Diabetes nutrition counseling with Registered Dietician/Certified Diabetes Educator, Laura Nance, MUSC.
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Laura Nance: So you have diabetes I'm the dietician, I would like to talk to you a little about diet control or carbohydrate counting. Insulin is a hormone made by the pancreas and it's important to get glucose into the cells. Glucose enters your system through physiological process is by your body, but it is also enters in the system through food. So that's what we want to talk about which foods give you glucose and actually raise your blood sugar. Well, if you look at the food pyramid over here I'm going point to you the food groups that raise your blood sugar we call this carbohydrates we have the grains and the four left, that's rice, cereal, pasta, bread, crackers, muffins, bagels anything they have flour. We also have the fruits can fresh your frozen we have milk group and that would be your yogurt and your milk and then also sweet you don't see that very much in the pyramid, but sweets are in okay a part of a healthy diet, but they are going to be foods that raise your blood sugar as well. So with diabetes it's important to recognize for which foods are carbohydrates, which we just denied and to keep an eye on those foods with carbohydrates. We have some other food groups like the vegetables, green beans, broccoli, cauliflower, asparagus we are not really worried about those they don't have an impact on blood sugar, but they are good healthy things free to eat and then also the main protein foods. Like chicken fish, vigil lamb, pork and any kind of sea food and access well. They don't have a big impact on blood sugars, but they do provide your body with some good protein. So the next step in this process after recognizing your carbohydrate foods would be were how much am I taking in the best way to carbohydrate count is to actually look on a nutrition label and at the top you'll see the serving size and this example we have 16 crackers and then you will scrolls down to the middle of the label we all see the total carbohydrate and in this example it's 21 grams. So that means for 16 crackers there is 21 grams of carbohydrate. Some kids are limited on their grams of carbohydrate, but not always but the biggest thing is it's important to recognize which carbohydrate foods you are having and how many grams. Again sometimes there is a limit, and sometimes there is not, sometimes we are just giving insulin to match how many range you are having. Over all we do want to emphasize good healthy nutrition comes from every food group even the carbohydrates, so we don't really want to eliminated too many food groups from the diet. The one thing I probably would say to eliminate would be any kind of sweet drinks that would be collate, sweet tea or soda you just need to switch to an unsweetened diet or a sugar free or even drink a little bit more water, that way you can drink freely fruit throughout the day without having worried about carbohydrate counting. The other thing that I might say to limit will be your sweets again the part of a normal healthy diet for watch the portion. For instance this is a normal size granny okay, the other way to carbohydrate to count the size the food labels would be to use something called the exchange system, and that's the idea that every carbohydrate food in one portion for one serving has 15 grams of carbohydrate. The -- know what is that one portion or one serving. So for instance fruit is a carbohydrate well, a tennis ball size piece of fruit is going to be one serving and that has about 15 grams of carbohydrate. So if your orange is twice as big as this about size of a baseball or a softball I would say it probably has about 30 grams of carbohydrate so it's little bit of educating I guess it goes along with that. That's carbohydrate count in a nutshell again recognizing the carbohydrate food groups and looking at your food label or taking in educate guess on the amount of crabs you had is important and you want to get with your doctoring nutritionist about how many crabs where I need to be eati