Carbohydrate Counting

1. Carbohydrate Counting In-service Elizabeth Olivares Dietetic Intern

2. Introduction • What is a carbohydrate? • What food contain carbohydrates? • Why patients are on a Consistent Carbohydrate diet? • Why count carbohydrates? • Grams and servings of carbohydrate in Consistent Carbohydrate diet. • Explaining hospital menu to patients. • Teach how to count carbohydrates. • Take a quiz to test knowledge.

3. What foods contain carbohydrates? • Grains: bread, cereal, rice, pasta, and other grains. • Starchy vegetables (potatoes, sweet potatoes, peas, corn, and winter squash). • Beans and legumes. • Fruit and fruit juices. • Milk, soy milk, and yogurt. • Pastries, jam, ice cream, sherbet, and syrup.

4. Consistent Carbohydrate Diet • Control blood sugars • Distribute carbohydrates intake at each meal

5. blood glucose Carbohydrates • Grains: bread, cereal, rice, pasta, and other grains. • Starchy vegetables (potatoes, sweet potatoes, peas, corn, and winter squash). • Beans and legumes. • Fruit and fruit juices. • Milk, soy milk, and yogurt. • Pastries, jam, ice cream, sherbet, and syrup.

6. Consistent Carbohydrate Diet • On the menu: The number of carbohydrates servings are in ().

7. Carbohydrate Counting 1 carbohydrate serving = 15 gram CHO

8. Starch • 1 slice of bread • 1 tortilla • ¼ large bagel • 2 taco shells • ½ hamburger or hot dog bun • ¾ cup ready to eat cereal • ½ cup cooked cereal • 1 cup broth-based soup • 4-6 small crackers • 1 serving of casserole • 1/3 cup pasta or rice (cooked) • ½ cup beans, peas, corn, sweet potatoes, winter squash, or mashed or boiled potatoes (cooked) • ¼ large baked potato • ¾ oz pretzels, potato chips, or tortilla chips • 3 cups popcorn (popped) 1 carbohydrate serving = 15 gram CHO

9. Fruit and Fruit Juices • 1 small fresh fruit (4 oz) • ½ cup canned fruit • ¼ dried fruit (2 tbsp) • 17 small grapes (3 oz) • 1 cup melon, berries • 2 tbsp raisins • ½ cup fruit juice 1 carbohydrate serving = 15 gram CHO

10. Milk/Yogurt • 1 cup fat-free or reduced fat milk • 1 cup soy milk • 2/3 cup (6 oz) fat free yogurt sweetened with sugar free sweetener 1 carbohydrate serving = 15 gram CHO

11. Sweets and Desserts • 2 inch square cake (unfrosted) • 2 small cookies • ½ cup ice cream or frozen yogurt • ¼ cup sherbet or sorbet • 1 tbsp syrup, jam, jelly, table sugar, or honey. • 2 tbsp light syrup 1 carbohydrate serving = 15 gram CHO

12. Test 1 • ¾ oz potato chips • 1 sandwich • 2 slices of bread • Ham • Tomato • Lettuce • Pickle • 1 serving = 15 gms • 2 servings =30 gms • Total = 45 gms

13. Test 2 • 2 pancakes • 2 eggs • 2 slices of bacon • 2 tablespoons light syrup • 1 cup milk • 2 servings = 30 gms • 1 serving = 15 gms • 1 serving = 15 gms • Total = 60 gms

14. Test 3 • 2 chicken & cheese enchiladas • 6” corn tortillas • 1/3 cup of rice • ½ cup pinto beans • 2 servings = 30 gms • 1 serving = 15 gms • 1 serving = 15 gms • Total = 60gms

15. Test 4 • ½ cup canned fruit • 1 diet coke • 1 medium baked potato w/ sour cream • 1 fried chicken thigh • ½ corn on the cob • 1/3 cup of pasta salad • 1 serving =15 gm • 0 • 2 servings =30 gm • 0 • 1 serving = 15 gm • 1 serving = 15 gm • Total = 75 gm

16. Test 5 • 1 cup noodles • shrimp • ½ cup mixed vegetables • 1 cup apple juice • ¼ cup orange sherbet • 3 servings = 45 gms • 2 servings = 30 gms • 1 serving = 15 gms • Total = 90 gms

17. References • Van Antwerp, M. Diabetic Diet Handout.