1. Cook Children’s 1 Ashley Cunningham RD, LD, CDE Carbohydrate Counting and Diabetes

2. Cook Children’s 2 Type 1 Diabetes Why count carbohydrates? To follow a meal plan Ex: 60g carbs at meals, 30g carbs at snacks To use an insulin-to-carb meal ratio Ex: 1:15 One unit of insulin/ 15 grams of carb

3. Cook Children’s 3 Type 1 Diabetes Encourage a healthy, balanced diet However….. They can eat cookies, cake, candy and other sweets occasionally. They must fit them into the meal plan. Recommend sugar-free drinks

4. Cook Children’s 4 Type 2 Diabetes Why count carbohydrates? To follow a meal plan To use in insulin-to-carb meal ratio Portion control!

5. Cook Children’s 5 Type 2 Diabetes Need weight loss Encourage a healthy, balanced diet Limit desserts, candy, etc Only sugar-free drinks No juice!! Drink white, low-fat or non-fat milk Limit fried foods More vegetables!! Encourage daily activity

6. Cook Children’s 6 Carbohydrate Foods Starches and grains Bread, cereal, tortillas Rice and pasta Crackers, pretzels, chips, popcorn Starchy vegetables: Beans (pinto, black, kidney, etc) Corn Potatoes Peas

7. Cook Children’s 7 Carbohydrate Foods Milk and Yogurt Fruit- fresh, frozen, canned, dried, juice Sweets, desserts, jelly and jam, syrups Sugared drinks

8. Cook Children’s 8 Free Foods ≤5 grams of carbohydrate/ serving Non-starchy vegetables Lettuce, tomatoes, green beans, broccoli, carrots, pickles, jalapeños Fats Butter, oils, shortening, avocado, olives, bacon, cream

9. Cook Children’s 9 Free Foods Protein Meat, fish, poultry, eggs, cheese Condiments Mustard, mayonnaise, soy sauce Spices and herbs Artificial sweeteners (Splenda®, Sweet-n-Low®, Equal®) Sugar-free drinks

10. Cook Children’s 10 Free Foods You Might Count …Depending on amount eaten Nuts and Peanut Butter Seeds Ketchup BBQ Sauce Low-fat Salad Dressings

11. Cook Children’s 11 Which foods in this school lunch are carbohydrates? Chicken Nuggets with Texas Toast Mashed Potatoes with Gravy Broccoli with Cheese Fruit Juice Milk

12. Cook Children’s 12 Which foods in this school lunch are carbohydrates? Chicken Nuggets with Texas Toast Mashed Potatoes with Gravy Broccoli with Cheese Fruit Juice Milk

13. Cook Children’s 13 Grams of Carbohydrate Measure based on serving sizes Read Labels

14. Cook Children’s 14 Serving Sizes 1 serving of carb= 15 grams Bread- One slice Pasta, rice- 1/3 cup Corn, mashed potatoes- ½ cup Milk- 1 cup Fruit- 4oz apple, banana, glass of juice Ice cream- ½ cup vanilla

15. Cook Children’s 15 Label Reading Only read two parts of the label Serving size Total Carbohydrates (gm) Do NOT read sugar!

16. Cook Children’s 16 Education Material “Choose your Foods: Exchange Lists for Diabetes” www.diabetes.org

17. Cook Children’s 17 References 1. American Diabetes Association, Inc., American Dietetic Association. Choose Your Foods: Exchange List for Diabetes. 2008. 2. Franz, M. A Core Curriculum for Diabetes Education, Diabetes Management Therapies; Fifth Edition. Chicago, IL: American Association Of Diabetes Educators; 2003.