Carbohydrate Counting in Youth with Type 1 Diabetes

فهرست عناوین اصلی در این پاورپوینت

فهرست عناوین اصلی در این پاورپوینت

● Carbohydrate Counting in Youth with Type 1 Diabetes
● Outline
● Youth with Diabetes Do
Not Meet Glycemia Goals
● Why Carb Count?
● Other methods
● DATA
● Factors relating to post-prandial glucose excursions
● Other issues
● Goals
● Tips for Carb Counting
● Benefits of Adjusting Insulin for Carbohydrates
● Other Considerations
● Focus on Carbohydrate
● Diabetes Food Pyramid
● Food Labels
● Starches
● Fruits
● Milk and Yogurt
● Resources
● Calculating a Dose
● How do you determine a ratio and blood sugar correction factor?
● How do you determine a ratio and correction factor?
● Poor Food Record
● Excellent Food Record
● Examples
● Food Records
● Challenges to Establishing Ratios
● Carbohydrate Counting in Adolescents with Type 1 Diabetes (CCAT) Study
● Introduction
● Subjects
● Methods
● Results
● What does this mean?
● Conclusion
● The Carbohydrate Counting Quiz . . .
● Your Turn!
● Instructions for Carbohydrate Quiz
● The Answers
● Label Reading Quiz
● The Answers

نوع زبان: انگلیسی حجم: 4.09 مگا بایت
نوع فایل: اسلاید پاورپوینت تعداد اسلایدها: 51 صفحه
سطح مطلب: نامشخص پسوند فایل: ppt
گروه موضوعی: زمان استخراج مطلب: 2019/06/15 11:44:22

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عبارات مهم استفاده شده در این مطلب

عبارات مهم استفاده شده در این مطلب

carb, insulin, food, count, carbohydrate, diabetes, blood, sugar, ۱۵, cup, unit, .,

توجه: این مطلب در تاریخ 2019/06/15 11:44:22 به صورت خودکار از فضای وب آشکار توسط موتور جستجوی پاورپوینت جمع آوری شده است و در صورت اعلام عدم رضایت تهیه کننده ی آن، طبق قوانین سایت از روی وب گاه حذف خواهد شد. این مطلب از وب سایت زیر استخراج شده است و مسئولیت انتشار آن با منبع اصلی است.

http://www.ucdenver.edu/academics/colleges/medicalschool/centers/BarbaraDavis/Documents/teaching-keystone2008/Owen_Maahs_Bishop.ppt

در صورتی که محتوای فایل ارائه شده با عنوان مطلب سازگار نبود یا مطلب مذکور خلاف قوانین کشور بود لطفا در بخش دیدگاه (در پایین صفحه) به ما اطلاع دهید تا بعد از بررسی در کوتاه ترین زمان نسبت به حدف با اصلاح آن اقدام نماییم. جهت جستجوی پاورپوینت های بیشتر بر روی اینجا کلیک کنید.

عبارات پرتکرار و مهم در این اسلاید عبارتند از: carb, insulin, food, count, carbohydrate, diabetes, blood, sugar, ۱۵, cup, unit, .,

مشاهده محتوای متنیِ این اسلاید ppt

مشاهده محتوای متنیِ این اسلاید ppt

carbohydrate counting in youth with type ۱ diabetes management of diabetes in youth biennial conference of the barbara davis center for childhood diabetes july ۱۲ ۱۶th keystone colorado david maahs darcy owen franziska bishop outline overview of data literature on and rationale for carbohydrate counting in diabetes overview of practical aspects of carbohydrate counting i.e. what happens when the md asks the rd to teach them to carb count current research at the bdc including a brief carb counting quiz youth with diabetes do not meet dietary goals mayer davis jada ’ ۶ ۶۸۹ ۹۷ figure. percent of male and female youth with diabetes who meet dietary recommendations search for diabetes in youth participants in the dietary assessment protocol prevalent ۲ ۱ and incident ۲ ۲. p . ۱ for comparison of males vs females adjusted for clinical site race ethnicity and parental education level. mayer davis jada ’ ۶ ۶۸۹ ۹۷ youth with diabetes do not meet glycemia goals hvidore data diabetes care ۲ ۱ why carb count need some methodology on which to base rapid acting insulin dosing with meals snacks can allow for more flexibility with eating for people with type ۱ diabetes theoretically should better match insulin bolus to carb intake and result in reduced post prandial hyper and hypoglycemia why carb count primary goal of diabetes management is to normalize blood glucose concentrations both mdi and csii require patient or parent input of cho to determine proper insulin bolus doses other methods sliding scale consistent cho intake pattern management principles insulin cho ratios exchange or portion systems gi glycemic index and gl glycemic load data dafne study course teaching flexible intensive insulin treatment combining with dietary freedom and insulin adjustment improved a۱c at ۶ months ۹.۴ v. ۸.۴ p . ۱ improved ‘quality of life’ at one year dcct using cho insulin ratios in intensively treated group improved glycemic control factors relating to post prandial glucose excursions mismatch of amount of insulin to ingested cho poor cho counting failure to account for macronutrient content of ingested food mismatch of the timing of rapid acting insulin bolus delivery and subsequent insulin action to cho absorption with resultant post prandial hyperglycemia other issues exercise post exercise rapid acting insulin dynamics onset of action peak action etc location of delivery subcutaneous not portal psychological factors goals improve understanding of the role of dietary factors and physical activity in glucose excursions reduce glucose variability for patients improve quality of life potential application for clinical care now for closing the loop for an artificial pancreas later tips for carb counting benefits of adjusting insulin for carbohydrates allows more flexibility no need to stay within carb ranges for meals for patients on pump therapy or mdi eating schedule can be much more flexible more advanced form of diabetes management potential for more accurate dosing pump therapy requires carb input other considerations who will be responsible for carbohydrate counting parent child or both math skills carbohydrate counting at school mdi csii focus on carbohydrate main nutrient that is converted to blood sugar emphasize total amount of carbohydrate not the source carbohydrates are starches grains beans starchy vegetables fruits milk and yogurt other carbohydrates i.e. sweets desserts etc glycemic index not used much with children and type ۱ research is mixed as to benefit for our patients. may suggest trying lower gi meals if they have difficulty with high post meal bgs. protein and fat do not convert to bg. diabetes food pyramid food labels locate serving size locate total grams of carbohydrate rules for fiber and sugar alcohols starches ۱۵ gm carb servings ۱ slice bread ۱ ۲ cup mashed potato ۱ dinner roll ۱ ۲ cup corn ۱ ۳ cup cooked pasta rice or beans fruits ۱۵ gm carb servings ۱ small piece of fruit ۱ ۲ cup ۴ oz juice ۱ cup cubed melon ۱ ۲ cup canned fruit light or juice packed ۱ ۲ cup applesauce unsweetened milk and yogurt ۱ ۲ pint or ۱ cup ۸ fl oz milk ۱۲ gm carb go gurt ۱۳ gm carb yogurt light ۶ ۸ oz ۱۵ gm carb ½ pint or ۱ cup chocolate milk ۲۵ ۳ gm carb resources the calorie king calorie fat and carbohydrate counter allan borushek www.calorieking.com www.diabetesnet.com salter ۱۴ nutritional scale www.nutritiondata.com recipe evaluation text messaging service diet۱ ۳۴۳۸۱ palm pilots calculating a dose ۳ step process ۱st step insulin to carb ratio determine how much insulin is needed for carbs eaten at meal or snack count up total carb grams divide total grams by ratio calculating a dose ۲nd step blood glucose correction determine how much insulin is needed to correct blood sugar bg to target check bg calculate insulin amount needed to bring bg into target range i.e. … ۱ unit per ۵ over ۱۵ individualized ۳rd step total dose insulin needed for carbs plus insulin needed for bg calculating a dose insulin to carb ratio ۱ unit per ۱۵ gm carb bg correction ۱ unit per ۵ over ۱۵ carb component ۶ gm ÷۱۵ ۴ units blood sugar correction ۲۵ ۱۵ ۱ ۱ ÷۵ ۲ units total dose ۴ units ۲ units ۶ units smart pumps do the math for you how do you determine a ratio and blood sugar correction factor rules ۱۵ rule blood sugar correction factor ۱۵ divided by tdd of points mg dl blood sugar will be lowered by ۱ unit of regular insulin ۱۷ ۱۸ ۲ rule correction factor same principle as above – however for rapid acting insulin depends on proportion of basal to bolus dose ۵ rule insulin to carb ratio ۵ divided by the tdd for rapid acting insulin smaller number gives larger bolus larger number gives smaller bolus how do you determine a ratio and correction factor food records time of day meal or snack is occurring insulin – type and amount blood sugar values pre prandial ۲ hour post prandial food – type and amount estimated grams of carbohydrates in individual food items activity poor food record excellent food record examples excellent food record all food amounts listed details about food items accurate carb counting adequate blood sugar readings including ۲ hour post prandial values poor food record patient did not list food amounts not enough blood sugar readings and or no ۲ hour post prandial blood sugar readings inaccurate carb counting food records from food records we can determine if the patient is carb counting accurately an …

کلمات کلیدی پرکاربرد در این اسلاید پاورپوینت: carb, insulin, food, count, carbohydrate, diabetes, blood, sugar, ۱۵, cup, unit, .,

این فایل پاورپوینت شامل 51 اسلاید و به زبان انگلیسی و حجم آن 4.09 مگا بایت است. نوع قالب فایل ppt بوده که با این لینک قابل دانلود است. این مطلب برگرفته از سایت زیر است و مسئولیت انتشار آن با منبع اصلی می باشد که در تاریخ 2019/06/15 11:44:22 استخراج شده است.

http://www.ucdenver.edu/academics/colleges/medicalschool/centers/BarbaraDavis/Documents/teaching-keystone2008/Owen_Maahs_Bishop.ppt

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