CarbControlled Diet

Overview Training
By: Lisa Homiak

Purpose of Diet
A

Carb-Controlled Diet is used for people

with diabetes
This helps manage their blood sugar levels
Balance between carbs eaten and insulin
is important in how you feel
Insulin helps the glucose enter the cell,
removing it from the blood

Types of Diabetics
A

person who has Type I Diabetes Mellitus

(DM) is usually diagnosed at a younger
age. Their body does not produce insulin.
A person who has Type II DM is usually
diagnosed at an older age and has
developed the disease due to lifestyle
factors such as uncontrolled blood sugars
over time, overweight and inactivity. The
body no longer uses insulin properly.

Dangers of Uncontrolled Blood

Sugar
Uncontrolled

blood sugar can lead to

episodes of hyperglycemia (high sugar) or
hypoglycemia (low sugar).
High sugar works like scouring pads in your
body. This can lead to heart problems,
blindness, amputations, diabetic coma and
other serious potential health issues.
Low sugar can lead to feeling weak or faint,
and more seriously you could become
unconscious.

Consistency is Key
Eating

the correct amount of CHO

throughout the day is therefore very
important so your blood sugars dont rise
too high or drop too low.

General Rule to Follow

1

serving = 15 gm CHO

Examples
1

of 15 gm CHO:

slice of bread
1/3 cup of rice
1 small apple

What is a Carbohydrate?
Simple Carbs = Simple Sugars
Candy,

soda pop, syrups, fruit, milk

Raise blood sugar much faster and higher

Complex Carbs
Starches
Whole

that contain fiber

grains, brown rice, oatmeal

Digested

slowly so blood sugars dont rise as

high or as fast

Foods with Carbohydrates

Breads,

crackers, cereals
Pasta, rice, grains
Beans and Legumes
Milk and yogurt
Fruits, fruit juices
Starchy vegetables
Potatoes,

corn, peas

Low to No Carb Foods

Low

Carb Foods (< 5 mg CHO)

Coffee,

tea, eggs, meat*, lettuce, nonstarchy vegetables

Poultry and beef gravy (5 gm)
Sweet & Spicy Coleslaw (5 gm)
Condiments
Ketchup,

--> less than 5 gm CHO

mustard, butter, non-dairy

creamer, diet mayonnaise/jelly/syrup

How does this diet work?

The

doctor will determine how many

carbs are allowed per meal
Carbohydrate foods are then counted at
each meal
Common limits are 60g m CHO/meal or 75
gm CHO/meal

What Does 60 gm CHO Look

Like?
Example:

The patient is ready to order

lunch, on a 60 gm CHO/meal diet order.

Roast

Turkey Sandwich (25)

Fresh Banana (24)
Chicken Rice Soup (8)
=

57 gm CHO

What does 75 gm CHO Look

Like?
Example:

The patient is ready to order

dinner, on a 75 gm CHO/meal diet order.

Pasta

with Meat Sauce (41)

Steamed Carrots (6)
Tossed Garden Salad with Diet Italian
Dressing (6)
Chocolate Ice Cream (18)
=

71 gm CHO

60 gm CHO Breakfast
Combine

items to create a 60 gm CHO meal:

Oatmeal (25)
Milk - 2% or skim(12)
Cranberry Juice (15)
Cheerios (12)
Fresh Apple (17)
Lite Strawberry Yogurt (9)
Home Fries (25)
Breakfast Sandwich (24)

Case Scenario
You

are delivering a CHO Controlled Diet

lunch tray to a patients room. When you
arrive, you see that the patients blood
sugars have not been checked yet today.
You go to the nurses station to notify them
you are leaving the tray for that room. The
nurse tells you to just go ahead and
deliver the tray and she will be in there in
a minute to check the patients blood
sugars. What should you do?

Case Scenario
You

are delivering a breakfast tray to a

patients room on a CHO Controlled Diet
order. You arrive and see that blood sugar
checks are marked off for all 3 meals.
What does this indicate, and what should
you do?

Case Scenario
Ms.

J is on a 60 gm CHO/meal diet order.

She is not feeling very hungry at dinner
time. She calls to order Chicken Noodle
Soup with a dinner roll, butter, and crystal
lite lemonade. This comes out to be about
28 gm of CHO. You enter the order and
have it sent up to her.
What is wrong with this scenario?

The End
Thank

you!
Questions?