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Let’s Count Carbs ™. Speaker: (Local CDE name) (CDE work location) Sponsored by: CCS Medical. What is a Carbohydrate (Carb)?. Body’s main energy source 4 calories per gram 45-65% of calories Cereal, grains, fruit, milk and starchy vegetables 100% turns to glucose. Why Count Carbs?.

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let s count carbs

Let’s Count Carbs™

Speaker: (Local CDE name)

(CDE work location)

Sponsored by: CCS Medical

what is a carbohydrate carb
What is a Carbohydrate (Carb)?
  • Body’s main energy source
  • 4 calories per gram
  • 45-65% of calories
  • Cereal, grains, fruit, milk and starchy vegetables
  • 100% turns to glucose
why count carbs
Why Count Carbs?
  • Helps stabilize blood glucose levels
  • To feel better and have more energy
  • No more “dieting”
  • Gives you more flexibility to enjoy all foods
portion control
Portion Control

Serving Size

Item

Visual

3 oz.

1 cup

6 oz.

1/3 cup

½ cup

1 ½ cups

Size of a deck of cards

1 Fist

Light bulb

Egg

½ Baseball

1 and ½ Baseballs

two ways to count carbs
Two Ways to Count Carbs
  • Carb Choices
    • 1 Carb Choice = 15 grams of Carb
    • 1 Starch = 1 Fruit = 1 Milk
  • Grams of Carb
    • Add up the total grams of Carb for all foods

1 cup milk& 1 small apple

15 grams + 15 grams = 30 grams

how many carbs
How Many Carbs?

1 cup milk

½ cup sugar free

applesauce

12

15

0

15

3 oz. Pork Chop

½ large corn on Cob

Milk 12 grams

Pork chop 0 grams

Corn on cob 15 grams

Broccoli 15 grams

Applesauce + 15 grams

15

TOTAL = 57 grams or 4 choices

1-1/2 cups broccoli

slide10

How Many Carbs?

0

15

2 Tbsp.

Salad dressing

0

Wine* - 5 oz

30

0

1 small dinner roll

1 cup pasta

3 meat balls

Wine 0 grams

Meat balls 0 grams

Pasta w/ tomato sauce 30 grams

Dinner roll 15 grams

Salad greens 0 grams

Salad dressing + 0 grams

0

TOTAL = 45 grams or 3 choices

1 cup tossed salad greens

* According to the ADA, “If adults with diabetes choose to use alcohol, daily intake should be one drink per day or less for adult women and two drinks per day or less for adult men”.

slide11

How Many Carbs?

15

15

15

17 grapes

1 cup coffee

w/ 3 sugar packets

0

3 oz salmon

1 cup french fries

Coffee w/ sugar 15 grams

Salmon 0 grams

French fries 15 grams

Cabbage 15 grams

Grapes + 15 grams

15

1 ½ cups cooked red cabbage

TOTAL = 60 grams or 4 choices

carb counting vs carb guessing
Carb Counting vs. Carb Guessing
  • Carb Guessing
    • Hypoglycemia
    • Hyperglycemia
  • Carb Counting
    • Use measuring cups 1 time per week
    • Use references:
      • Calorie King book
      • Food Exchange Lists for Diabetes
      • www.caloriecount.about.com
    • Food labels
combination foods
Combination Foods
  • Casseroles:

1 cup = 2 Carbs (30 grams) + 2 meats

  • Soup / stew:

1 cup = 1 Carb (15 grams) + 1 meat + 0-3 fats

  • Sandwiches:

1 = 2 Carbs (30 grams) + 2-4 meats

more combination foods
More Combination Foods
  • Submarine Sandwich:

6 inch = 3 Carbs (45 grams) + 2 meats

  • Pizza:

Thin crust, ¼ of a 12 inch (6 oz) =

2 ½ Carbs (37 ½ grams) + 2 meats + 1 ½ fats

snacks
Snacks
  • For in-between meal snacks:
not all carbs are created equal
Not All Carbs Are Created Equal
  • Healthy eating is an important part of Carb counting
    • Whole wheat pastas, breads, grains and fruits
      • High fiber foods may slow the rise of blood glucose after eating
      • Some fiber is not digested or absorbed
      • Some fiber can be subtracted from the Total Carbohydrate on the nutrition label
    • Low-fat dairy for heart health
fiber and sugar alcohols
Fiber and Sugar Alcohols
  • For example:

Total Carbohydrate 30 grams

Dietary Fiber 10 grams

30 grams (Total Carbohydrate)

- 5 grams (half of dietary fiber)

25 grams of Carb to count

  • The same rule applies for sugar alcohol
what about these foods
Pizza

Chinese food

Mexican food

Movie popcorn with butter

Ribs

Burger & fries

Pancakes with butter & syrup

Buffets

Holiday meals

High-Fat

&

High-Carb

What About These Foods?
how to calculate insulin dose by counting carb choices
Insulin prescribed by a Doctor:

“1 unit of insulin for every Carb choice”

¾ cup cereal + ½ banana + 1 cup milk

How many Carb choices are in this meal?

How many units of insulin are needed?

How to calculate insulin dose by counting Carb choices

3

1 unit x 3 Carb choices = 3 units of insulin

how to calculate insulin dose by counting grams of carbs
How to calculate insulin dose by counting Grams of Carbs

Insulin prescribed by MD:

“1 unit of insulin for every 15 grams of Carb”

1 burger patty + 1 hamburger bun + ½ cup peas + 1 small apple

  • How many grams of Carb is in this meal?
  • How many units of insulin are needed?

60

60 grams of Carb ÷ 15 = 4 units of insulin

how do i know if i counted right
How Do I Know If I Counted Right?
  • Check blood glucose before meals and 1-2 hours after meals
    • Before meal blood glucose shows if basal

insulin or long-lasting insulin is sufficient

    • After meal blood glucose shows how different amounts of Carb and insulin affect blood glucose

ADA - American Diabetes Association

AACE - American Association of Clinical Endocrinologists

what if i counted wrong
What If I Counted Wrong?
  • Blood glucose too high – too many Carbs
  • Blood glucose too low – not enough Carbs
  • Check portion sizes
  • Rate of digestion/absorption:
    • Simple sugars = 15 - 30 minutes
    • Complex Carbs = 1 - 1 ½ hours or more
    • Fat and protein take several hours
what can i do better next time
What Can I Do Better Next Time?
  • Importance of keeping records
    • To recall how different foods effect blood glucose levels
    • Individual effects
  • Learn from your mistakes
    • Review what you ate
    • Check blood glucose to see if it was too much or too little
tools you can use
Tools You Can Use
  • CCS Medical Log book
other tools
From CCS Medical:

Let’s Count Carbs Teaching sheet

CCS Medical Education Book

Healthy Options Restaurant Guide

Others:

ADA’s Choose Your Foods

Bowes & Church’s Food Values

The Calorie King

ADA’s Restaurant Guide

Other Tools
slide26
Thank you!

Questions?

local resources
Local Resources
  • CDE Name:

Contact info:

Location:

Classes offered:

Support Groups:

references
References
  • American Diabetes Association and American Dietetic Association, “Choose Your Foods: Exchange Lists for Diabetes”, 2008.
  • www.dce.org/pub_publications/files/ReadySet Start_ final.pdf
  • www.dce.org_publications/files/Carb_counting_focus_consistency.pdf
  • Hope S. Warshaw, MMSc, RD, CDE; Karmeen Kulkarni, MS, RD, CDE. Complete Guide to Carb Counting, 2001.
references29
References
  • “American Diabetes Association: Diabetes Care,” volume 32, Supplement 1, January 2009, S 22 .
  • “Endocrine Practice,” volume 13, Supplement 1, May/June 2009, p. 16
  • CCS Medical educational materials:
    • Let’s Count Carbs™
    • Diabetes Nutrition Placemat
    • Healthy Options Restaurant Guide
slide30

Specializing in

Convenient Home Delivery

of Medical Supplies

who is ccs medical
Who is CCS Medical?
  • 2nd largest home delivery service of medical supplies
  • One of the largest insulin pump/pump supplies distributor
  • 5 major distribution centers nationwide
  • Servicing about 375,000 patients
ccs medical patients benefits
CCS Medical Patients’ Benefits
  • Convenient home delivery
  • Helpful reorder reminders
  • Comprehensive insurance processing
  • CDE’s available to answer questions
why do doctors refer their patients to ccs medical
Why Do Doctors Refer their Patients to CCS Medical?
  • Knowledgeable staff
  • Quality product selection
  • Reliable patient service
  • Local education and support
ccs medical delivers
Testing supplies,insulin pumps and pump supplies

Prescription medications

Wound care supplies

Urological and incontinence supplies

Ostomy supplies

Respiratory supplies and medications

CCS Medical Delivers:
getting started is easy
Getting Started is Easy!
  • Any questions?
  • By completing the form, we can help you get started today!

CCS Medical 1-800-726-9811

www.ccsmed.com