Showing posts with label diabetes; exchanges; carbohydrates; servings. Show all posts
Showing posts with label diabetes; exchanges; carbohydrates; servings. Show all posts

Sunday, October 23, 2011

Question of the Week: Low Carb or Not Low Carb?

The following question was submitted by one of my readers for discussion for this week's blog post, "I was just diagnosed with type 2 diabetes.  I would like to know, should I avoid carbs all together or is there a minimum you must eat?"

Carbohydrates have gotten a bad reputation within the past few years with the popularity of the Atkins and South Beach Diet Fads.   In reality, carbohydrates are the body preferred fuel source and can be a source of many vitamins,minerals,and fiber, so it is not a good idea to avoid all of them. 

There are "good carb choices" and "bad carb choices".  Choose the "healthy" carbohydrates, or in other words, "nutrient dense" choices such as those found in whole grains, vegetables, fruits, and skim/low fat dairy foods.  The carbs that should be limited or avoided are those in snack foods or baked goods (i.e. cookies, cakes) or candies.   Additionally, even "good choices" need to be eaten in moderation.   An appropriate range of carbohydrates in our diets is between 40-65% of total calories/daily.  Someone who eats 2000 calories daily should eat between 800 - 1300 of those calories from carbohydrates.  The brain needs an average of 130g (520kcals) of carbohydrates daily to function optimally.   

If you were just diagnosed with Diabetes, I would strongly suggest contacting a CDE (Certified Diabetes Educator) to assist you with any questions or concerns you may have.

Tuesday, November 23, 2010

Question of the Week: Carbohydrate Clarification?

The following question was submitted by one of my readers, "I am very confused. I have been told to have 3-4 carbohydrate choices at each meal. Could you help me figure out what one of these carbohydrates equates to? Is it one gram of carbohydrate or one item containing carbohydrate?"

Carbohydrate choices (also known as exchanges) have about 15g of carbohydrate in each serving. The amount of carbohydrate choices you can have each day is dependent on your calorie range. Carbohydrate consumption should be consistent so try to evenly distribute them between all of the meals you eat.

Each serving in the starch and fruit group contains about the same amount of carbohydrates — about 15 grams a serving. Milk contains 12g per serving. Non-starchy vegetables including, but not limited to, asparagus, celery, cauliflower, peppers, tomato, squash, and spinach have only 5g. Meats,Meat substitutes, and fats do not contain carbohydrates.

Serving sizes of these exchanges can be found at the following resource: Exchange Lists!

Some examples:
*1/4 of a Large Bagel (1oz) = 1 Starch Exchange (CHO)
*1/2 of an English Muffin = 1 Starch Exchange (CHO)
*1/2 of a Hot dog or Hamburger Bun (1oz) = 1 Starch Exchange (CHO)
*1/3 cup of rice (white or brown, cooked = 1 Starch Exchange (CHO)
*1/3 cup cooked pasta = Starch Exchange (CHO)
*1/2 cup cooked oats = Starch Exchange (CHO)
*(1) 4 oz Apple, small 1 Fruit Exchange (CHO)
*17 Small Grapes (3oz) 1 Fruit Exchange (CHO)
*1 1/4 cup whole strawberries = 1 Fruit Exchange (CHO)
*1 Cup (8 oz) Fat Free Milk = 1 Milk Exchange
*6 oz Yogurt, Plain = 1 Reduced Fat Milk