Ready, Set, Start Counting!
[Pages:5]Ready, Set, Start Counting!
Carbohydrate Counting -- a Tool to Help Manage Your Blood Glucose
When you have diabetes, keeping your blood glucose in a healthy range can help you feel your best today and in the future. Carbohydrate counting -- or "carb counting" -- is a flexible meal-planning tool (not a diet) that can help you understand how your food choices affect your blood glucose level.
Carbohydrate and blood glucose
Any carbohydrate food you eat (e.g., milk, fruit, bread and pasta) is digested into glucose, which causes your blood glucose level to increase. However, eating some carbohydrates throughout the day is important because they provide energy and essential nutrients for your body. To better manage your blood glucose, energy levels and weight, pay attention to how much carbohydrate you eat.
Maintaining the right balance between carbohydrate and insulin (whether your body produces it or you take it) helps to regulate your blood glucose level. Determining when and how much you eat -- and whether or not you have snacks -- should be based on your lifestyle, medications and meal-planning goals. A registered dietitian nutritionist (RDN) may consider the following ways for you to use carb counting to determine the healthiest plan for you:
r1PSUJPO$POUSPM Setting a maximum amount of carbs for each meal within your healthy meal plan and/or taking diabetes medications can keep your blood glucose from getting too high.
r$POTJTUFODZIf you use diabetes medications or insulin, it may be important to eat the same amount of food and carbohydrate at the same time each day. Doing this can keep your blood glucose from getting too high or too low.
r'MFYJCJMJUZ If your insulin plan includes varying doses based on how much carbohydrate you are eating (carb/insulin ratio), accurate carb counting can help you determine how much insulin to take.
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rG rains (e.g., breads, crackers, rice, hot and cold cereals, tortillas and noodles)
rS tarchy vegetables (e.g., potatoes, peas, corn, winter squash, lentils and beans)
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rM ilk and yogurt
rS weets and desserts
Non-starchy vegetables (e.g., carrots, broccoli and tomatoes) contain only a small amount of carbohydrates and do not affect blood glucose when eaten in small portions.
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How much to eat?
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1 carbohydrate choice
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1 1 1
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My Individual Carbohydrate Goals
Breakfast Snack Lunch Snack Dinner Snack TOTAL
Time
Carbohydrate choices or grams
Healthy eating is about more than just counting carbohydrates. It is important to eat balanced meals with an emphasis on vegetables and fruits.
Eat a variety of foods. For most people these include:
ra t least 5 servings of fruits and vegetables
ra t least 3 servings of whole grains or legumes (beans)
r2 ?3 servings of low-fat or fat-free dairy
rAdequate protein and healthy fats
Protein foods (including meat, poultry and fish) and fats do not directly affect blood glucose and can help you feel satisfied, although they do add calories. To keep your heart healthy, choose healthy fats (like those found in nuts, seeds and fish) in appropriate portions. With all of the food you eat, remember that portion control is important.
? 2014 Diabetes Care and Education Dietetic Practice Group. Permission to reproduce for non-profit educational purposes granted through 2017.
For a referral to a registered dietitian and for additional food and nutrition information, visit the Diabetes Care and Education Practice Group at or the Academy of Nutrition and Dietetics at , or 1-800-877-1600.
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