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KBN 2014
Carbohydrate Counting
KBN 2014
Starches
15 Grams of Carbohydrate per Serving
KBN 2014
Fruits
15 Grams of Carbohydrate per Serving
KBN 2014
Vegetables
5 grams of Carbohydrate per serving
KBN 2014
Milk
12 Grams of Carbohydrate per Serving
KBN 2014
Fats & Meats
0 Grams of Carbohydrate Unless Breaded or Sweetened
KBN 2014
Summary
StarchesFruitsMilksNon-Starchy VegetablesMeats Fats
1515
12500
KBN 2014
Serving Sizes for Starches 1 slice of bread = 1 serving (15g. Carbohydrate)
½ hotdog or hamburger bun = 1 serving
1/3 cup cooked pasta = 1 serving
Cereals vary rule of thumb for flaked cereal ¾ cup, hot cereal ½ cup
4-6 crackers = 1 serving
1/3 cup rice = 1 serving
KBN 2014
Serving Sizes for Fruits
½ cup juice, canned fruit, or cooked fruit = 1 serving
1/3 cup cranberry or grape juice = 1 serving
1 small piece of raw fruit = 1 serving
1 cup of raw fruit = rule of thumb for 1 serving
KBN 2014
Serving Sizes for Milks
1 cup milk = 1 serving
6oz no sugar added yogurt = 1 serving
The difference between whole milk, 2% milk, 1% milk, and skim milk is the amount of fat that they contain
KBN 2014
Serving Size for Vegetables
½ cup cooked vegetable = 1 serving
½ cup vegetable juice = 1 serving
1 cup raw vegetable = 1 serving
KBN 2014
Serving Sizes for Meats
Usually 2-3 ounces at meals
1oz meat = 1 egg
1oz meat = 1 oz cheese
1oz meat = ¼ cup cottage cheese or tuna
1oz meat = 2 tablespoons of peanut butter
½ cup dried beans count as both an ounce of meat and a starch
KBN 2014
Serving Sizes for Fats
1 tsp of margarine or butter = 1 serving
1 slice of bacon = 1 serving
1 tsp of oil = 1 serving
1 tsp of mayonnaise = 1 serving
1 Tbs of salad dressing = 1 servingOIL
KBN 2014
Best Place to get Nutritional Information about a Product?
The food label
KBN 2014
Reading Labels1. Serving Size: information is for one
serving
2. Calories: a key for weight loss
3. Total fat: low-fat is less than 3 grams of fat per 100 calories
4. Total carbohydrate: including sugar, starch, fiber, and other
1
2
3
4
KBN 2014
Carb Counting PracticeHam Sandwich ___1 cup Raw Carrots ___Small Bag Chips ___Carton 2% Milk ___Small Apple ___
Total ___
Chips
KBN 2014
Carb Counting PracticeHam Sandwich ___1 cup Raw Carrots ___Small Bag Chips ___Carton 2% Milk ___Small Apple ___
Total ___
Chips
30 5151215
77
KBN 2014
Insulin to Carb RatioO Amount of insulin needed to cover a certain amount of
carbohydrate
O Example: 1 unit of insulin for every 15 grams of carbohydrate
O So for something 30 grams you would give 2 units of insulin
KBN 2014
Correction Factor
O A specified amount of insulin for specified mg./dL above target blood sugar.
O Example 1 unit of insulin for every 50 mg/dL above 150mg/dL
Back to Our Example• Carbohydrates 77
• Blood Sugar 209
• Insulin to Carbohydrate ratio 1 unit for every 15grams
• Corrective Factor 1 unit for every 50mg/dL above 120mg/dL
KBN 2014
KBN 2014
5 units for carbohydrates and 1 unit for correction factor of 6 units
May administer 0.5 unit if the insulin pen administers 0.5 unit doses . Total dose of insulin is 6.0-6.5 units
May administer 0.1 units of insulin if using insulin pump. TOTAL dose is 6.3 units of insulin.
Know Student’s Doctor’s Orders!!!!
How Much Insulin?
÷ =
Carb Factor Total Carbohydrates Carb Insulin Units
- = ÷ =
Blood Sugar Target Blood Sugar Correction Factor Hyperglycemia Insulin Units
Ketones? When BG is Small Moderate Large Over 250
+ +
Ketone Supplement
=
TOTAL INSULIN
KBN 2014
77
209 150
15
5059
5.13
1.18
5.13
1.18
6.31