P R A C T I C A L
Carbohydrate
Counting2nd Edition A How-to-Teach Guide for Health Professionals
Hope S. Warshaw, MMSc, RD, CDE, BC-ADM, and
Karen M. Bolderman, RD, LDN, CDE
Director, Book Publishing, Robert Anthony; Managing Editor, Book Publishing, Abe Ogden; Acquisitions Editor, Professional Books, Victor Van Beuren; Production Manager, Melissa Sprott; Composition, American Diabetes Association; Cover Design, Koncept, Inc.; Printer, Worzalla Publishing.
©2008 by the American Diabetes Association, Inc. All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.
Printed in the United States of America
1 3 5 7 9 10 8 6 4 2
The suggestions and information contained in this publication are generally consistent with the Clinical Practice Recommendations and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Association—its officers, directors, employees, volunteers, and members—assumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.
ADA titles may be purchased for business or promotional use or for special sales. To purchase more than 50 copies of this book at a discount, or for custom editions of this book with your logo, contact Lee Romano Sequeira, Special Sales & Promotions, at the address below, or at [email protected] or 703-299-2046.
For all other inquiries, please call 1-800-DIABETES.
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Library of Congress Cataloging-in-Publication Data
Warshaw, Hope S., 1954-
Practical carbohydrate counting : a how-to-teach guide for health professionals / by Hope S. Warshaw, Karen M. Bolderman. -- 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-58040-282-8 (alk. paper)
1. Diabetics--Nutrition--Study and teaching. 2. Diabetes--Diet therapy--Study and teaching. 3. Food--Carbohydrate content--Study and teaching. 4. Patient education. I. Bolderman, Karen M., 1954- II. American Diabetes Association. III. Title.
[DNLM: 1. Diabetes Mellitus--diet therapy. 2. Diabetic Diet--methods. 3. Dietary Carbohydrates--
analysis. 4. Patient Education as Topic. WK 818 W295p 2008]
RC662.W3153 2008
616.4’620654071--dc22
2008020554
eISBN: 978-1-58040-360-3
Table of Contents
Chapter 1. What, Why, Who, and How Much?
Section 1: Basic Carbohydrate Counting
Chapter 2. Assessing Knowledge and Skills
Chapter 3. Concepts to Teach—From Basic Nutrition to Meal Planning
Chapter 4. Concepts to Teach—Counting Carb, Reading Food Labels, and Measuring Portions
Chapter 5. Basic Carbohydrate Counting Case Studies
Section 2: Advanced Carbohydrate Counting
Chapter 6. Concepts to Teach—Advanced Carbohydrate Counting
Chapter 7. Advanced Carbohydrate Counting and Continuous Subcutaneous Insulin Infusion
Chapter 8. Pattern Management for Glycemic Control
Chapter 9. Advanced Carbohydrate Counting Case Studies
Chapter 10. Impact on Glycemia of Dietary Components Beyond Carbohydrate
Chapter 11. Impact on Glycemia of Non-Dietary Factors
Chapter 12. Blood Glucose—Lowering and Related Medications
Chapter 13. Process to Develop and Maintain Personal Carbohydrate Counts
Appendix I. Resources for Carbohydrate Counting and Insulin Pump Therapy
Appendix II. Blood Glucose—Lowering Medications
Appendix III. Sample Record-Keeping for Basic and Advanced Carbohydrate Counting
Introduction
According to the American Diabetes Association (ADA), Medical Nutrition Therapy (MNT) is an integral component of diabetes management and diabetes self-management training (DSMT) (ADA 2008b). MNT has been