diet.
23
Tropical Fruits Fantasia/
Fantasía de frutas tropicales
The tropics offer a great
variety of fruits that will make
this delicious and colorful
recipe stand out; it will also
make your mouth water even
before tasting it!
Ingredients:
8	 ounces fat-free,
sugar-free orange
yogurt
5 medium strawberries,
cut into halves
3 ounces honeydew
melon, cut into slices
(or ½ cup cut into
cubes)
3	 ounces cantaloupe
melon, cut into slices
(or ½ cup cut into
cubes)
1	 mango, peeled and
seeded, cut into
cubes
1	 papaya, peeled and
seeded, cut into
cubes
3	 ounces watermelon,
seeded and cut into
slices (or ½ cup cut
into cubes)
2	 oranges, seeded and
cut into slices
½ cup unsweetened
orange juice
Directions:
• Add yogurt and all fruits to a
bowl and carefully mix together.
• Pour orange juice over fruit
mixture.
• Mix well and serve ½ cup as your
dessert.
FANT
TROPICAL
24
FRUITS
ASIA

Exchanges:
Fruit 2 ¾
Milk
Note: Diabetic exchanges are
calculated based on the American
Diabetes Association Exchange
System.
Total Servings 3
Nutrition Facts
Tropical Fruits Fantasia
Serving Size ½ cup
Amount Per Serving
Calories Calories from Fat
170 5
% Daily Value (DV)*
Total Fat 0.5g 1%
Saturated Fat 0g 0%
Trans Fat 0g
Cholesterol 0mg 0%
Sodium 40mg 2%
TotalCarbohydrate41g 14%
Dietary Fiber 5g 20%
Sugars 30g
Protein 4g
Vitamin A 50%
Vitamin C 230%
Calcium 15%
Iron 2%
* Percent Daily Values are based on a

2,000 calorie diet.

25
­
References
American Diabetes
Association. Reading Food
Labels. American Diabetes
Association Web site.
Available at http://www.
diabetes.org/food-and­
fitness/food/what-can-i-eat/
taking-a-closer-look-at­
labels.html.
American Diabetes
Association. Virtual Grocery
Store. American Diabetes
Association Web site.
Available at http://tracker.
diabetes.org/.
Bestfoods CPC International,
Inc. Live Healthy America,
A Guide from Mazola.
Coventry, CT: Mazola; 1991.
Centers for Disease Control
and Prevention. Take
Charge of Your Diabetes.
3rd edition. Atlanta: U.S.
Department of Health and
Human Services; 2003.
Available at www.cdc.gov/
diabetes/pubs/pdf/tctd.pdf.
Centers for Disease Control
and Prevention. Fruits &
Veggies—More Matters.
Centers for Disease Control
and Prevention Web
site. Available at www.
fruitsandveggiesmatter.gov.
Gardner L. Health and the
Hispanic Kitchen/La Salud y
la Cocina Latina. Potomac,
MD: Precepts, Inc.; 1996.
National Cattlemen’s
Beef Association. Eating
Smart Even When You Are
Pressed for Time. Chicago:
National Cattleman’s Beef
Association; 1996.
National Cancer Institute.
Celebre la Cocina Hispana,
Healthy Hispanic Recipes.
Washington, DC: U.S.
Department of Health and
Human Services; 1995.
NIH Publication Number
95-3906(s).
Pockenpaugh N, Poleman
C. Nutrition: Essential and
Diet Therapy. 8th edition.
Philadelphia: WB Saunders;
1996.
Sizer F, Whitney E. Nutrition:
Concepts and Controversies.
8th edition. Belmont, CA:
Wadsworth Publishing;
2000.
U.S. Department of
Agriculture. Nutritive
Value of Foods. Home and
Garden Bulletin Number 72.
Department of Agriculture
Web site. Available at www.
nal.usda.gov/fnic/foodcomp/
Data/HG72/hg72_2002.pdf.
U.S. Department of Health
and Human Services. A
Healthier You. Department
of Health and Human
Services Web site. Available
at www.health.gov/
dietaryguidelines/dga2005/
healthieryou/contents.htm
U.S. Department of Health
and Human Services
and U.S. Department
of Agriculture. Dietary
Guidelines for Americans.
6th edition. Washington,
DC: U.S. Government
26
Printing Office; 2005.
Available at http://health.
gov/dietaryguidelines.
U.S. Food and Drug
Administration. How to
Understand and Use the
Nutrition Facts Label. Food
and Drug Administration
Web site. Available at
http://www.fda.gov/
Food/LabelingNutrition/
ConsumerInformation/
ucm078889.htm. Available
in Spanish at http://www.fda.
gov/Food/LabelingNutrition/
ConsumerInformation/
ucm110019.htm.
Warshaw H. Diabetes Meal
Planning Made Easy: How
to Put the Food Pyramid to
Work for Your Busy Lifestyle.
Alexandria, VA: American
Diabetes Association; 2000.
Authors for Third
Edition (2008) of
Recipe Booklet
Jane Kelly, MD
Senior Medical Officer,
National Diabetes Education
Program, Division of
Diabetes Translation, Centers
for Disease Control and
Prevention
Betsy Rodríguez, MSN, CDE
Public Health Advisor,
National Diabetes Education
Program, Division of
Diabetes Translation, Centers
for Disease Control and
PreventionAndrea Zaldivar,
MS, C-ANP, CDE Clinical
Director, North General
Diagnostic and Treatment
Center
Luby Garza-Abijaoude,
MS, RD, LD Diabetes
Nutrition Consultant, Texas
Department of State Health
Services
Rita V. Díaz-Kenney, MPH,
RD, LD Public Health
Advisor, Division of Diabetes
Translation, Centers for
Disease Control and
Prevention
Jennifer Seymour, PhD
Acting Associate Director
for Policy and Planning,
Division of Nutrition,
Physical Activity, and
Obesity, Centers for Disease
Control and Prevention
Laura Tanase, MS, RD, LD
ORISE Fellow, National Fruit
and Vegetable Program,
Division of Nutrition,
Physical Activity, and
Obesity, Centers for Disease
Control and Prevention
Acknowledgments
We greatly appreciate the
expertise of the authors and
would like to acknowledge
their contributions to the
development of this recipe
booklet. We would like to
thank Luz Myriam Neira,
PhD, LN, for her work on
the first edition of this recipe
booklet.
27
Contributors/
Reviewers (Third
Edition)
Isabel Salinas-Almendárez,
MPH Program Manager,
Corporate Health, Inova
HealthSource
Julia Burgos
National Director of Latino
Initiatives, American
Diabetes Association
Ana Toro, MA
Vice President, Fleishman-
Hillard
Leticia R. Dávila, MPH
ORISE Fellow, National
Diabetes Education Program,
Division of Diabetes
Translation, Centers for
Disease Control and
Prevention
Jamie Rayman, MPH
Emerging Leader Intern,
Centers for Disease Control
and Prevention
Other NDEP Hispanic/
Latino Work Group
Members/Contributors
Xóchitl Castañeda
Director, California-Mexico
Health Initiative
Josephine F. Garza, MA
Deputy Director, National
Latino Children’s Institute
Agustín Lara, MD
Director del Programa
de Salud del Adulto y el
Anciano de México
Laiza Fuentes Chaparro, LN
Coordinadora de Nutrición
del Programa de Salud
del Adulto y del Anciano,
Centro Nacional de
Vigilancia Epidemiología y
Control de Enfermedades,
Secretaría de Salud de
México
Leonardo Pérez, MPH, CHES
Program Coordinator, Puerto
Rico Department of Health
Diabetes Program
Josephine Phyllis Preciado,
MD, National Hispanic
Medical Association
Rebeca L. Ramos, MPH, MA
Acting Executive Director,
Asociación Fronteriza
Mexicano Estadounidense de
Salud, United States-Mexico
Border Health Association
Rosalba Ruiz-Holguin,
MD, MPH, Bi-National
Coordinator, U.S. Mexico
Border Diabetes Prevention
and Control Project,
Pan American Health
Organization
Virginia Valadez
Community Health Worker,
Migrant Health Promotion
CDC-Funded National
Organizations
Elena M. Alvarado
Executive Director/Project
Manager, National Latina
Health Network
28
Marisol Morales
Communications Manager,
National Latina Health
Network
Jeanette Beltrán
President and CEO,
JBD and Associates
Eliana T. Loveluck
Director, Center for
Consumers, National
Alliance for Hispanic Health
Paul M. Baker
Deputy Director,
Center for Consumers
National Alliance for
Hispanic Health
Ad Hoc Members
Adolfo Pérez-Comas,
MD, PhD, FACE Member,
Governing Board, Puerto
Rico Diabetes Research and
Education Center
Jaime R. Torres, DPM, MS
Associate Director of
Consultative Services,
Coler-Goldwater Specialty
Hospital
Wanda Montalvo, RN,
MSN, ANP, RWJ Executive
Nurse Fellow, Montalvo
Consulting, LLC
Nelva Ancona Paraison
Host/Coordinator, Diabéticos
Hispanos/Perfil LatinoTV,
Inc.
Elizabeth Ortiz de Valdéz,
MD, President and Chief
Executive Officer, Concilio
Latino de Salud, Inc.
Top Diabetes
Prevention and
Control Program
(DPCP) State Partners
with a High Hispanic/
Latino Population
Arizona
Carmen D. Ramírez
Community Program
Coordinator, Diabetes
Prevention and Control
Program, Arizona
Department of Health
Services
California
Javier Carrillo, MPH
Area Health Promotion
Specialist, Greater Bay Area
California Diabetes Program
California Department of
Public Health
Colorado
Maria Elena Carreón-Ayers
Diabetes Outreach
Coordinator, Diabetes
Prevention and Control
Program, Colorado
Department of Public Health
and Environment
Florida
Alisha Bradley-Nelson, MSW
Program Coordinator,
Diabetes Prevention and
Control Program, Florida
Department of Health
29
Illinois
Cheryl A. Metheny, MS, RD/
LDN, CDE, CLC
Program Coordinator,
Diabetes Prevention and
Control Program,
Illinois Department of
Human Services
Nevada
Beth Handler, MPH
Program Manager, Diabetes
Prevention and Control
Program, Nevada Bureau of
Community Health
New Jersey
Nirmala (Nimi) Bhagawan,
MS, RD, Program
Coordinator, Division of
Family Health Services
New Jersey Department of
Health and Senior Services
New Mexico
Judith Gabriele
Program Manager, Diabetes
Prevention and Control
Program, New Mexico
Department of Health
Texas
Carol Filer, MS, RD, LD
Program Coordinator,
Texas Department of State
Health Services
NDEP Agencies—CDC
Sabrina Harper, MS
Acting Director, National
Diabetes Education Program,
Division of Diabetes
Translation, Centers for
Disease Control and
Prevention
Margret Chang, BA
ORISE Fellow, Division of
Diabetes Translation, Centers
for Disease Control and
Prevention
Ana Alfaro-Correa, ScD
Public Health Advisor,
Division of Diabetes
Translation, Centers for
Disease Control and
Prevention
NDEP Agencies—NIH
Joanne Gallivan, MS, RD
Director, National Institute of
Diabetes and Digestive and
Kidney Diseases, National
Institutes of Health
Rachel Weinstein, MEd
Deputy Director,
National Institute of
Diabetes and Digestive and
Kidney Diseases, National
Institutes of Health
The U.S. Department of Health and Human Services’ National Diabetes
Education Program is jointly sponsored by the National Institutes of Health
and the Centers for Disease Control and Prevention with the support of more
than 200 partner organizations.
30
YOUR FAVORITE RECIPES
­
MY RECIPE FOR:
MY RECIPE FOR:

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Global Medical Cures™ | Tasty Recipes for People with Diabetes & their Families

  • 1. for People with Diabetes and Their Families March 2011 CS115685 NDEP-51
  • 2. The U.S. Department of Health and Human Services’ National Diabetes Education Program is jointly sponsored by the National Institutes of Health and the Centers for Disease Control and Prevention with the support of more than 200 partner organizations. 2
  • 3. Recipe Booklet What is diabetes? Diabetes means that your blood glucose (blood sugar) is too high. Glucose comes from the food we eat. An organ called the pancreas (PAN-kree-as) makes insulin (IN-suh-lin). Insulin helps glucose get from your blood into your cells. Cells take the glucose and turn it into energy. When you have diabetes, your body has a problem making or properly using insulin. As a result, glucose builds up in your blood and cannot get into your cells. If the blood glucose stays too high, it can damage your body. What are the symptoms of diabetes? Common symptoms of diabetes include: • Having to urinate often. • Being very thirsty. • Feeling very hungry or tired. • Losing weight without trying. But many people with diabetes have no symptoms at all. Why should I be concerned about diabetes? Diabetes is a very serious disease. Do not be misled by phrases that suggest diabetes is not a serious disease, such as “a touch of sugar,” “borderline diabetes,” or “my blood glucose is a little bit high.” Diabetes can lead to other serious health problems. When high levels of glucose in the blood are not controlled, they can slowly damage your eyes, heart, kidneys, nerves, and feet. What are the types of diabetes? There are three main types of diabetes. • Type 1 diabetes—In this type of diabetes, the body does not make insulin. People with type 1 diabetes need to take insulin every day. • Type 2 diabetes—In this type of diabetes, the body does not make enough insulin or use insulin well. Some people with type 2 diabetes have to take diabetes pills, insulin, or both. Type 2 diabetes is the most common form of diabetes. • Gestational diabetes—This type of diabetes can occur when a woman is pregnant. It raises the risk that both she and her child might develop diabetes later in life. 3
  • 4. Good news! You can control diabetes. Diabetes can be managed. You can successfully manage diabetes and avoid the serious health problems it can cause if you follow these steps: • Ask your doctor how you can learn more about your diabetes to help you feel better today and in the future. • Know your diabetes “ABCs” (see page 5). • Make healthy food choices and be physically active most days. Following this advice will help you keep off extra pounds and will also help keep your blood glucose under control. • Check your blood glucose as your doctor tells you to. • If you are taking diabetes medications, take them even if you feel well. • To avoid problems with your diabetes, see your health care team at least twice a year. Finding and treating any problems early will prevent them from getting worse. Ask how diabetes can affect your eyes, heart, kidneys, nerves, legs, and feet. • Be actively involved in your diabetes care. Work with your health care team to come up with a plan for making healthy food choices and being active—a plan that you can stick to. Creating a healthy meal plan. This recipe booklet is a place to start creating healthy meals. Ask your doctor to refer you to a registered dietitian or a diabetes educator who can help you create a meal plan for you and your family. The dietitian will work with you to come up with a meal plan tailored to your needs. Your meal plan will take into account things like: • Your blood glucose levels. • Your weight. • Medicines you take. • Other health problems you have. • How physically active you are. Making healthy food choices. • Eat smaller portions. Learn what a serving size is for different foods and how many servings you need in a meal. • Eat less fat. Choose fewer high-fat foods and use less fat for cooking. You especially want to limit foods that are high in saturated fats or trans fat, such as: Fatty cuts of meat. Whole milk and dairy products made from whole milk. Cakes, candy, cookies, crackers, and pies. Fried foods. Salad dressings. Lard, shortening, stick margarine, and non­ dairy creamers. 4
  • 5. Your Diabetes ABCs. • A stands for A1C test. This test measures your average blood glucose levels for the past three months. Your doctor should test your A1C at least twice a year. For most people with diabetes, the goal is to have an A1C “score” of less than 7. • B stands for blood pressure, a measurement of how hard your heart needs to work to keep your blood circulating. For most people with diabetes, the goal is to keep blood pressure below 130/80. • C stands for cholesterol, a fat found in your blood. There are two kinds of cholesterol: LDL, or “bad” cholesterol, and HDL, or “good” cholesterol. For most people with diabetes, the goal is to keep: LDL cholesterol below 100. HDL cholesterol above 40 (HDL for men > 40 and for women > 50). Ask your doctor what you can do to reach your targets for A1C, blood pressure, and cholesterol. 5
  • 6. • Eat more fiber by eating more whole-grain foods. Whole grains can be found in: Breakfast cereals made with 100% whole grains. Oatmeal. Whole grain rice. Whole-wheat bread, bagels, pita bread, and tortillas. • Eat a variety of fruits and vegetables every day. Choose fresh, frozen, canned, or dried fruit and 100% fruit juices most of the time. Eat plenty of veggies like these: Dark green veggies (e.g., broccoli, spinach, brussel sprouts). Orange veggies (e.g., carrots, sweet potatoes*, pumpkin, winter squash). Beans and peas (e.g., black beans*, garbanzo beans*, kidney beans*, pinto beans*, split peas*, lentils*). • Eat fewer foods that are high in sugar, such as: Fruit-flavored drinks. Sodas. Tea or coffee sweetened with sugar. • Use less salt in cooking and at the table. Eat fewer foods that are high in salt, such as: Canned and package soups. Canned vegetables. Pickles. Processed meats. • Never skip meals. Stick to your meal plan as best you can. • Limit the amount of alcohol you drink. • Make changes slowly. It takes time to achieve lasting goals. *Portions of these vegetables count as a bread exchange. (See discussion of Exchange Method below if you are not already familiar with it.) Note: There are several ways to make a diabetes meal plan. One popular and flexible approach is the Exchange Program method, which provides a quick way to estimate energy, carbohydrates, protein, and fat content in any food or meal. Food from each exchange (starch, meat and meat substitute, fruit, vegetable, milk, and fat) is defined so that one serving of each food contains the same amount of carbohydrate, protein, fat, and energy (calories). Another method is carbohydrate counting. Using this method, you focus on eating a specific number of carbohydrates at specific times of the day. 6
  • 7. Following a meal plan that is made for you will help you feel better, keep your blood glucose levels in your target range, take in the right amount of calories, and get enough nutrients. Where can you learn more about making a diabetes meal plan? • Contact a registered dietitian to make a meal plan just for you. • Visit the American Dietetic Association Web site to find a nutrition professional that can help you develop a healthy meal plan (www.eatright.org). • Visit the American Association of Diabetes Educators to find a diabetes educator (www. diabeteseducator.org). • Visit the American Diabetes Association Web site for more information on carbohydrate counting and the exchange method (www.diabetes.org). • Visit http://www.diabetes. org/food-and-fitness/ food/planning-meals/ carb-counting/ to get more information on carbohydrate counting. Where can you learn how to read food labels? You can learn a lot about foods by reading food labels. Visit these Web sites to learn more about reading food labels: • U.S. Food and Drug Administration (www. cfsan.fda.gov/~dms/ foodlab.html). • U.S. Department of Agriculture (www.fns. usda.gov/tn/Resources/ Nibbles/healthful_labels. pdf). • American Diabetes Association (http://www. diabetes.org/food-and­ fitness/food/what-can-i-eat/ taking-a-closer-look-at­ labels.html). 7
  • 8. Get moving! Being physically active can reduce your risk for type 2 diabetes. • Engage in moderate- intensity physical activity at least 30 minutes per day on five days of the week. • To meet the goal of 30 minutes a day of moderate-intensity physical activity, you don’t have to do all 30 minutes at once. You can get the health benefit from breaking 30 minutes up into three 10-minute or two 15-minute sections throughout the day. • Examples of moderate- intensity physical activity are: Biking at a casual pace. Actively playing with your children. Yard work (raking/ bagging leaves or using a lawn mower). • If you want to lose weight or prevent regaining weight, you might need to do 60 to 90 minutes of moderate-intensity physical activity a day on most days. Are your family members at risk for diabetes? Your family members might be at risk for diabetes. Things that increase their risk of getting diabetes include: • Being 45 years of age or older. • Having a parent, brother, or sister with diabetes. • Having a family background of African American, Hispanic/ Latino, American Indian, Asian American, or Pacific Islander descent. • Having diabetes during pregnancy (gestational diabetes) or giving birth to a baby weighing 9 pounds or more. • Being told that their glucose levels are higher than normal. • Being told that their blood pressure is 140/90 or higher. • Having cholesterol (lipid) levels that are not normal. • Being fairly inactive— doing physical activity less than three times a week. Most people who develop type 2 diabetes have pre- diabetes first, which means your blood glucose levels are higher than normal but not yet high enough for diabetes. People with pre- diabetes are at a higher risk for a heart attack and stroke, not just diabetes. If you or someone else in your family has diabetes, then other family members might have pre-diabetes and not know it. Good news! Type 2 diabetes can be prevented or delayed. According to the Diabetes Prevention Program study (DPP), diabetes is a preventable and controllable chronic disease. The study 8
  • 9. suggests individuals can prevent or delay the onset of type 2 diabetes if they: • Lose 5 to 7 percent of their weight, if they are overweight—that is 10 to 14 pounds for a 200-pound person. • Maintain the weight loss with a healthy diet by eating a variety of foods that are low in fat and reducing the number of calories eaten per day. • Get at least 30 minutes of moderate-intensity physical activity (brisk walking, yard work, or actively playing with children) five days a week. Remember, the tips and tasty recipes in this booklet are not just for people with diabetes—they are for the whole family! Making healthy food choices and being physically active are good for everyone. Where can I learn more? • Find out what else you can do to prevent and control diabetes by visiting: www.YourDiabetesInfo. org/am-i-at-risk/ DiabetesIsPreventable. aspx www.YourDiabetesInfo. org/i-have-diabetes/. www.cdc.gov/diabetes. • For more information on weight control, visit the Weight-control Information Network at http://win.niddk.nih.gov. • For materials in Spanish, go to: http://win.niddk.nih. gov/publications/index. htm#spanish. www.cdc.gov/diabetes/ spanish/index.htm. The National Diabetes Education Program’s Control Your Diabetes. For Life. campaign and the brochure 4 Steps to Control your Diabetes. For Life. can help you learn how to manage your diabetes. To order materials on diabetes control, call;1-888-693-NDEP (1-888-693-6337 or visit www. YourDiabetesInfo.org.To order this recipe booklet, ask for Code NDEP-51. To speak with a bilingual operator, or to order printer- ready files to reproduce materials, call; 1-800-860-8747. Publication Date: March 2011 The U.S. Department of Health and Human Services’ National Diabetes Education Program is jointly sponsored by the National Institutes of Health and the Centers for Disease Control and Prevention with the support of more than 200 partner organizations. 9
  • 10. Spanish Omelet / Tortilla española This tasty dish provides a healthy array of vegetables and can be used for breakfast, brunch, or any meal! Serve with fresh fruit salad and a whole grain dinner roll. Ingredients: 5 small potatoes, peeled and sliced Vegetable cooking spray ½ medium onion, minced 1 small zucchini, sliced 1½ cups green/red peppers, sliced thin 5 medium mushrooms, sliced 3 whole eggs, beaten 5 egg whites, beaten Pepper and garlic salt with herbs, to taste 3 ounces shredded part-skim mozzarella cheese 1 Tbsp. low-fat parmesan cheese Directions: • Preheat oven to 375 °F. • Cook potatoes in boiling water until tender. • In a nonstick pan, add vegetable spray and warm at medium heat. • Add onion and sauté until brown. Add vegetables and sauté until tender but not brown. OME SPANISH 10
  • 11. • In a medium mixing bowl, slightly beat eggs and egg whites, pepper, garlic salt, and low-fat mozzarella cheese. Stir egg-cheese mixture into the cooked vegetables. • In a 10-inch pie pan or ovenproof skillet, add vegetable spray and transfer potatoes and egg mixture to pan. Sprinkle with low-fat parmesan cheese and bake until firm and brown on top, about 20–30 minutes. • Remove omelet from oven, cool for 10 minutes, and cut into five pieces. LET 11 Exchanges: Meat 2 Bread 2 Vegetable Fat 2 Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. Total Servings 5 Nutrition Facts Spanish Omelet Serving Size of omelet Amount Per Serving Calories Calories from Fat 260 90 % Daily Value (DV)* Total Fat 10g Saturated Fat 3.5g Trans Fat 0g Cholesterol 135mg Sodium 240mg TotalCarbohydrate30g Dietary Fiber 3g Sugars 3g Protein 16g Vitamin A Vitamin C Calcium Iron * Percent Daily Values are based on a 2,000 calorie diet. 15% 18% 45% 10% 10% 12% 8% 60% 15% 8%
  • 12. Beef or Turkey Stew / Carne de res o de pavo guisada This dish goes nicely with a green leaf lettuce and cucumber salad and a dinner roll. Plantains or corn can be used in place of the potatoes. Ingredients: 1 pound lean beef or turkey breast, cut into cubes 2 Tbsp. whole wheat flour ¼ tsp. salt (optional) ¼ tsp. pepper ¼ tsp. cumin 1½ Tbsp. olive oil 2 cloves garlic, minced 2 medium onions, sliced 2 stalks celery, sliced 1 medium red/green bell pepper, sliced 1 medium tomato, finely minced 5 cups beef or turkey broth, fat removed 5 small potatoes, peeled and cubed 12 small carrots, cut into large chunks Directions: • Preheat oven to 375 °F. • Mix the whole wheat flour with salt, pepper, and cumin. Roll the beef or turkey cubes in the mixture. Shake off excess flour. • In a large skillet, heat olive oil over medium-high heat. Add beef or turkey cubes and sauté until nicely brown, about 7–10 minutes. 1¼ cups green peas ST EW BEEF 12
  • 13. • Place beef or turkey in an ovenproof casserole dish. • Add minced garlic, onions, celery, and peppers to skillet and cook until vegetables are tender, about 5 minutes. • Stir in tomato and broth. Bring to a boil and pour over turkey or beef in casserole dish. Cover dish tightly and bake for 1 hour at 375 °F. • Remove from oven and stir in potatoes, carrots, and peas. Bake for another 20–25 minutes or until tender. Exchanges: Lean Meat 3 Vegetable 2 Bread 2 Fat 1 Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. Total Servings 4 Nutrition Facts Beef or Turkey Stew Serving Size 1½ cup Amount Per Serving Calories Calories from Fat 320 60 % Daily Value (DV)* Total Fat 7g Saturated Fat 1.5g Trans Fat 0g Cholesterol 40mg Sodium 520mg TotalCarbohydrate41g Dietary Fiber 8g Sugars 9g Protein 24g Vitamin A Vitamin C Calcium Iron * Percent Daily Values are based on a 2,000 calorie diet. 11% 8% 13% 22% 14% 32% 340% 80% 6% 15% 13
  • 14. S NAP RED C ARIBBEAN Caribbean Red Snapper / Pargo rojo caribeño This fish can be served on top of vegetables along with whole grain rice and garnished with parsley. Salmon or chicken breast can be used in place of red snapper. Ingredients: 2 Tbsp. olive oil 1 medium onion, chopped ½ cup red pepper, chopped ½ cup carrots, cut into strips 1 clove garlic, minced ½ cup dry white wine ¾ pound red snapper fillet 1 large tomato, chopped 2 Tbsp. pitted ripe olives, chopped 2 Tbsp. crumbled low-fat feta or low-fat ricotta cheese 14
  • 15. Directions: • In a large skillet, heat olive oil over medium heat. Add onion, red pepper, carrots, and garlic. Sauté mixture for 10 minutes. Add wine and bring to boil. Push vegetables to one side of the pan. • Arrange fillets in a single layer in center of skillet. Cover and cook for 5 minutes. • Add tomato and olives. Top with cheese. Cover and cook for 3 minutes or until fish is firm but moist. • Transfer fish to serving platter. Garnish with vegetables and pan juices. Exchanges: Meat 2 Vegetable 1 ¼ Bread ½ Fat 2 Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. Total Servings 4 Serving Suggestion: Serve with whole grain rice. ½ cup cooked rice = 1 serving of rice. Nutrition Facts Caribbean Red Snapper Serving Size ¼ red snapper with ½ cup vegetables (233g) Amount Per Serving Calories Calories from Fat 220 80 % Daily Value (DV)* Total Fat 10g 15% Saturated Fat 2g 10% Trans Fat 0g Cholesterol 35mg 12% Sodium 160mg 7% TotalCarbohydrate8g 3% Dietary Fiber 2g 8% Sugars 4g Protein 19g Vitamin A 80% Vitamin C 70% Calcium 8% Iron 4% * Percent Daily Values are based on a 2,000 calorie diet. P E R 15
  • 16. Two Cheese Pizza / Pizza de dos quesos Serve your pizza with fresh fruit and a mixed green salad garnished with red beans to balance your meal. Ingredients: 2 Tbsp. whole wheat flour 1 can (10 ounces) refrigerated pizza crust Vegetable cooking spray 2 Tbsp. olive oil ½ cup low-fat ricotta cheese ½ tsp. dried basil 1 small onion, minced 2 cloves garlic, minced ¼ tsp. salt (optional) 4 ounces shredded part-skim mozzarella cheese 2 cups mushrooms, chopped 1 large red pepper, cut into strips Exchanges: Meat 2 ½ Bread 3 Vegetable 1 Fat 3 ¾ Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. Directions: • Preheat oven to 425 °F. • Spread whole wheat flour over working surface. Roll out dough with rolling pin to desired crust thickness. • Coat cookie sheet with vegetable cooking spray. Transfer pizza crust to cookie sheet. Brush olive oil over crust. TWO CHEESE PIZZA 16
  • 17. • Mix low-fat ricotta cheese with dried basil, onion, garlic, and salt. Spread this mixture over crust. • Sprinkle crust with part-skim mozzarella cheese. Top cheese with mushrooms and red pepper. • Bake at 425 °F for 13–15 minutes or until cheese melts and crust is deep golden brown. • Cut into 8 slices. Total Servings 4 Nutrition Facts Two Cheese Pizza Serving Size 2 slices(¼ of pie) Amount Per Serving Calories Calories from Fat 420 170 % Daily Value (DV)* Total Fat 19g Saturated Fat 7g Trans Fat 0g Cholesterol 25mg Sodium 580mg TotalCarbohydrate44g Dietary Fiber 3g Sugars 5g Protein 20g Vitamin A Vitamin C Calcium Iron * Percent Daily Values are based on a 2,000 calorie diet. 29% 35% 8% 24% 15% 12% 30% 90% 40% 15% 17
  • 18. Rice with Chicken, Spanish Style / Arroz con pollo This is a good way to get vegetables into the meal plan. Serve with a mixed green salad and some whole wheat bread. Ingredients: 2 Tbsp. olive oil 2 medium onions, chopped 6 cloves garlic, minced 2 stalks celery, diced 2 medium red/green peppers, cut into strips 1 cup mushrooms, chopped 2 cups uncooked whole grain rice 3 pounds boneless chicken breast, cut into bite-sized pieces, skin removed 1½ tsp. salt (optional) 2½ cups low-fat chicken broth Saffron or Sazón TM for color 3 medium tomatoes, chopped 1 cup frozen peas 1 cup frozen corn 1 cup frozen green beans Olives or capers for garnish (optional) Directions: • Heat olive oil over medium heat in a non-stick pot. Add onion, garlic, celery, red/green pepper, and mushrooms. Cook over medium heat, stirring often, for 3 minutes or until tender. • Add whole grain rice and sauté for 2–3 minutes, stirring constantly to mix all ingredients. RICE WITH 18
  • 19. • Add chicken, salt, chicken broth, water, Saffron/Sazón TM , and tomatoes. Bring water to a boil. • Reduce heat to medium-low, cover, and let the casserole simmer until water is absorbed and rice is tender, about 20 minutes. • Stir in peas, corn, and beans and cook for 8–10 minutes. When everything is hot, the casserole is ready to serve. Garnish with olives or capers, if desired. Exchanges: Meat 5 Bread 3 Vegetable 1 Fat 1 Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. Total Servings 8 Nutrition Facts Rice with Chicken, Spanish Style Serving Size 1½ cup Amount Per Serving Calories Calories from Fat 400 60 % Daily Value (DV)* Total Fat 7g 11% Saturated Fat 1.5g 8% Trans Fat 0g Cholesterol 85mg 28% Sodium 530mg 22% TotalCarbohydrate46g 15% Dietary Fiber 3g 12% Sugars 5g Protein 37g Vitamin A Vitamin C Calcium Iron * Percent Daily Values are based on a 2,000 calorie diet. 30% 70% 4% 20% CHICKEN19
  • 20. Pozole Only a small amount of oil is needed to sauté meat. Ingredients: 2 pounds lean beef, cubed 1 Tbsp. olive oil 1 large onion, chopped 1 clove garlic, finely chopped ¼ tsp. salt tsp. pepper ¼ cup fresh cilantro, chopped 1 can (15 ounces) stewed tomatoes 2 ounces tomato paste 1 can (1 pound 13 ounces) hominy Directions: • In a large pot, heat olive oil. Add beef and sauté. • Add onion, garlic, salt, pepper, cilantro, and enough water to cover meat. Stir to mix ingredients evenly. Cover pot and cook over low heat until meat is tender. • Add tomatoes and tomato paste. Continue cooking for about 20 minutes. • Add hominy and continue cooking another 15 minutes, stirring occasionally. If too thick, add water for desired consistency. Option: Skinless, boneless chicken breasts can be used instead of beef cubes. Total Servings 8 Nutrition Facts Pozole Serving Size 1 cup Amount Per Serving Calories Calories from Fat 220 70 % Daily Value (DV)* Total Fat 7g 11% Saturated Fat 2g 10% Trans Fat 0g Cholesterol 70mg 23% Sodium 390mg 16% TotalCarbohydrate17g 6% Dietary Fiber 3g 12% Sugars 5g Protein 21g Vitamin A 4% Vitamin C 10% Calcium 4% Iron 15% * Percent Daily Values are based on a 2,000 calorie diet. P O 20
  • 21. Exchanges: Meat 3 Bread 1 Vegetable ½ Fat 1 Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. ZOLE 21
  • 22. Avocado Tacos/Tacos de aguacate These fresh tasting tacos are great for a light meal! Ingredients: 1 medium onion, cut into thin strips 2 large green peppers, cut into thin strips 2 large red peppers, cut into thin strips 1 cup fresh cilantro, finely chopped 1 ripe avocado, peeled and seeded, cut into 12 slices 1½ cups fresh tomato salsa (see ingredients below) 12 flour tortillas Vegetable cooking spray Fresh Tomato Salsa Ingredients: 1 cup tomatoes, diced cup onions, diced ½ clove garlic, minced 2 tsp. cilantro tsp. jalapeño peppers, chopped ½ tsp. lime juice Pinch of cumin Exchanges: Bread 3 Vegetable Fat 1 1 ½ Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. Directions: • Mix together all salsa ingredients and refrigerate in advance. • Coat skillet with vegetable spray. • Lightly sauté onion and green and red peppers. • Warm tortillas in oven and fill with peppers, onions, avocado, and salsa. Fold tortillas and serve. Top with cilantro. 22
  • 23. TACO S AVOCADO Total Servings 12 Nutrition Facts Avocado Tacos Serving Size 1 taco Amount Per Serving Calories Calories from Fat 270 80 % Daily Value (DV)* Total Fat 8g 12% Saturated Fat 2g 10% Trans Fat 0g Cholesterol 0mg 0% Sodium 460mg 19% TotalCarbohydrate43g 14% Dietary Fiber 5g 20% Sugars 4g Protein 7g Vitamin A 25% Vitamin C 100% Calcium 10% Iron 15% * Percent Daily Values are based on a 2,000 calorie diet. 23
  • 24. Tropical Fruits Fantasia/ Fantasía de frutas tropicales The tropics offer a great variety of fruits that will make this delicious and colorful recipe stand out; it will also make your mouth water even before tasting it! Ingredients: 8 ounces fat-free, sugar-free orange yogurt 5 medium strawberries, cut into halves 3 ounces honeydew melon, cut into slices (or ½ cup cut into cubes) 3 ounces cantaloupe melon, cut into slices (or ½ cup cut into cubes) 1 mango, peeled and seeded, cut into cubes 1 papaya, peeled and seeded, cut into cubes 3 ounces watermelon, seeded and cut into slices (or ½ cup cut into cubes) 2 oranges, seeded and cut into slices ½ cup unsweetened orange juice Directions: • Add yogurt and all fruits to a bowl and carefully mix together. • Pour orange juice over fruit mixture. • Mix well and serve ½ cup as your dessert. FANT TROPICAL 24
  • 25. FRUITS ASIA Exchanges: Fruit 2 ¾ Milk Note: Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. Total Servings 3 Nutrition Facts Tropical Fruits Fantasia Serving Size ½ cup Amount Per Serving Calories Calories from Fat 170 5 % Daily Value (DV)* Total Fat 0.5g 1% Saturated Fat 0g 0% Trans Fat 0g Cholesterol 0mg 0% Sodium 40mg 2% TotalCarbohydrate41g 14% Dietary Fiber 5g 20% Sugars 30g Protein 4g Vitamin A 50% Vitamin C 230% Calcium 15% Iron 2% * Percent Daily Values are based on a 2,000 calorie diet. 25 ­
  • 26. References American Diabetes Association. Reading Food Labels. American Diabetes Association Web site. Available at http://www. diabetes.org/food-and­ fitness/food/what-can-i-eat/ taking-a-closer-look-at­ labels.html. American Diabetes Association. Virtual Grocery Store. American Diabetes Association Web site. Available at http://tracker. diabetes.org/. Bestfoods CPC International, Inc. Live Healthy America, A Guide from Mazola. Coventry, CT: Mazola; 1991. Centers for Disease Control and Prevention. Take Charge of Your Diabetes. 3rd edition. Atlanta: U.S. Department of Health and Human Services; 2003. Available at www.cdc.gov/ diabetes/pubs/pdf/tctd.pdf. Centers for Disease Control and Prevention. Fruits & Veggies—More Matters. Centers for Disease Control and Prevention Web site. Available at www. fruitsandveggiesmatter.gov. Gardner L. Health and the Hispanic Kitchen/La Salud y la Cocina Latina. Potomac, MD: Precepts, Inc.; 1996. National Cattlemen’s Beef Association. Eating Smart Even When You Are Pressed for Time. Chicago: National Cattleman’s Beef Association; 1996. National Cancer Institute. Celebre la Cocina Hispana, Healthy Hispanic Recipes. Washington, DC: U.S. Department of Health and Human Services; 1995. NIH Publication Number 95-3906(s). Pockenpaugh N, Poleman C. Nutrition: Essential and Diet Therapy. 8th edition. Philadelphia: WB Saunders; 1996. Sizer F, Whitney E. Nutrition: Concepts and Controversies. 8th edition. Belmont, CA: Wadsworth Publishing; 2000. U.S. Department of Agriculture. Nutritive Value of Foods. Home and Garden Bulletin Number 72. Department of Agriculture Web site. Available at www. nal.usda.gov/fnic/foodcomp/ Data/HG72/hg72_2002.pdf. U.S. Department of Health and Human Services. A Healthier You. Department of Health and Human Services Web site. Available at www.health.gov/ dietaryguidelines/dga2005/ healthieryou/contents.htm U.S. Department of Health and Human Services and U.S. Department of Agriculture. Dietary Guidelines for Americans. 6th edition. Washington, DC: U.S. Government 26
  • 27. Printing Office; 2005. Available at http://health. gov/dietaryguidelines. U.S. Food and Drug Administration. How to Understand and Use the Nutrition Facts Label. Food and Drug Administration Web site. Available at http://www.fda.gov/ Food/LabelingNutrition/ ConsumerInformation/ ucm078889.htm. Available in Spanish at http://www.fda. gov/Food/LabelingNutrition/ ConsumerInformation/ ucm110019.htm. Warshaw H. Diabetes Meal Planning Made Easy: How to Put the Food Pyramid to Work for Your Busy Lifestyle. Alexandria, VA: American Diabetes Association; 2000. Authors for Third Edition (2008) of Recipe Booklet Jane Kelly, MD Senior Medical Officer, National Diabetes Education Program, Division of Diabetes Translation, Centers for Disease Control and Prevention Betsy Rodríguez, MSN, CDE Public Health Advisor, National Diabetes Education Program, Division of Diabetes Translation, Centers for Disease Control and PreventionAndrea Zaldivar, MS, C-ANP, CDE Clinical Director, North General Diagnostic and Treatment Center Luby Garza-Abijaoude, MS, RD, LD Diabetes Nutrition Consultant, Texas Department of State Health Services Rita V. Díaz-Kenney, MPH, RD, LD Public Health Advisor, Division of Diabetes Translation, Centers for Disease Control and Prevention Jennifer Seymour, PhD Acting Associate Director for Policy and Planning, Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention Laura Tanase, MS, RD, LD ORISE Fellow, National Fruit and Vegetable Program, Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention Acknowledgments We greatly appreciate the expertise of the authors and would like to acknowledge their contributions to the development of this recipe booklet. We would like to thank Luz Myriam Neira, PhD, LN, for her work on the first edition of this recipe booklet. 27
  • 28. Contributors/ Reviewers (Third Edition) Isabel Salinas-Almendárez, MPH Program Manager, Corporate Health, Inova HealthSource Julia Burgos National Director of Latino Initiatives, American Diabetes Association Ana Toro, MA Vice President, Fleishman- Hillard Leticia R. Dávila, MPH ORISE Fellow, National Diabetes Education Program, Division of Diabetes Translation, Centers for Disease Control and Prevention Jamie Rayman, MPH Emerging Leader Intern, Centers for Disease Control and Prevention Other NDEP Hispanic/ Latino Work Group Members/Contributors Xóchitl Castañeda Director, California-Mexico Health Initiative Josephine F. Garza, MA Deputy Director, National Latino Children’s Institute Agustín Lara, MD Director del Programa de Salud del Adulto y el Anciano de México Laiza Fuentes Chaparro, LN Coordinadora de Nutrición del Programa de Salud del Adulto y del Anciano, Centro Nacional de Vigilancia Epidemiología y Control de Enfermedades, Secretaría de Salud de México Leonardo Pérez, MPH, CHES Program Coordinator, Puerto Rico Department of Health Diabetes Program Josephine Phyllis Preciado, MD, National Hispanic Medical Association Rebeca L. Ramos, MPH, MA Acting Executive Director, Asociación Fronteriza Mexicano Estadounidense de Salud, United States-Mexico Border Health Association Rosalba Ruiz-Holguin, MD, MPH, Bi-National Coordinator, U.S. Mexico Border Diabetes Prevention and Control Project, Pan American Health Organization Virginia Valadez Community Health Worker, Migrant Health Promotion CDC-Funded National Organizations Elena M. Alvarado Executive Director/Project Manager, National Latina Health Network 28
  • 29. Marisol Morales Communications Manager, National Latina Health Network Jeanette Beltrán President and CEO, JBD and Associates Eliana T. Loveluck Director, Center for Consumers, National Alliance for Hispanic Health Paul M. Baker Deputy Director, Center for Consumers National Alliance for Hispanic Health Ad Hoc Members Adolfo Pérez-Comas, MD, PhD, FACE Member, Governing Board, Puerto Rico Diabetes Research and Education Center Jaime R. Torres, DPM, MS Associate Director of Consultative Services, Coler-Goldwater Specialty Hospital Wanda Montalvo, RN, MSN, ANP, RWJ Executive Nurse Fellow, Montalvo Consulting, LLC Nelva Ancona Paraison Host/Coordinator, Diabéticos Hispanos/Perfil LatinoTV, Inc. Elizabeth Ortiz de Valdéz, MD, President and Chief Executive Officer, Concilio Latino de Salud, Inc. Top Diabetes Prevention and Control Program (DPCP) State Partners with a High Hispanic/ Latino Population Arizona Carmen D. Ramírez Community Program Coordinator, Diabetes Prevention and Control Program, Arizona Department of Health Services California Javier Carrillo, MPH Area Health Promotion Specialist, Greater Bay Area California Diabetes Program California Department of Public Health Colorado Maria Elena Carreón-Ayers Diabetes Outreach Coordinator, Diabetes Prevention and Control Program, Colorado Department of Public Health and Environment Florida Alisha Bradley-Nelson, MSW Program Coordinator, Diabetes Prevention and Control Program, Florida Department of Health 29
  • 30. Illinois Cheryl A. Metheny, MS, RD/ LDN, CDE, CLC Program Coordinator, Diabetes Prevention and Control Program, Illinois Department of Human Services Nevada Beth Handler, MPH Program Manager, Diabetes Prevention and Control Program, Nevada Bureau of Community Health New Jersey Nirmala (Nimi) Bhagawan, MS, RD, Program Coordinator, Division of Family Health Services New Jersey Department of Health and Senior Services New Mexico Judith Gabriele Program Manager, Diabetes Prevention and Control Program, New Mexico Department of Health Texas Carol Filer, MS, RD, LD Program Coordinator, Texas Department of State Health Services NDEP Agencies—CDC Sabrina Harper, MS Acting Director, National Diabetes Education Program, Division of Diabetes Translation, Centers for Disease Control and Prevention Margret Chang, BA ORISE Fellow, Division of Diabetes Translation, Centers for Disease Control and Prevention Ana Alfaro-Correa, ScD Public Health Advisor, Division of Diabetes Translation, Centers for Disease Control and Prevention NDEP Agencies—NIH Joanne Gallivan, MS, RD Director, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health Rachel Weinstein, MEd Deputy Director, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health The U.S. Department of Health and Human Services’ National Diabetes Education Program is jointly sponsored by the National Institutes of Health and the Centers for Disease Control and Prevention with the support of more than 200 partner organizations. 30
  • 31. YOUR FAVORITE RECIPES ­ MY RECIPE FOR: MY RECIPE FOR: