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Grand parents day cho counting

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This presentation was authored by Meaghan Anderson MS RD LD CDE, Senior Diabetes Clinical Manager-Houston North - Medtronic Diabetes specially for the Advanced Diabetes Seminar at TLC on April 26, …

This presentation was authored by Meaghan Anderson MS RD LD CDE, Senior Diabetes Clinical Manager-Houston North - Medtronic Diabetes specially for the Advanced Diabetes Seminar at TLC on April 26, 2014.


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  • 1. Count Your Carbs And Eat them TOO! Presented By: Meaghan Anderson MS, RD, LD, CDE
  • 2. Insulin amount is matched to food amount Insulin For Type 1 Diabetes…
  • 3. This nutrient has the most effect on blood sugar? A. Carbohydrate B. Fat C. Fiber D. Protein E. Sugar
  • 4. Why Count Carbs??? • BETTER GLUCOSE CONTROL – Carbohydrate is the primary nutrient that raises post meal blood sugars • Allows for more flexibility with food choices • Easy to teach and learn
  • 5. Macronutrient Conversion to Blood Glucose
  • 6. Food Groups Containing Carbohydrate Fruits Starches and Breads Milk Sweets
  • 7. Which of the following is not equal to 1 carb choice of the bread group? A. 1 slice bread B. 1 small roll C. ½ cup pasta D. 15 french fries
  • 8. Bread Group • Bread – 1 slice – ½ bun – Small dinner roll – 1 small flour tortilla – 2 small corn tortillas • Potato – ½ cup mashed – 10-15 french fries – 3 oz potato • Pasta – 1/3 cup noodles – 1/3 cup rice • Cereal – ½ cup cooked – ¾ cup unsweetened – ½ cup sweetened • Starchy Vegetables – ½ cup corn – ½ cup peas – ½ cup beans – 1/3 cup baked beans
  • 9. Which of the following is not equal to 1 carb choice of the fruit group? A. 1 cup melon B. 15 grapes C. 1 banana D. 1 medium peach
  • 10. Fruit Group • Medium apple, orange, peach or pear • ½ cup applesauce • ½ banana • ½ cup juice • 1 cup berries • 12-15 cherries or grapes • ½ cup canned fruit • 1 cup melon
  • 11. Which of the following is not equal to 1 carb choice of the milk group? A. 1 cup milk B. 8 oz light yogurt C. 1 slice cheese D. ½ cup regular pudding
  • 12. Milk • 1 cup milk • ½ cup ice cream • 1 cup light yogurt • ½ cup chocolate milk • CHEESE IS FREE!
  • 13. Food Groups With Little or No Carbohydrate Meat/Protein Fats Vegetables
  • 14. True or False Meat is a ALWAYS a free food? FALS E
  • 15. Meat • Meat is a free food unless breaded or in a high CHO sauce – 6 chicken nuggets is a CHO choice – REMEMBER…breaded meats are higher in fat! • Purchase round or loin cuts of beef and 90% lean ground beef, these are lower in fat • Never eat the skin on chicken!
  • 16. True or False Vegetables contain no carbohydrate? FALS
  • 17. Vegetables • 1 serving has 5 grams of CHO – A serving is ½ cup cooked or 1 cup raw vegetables – Three servings is equal to a CHO choice
  • 18. ALL FOODS ARE ALLOWED!
  • 19. Sweeteners • Dietary sucrose (i.e. table sugar) does not increase glucose more than starch when given in isocaloric amounts
  • 20. Artificial Sweeteners • Approved By The FDA – Acesulfame Potassium (Sweet One) – Aspartame (Nutrasweet or Equal) – Neotame (8000-13000 times sweeter) – Saccharin (Sweet N Low) – Sucralose (Splenda) – Stevia (Truvia) • No increase in glucose with these sweeteners
  • 21. Simple vs. Complex • Simple – examples • fruit • fruit juice • hard candy • regular soda – raise blood sugars rapidly • Complex – examples • pasta • rice • potato – raises blood sugar more slowly and stays up longer Eat your carbs!
  • 22. Identify the following carbohydrates as simple or complex • Complex • Simple • Complex/Simple • Simple • Complex • Simple • Complex • Rice Krispie Treat • Orange • Milk • Glucose Tab • Cake • Gatorade • Pretzels
  • 23. 8 ounces Milk Some count carb choices Some count grams of Carb 1 Carb Choice 12 grams of Carb 1 Carb Choice = 15 grams Much More Accurate
  • 24. Choices vs. Grams Choices Apple = 1 Roll = 1 Green Beans = 0 Meat = 0 Milk = 1 Ketchup = 0 Total = 3 choices Or 45 grams Grams Apple = 17 Roll = 20 Green Beans = 5 Meat = 0 Milk = 12 Ketchup = 8 Total = 62 grams
  • 25. Serving Size Is Important!!! Much More! 30 grams of Carb
  • 26. The Whataburger Experiment
  • 27. Jim’s Meal • Burger 61 • Med Fry 39 • Drink 0 • Total 100 Meg’s Meal • Burger 61 • Med Fry 59 • Drink 80 • Total 200 The Whataburger Experiment
  • 28. Resources
  • 29. Always Measure Portions!
  • 30. Weighing
  • 31. Use your hand guide! • Thumb – Tip is equal to 1 teaspoon • mayonnaise • salad dressing – Entire thumb is equal to 1 ounce • cheese • peanut butter
  • 32. Use your hand guide! • Palm – Meat • Equal to 3 ounces of cooked boneless meat • 1 serving of protein • Handful – Snack foods • 1 ounce of crackers or chips
  • 33. Use your hand guide! • Fist – 1 cup of starchy foods • potato • rice • pasta – 1 cup of fresh vegetables
  • 34. Tools For Estimating Carbs
  • 35. Label Reading Look for… #1 Serving Size #2 Grams of CHO #3 Servings per container
  • 36. Are you label able? How many grams of carbohydrate are in this package? 54
  • 37. A net carb is… A. A carbohydrate that doesn’t make me gain weight. B. A poor excuse to eat more pasta. C. Two terribly confusing little words that make label reading a challenge.
  • 38. Net Carbs • Made popular by low carb diets • Total carb minus fiber and sugar alcohols • Make label reading tricky!
  • 39. Calculating Net Carbs Total Carb = 10 gm Less Fiber = 5 gm Carbohydrate = 5 gm Less ½ Sugar Alcohol = 2 gm Total Carb = 3 gm
  • 40. Day 1 45 grams carbohydrate (3 choices) Day 2 45 grams carbohydrate (3 choices)
  • 41. Day 1 75 grams carbohydrate (5 choices) Day 2 30 grams carbohydrate (2 choices)
  • 42. True or False If blood sugars are elevated it is okay to cut back on carbs and omit snacks? FALSE
  • 43. Meal Plans 1500 Calories 210 grams of carbs 45g @ B,L,D 2 snacks @ 30 grams 1 bedtime snack @ 15 grams 1800 Calories 230 grams of carbs 60g @ B,L,D 2 snacks @ 30 grams 1 bedtime snack @ 15 grams 2000 Calories 270 grams of carbs 60g @ B; 75g @L&D 1 pm snack @ 30 grams 1 am & bedtime snack @ 15 grams 2200 Calories 300 grams of carbs 75g @ B & L; 90g @ D 1pm snack @ 30 grams 1 am & bedtime snack @ 15 grams 2400 Calories 330 grams of carbs 90g @ B,L,D 1pm snack @ 30 grams 1 am & bedtime snack @ 15 grams
  • 44. ?