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Insulins and insulin management
Published in Janet Titchener, Diabetes Management, 2020
Packaged foods are legally required to document the grams of carbohydrate per serving. Non-packaged foods such as fruit and vegetables obviously do not come with this information, but multiple resources are available to assist with carbohydrate counting: Reference books, available at any bookstore or on the web. One of the best is Calorie Fat and Carbohydrate Counter by Allan Borushek (Family Health Publications, 2020). www.CalorieKing.comAmerican Diabetes Association website.Carbohydrate counting apps for phones/computers
Traditional and Nontraditional Treatments for Diabetes
Published in Mary J. Marian, Gerard E. Mullin, Integrating Nutrition Into Practice, 2017
Patricia G. Davidson, Dwight L. Davidson
Carbohydrate counting, another method for meal planning, focuses only on maintaining a consistent amount of this macronutrient throughout the day by meals and snacks. The guidelines stress carbohydrate counting should be considered as a foundational dietary strategy for maintaining glycemic control [8,27]. According to the Academy of Nutrition and Dietetics, evidence-based guidelines for persons with type 1 or type 2 diabetes taking multiple insulin injections or who are on an insulin pump, carbohydrate intake should be matched with insulin needs. This is accomplished by using carbohydrate counting and established, individualized carbohydrate-to-insulin ratios [25]. Even though there is clear evidence that maintaining a consistent carbohydrate intake is beneficial, the ideal amount of carbohydrate as a percentage of the total calories is inconclusive. Therefore, it is recommended that “experience-based estimation” and carbohydrate counting are two good methods to use when establishing the ideal carbohydrate content of a person’s diet [27]. Maintaining a carbohydrate-consistent diet has shown improvement in blood glucose stability and plays an important role in regulating post-meal blood glucose excursions, as carbohydrate quality and amount are the best predictors of changes in blood glucose levels [35,36,40].
Care of Older Adults with Diabetes During Hospitalization
Published in Medha N. Munshi, Lewis A. Lipsitz, Geriatric Diabetes, 2007
Jason L. Gaglia, Martin J. Abrahamson
Prandial insulin is usually administered at mealtime. In patients eating consistent carbohydrate meals, a fixed dose of nutritional insulin may be calculated with a correction for premeal blood sugar, which can be easily accomplished in the form of an insulin scale. For patients practicing self-management, “carbohydrate counting” may be employed to allow more flexibility in the meal plan. The rapid-acting insulin analogues are excellent prandial insulins and may even be administered immediately after eating when it is unclear how much food is to be consumed. This is not recommended with regular insulin, which has a rather delayed onset of action. If rapid-acting analogues are utilized and food is not consumed in a timely fashion after administration, severe hypoglycemia may result.
Normo-Carbohydrate Nutrition: Results from a Pilot Study
Published in Journal of Community Health Nursing, 2018
NCN is a plan for healthy nutrition developed by the PI/RN based on carbohydrate counting. Carbohydrate counting is an accepted method of nutrition for people with diabetes and gestational diabetes (Warshaw & Bolderman, 2008). This approach was adopted along with two other principles to develop a comprehensive nutritional plan. The four principles comprising NCN include limit carbohydrate intake,eat every 2.5–3 h,eat at least one serving of fiber daily, andmeasure yourself weekly.
Carbohydrate counting in type 1 diabetes mellitus: dietitians’ perceptions, training and barriers to use
Published in South African Journal of Clinical Nutrition, 2022
Megan Esmè Dimitriades, Kirthee Pillay
Effective communication between healthcare professionals and patients was seen as a predictor of better diabetes care and outcomes, according to a study that investigated barriers to diabetes management.20 Low health literacy can often be confused with a lack of patient motivation and this could be addressed by providing better support for patients through patient-centred education.21 This study highlights the need for further training in the area of carbohydrate counting for dietitians, starting at an undergraduate level. A larger study incorporating all dietitians in South Africa should be conducted and participants should be recruited from both the private and public sectors.