Most of these guidelines are a good idea for the general population, as well.
Considering these factors, how should people with diabetes go about using the new food label?
They can begin with the Nutrition Facts panel, usually on the side or back of the package. A column
headed % Daily Values shows whether a food is high or low in many of the nutrients listed.
People with diabetes should check the % Daily Values for fat, saturated fat, and cholesterol. As a rule
of thumb, if the number is 5 or less, the food may be considered low in that nutrient.
The goal for most people with diabetes is to pick foods that have low % Daily Values for fat, saturated
fat, and cholesterol and high % Daily Values for fiber. Other label nutrition information can help people with diabetes see if and how a food fits into their meal plan.
The serving size information gives the amount of food to which all other numbers on the Nutrition Facts panel apply.
Serving sizes now are more uniform among similar products and reflect the amounts people actually eat. For example, the reference amount for a serving of snack crackers is 30 g. Thus, the serving size
for soda crackers is 10 crackers and for Goldfish Tiny Crackers, 55, because these are the amounts that come closest to 30 grams.
The similarity in serving sizes makes it easier to compare the nutritional qualities of related foods.
People who use the Exchange Lists should be aware that the serving size on the label may not be the
same as that in the Exchange Lists. For example, the label serving size for orange juice is 8 fluid ounces
(240 milliliters). In the exchange lists, the serving size is 4 ounces (one-half cup) or 120 mL. So, a person who drinks one cup of orange juice has used two fruit exchanges.
The Nutrition Facts panel also gives total calories and calories from fat per serving of food. This is helpful for people who count calories and monitor their daily percentage of calories from fat.
The label also gives grams of total carbohydrate, protein and fat. The values listed for total carbohydrate include all carbohydrate, including dietary fiber and sugars listed below it. Not singled
out is complex carbohydrates, such as starches.
The sugars include naturally present sugars, such as lactose in milk and fructose in fruits, and those
added to the food, such as table sugar, corn syrup, and dextrose.
The listing of grams of protein also is helpful for those restricting their protein intake, either to reduce
their risk of kidney disease or to manage the kidney disease they have developed.
Elsewhere on the label, consumers may find claims about the food's nutritional benefits. Often, these
nutrient content claims appear on the front of the package, where shoppers can readily see them. These claims signal that the food contains desirable levels of certain nutrients.
Some claims, such as "low fat," "no saturated fat," and "high fiber," describe nutrient levels. See "A
Little 'Lite' Reading," in the June 1993 FDA Consumer.) Some of these are particularly interesting to people with diabetes because they highlight foods containing nutrients at beneficial levels.
Other claims, called health claims, show a relationship between a nutrient or food and a disease or health condition. FDA has authorized nine such claims; they are the only ones about which there is
significant scientific agreement. There are also other health claims under consideration at this time.
Source: Excerpted from the FDA Consumer article "Coping with Diabetes"