Certain questions often arise regarding carbohydrate counting, such as: Why use carbohydrate counting ? Where does one start? How much carbolrydrate is prescribed? How does one balance the diet? How is carbohydrate counting taught to patients? Which patients are the best candidates for carbohydrate counting? This article provides possible answers to these questions based on clinical experience at the Vanderbilt University Medical Center Diabetes Research and Training Center, and the Diabetes Control and Complications Trial.
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References
1.
Glasgow RE, McCaut KD, Schafer LDBarriers to regimen adherence among persons with insulin dependent diabetes . J Behav Med1986;9:65-77.
2.
Meichenbaum D., Turk DCFacilitating treatment adherence. Factors affecting adherence. New York: Platnum Press, 1987:55.
3.
McCulloch DK , Mitchell RD, Ambler J., Tattersall RBInfluence of imaginative teaching of diet on compliance and metabolic control in insulin dependent diabetes. Br Med J1983;287:1858-62.
4.
Nuttall FQCarbohydrate and dietary management of individuals with insulin-requiring diabetes. Diabetes Care1993; 16:1039-42.
5.
American Diabetes Association, American Dietetic Association. Exchange lists for meal planning. Alexandria, Va, and Chicago: American Diabetes Association and American Dietetic Association, 1986.
6.
Lorenz RATeaching skills of health professionals. Diabetes Educ1989; 15(2):149-52.
7.
Woteki CE, Thomas RPEat for life: the food and nutrition board's guide to reducing your risk of chronic disease. Washington, DC: National Academy Press, 1992:12.
8.
Pennington Jean ATBowes and Church's food values of portions commonly used. Philadelphia: JB Lippincott Co, 1989.
9.
Halfon P., Belkhadir J., Slama G.Correlation between amount of CHO in mixed meals and insulin delivery by artificial pancreas in seven IDDM subjects. Diabetes Care1989; 12:427-29.
10.
Nuttall FQ, Mooradian AD, DeMarais R., Parker S.The glycemic effect of different meals approximately isocaloric and similar in protein, carbohydrate, and fat content as calculated using the ADA exchange lists. Diabetes Care1983;6:432-35.
11.
Nuttall FQ, Gannon MCPlazma glucose and insulin response to macronutrients in nondiabetic and NIDDM subjects. Diabetes Care199 1; 14:824-38.
12.
Nuttall FQDiet and the diabetic patient. Diabetes Care1983;6: 197-207.
13.
American Diabetes Association.Nutrition recommendations and principles for people with diabetes mellitus . Diabetes Care1994; 17:519-22.
14.
Grinvalsky M., Nathan DMDiets for insulin pump and multiple daily injection therapy. Diabetes Care1983;6:241-44.
15.
Chantelau E. , Sonnenberg GE, Stanitzek-Schmidt I., Best F., Altenalir H., Berger M.Diet liberation and metabolic control in type I diabetic outpatients treated by continuous subcutaneous insulin infusion. Diabetes Care1982;5:612-16.
