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Carbohydrate Counting: A Practical Meal-Planning Option for People With Diabetes

The first 300 words of the full text of this article appear below.

	Introduction

 
Lena has been overweight for a few years. She is 52 years old, and she found out that she has type 2 diabetes 1 year ago. She has been seeing a nurse at her physician's office for nutrition information, and the nurse has referred her to a registered dietitian (RD) in the outpatient clinic at the nearby hospital.

Lena brings her food records to her initial visit with the RD. The RD reviews the records, which consist only of Lena's food choices with no portion sizes or amounts consumed listed. The RD recommends that Lena consider weighing and measuring her portion sizes and writing them down along with her food choices. The RD provides Lena with a copy of the American Diabetes Association (ADA) basic carbohydrate counting pamphlet¹ and uses food models to demonstrate appropriate portions of the foods Lena might select.

During the ensuing 3-month period, Lena works with a carbohydrate budget for each meal, uses the basic carbohydrate counting pamphlet, and pays attention to her portion sizes. She loses some weight, improves her glycemic control, and becomes more motivated to continue.

Gino, age 35 years, has had type 1 diabetes for 3 years and enjoys his ethnic Italian food. He consumes carbohydrate foods at all meals and also at bed-time. He has started using an insulin-to-carbohydrate ratio to match his insulin to the amount of carbohydrate he consumes, and he finds this helpful. But he is concerned because his postprandial glucose (PPG) levels are not within the target range. He expresses his concern to his doctor and is referred to an RD for a consultation.

A nutrition assessment indicates that Gino has tried to reduce his carbohydrate intake and increase his protein intake in order to get his PPG levels into the target range. The RD revisits . . . [Full Text of this Article]

	Basic Carbohydrate Counting

 

	Advanced Carbohydrate Counting

 

	Challenges and Advantages

 

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This article has been cited by other articles:

				M. Buethe C-O-U-N-T C-A-R-B-S: A 10-Step Guide to Teaching Carbohydrate Counting The Diabetes Educator, January 1, 2008; 34(1): 67 - 74. [Abstract] [Full Text] [PDF]