Diabetes Nutrition- Part B - Thrive · Bed-time; BS 122 BS 119 BS 170 BS 209 1 cup cooked oatmeal,...

Diabetes Nutrition- Part BRoseville & Sacramento Medical Centers

Health Education Department – Nutritional Services

2 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 3, 2016

Agenda

Carbohydrate review and counting

Carbohydrate counting resources

Menu planning

Dining out

Insulin-to-carbohydrate ratio


Introduction

How many of you already count carbohydrates?What are some of your carbohydrate-counting challenges?How many of you are using insulin with your meals?


Review carbohydrate sources

Sources of carbohydrates – quick review

Let’s count the carbohydrates – sample meal


Carbohydrate review: Dinner

Spaghetti and meat sauce:1 cup cooked spaghetti ________ grams carbohydrate½ cup spaghetti sauce _________ grams carbohydrateDinner roll _________ grams carbohydrateMargarine _________ grams carbohydrateTotal _________ grams carbohydrate


Carbohydrate review

At first, takes time and practice

Make a list of commonly-eaten foods and their carbohydrate grams


Carbohydrate counting resources

See “Diabetes and Nutrition Web Sites and Smart Phone Apps” handout

Calorie King® Calorie, Fat and Carbohydrate Counter book (or website or smartphone app)


Whoever said “winning isn’t everything”, was not fighting diabetes!


Menu planning

Did anyone bring a food record?

Can you count the carbohydrate in your meals?

How much carbohydrate do you need at your meals?


Dining out

Bring Diabetes supplies, medications and insulin

What foods will contain carbohydrates?

Can you look up the carbohydrate grams?

Practice Worksheet

7AMBreakfast

12 PM Lunch 2:30 PM Snack

6 PM Dinner 8 PM Snack 10:30 PM Bed-time

BS 122 BS 119 BS 170 BS 2091 cup cookedoatmeal,2 Tbsp. raisins, black coffee

Large tossed salad: 2 cups lettuce, 1 medium tomato, 1 cup sliced cucumbers, grilled chicken breast, 2 Tbsp. light Ranch dressing

1 cup chocolate frozen yogurt

Taco salad: 2 oz. ground beef, 1 cup lettuce, 1 medium tomato, ¼ cup onion, 2 Tbsp. tomato salsa, ¼ cup cheese, 1 Tbsp. sour cream, ½ cup beans, 20 tortilla chips

4 cups popcorn

Example of 1 day food log

30 minute walk


Nice try diabetes, but I’m still here!


Insulin and carbohydrates

Are you on set doses of meal-time insulin (either Regular or Humalog insulin) Need to keep carbohydrates same at each meal for best blood sugar managementTry to space meals 4-5 hours apartIf snacking, choose low-carbohydrate snacks


Insulin – to – Carbohydrate Ratio

What is an insulin – to – carbohydrate ratio?How much carbohydrate one unit of meal-time insulin coversMore flexibility with carbohydratesDaily Carbohydrate/Insulin record form


Where to go from here

Record your meals & count the carbohydratesPractice at one meal at a time if overwhelmedIf wanting an ICR, complete 4 days of the Daily Carbohydrate/Insulin records forms & contact a RD for more assistance


Today I will conquer diabetes, tomorrow the world!

Preventative Care App

Exclusive to Northern CaliforniaAlerts for health screenings dueAppointment remindersVideo visits And much moreDownload at the Apple Store or Google Play

Other Classes


Diabetes Nutrition-Part A

Plant Based Nutrition

Taking Care of Your Kidneys (with referral)

Nutrition Basics

Managing Your Weight

Healthy Weight

CHF (Congestive Heart Failure)

To schedule, call Health Education at (916) 784-5775

Diabetes Nutrition- Part B - Thrive · Bed-time; BS 122 BS 119 BS 170 BS 209 1 cup cooked oatmeal,...

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