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, 2014.

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Grand parents day cho counting

  1. 1. Count Your Carbs And Eat them TOO! Presented By: Meaghan Anderson MS, RD, LD, CDE
  2. 2. Insulin amount is matched to food amount Insulin For Type 1 Diabetes…
  3. 3. This nutrient has the most effect on blood sugar? A. Carbohydrate B. Fat C. Fiber D. Protein E. Sugar
  4. 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. 5. Macronutrient Conversion to Blood Glucose
  6. 6. Food Groups Containing Carbohydrate Fruits Starches and Breads Milk Sweets
  7. 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. 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. 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. 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. 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. 12. Milk • 1 cup milk • ½ cup ice cream • 1 cup light yogurt • ½ cup chocolate milk • CHEESE IS FREE!
  13. 13. Food Groups With Little or No Carbohydrate Meat/Protein Fats Vegetables
  14. 14. True or False Meat is a ALWAYS a free food? FALS E
  15. 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. 16. True or False Vegetables contain no carbohydrate? FALS
  17. 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. 18. ALL FOODS ARE ALLOWED!
  19. 19. Sweeteners • Dietary sucrose (i.e. table sugar) does not increase glucose more than starch when given in isocaloric amounts
  20. 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. 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. 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. 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. 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. 25. Serving Size Is Important!!! Much More! 30 grams of Carb
  26. 26. The Whataburger Experiment
  27. 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. 28. Resources
  29. 29. Always Measure Portions!
  30. 30. Weighing
  31. 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. 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. 33. Use your hand guide! • Fist – 1 cup of starchy foods • potato • rice • pasta – 1 cup of fresh vegetables
  34. 34. Tools For Estimating Carbs
  35. 35. Label Reading Look for… #1 Serving Size #2 Grams of CHO #3 Servings per container
  36. 36. Are you label able? How many grams of carbohydrate are in this package? 54
  37. 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. 38. Net Carbs • Made popular by low carb diets • Total carb minus fiber and sugar alcohols • Make label reading tricky!
  39. 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. 40. Day 1 45 grams carbohydrate (3 choices) Day 2 45 grams carbohydrate (3 choices)
  41. 41. Day 1 75 grams carbohydrate (5 choices) Day 2 30 grams carbohydrate (2 choices)
  42. 42. True or False If blood sugars are elevated it is okay to cut back on carbs and omit snacks? FALSE
  43. 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. 44. ?

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