Carb Counting for people with diabetes

Breaking down carbohydrates

Carbohydrates are nutrients found in many foods, including grains and starches, fruits, some vegetables, legumes, milk and milk alternatives, sugary foods and many prepared foods. They’re the body’s main source of energy. Carbohydrates can be grouped into “simple carbs” (sugars) and “complex carbs” (starches and fibres).

Simple carbs

Broken down quickly by the body, causing a faster rise in blood sugar levels.

Sugars

E.g., fruit, juice, milk, some vegetables, baked goods, candy, ice cream, pop, jam, dried fruit.

Complex carbs

Contain more fibre, are digested more slowly and don’t raise blood sugar levels as much – keeping you full for longer and your blood sugar more stable.

Starches

E.g., any food made with flour, beans, bread, cereal, vegetables, pasta, potato, rice.

Beans, fruit, lentils, nuts, seeds and vegetables

Fibre

E.g., beans, bran, fruit, lentils, nuts, seeds, vegetables, whole grains.

During digestion, sugars and starches are broken down into glucose (or sugar), which enters the bloodstream. They then make their way into the cells where they’re used for energy with the help of a hormone called insulin.

Friendly tip:

Unlike sugars and starches, fibres aren’t broken down by the body. This means they do not raise blood sugar levels, making them an important part of a healthy diet that:

Slows digestion
Balances blood sugar levels
Promotes “regularity” of bowel movements

Carbohydrates and type 2 diabetes

In type 2 diabetes, the body does not make enough insulin or does not properly use the insulin it makes. As a result, glucose can’t enter cells and stays in the bloodstream, making blood sugar levels rise. Over time, high blood sugar levels can lead to serious health problems, including heart disease and stroke.

Carbohydrate counting involves tracking the carbs you consume and sticking to a carbohydrate goal that’s been set for you – by a healthcare professional – to help manage your blood sugar levels and maintain your heart health.

Carb counting in 5 simple steps

#1: Talk to a Registered Dietitian (RD)

An RD can provide you with meal-planning tips and help you set your carbohydrate goal for each meal and snack. If you’ve never met with an RD, ask your doctor for a referral.

General carb goals for most adults:

45 to 60 grams/meal
15 to 20 grams/snack

Your carb goal may be based on your weight, activity level, medication regimen and blood sugar targets.

Friendly tip:

Stay within 5 grams of your carbohydrate goal per meal or snack.

#2: Know which foods contain carbs and which don’t

Foods that contain carbs include:

Grains: bread, noodles, pasta, crackers, cereals and rice
Fruits: apples, bananas, berries, mangoes, melons and oranges
Dairy products: milk and yogurt
Legumes: dried beans, lentils and peas
Vegetables: especially “starchy” vegetables such as potatoes, corn and peas

“Starchy” vegetables are high in starch and have more carbohydrates per serving than non-starchy vegetables.

Non-starchy vegetables include asparagus, broccoli, carrots, celery, green beans, lettuce and other salad greens, peppers, spinach, tomatoes and zucchini.

Foods that do not contain carbohydrates include:

Meat, fish and poultry
Most types of cheese
Nuts
Oils and other fats

TIP: While carbs can affect blood sugar, that doesn’t mean you should avoid carbs entirely. The type and amount of carb is what matters. Low-glycemic index foods can help control blood sugar, protect you from heart disease and stroke, and can make you feel full longer. Include more of these in your diet.

#3: Learn to estimate carbs

Become familiar with how many carbohydrates are in foods you typically eat. The following amounts of carbohydrate-rich foods each contain about 15 grams of carbohydrates:

1 slice of bread
1 6-inch tortilla
1/3 cup of pasta
1/3 cup of rice
½ cup of canned or fresh fruit, fruit juice or 1 small piece of fresh fruit, such as a small apple or orange
½ cup of pinto beans
½ cup of starchy vegetables, such as mashed potatoes, cooked corn, peas or lima beans
¾ cup of dry cereal or ½ cup cooked cereal

Some foods are so low in carbohydrates that you may not have to count them unless you eat large amounts. For example, the following amounts of non-starchy vegetables contain only about 5 grams of carbohydrate:

½ cup cooked non-starchy vegetables
1 cup of raw non-starchy vegetables

As you become familiar with which foods contain carbohydrates and how many grams of carbohydrate are in foods you eat, carbohydrate counting will be easier

TIP: The amount of carbs in processed food is listed on the nutrition facts table.

The amount of carbs listed is for the serving size given. Are you eating more, less or the same amount? Compare your serving size to figure out the amount of carbs you are eating.
The total amount of carbs in grams is listed first. This number includes starch, sugars and fibre (starch is not listed separately).
Fibre does not raise blood sugar and should be subtracted from the total carbs (i.e., 26 g carbohydrate – 7 g fibre = 19 g available carbs)

Refer to the section on nutrition labels and see where you can find serving size info within a nutrition facts table

#4: Log your meals and snacks

Get a notebook or download an app to help you record the foods and drinks you consume throughout the day
Include your serving size, using nutrition labels, restaurant fact sheets, government websites, measuring cups/spoons and kitchen scales to help estimate the number of servings consumed
Record the grams of carbohydrate in these foods and drinks

TIP: Carbs come from a variety of sources, including fruit and dairy – be mindful that these foods also count towards your carb goal.