Determine Matias's initial CHO prescription using his usual intake at home as a guideline, as well as your assessment of his energy requirements. What nutrition education material would you use to teach Matias CHO counting?

What will be an ideal response?


• Matias's estimated energy needs are 25-30 kcal/kg or 1865-2250 kcal/day, and it is estimated that carbohydrates should provide 50-60% of kcalories, depending on the individual and his or her personal lipid profile.
• 0.50 x 1875-2250 kcal = 938-1125 kcal from carbohydrates / 4 kcal/g = 234-281g of carbohydrates. To determine the number of carbohydrate choices per day: 234-281 g / 15 g carbs = 15-18 choices/day.
• For Matias, the ICR was determined to be 17 g of carbs to 1 unit of insulin. Therefore, it could be determined that 234-281 g / 17 g carbs = 14-17 carb choices
• Provide Matias written materials for carbohydrate counting along with sample meal plans or a food diary to assist in tracking his diet and blood glucose readings. Provide resources for CHO counting including label reading, eating out in restaurants, computer or Smart Phone applications.

Nutritional Science

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