Author(s): Jocelyn James, MD and Yetta Levine

Contributor(s): Karen Conger; Lisa Messerli; Anab Abdullahi; Ashwaq Mohamed; Mohamed Hashi

Date Authored: April 14, 2015

This slideshow presentation is intended to be used by clinicians during discussion with patients about carbohydrates and blood glucose. It is culturally tailored to reflect foods commonly consumed by Somali Americans and includes photos of foods, meal comparisons, and portion sizes, also with some information about managing diabetes during Ramadan.

PDF (93 slides) and YouTube video link available in sidebar.

Introduction 0:15
Carbohydrates 1:42
Starches 2:16
Fruit 4:59
Dairy Products 5:40
Sweets 6:13
Drinks 7:00
Protein Foods 8:38
Vegetable Foods 10:11
Extras 11:51
Meals 12:59
Ramadan 17:47
Review 20:14
Additional Info 20:46


Harborview Medical Center (HMC) physician Dr. Carey Jackson identified a need for culturally-tailored visual references tools to use during conversations with diabetic patients about food choices.


Dr. Jocelyn James and Yetta Levine at Harborview Medical Center in Seattle, WA, created this tool in consultation with Harborview registered dietitians Karen Conger and Lisa Messerli. Cultural guidance was provided by Somali caseworker / cultural mediator Anab Abdullahi and Somali interpreters Ashwaq Mohamed and Mohamed Hashi.

Funding for this education was provided by the Pacific Hospital Preservation and Development Authority.