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Nutrition: Carbohydrate counting

Christine McKinney, RD, LDN, CDE, Thomas Donner, M.D.
Nutrition: Carbohydrate counting is a topic covered in the Johns Hopkins Diabetes Guide.

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DEFINITION

  • Carbohydrate counting is a meal-planning approach estimating carbohydrate intake to promote glycemic control.
  • Carbohydrate counting is recommended for patients with type 1 diabetes and patients taking multiple daily injections of insulin or insulin pump therapy. This is often recommended to determine mealtime insulin doses.
  • There is not an ideal percentage of carbohydrates, protein, and fat for all people with diabetes. This should be individualized according to current eating patterns, preferences, and metabolic goals[4].
  • Carbohydrate counting can be used by anyone with diabetes regardless of diabetes medications. Other methods for carbohydrate management strategies include the plate method, portion control, simplified meal plan or food lists and carbohydrate choices[1].
  • Medical Nutrition Therapy (MNT) is nutrition counseling that includes an individualized nutrition assessment, nutrition diagnosis, intervention (education and counseling) and monitoring, and evaluation with ongoing follow up by a registered dietitian.

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Last updated: December 4, 2018

Citation

McKinney, Christine, and Thomas Donner. "Nutrition: Carbohydrate Counting." Johns Hopkins Diabetes Guide, 2018. Johns Hopkins Guide, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547102/all/Nutrition:_Carbohydrate_counting.
McKinney C, Donner T. Nutrition: Carbohydrate counting. Johns Hopkins Diabetes Guide. 2018. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547102/all/Nutrition:_Carbohydrate_counting. Accessed March 23, 2019.
McKinney, C., & Donner, T. (2018). Nutrition: Carbohydrate counting. In Johns Hopkins Diabetes Guide. Available from https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547102/all/Nutrition:_Carbohydrate_counting
McKinney C, Donner T. Nutrition: Carbohydrate Counting [Internet]. In: Johns Hopkins Diabetes Guide. ; 2018. [cited 2019 March 23]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547102/all/Nutrition:_Carbohydrate_counting.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Nutrition: Carbohydrate counting ID - 547102 A1 - McKinney,Christine,RD, LDN, CDE AU - Donner,Thomas,M.D. Y1 - 2018/12/04/ BT - Johns Hopkins Diabetes Guide UR - https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Diabetes_Guide/547102/all/Nutrition:_Carbohydrate_counting DB - Johns Hopkins Guide DP - Unbound Medicine ER -