Gupta Lovely, Khandelwal Deepak, Kalra Sanjay
Department of Dietetics, Maharaja Agrasen Hospital, New Delhi, India.
Department of Endocrinology, Maharaja Agrasen Hospital, New Delhi, India.
J Pak Med Assoc. 2017 Sep;67(9):1456-1457.
Carbohydrate counting or "carb counting" is a meal planning technique for persons with diabetes for managing blood glucose levels by tracking the grams of carbohydrate consumed at meals. With better patient education and awareness, carb counting has become an important step in diabetes management. People with all types of diabetes can be benefited with this approach via improved glycaemic control and quality of life. In the first part of this review basic principles of carbohydrate counting, its application in clinical practice and exchange lists pertaining primarily to South Asian populations have been discussed. Advanced carb counting involving equations which help in better understanding of insulin-to-carbohydrate ratio and insulin dose adjustment are also included in this review.
碳水化合物计数法，即“计算碳水化合物含量”，是一种针对糖尿病患者的膳食计划技巧，通过追踪每餐摄入的碳水化合物克数来管理血糖水平。随着患者教育水平和意识的提高，碳水化合物计数法已成为糖尿病管理的重要一步。各类糖尿病患者均可通过这种方法改善血糖控制和生活质量。在本综述的第一部分，讨论了碳水化合物计数法的基本原则、其在临床实践中的应用以及主要与南亚人群相关的食物交换份表。本综述还包括涉及有助于更好理解胰岛素与碳水化合物比例以及胰岛素剂量调整的公式的高级碳水化合物计数法。
