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.
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