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Carbohydrate Counting

Carbohydrate Counting

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Carbohydrate Counting — a Tool to Help Manage Your Blood When you have diabetes, keeping your blood glucose in a healthy range can help you feel your best today and in the future. counting — or “carb counting” — is a fexible meal-planning tool (not a diet) that can help you understand how your choices afect your blood glucose level.

Carbohydrate and blood glucose Any carbohydrate food you eat (e.g., , fruit, r$POTJTUFODZIf you use diabetes medications and ) is digested into glucose, which or , it may be important to eat the same causes your blood glucose level to increase. amount of food and carbohydrate at the same However, some time each day. Doing this can keep your blood throughout the day is important because they glucose from getting too high or too low. provide and essential for your r'MFYJCJMJUZ If your insulin plan includes body. To better manage your blood glucose, varying doses based on how much energy levels and weight, pay attention to how carbohydrate you are eating (carb/insulin much carbohydrate you eat. ratio), accurate carb counting can help you Maintaining the right balance between determine how much insulin to take. carbohydrate and insulin (whether your body produces it or you take it) helps to regulate 'PPETUIBUDPOUBJODBSCPIZESBUF your blood glucose level. Determining when r (e.g., , crackers, , hot and and how much you eat — and whether or not cold , tortillas and noodles) you have snacks — should be based on your lifestyle, medications and meal-planning rStarchy (e.g., potatoes, , goals. A registered dietitian nutritionist (RDN) corn, , and ) may consider the following ways for you to rFruit and use carb counting to determine the healthiest rMilk and plan for you: rSweets and desserts r1PSUJPO$POUSPM Setting a maximum amount Non-starchy vegetables (e.g., , of carbs for each meal within your healthy and tomatoes) contain only a small amount meal plan and/or taking diabetes of carbohydrates and do not afect blood medications can keep your blood glucose glucose when eaten in small portions. from getting too high. 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Each portion is one carbohydrate choice (15 grams of carbohydrate). Foods with fewer than 20 calories and fewer than 5 grams of carbohydrate are considered “free.” These include sugar-free beverages, sugar substitutes, spices and seasonings.

Breads, Grains Vegetables Sweets and Milk and Yogurt Fruits and'PPEMJTUT Cereals and Beans Snack Foods 1 ounce bread 1 cup milk 1 small piece fresh ½ cup , ¾ ounce snack Breads, Grains Vegetables Sweets and product Milk and Yogurt fruit Fruits , peas, food (pretzels, 4-6 and Cereals 1 cup low-fat and Beans Snack Foods (1 slice bread, ¼ corn crackers) 1 ounce bread or skim1 cup milk,milk or ½1 smallmedium piece freshfruit ½ cup potato, sweet ¾ ounce snack food large bagel,product 6” (1 slice fruit potato, peas, corn (pretzels, 4-6 1 cup low-fat or (, ) ½ cup cooked 15 potato chips bread, ¼ large low-fat or fat-free crackers) tortilla) skim milk, or ½ medium fruit ½ cup cooked bagel, 6” tortilla) plain yogurt ½ cup canned fruit beans, 6 ounces low-fat or (apple, banana) beans, legumes 8 baked 1chips, ounce sweet 1/3 cup 1/3cooked cup cooked rice rice fat-free plain or in own (garbanzo,(garbanzo, kidney, kidney,potato, pita ½ cup canned fruit or pastaor pasta 6 ouncesGreek yogurt favored black beans) snack 1in cup own melonjuice black beans) 13 regular chips, 1 cup soup yogurt6 ounces made favored with 1 cup winter squash tortilla, potato(2 small sandwich 1 cup soup 1 cup or yogurt made with ½ cup fruit juice ¾ ounce low-cal sweetener 1/3 1cup cup cooked winter 1 ounce cookies,sweet snack 5 vanilla ¾ ounce low-cal sweetener unsweetened cold (these vary, check 2 TBSP ,squash , wafers) (these vary, check 1 1/4 cup (2 small sandwich unsweetenedcereal (serving cold sizes label)label) 1/3 plantain (green cookies, 5 vanilla vary, check label) 1 cup (serving sizes or yellow)1 ½ cups cookedwafers) 1 TBSP sugar or ½ cup fruit juice ½ cup cooked 1 ¼ cup vary, check label) 1 ½ vegetablescups cooked (small1 TBSP sugarhoney or cereal 2 TBSP dried fruit vegetablesportions (small of non- ½ cup cooked3 cups air-popped cereal 1 cup raspberries portions of ½ cup regular ice starchy vegetables½ cup regular ice ¾ cup blackberries,nonstarchy 3 cups air-popped 1 ¼ cup strawberries cream cream vegetablesare free) are free) popcorn 1 cup blackberries 3/4 cup blueberries

The lists above provide a basic idea of the carb count in common foods. Each portion is one carbohydrate Carb choiceschoice (15 for grams common of carbohydrate). serving Foods sizes with fewer thanBetter 20 calories carb and choices fewer than 5 grams of carbohydrate are considered “free.” These include sugar-free beverages, sugar substitutes, spices and seasonings. • 1 regular sandwich = 2 carb choices, or All carbs are not alike. Choose better carb choices, aboutCarbohydrate 30 grams of choices carbohydrates for common Bettersuch as carbohydrate whole grains choices and less-processed foods. serving sizes Carbohydrate counting is important, but the type • 1 6” sub sandwich = 3 carb choices, or about • Select whole bread, pasta and r1 regular sandwich = 2 carbohydrate choices of carbohydrate also is important for both blood 45 gramsor about of carbohydrates 30 grams of carbohydrates glucosebrown and overallrice over health. white All carbohydrates(refned) varieties. are • 1 cupr 1cooked 6” sub sandwich rice or pasta = 3 carbohydrate = choices not• theExperiment same. Choose with better many carbohydrate types of whole choices, grains, 3 carbor choices, about 45 or grams about of carbohydrates45 grams of suchincluding as whole grains , and , less-processed foods. and . carbohydratesr1 cup cooked rice or pasta = 3 carbohydrate r• Opt Go for for beans whole and fruitsother legumes.instead of fruit juice or sugary • 1 mediumchoices (average) or about 45apple grams or of banana carbohydrates = rSelect foods. whole grain bread, whole grain pasta and r1 medium (average) apple or banana = over white (refned) varieties. 2 carb choices or about 30 grams • Opt for beans and other legumes. of carbohydrates2 carbohydrate choices or about 30 grams rExperiment with many types of whole grains, of carbohydrates • includingSelect barley,a variety oatmeal, of vegetables quinoa and such bulgur. as caulifower, rGo , for whole carrots fruits instead and of fruit juice (most or sugary vegetables are foods.great choices). rSelect a variety of vegetables such as caulifower, tomato, carrots and spinach (most vegetables are great choices). How much to eat?

How much to eat? 'PS8FJHIU.BJOUFOBODF Women Men Many women need about Many men need about 3-4 carbohydrateWomen choices 4-5 carbohydrateMen choices (45-60Many womengrams) atneed each about meal (60-75Many grams) men need at each about meal 3-4 carbohydrate choices 4-5 carbohydrate choices (45-60 grams) at each meal (60-75 grams) at each meal Breakfast 1 slice (1 ounce) 1 small wholeBreakfast grain toast Breakfast 1 slice (1 ounce) 1 carbohydrate 1 cup cooked oatmeal 1 carbohydrate 1 teaspoon light margarinechoice 1 small orange whole grain toast made with choice 1 egg omelet with spinach 1 cup cooked oatmeal 2 carbohydrate 1 teaspoon light 1 cup fat-free milk and made with water choices 1 egg omelet with spinach 1 small orange 12 cuptablespoons fat-free milk nuts 1 carbohydrate and mushrooms choice 1 carbohydrate 2 tablespoons 1 small orange choice 2 tablespoons nuts 6 ounces low-fat 1 carbohydrate 1 carbohydrate 2 tablespoons raisins choice plain Greek yogurt choice Lunch Lunch

Lunch Lunch1 cup brown rice 1 sandwich with 2 carbohydrate 1-2 cups chicken 3 carbohydrate 1 small fruit 1 cup brown rice choices whole grain bread choices and veggie stir fry 1-2 cups chicken 1 small fruit 1 carbohydrate 0-1 carbohydrate 1-2 cups veggies choice and1 small veggie fruit stir fry choice

1-2 cups veggies 0-1 carbohydrate 1 small fruit 1 carbohydrate Dinner choice Dinner choice 1 piece of chicken 1 cup pasta Dinner Dinner 1 cup winter squash ½ cup red sauce with 3 carbohydrate 1 piece of chicken 1 cup pasta choices 1 cupsmall winter fruit squash 1 carbohydrate ½6 ounces cup red low-fatsauce with meat 1 carbohydrate choice choice 1 -2 cups broccoli plain Greek yogurt 1 small fruit 1 carbohydrate 6 ounces low-fat 1 large green salad choice 1 carbohydrate plain Greek yogurt choice 1 cup-2 cups fat-free broccoli skim milk 0-1 carbohydrate 1 large green salad 1 large green salad choice 1 carbohydrate 1 large green salad 1 cup fat-free skim milk choice My Individual Carbohydrate Goals

Carbohydrate Time choices or grams Breakfast

Snack

Lunch

Snack

Dinner

Snack

TOTAL

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: rat least 5 servings of fruits and vegetables rat least 3 servings of whole grains or legumes (beans) r2–3 servings of low-fat or fat-free dairy rAdequate protein and healthy Protein foods (including meat, poultry and fsh) and fats do not directly afect blood glucose and can help you feel satisfed, although they do add calories. To keep your heart healthy, choose healthy fats (like those found in nuts, seeds and fsh) 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-proft 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 www.dce.org or the Academy of Nutrition and Dietetics at www.eatright.org, or 1-800-877-1600.