Saturday, May 5, 2012

WHAT IS THE MOST AMOUNT OF CARBOHYDRATES A DIABETIC SHOULD EAT A DAY?

Proper diabetes management involves balancing food intake with medications and physical activity, and carbohydrates lie at the heart of all three. Carbohydrates are responsible for supplying the body with energy through blood glucose, but excessive blood glucose is the hallmark of diabetes. Although carbohydrates are a necessary part of every healthy diet, diabetics must learn the maximum amount of carbs they should consume each day, as well as when they should consume them and what types.
MAXIMUM PERCENTAGE
Although the medical community has yet to come to a consensus on a specific amount of carbohydrates that diabetics should include in their diet, doctors and nutritionists generally recommend carbohydrates account for anywhere from 40 to 60 percent of daily caloric intake. Diabetes nutritionists and dietitians determine maximum carbohydrate intake based on your current medical situation as well as lifestyle factors. Active diabetics who participate in consistent physical activity and exercise, for example, may be in a position to handle a larger carbohydrate load than someone who leads a more sedentary lifestyle.
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TOTAL CALORIES
Because the recommended number of carbohydrates is directly linked to daily caloric intake, the actual number of calories derived from carbohydrates may differ for each person. The National Diabetes Information Clearinghouse recommends 1,200 to 1,600 calories per day for small and medium women, 1,600 to 2,000 calories for large women and small men, and 2,000 to 2,400 calories for medium and large men.
PORTION SIZES
Although a diabetic on a 1,600-calorie diet and a restriction of 60 percent of calories from carbohydrates may consume up to 960 calories from carbs each day, those calories must be spread across all meals and snacks. This is not only important for all diabetics, but it is critical for insulin-dependent diabetics to prevent bouts of hyperglycemia or hypoglycemia. Most diabetics use a meal planning technique, like exchange lists, constant carbohydrate meal plan or carbohydrate counting, to help them determine how many carbohydrates with each meal. For those not on a specific meal plan, the Joslin Diabetes Center recommends diabetics fill their plate half full of nonstarchy vegetables, one-quarter full of carbohydrates and the remaining one-quarter with lean proteins.
THE GLYCEMIC INDEX
Carbohydrates are not all equal, and there are both good and bad carbohydrates. The body absorbs some carbohydrates, like white bread or refined sugar, quickly, resulting in severe spikes in blood glucose levels. Complex carbohydrates, like whole grains and foods high in fiber, work their way into the system over a longer period of time, resulting in more stable blood glucose levels. The glycemic index rates carbohydrates on a scale from 1 to 100 based, on how much of an impact the food has on blood glucose levels. Good carbohydrates are those with a rating of under 55 and should be the go-to carbohydrates for diabetics. Foods with a rating of between 55 and 70 should only be consumed in moderation, and diabetics should avoid foods with a GI rating of more than 70.
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