Back to Basics: Carb-Counting Tips
The idea isn’t complex: Add up the carbohydrates in a meal, dose insulin based on that number (your health care provider will explain how), then test your blood glucose to see the result. Carb counting takes a bit of practice, but it’s a great way to learn about eating well with diabetes. We’ve compiled a list of 30 tips that will help get you started. These aren’t “rules”—they’re just ideas from which you can pick and choose, straight from people who deal with diabetes every day.
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| Beth Velatini |
1. Accept your situation.
“You can’t ignore that you have diabetes,” says Beth Velatini, 42, who was diagnosed with type 2 diabetes in 2000. You may feel fine, she says, but uncontrolled diabetes can wreak havoc on your body that you won’t see for years. A better idea: Learn how to treat it now. “It is helpful to go to a nutritionist. Everything matters that you eat. It’s a pain that you can’t just stick anything in your mouth. [But] it’s a manageable disease if you choose to manage it.”
2. Educate yourself.
“Attend classes at clinics and hospitals, Diabetes EXPOs—anything your doctor, endocrinologist, or CDE [certified diabetes educator] suggests,” says 63-year-old Merrillee Knoll, who has had type 1 diabetes for 62 years. “Read everything you can get your hands on, visit websites. Never stop learning.”
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| Drew Golden |
3. Start small.
“When I was diagnosed, I was just completely overwhelmed,” says Drew Golden, 44, who has had type 1 diabetes since 1987. “Really, there are just a handful of key things you need for carb counting. One, know the insulin-to-carb ratio. Two, it’s really important to know what one unit of insulin does to your
blood sugar without eating.”
4. Begin at home.
“Start out at home and gradually work your way up [to eating out],” says Golden. “It’s always easier to eat at home than [it is to] eat out because you know the ingredients.”
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| Jamie Bronstein |
5. Test … a lot.
“I was doing a lot of testing when I got diagnosed,” says Jamie Bronstein, 42, who was diagnosed with type 2 in January 2010. “I’d eat and later I’d test and see how I reacted. I had to do an awful lot of testing at the beginning before and after meals. If I go on vacation or if I go out to eat, I’ll test before and after to see what impact something I’ve never tried before is having.”
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| Denise Costabile |
6. Enlist help.
“In the beginning, I needed the team to help me,” says Denise Costabile, 57, who was diagnosed with type 2 diabetes in April 2010. So when she ate at her favorite Italian restaurant, her husband put the bread on a chair so she wouldn’t be tempted to snatch a slice. “Having his help was key. I needed to surround myself with people who will help me.”
7. Learn from setbacks.
“Last night, I cheated completely, which I never do,” says Costabile. Instead of looking up a food’s carbohydrate content, she guessed. “When I do that, it prompts me to learn that number. I really try to be ready.”
8. Get to know the nutrition facts label.
“Outside of fresh fruits, vegetables, and dairy, I would not consider buying a food without a label,” says Knoll, who finds it easier to dose insulin when the carbohydrates are listed on the outside of the package.
9. Keep it simple.
“When I was first diagnosed, I found things I really love,” says Costabile. “I find comfort in keeping it simple. I have a certain salad dressing on my salad that I like. I stick to it. It’s simpler that way.”
10. Be consistent.
It’s not that you have to eat the same thing every day—far from it!—but it pays to think twice before deviating from your normal food habits. “The trick is to be consistent with the volumes [of food you eat],” says Golden. “If you eat 100 grams of carbs at one meal, you’re going to be injecting a lot of insulin and that’s where you get into trouble, risking these high errors.”
11. Find tech that works for you—and use it.
“For me, carrying [a carb-counting book] around was going to be a lot less efficient,” says Bronstein, who uses the Lose It iPhone app to look up foods’ carbohydrate counts. “It will tell you how many carbs are in everything. It will also do recipes for you. It will let you know all the nutrition information for one serving.”
12. Figure out what you can’t eat.
Yes, people with diabetes can have almost anything, in moderation, but carb counters sometimes find foods that, for them, just aren’t worth the glucose spikes. “Oatmeal was one of the things I had to rule out,” Bronstein says. “Cereal and milk I had to rule out. Pizza, I have to only eat one slice.”
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| Mike Barry |
13. Study your body.
“Measure your food to find out how many carbs are in that portion size and how that insulin dose [affects] blood sugar with those carbs,” says Mike Barry, 43, who has had type 1 for 30 years. “A little bit of record keeping goes a long way toward helping you figure things out. And once you figure things out, you can experiment a little.”
14. Plan it out …
“I’m a total geek about it,” says Velatini (below). “I do my grocery shopping and planning on Saturday. I make my meals the night before so I know what I’m having.”
15. … but learn how to improvise, too.
“When I leave the house, I don’t know if I’m going to have 30 grams of carbohydrates or 60 grams of carbohydrates,” says Barry. “I don’t take the insulin until I see the menu.”
16. Do your homework.
“I almost always check the menu before I go. Even if they don’t have a menu online, I have them fax it to me. They almost always do,” says Velatini. “I always pick three things that are healthy because they may be out of something. It’s OK to ask for substitutions. I know going into it how many carbs there are, because I’ve done my research.”
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| Merrillee Knoll |
17. Stay current.
“Although there is no exact science for counting carbs, it helps to stay on top of things, as sometimes the counts change,” says Knoll. “I use many lists, as some differ in what they cover: Some tell about restaurant foods, foods in certain cultures, uncommon foods, popular foods, fast foods, etc. It helps to keep current on what the food industry has to say.”
18. Get comfortable with guesswork.
“Dinner at a friend’s house, I would guesstimate,” says Knoll. “If the meal is mainly pasta, I would estimate the quantity of noodles and dose for that. If there is no carb count, what other route do you have but to guess? Not eat? I don’t think so.”
19. Get up to speed on the Internet.
“I weigh everything I eat. But you can’t do it when you go out to eat,” says Velatini. “[For that], the Internet is so great. You can look up anything on a BlackBerry.”
20. When eating out, order simply.
“It’s really, really tricky eating out if you don’t know the exact carb counts,” says Golden. “A lot of the chain restaurants sweeten their foods to make them taste better. It’s always easier to stick with simple meat and fish.”
21. Be suspicious of restaurant meals.
“If it’s a completely unknown restaurant, I try to order lower-carb items,” says Golden. “But what you get on your plate, it’s still up for debate if it’s really low-carb. Did they put sauce on it with sugar? Never take anything for granted.”
22. pay attention to portion size.
“I’ve moved away from really gigantic portions,” says Barry. He learned what average portion sizes look like and avoids jumbo meals when eating out. “Sometimes you go to a fancy restaurant and get a dollop of mashed potatoes. At [a big chain restaurant], you can get a heap.”
23. Split your plate.
“That’s the other danger of eating out. You get this huge plate and they’re all-American portion sizes. If you eat that whole plate, you’re going to eat 200 grams of carbs,” says Golden. “If I’m eating at a restaurant and they bring out a big plate of rice, I split the rice up on the plate into portion sizes.”
24. Weigh your food with a scale.
“If I use the scale . . . I calculate the carbohydrates pretty accurately,” says Barry. He uses his food scale to measure the number of grams of a given food (like nuts and pretzels that he then bags into individual servings) and calculates the carbohydrates. “I eat peanuts pretty regularly at work, so I’ll measure three servings of nuts. I know that each serving is 7 grams of carbohydrate. I’ll eat one third with breakfast, one third at lunch, and one third when I get home.”
25. Be smart about mindless munching.
“When you’re eating things like chips, instead of eating your way through the bag or bowl, take a napkin and count out one portion. So count out 10 chips. Then, when you’re done with them, you tear off the edge of the napkin as a reminder,” says Drew Golden. His trick works for dinner parties, too, when you’re grazing but want to keep track of the food you’ve eaten.
26. Don’t expect your book, app, or list to have all the answers.
“I have to think, is this the closest to what I’m eating?” says Bronstein. “I also try to gravitate toward things that I know aren’t too bad: chicken or fish or meat. I try to stay away from things that I know are going to spike me, [like] sweet-and-sour chicken.”
27. Learn the rules—then ignore ones that don’t work.
“Someone’s going to give you a rule of thumb at the outset—say, [eat] 45 grams at a meal. The only way you know if that works for you is to test at the outset and see how it works for you. Learn what different foods do for you,” says Bronstein. “They said at the outset maybe 45 grams of carbs at a meal, and personally that would have been too much for me.”
28. Know thyself.
“What works for you may or may not work for me,” says Knoll. “Carb counting is individual. Eat and test is the rule of thumb.”
29. Don’t worry about being an expert.
“You never feel like you have it 100 percent,” says Golden. “You get used to it. I never just take it for granted. It’s probably one of the reasons I keep going back to diabetes classes.”
30. Have faith that it will all get easier.
“Once you’re doing carb counting, it’s not at all hard,” says Golden. “After a while, you know, you’ve got the doses right and you don’t worry about it as much. You become gradually more comfortable.”









Comments
Comments are subject to review and will not be posted immediately. If you have an urgent medical question, please consult a health care professional. If you have a question for the staff of Diabetes Forecast, please send it to replyall@diabetes.org.Eating
As a diabetic patient can I eat following:
Melon, water melon, banana, mango, and other feuits.
Beef, mutton, kidney of mutton,etc.
Vegetable grow under earth, like carrot etc.
I will wait for your reply.
Eating
I have found that watermelon really gives me trouble. It spikes my sugar, then the bottom drops out with a low. Had a really bad experience with it.
Bananas can be tricky...if they are really ripe, they will spike your sugar. If a tad on the green side, not so bad.
I have found apples to work well, just account for the carbs. I had a medium size apple, 23 carbs.
Any beef, mutton, fish,etc works out great. There is an issue at times with fat, but as far as carbs go you are in good shape there.
yes you can
I just leave the hospital I didn´t know I´m diabetic, until get in to the hospital with ketoacidosis, now I´m in control.
you can eat this as follow:
melon, watermelon, strawberries 1/cup
banana and mango just half in each meal
beef could be 90 grms by day
sweet vegetables 1/2 cup
and all others vegetables 1 cup 3-5 times a day
eating right
my name is samantha queen and i was diagnosed in january 2011 with type 2 diabetes and i want to learn how to eat, know how to count carbs and learn how to eat sweets and when to eat them. I have yet to see a doctor but my numbers are normally good. Please help me?
Thanks,
Samantha Queen
Reply to Eating Right-S. Queen
Samantha:
I'm a type 1, diagnosed in 1979. You have come to the right place-American Diabetes Association. Check out the Food & Fitness section, What Can I Eat. This entire site is wonderful. Recipes are great too. But if you haven't really seen a doctor since January, you need to get that scheduled, and (I'm sorry) not a family physician. See an Endocrinologist. The doctor, along with a Registered Dietitian (RD)/Certified Diabetes Educator (CDE) and/or a nutritionist are your best people to meet, discuss and plan. I just read an article about a 90+ woman who is a type 1 and diagnosed in 1924 when she was 6 (insulin had only been used for three years - 1921). Inspiring for all of us!
eating right
you need to see yor dr. every 4 mos and have your a1c level checked. also, go to a diabetes class and they will show you how to count carbs at each meal and about your snacks and try to walk or do 30 min. of exercise a day. and by all means if you are overweight you need to lose weight.that is one more thing the diabetes class will help with.you didn't say if you are on meds or not. hope this helps. call your dr. and you will be told all the info u need. hope this helps.
Please get educate yourself
Please get educate yourself about the differences between type 1 and type 2. Type 1s survive by injecting insulin from day 1 of DX, type 1 is autoimmune disease that does not have a cure. We do not have beta cells that produce insulin, no insulin, death will occur in days. We are not typically overweight and must check our blood sugar several times a day.
Diet and carbs vegetables
Hello, This is the first day of watching what I eat and taking tests for sugar. My fingers are sore and my arms are sore. The diet I got is hard to follow somewhat.
Question I have: What vegetables have the least amount of starch that you can eat or snack on?
Thanks so much.
Atkins Diet?
Is the Atkins Diet good for a pre-diabetic or type 2 diabetic to follow?
Atkins diet
The Atkins diet I've tried several times looking for fast results. Fast water weight is what it gets you 1st, then fat & muscle loss. This is not a health balanced diet & I think should only be used in extreme situations. I was diagnosed with type 2 diabetes in Jan 2011. Started reading about eating healthy online & went to education classes with a nutritionist. Now I am on track losing about 1 lb per week. I've learned to be patient for the results & after the 1st month started felling a lot better, more energy, less weight, exercising by hiking & walking mostly. I was 310 lbs. 6 months ago. I lost 30lbs without even trying due to diabetes (scary). I was 280 # when diagnosed & was put on a 1600 calorie a day diet. I learned how to eat healthy & within those limits at least 6 days a week, I may splurge & have 2000 calories on the weekend but Hike for 2-2.5 hrs to burn more calories. I'm on track to be about 235lbs by my birthday in sept.
Eat healthy & in the right amounts to prevent your diabetes from getting worse.
You will enjoy eating more than the boring & unhealthy atkins diet.
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