Carbohydrate Counting Page 23

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Basal-Bolus Insulin and Carbohydrate Counting
What is carbohydrate counting?
Carbohydrate counting is an approach to meal planning.
When you know the amount of carbohydrate in your meal, you can match
the amount of bolus insulin you need to the carbohydrate that you will eat.
Matching meals to insulin helps you to adjust the amount of insulin you take
at each meal.
The amount of bolus insulin you will need will vary depending on the
amount of carbohydrate you eat. For example, if you eat three apples,
you will need three times the amount of insulin that you would need if
you ate just one apple.
Bolus
Insulin
Bolus Insulin
The more carbohydrate you eat, the more bolus insulin you need.
Work with your health care team to determine your correct
insulin dose.
Weight gain
One of the advantages of carbohydrate counting is flexibility of diet
and lifestyle. With this flexibility, however, there is a risk of weight gain
or unhealthy eating. Since you can increase your meal bolus to maintain
good diabetes control, you may be tempted to treat yourself to high calorie
desserts or large portions of your favourite foods. It is important for you to
meet with a registered dietitian to discuss nutrition and exercise guidelines
that are right for you.
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