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    Diabetes: Counting Carbs if You Don't Use Insulin

    Diabetes: Counting Carbs if You Don't Use Insulin

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    Carbohydrate counting is a skill that can help you plan your diet to manage type 2 diabetes and control your blood sugar. This technique helps you determine the amount of sugar and starch (carbohydrate) in the foods you eat so you can spread carbohydrate throughout the day, preventing high blood sugar after meals. Carbohydrate counting gives you the flexibility to eat what you want and increases your sense of control and confidence in managing your diabetes.

    • Carbohydrate is the nutrient that most affects your blood sugar.
    • Carbohydrate counting helps you keep your blood sugar at your target level.
    • You can consult a registered dietitian or certified diabetes educator to help you master carbohydrate counting and plan meals.

    How to count carbohydrate

    Count carbohydrate and eat a balanced diet by:

    • Working with a registered dietitian or certified diabetes educator. They can help you plan the amount of carbohydrate to include in each meal and snack, counting either grams or servings of carbohydrate.
    • Eating standard portions of carbohydrate foods. Each serving size or standard portion contains about 15 grams of carbohydrate. It might be helpful to measure and weigh your food when you are first learning what makes up a standard portion.
    • Eating standard portions of foods that contain protein. Foods that contain protein (beans, eggs, meat, and cheese) are an important part of a balanced diet.
    • Eating less saturated fat and trans fat. A balanced diet includes healthy fat. Talk with a registered dietitian about how much fat you need in your diet.

    Know your daily amount

    Your daily amount depends on several things-your weight, how active you are, what diabetes medicines you take, and what your goals are for your blood sugar levels. A registered dietitian or certified diabetes educator can help you plan how much carbohydrate to include in each meal and snack.

    For most adults, a guideline for the daily amount of carbohydrate is:

    • 45 to 60 grams at each meal. That's about the same as 3 to 4 carbohydrate servings.
    • 15 to 20 grams at each snack. That's about the same as 1 carbohydrate serving.

    Other helpful suggestions

    Here are some other suggestions that will help you count carbohydrate:

    • Read food labels for carbohydrate content. Notice the serving size shown on the package.
    • Check your blood sugar level. If you do this before and 1 to 2 hours after eating, you will be able to see how food affects your blood sugar level.
    • Use a food record (What is a PDF document?) to keep track of what you eat and your blood sugar results. At each regular visit with your dietitian or certified diabetes educator, or whenever you think your meal plan needs adjusting, you can review your food record.
    • Get more help. The American Diabetes Association offers booklets to help people learn how to count carbohydrate, measure and weigh food, and read food labels. Also, you will need to talk with a registered dietitian or a certified diabetes educator to build a plan that fits your needs.


    Other Works Consulted

    • American Diabetes Association (2013). Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care, 36(11): 3821-3842. DOI: 10.2337/dc13-2042. Accessed December 5, 2013.
    • American Diabetes Association (2016). Standards of medical care in diabetes-2016. Diabetes Care, 39(Suppl 1): S1-S112.
    • Campbell AP, Beaser RS (2010). Medical nutrition therapy. In RS Beaser, ed., Joslin's Diabetes Deskbook: A Guide for Primary Care Providers, 2nd ed., pp. 91-136. Boston: Joslin Diabetes Center.
    • Franz MJ (2012). Medical nutrition therapy for diabetes mellitus and hypoglycemia of nondiabetic origin. In LK Mahan et al., eds., Krause's Food and the Nutrition Care Process, 13th ed., pp. 675-710. St Louis: Saunders.


    ByHealthwise Staff
    Primary Medical Reviewer E. Gregory Thompson, MD - Internal Medicine
    Kathleen Romito, MD - Family Medicine
    Adam Husney, MD - Family Medicine
    Specialist Medical Reviewer Rhonda O'Brien, MS, RD, CDE - Certified Diabetes Educator
    Colleen O'Connor, PhD, RD - Registered Dietitian

    Current as ofJuly 5, 2016

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