Exam 3: CHO count Flashcards

1
Q

Why is CHO count important for DM patient?

A

All patients with DM should be educated on CC, Monitoring CHO intake remains key strategy in achieving glycemic control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Methods of CHO counting

A

CHO Counting

Exchange System:

Experience-based estimation:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is CHP counting

A

one serving of CHO = 15g (3 serving of CHO = 45g)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the exchange system

A

method used to help individuals with diabetes plan meals by categorizing foods based on their carbohydrate, protein, and fat content

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is experienced based

A

experienced patients know how many kcals food has

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does ES differ from CHO counting

A

Balanced intake of carbs, proteins, fats

Considers types of CHO

count ea. type of CHO for ea. meal time

includes g of CHO/P/F for ea food group

RD, specific cal for weight loss & CHO for PA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how does CC differ from ES

A

Carbohydrate intake (in grams/serving)

no diff between CHO types

count CHO per meal time

easier

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ES CHO categories

A

Starch

Fruits

Milk (fat-free/lowfat/1%,reduced-fat/2%, whole)

Sweets, desserts and other carbohydrates

Nonstarchy vegeables

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

examples of non starchy vegetables

A

Leafy Greens:

Spinach
Kale
Lettuce (e.g., Romaine, Iceberg)
Swiss chard
Arugula
Collard greens
Cruciferous Vegetables:

Broccoli
Cauliflower
Brussels sprouts
Cabbage
Others:

Asparagus
Cucumbers
Zucchini
Bell peppers (any color)
Tomatoes
Eggplant
Mushrooms
Onions
Green beans
Radishes
Celery
Alfalfa sprouts
Summer squash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

CC: size of cooked cereal, grain, starchy veg (legumes, rice, oatmeal, pasta, potato) that = one serving of 15g of CHO

A

1/2c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

CC: size of bread product (6oz tortilla, square slice, 1/4 bagel, 1/3 eng muf) that = one serving of 15g of CHO

A

1 oz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

CC: size of dry cereal that = one serving of 15g of CHO

A

1c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CC: size of cut fruit that = one serving of 15g of CHO

A

1/2c

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CC: size of fruit that = one serving of 15g of CHO

A

1 small piece about golf ball size

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

CC: size of dried fruit that = one serving of 15g of CHO

A

2T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

CC: size of milk that = one serving of 12g of CHO

A

1c

17
Q

CC: size of honey, syrup, sugar that = one serving of 15g of CHO

A

1T

18
Q

Your patient has following nutrition prescription: 1,800 calorie diet for weight loss, 55% of calories come from CHO. How many grams per day of CHO should this person have?

A
  • 1,800 x .55 = 990 calories from CHO
  • 1 gram cHO = 4 CHO per gram
  • 990 calories from CHO / 4 calorie per gram = 247.5g CHO per day
  • round to 250g CHO/day
19
Q

Your patient wants to eat 3 meals and 2 snacks per day. Patient wants biggest meal to be dinner. Distribute the CHO plan meal

A
  • breakfast 60g
  • snack 1 30 g
  • lunch 60 g
  • snack 2 30 g
  • dinner 70 g
20
Q
A