Diabetes Spectrum
Volume 13 Number 3, 2000, Page 149
From Research to Practice/ Medical Nutrition Therapy

Carbohydrate Counting: A Return to Basics


  In Brief

Carbohydrate counting as a meal planning approach increased in popularity for intensively managed individuals with type 1 diabetes after the Diabetes Control and Complications Trial. We now know that this approach offers benefits for a variety of population groups and is applicable to both type 1 and type 2 diabetes. When used with blood glucose monitoring information, it places people with diabetes in charge of food decisions and offers flexibility while focusing on glycemic control. It also incorporates the empowerment philosophy so important in today's approach to diabetes self-management education. Here, we offer six practical articles with case studies illustrating the application of carbohydrate counting in different populations and settings.


      
Carbohydrate Counting for Children and Adolescents
Roberta Laredo, RD, CDE
Carbohydrate Counting for Pregnant Women
Diane Reader, RD, LD, CDE
Carbohydrate Counting for Athletes
Ann Albright, PhD, RD
Carbohydrate Counting for People With Type 2 Diabetes
Mary A. Johnson, MS, RD, CDE
Carbohydrate Counting for Older Patients
Susan Saffel-Shrier, MS, RD, CD, Certified Gerontologist
Carbohydrate Counting in Institutions
Beverly W. Paddock, RD, LD, CDE

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Guest Editor
Melinda Downie Maryniuk, MEd, RD, CDE, FADA, is employed at the Joslin Diabetes Center in Boston as a program manager with the Affiliated Programs Division. After completing her dietetic internship at the Frances Stern Nutrition Center at Tufts New England Medical Center, she began working in diabetes education. After more than 20 years (and several different jobs), she still loves it.

An active volunteer, Ms. Maryniuk has served on the national Board of Directors of the American Diabetes Association (ADA) and was a faculty member for the ADA continuing education program on Medical Nutrition Therapy. She is now chair of the Education Program Recognition Committee and is on the executive committee of the Program Publications Editorial Board. A past chair of the Diabetes Care and Education (DCE) practice group of the American Dietetic Association, she is the founding editor of the DCE newsletter.


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