The Carb Perfectionist
Transcription
The Carb Perfectionist
THE CARB PERFECTIONIST BY GWYN ERB THE CARB PERFECTIONIST Copyright 2007 by Gwyn Erb All rights reserved. Printed in the United States of America A publication of MeadowHill Press www.CarbPerfectionist.com Proof Copy—Do Not Distribute, Copy or Quote 1 FORWARD When our daughter was diagnosed with Type 1 diabetes at age seven, the one thought that would always bring me to tears was this: Devin, all grown up and standing behind her wedding cake, at the moment when the groom gives her that first frosting laden bite. The injustice of her having to know the carb count of that bite and having to take insulin for it was more than I could take. Yes, I know that crying over the future wedding day of a seven year old is silly. And I know there was a time not so long ago when parents of a newly diagnosed diabetic couldn’t even dream that their child would see their wedding day. But for me, it signified the reality of the rest of my daughter’s life. Always having to measure, calculate, and take her insulin. No vacations, no time off for good behavior, no exemptions for even the most special of special celebrations. Our family has come a long way since that day. We know the carb counts of all our favorite foods without even glancing at the exchange list and sometimes we decide who does the dishes by betting on Devin’s pre-meal blood sugar reading. Our non-diabetic son likes the green apple flavored glucose tabs so much that he passed them out to the neighbor kids for Halloween. We eat potluck at our friends’ barn dance, we go camping. Sometimes we even sleep through the night. (Although I admit, the thought of that wedding cake still chokes me up every time.) But while things have certainly become easier over time, the daily tasks of matching insulin to food, calculating carbs and making sure we all eat well will always be a challenge. I am thankful every day for the wealth of information available to help us meet that challenge, the promise of new therapies and medications, and the real hope for a cure. And so, this book is just my small addition to the many bits of wisdom that help all of us who live with diabetes every day. The approaches described in this book make our life a little easier and I hope that some of these ideas will help you too. Gwyn 2 Proof Copy—Do Not Distribute, Copy or Quote CONTENTS Chapter One: The Realities of Counting Carbs ............................................................................ 4 Are You a Carb Perfectionist?.......................................................................................... 5 Understanding Carb Ratios ............................................................................................. 7 A Word About Scales .................................................................................................... 13 Calculating Carbs on Your Computer or PDA ................................................................. 14 Perfectionist Realities ................................................................................................... 15 The Advantages ............................................................................................................ 16 Chapter Two: Introduction to Baking........................................................................................ 18 Perfectionist Pancakes .................................................................................................. 20 Classic Mashed Potatoes............................................................................................... 22 Cupcakes for the Purist ................................................................................................. 24 Busy Day Cupcakes ....................................................................................................... 26 Black Bean Soup ........................................................................................................... 28 Chapter Three: The Carb Perfectionist Cooks with the Kids ...................................................... 31 Cinnamon Milk ............................................................................................................. 32 Baked Pears .................................................................................................................. 33 Favorite Cereal ............................................................................................................. 34 Silly Pizza ...................................................................................................................... 36 “60 grams” Fruit Smoothie ........................................................................................... 38 Chapter Four: Carb Perfectionist Cheat Sheets ......................................................................... 42 Chapter Five: Using TCP Software ............................................................................................ 46 Proof Copy—Do Not Distribute, Copy or Quote 3 CHAPTER ONE: THE REALITIES OF COUNTING CARBS Counting carbohydrates and matching carbohydrate intake with insulin are the cornerstones of diabetes care. No matter if you are newly diagnosed or have been dealing with diabetes for decades, knowing the amount of carbohydrates you consume is the key to keeping your blood sugars in range. Other factors also come into play of course, but what you eat and when you eat it dominate the care structure. Yet, there are many times when we can’t be very accurate in our counts. Eating at a restaurant? Chances are you will have to make some educated guesses. Having dinner at a friend’s house who serves an ethnic cuisine you’ve never heard of? Maybe you’ll just have to pass—or make another guess. Someone in your diabetic child’s class is having a birthday and brought a homemade treat from home? Be prepared for a resulting high or low due to miscounting. Or worse yet, there’s a Ziploc of homemade trail mix that contains five kinds of candy, three different cereals, some marshmallows and a couple handfuls of popcorn with a few pretzels and raisins thrown in. Of course your child is determined to eat the whole thing. Hopefully you (or the school nurses) have a crystal ball! The realities of life mean that there will be many times when you just don’t know what the carb count is for the food in front of you and you really can’t make a very accurate guess. So what do you do? Of course, we all just do the best we can. We scour the Calorie King, flip through the ADA (American Diabetes Association) lists and we measure. Sometimes we just say no thanks. Sometimes we eat the food in question and HALLELUJAH! we figured it right! Sometimes we chase our mistakes for an hour or two. Sometimes when we’re not sure what foods will be available, we bring our own snacks. Maybe it’s the easy way out, but sometimes the thought of having to guesstimate the carbs for every meal your child eats on a three day road trip means that your food suitcase will be bigger than the one your clothes are in. Is there a better solution? Is there a way to count carbs that can increase the number of times we say “hallelujah” and make eating away from home less stressful? The Carb Perfectionist says yes! 4 Proof Copy—Do Not Distribute, Copy or Quote ARE YOU A CARB PERFECTIONIST? In the traditional approach to counting carbs that we all learned about when we were first diagnosed, certain amounts of different foods are known as an “exchange”. One exchange always equals 15 grams of carbohydrate even though the amount of food in an exchange will differ depending on the item. This amount, which is sometimes referred to as a “carb”, serves as the basis for meal planning. Meals generally consist of three or four carbs with snacks of one to two carbs. In the exchange system, a medium apple is generally thought of as one exchange or one carb. A very large apple would be one and a half carbs, with a serving of a four or five slices calculated at a half carb or half exchange. This method of counting carbs can work very well if you stick to a fairly regimented meal plan, and eat familiar foods. However, it is not very exact, which can be a real problem for some people. A more precise way to figure carbohydrate intake is to count every carb as a single unit instead of counting in blocks of 15. In this system a “carb” refers to one gram of carbohydrate instead of 15. Here, a medium apple might be referred to as “15 carbs” and a large apple as “20 carbs”. ADA handbooks and Calorie King lists offer Every food that you specific carb counts like this as do the nutrition encounter is made up of a information charts on the packages of prepared foods. number of components, some of which are A third method of counting carbs uses “carb ratios” or carbohydrates that your “carb factors”. Here, total carbohydrates are counted body uses for fuel. individually, just like before, but instead of calculating carbs per serving, the focus is on the amount of carbohydrate per gram of food. The terms “carb ratio” and “carb factor” refer to the percentage of a food item that is comprised of carbohydrates. Every food that you encounter is made up of a number of components, some of which are carbohydrates that your body uses for fuel. For example, Proof Copy—Do Not Distribute, Copy or Quote 5 apples are comprised of 13.81 percent carbohydrate. Most of the rest of an apple is water along with other trace components. So what exactly does this information mean for carb counting? Remember that medium apple from the previous example? It is still counted as 15 carbs, but instead of just saying it is a medium apple, a Carb Perfectionist also knows that this particular apple weighs 108 grams. Using the information that an apple is 13.81 percent carbohydrate and the fact that it contains 15 grams of carbohydrate, the Carb Perfectionist employs their rusty high school math skills to calculate the weight of the apple at 108 grams. To do this, the Carb Perfectionist determines that 15 is 13.81 percent of 108, and so, by definition, our medium apple must weigh 108 grams. Mathematically the equation looks like this: 15 grams carbohydrate / 13.81 percent carbohydrate = 15/.1381 = 108 grams Thus, if your medium apple weighs 108 grams, it totals 15 grams of carbohydrates. However, if the apple you are about to eat is 75 grams instead of 108, (a difference of 33 grams or about the same weight as a AA battery) it is more accurate to count it as 10 carbs instead of 15. Since 13.81% of 75 total grams (or .1381 x 75) is only 10 grams carbohydrate instead of 15, your medium apple has fewer carbs than you might have thought. On the other end of the spectrum, a small banana is also generally assumed to equal one exchange. Because a banana is made up of 22.8 percent carbohydrate, the small banana your dietitian told you about weighs 66 grams (without the skin). We know this because 22.8 percent of 66 (or .228 x 66) is 15. However, the small bananas I usually bring home from the store weigh about 95 grams. Taking 22.8 percent of 95 (.228 x 95) gives me a carb count of 21, which is 6 more carbs than I would have assumed I was getting by using the exchange system. If that doesn’t bother you, you can happily use the exchange system. If that makes you want to drop this book and buy a scale, you are a Carb Perfectionist. 6 Proof Copy—Do Not Distribute, Copy or Quote UNDERSTANDING CARB RATIOS As noted before, a carb ratio or carb factor indicates the portion of a particular food item that is made up of carbohydrates. Foods range from very low percentages of carbohydrates for items like broth or tofu to about 50% for most soft breads to 100% for pure sugar. The following listing of carb percentages for various common foods gives you an idea of this continuum. Water Beef Steak Eggs Cheddar Cheese Watermelon Carrots Clementines Apples Kidney Beans (canned) Corn (canned) Grapes Peanut Butter Baked Potatoes Bananas Pickle Relish Onion Rings Apple Strudel Whole Wheat Toast Chocolate Cake White Toast Oatmeal Cookies Raisins Cheerios Marshmallows Sugar 0 % carbohydrate 0 0.73% 1.28% 7.55% 9.58% 12.02% 13.81% 14.5% 15.41% 18.1% 19.56% 21.15% 22.84% 35% 37% 41% 51.16% 53.4% 54.40% 69.27% 75.18% 75.92% 81.3% 100% carbohydrate Proof Copy—Do Not Distribute, Copy or Quote 7 Basically speaking, carb ratios indicate the percent of the food item that can affect your blood sugar. However, although they give a pretty good estimate of how sweet a food will be, they do not indicate how healthy or unhealthy a food item is. Likewise, they cannot tell you how quickly food will be metabolized. Carb ratios are not the same as a glycemic index. The carb ratio information presented here is drawn from a large database prepared by the United States Department of Agriculture (USDA). This department has prepared an extensive catalog of nutritional information, including carbohydrate counts, for over 7,000 foods that is available on their website: http://www.nal.usda.gov/fnic/foodcomp/search This particular database is also noteworthy as it includes other categories of nutritional data in addition to carbohydrate information. Calorie counts, grams of fat and water, protein, sodium, cholesterol, vitamin and mineral content are all available. Carbohydrates listed in this database are calculated in grams by method of difference. This means that the amount listed as carbohydrate is the “difference between 100 and the sum of the percentages of water, protein, total lipid (fat), ash, and, when present, alcohol.” (USDA) Also, because some people exclude grams of fiber from their carbohydrate counts, it is important to note that the carbohydrate values listed in the USDA database include total dietary fiber. The default settings for the USDA data base present information for 100 grams of each food item. So, if you search for the information for 100 grams of apple, the database will tell you that a 100 gram sample contains 13.81 grams of carbohydrate. As you already learned, this means that an apple is 13.81 percent carbohydrate and 86.19% other components. 8 Proof Copy—Do Not Distribute, Copy or Quote USING CARB RATIOS In order to create a per gram carb ratio for apples—which is what you need in order to count carbs by the gram—divide the 100 gram carbohydrate listing by 100. Thus, for an apple, you divide 13.81 by 100 to get a carb ratio of .1381 carbs per gram. Likewise, to determine the carb ratios for the other items listed previously, divide by 100 or move the decimal point two places to the left (which is the same as dividing by 100). Don’t be confused by the fact that 13.81% and .1381 are the same number. Just remember that the carb ratio you use to determine the total carbohydrate in your food will be between 0 and 1 and you will always remember to move the decimal over when you need to. From this point on, using a carb ratio is very straightforward. Simply weigh your food in grams and multiply the result by the appropriate ratio. The result is the total number of carbohydrates for the food you have weighed. Simply weigh your food in grams and multiply the result by the appropriate ratio. The result is the total number of carbohydrates for the food you have weighed. For example, if you’d like to slice up an apple for your snack, cut as many slices as you’d like. Weigh the slices to determine their gram weight and multiply the weight by the carb ratio for apples. As previously noted, the ratio for apples with skin is .1381. Likewise if you want to eat 50 grams of green grapes, weigh them out, multiply by the appropriate carb ratio from the USDA database (.1819) and you will find that this particular serving contains 9.05 carbs. Or maybe you’d like to cut your toast slices into heart shapes this morning. Go ahead. Just weigh the part you plan to eat and multiply the result by .5116 (the carb factor for toasted wheat bread) to calculate the exact number of total carbs. If you are serving carrot sticks to your child, all you have to do is measure the grams of carrots they want and multiply by .0958. And, if your little darling decides to eat one bite out of each carrot and leave the rest, there’s no need to fuss. Just weigh what's left and subtract from the original measurement before determining the total number of carbs consumed. Proof Copy—Do Not Distribute, Copy or Quote 9 CALCULATING YOUR OWN CARB RATIOS But what do you do if the USDA hasn’t included a ratio for your favorite food? One solution is to use the ratio for the item in the database that is most similar to the item you plan to eat. For example if you have an M & M cookie, look at the ratio for chocolate chip cookies. It should be comparable. However, if you have the standard nutrition information label for the food item, you can calculate the ratio yourself. Simply divide the number of carbs per serving by the gram weight per serving. The result is a carb ratio for your item. So, for example, if you’d like to have some White Corn Chips, take a look at the nutritional information provided as provided on the bag (as shown at the right). Divide the total carbs per serving (18) by the grams per serving (28). This gives you a carb ratio of .6428. Therefore, these corn chips are 64 percent carbohydrate. Now all that’s left to do is to weigh the amount of chips you want to eat, and multiply the gram weight by .6428. You can do the same with the salsa. WHITE CORN CHIPS Nutrition Facts: Serving Size 1 oz. (28g/About 24 chips) Servings per Container 2.5 .... Total Carbohydrate 18G Total Net Weight: 2.5 oz (70g) If you want to eat the whole bag of chips, you can note the total weight in grams and multiply by .6428. In this case you’ll multiply 70 by .6428 to get 44.996. Alternately, you can multiply the servings per container (2.5) by the total carbohydrate per serving (18) to find the total carbohydrate for the bag (45). WEIGHING A PLATE OF FOOD When you sit down to a meal, the easiest way to determine an accurate carb count of the items you wish to eat is to weigh each item as you add it to your plate. Utilizing the tare function on your scale will make this a very quick and easy process. 10 Proof Copy—Do Not Distribute, Copy or Quote If you are unfamiliar with tare weight, it is simply a term used to refer to the weight of an item that is excluded from the net total for some reason. For example, the weight shown on a box of cereal is for the cereal only. This total excludes the weight of the actual box and any other packaging. Thus, the “tare weight” of a box of cereal is the weight of the box and packaging. It is excluded from the weight listed because you aren’t interested in how much box there is, but how much cereal you are getting. Thus, when we say we are going to “tare” something it means we will be determining the weight of the item excluding any packaging or equipment or other extraneous items. Using the tare function on your scale is very helpful when you want to calculate an entire plate of several different foods. You will want to exclude the weight of the plate as well as to determine the weight of each item separate from each of the other items. The tare function allows you to do this. First, put the plate on the scale and press the tare button. The scale will automatically adjust for the weight of the plate and reset to zero. Put the first food on the plate and note the weight—this is the weight of the food only, excluding the plate. Now tare the scale once again. This time the scale excludes the weight of the plate AND the weight of the first food item you placed on the plate. The scale will read 0 grams at this point. Add the second item to the plate. Note the weight for this item and continue to tare and add the rest of your meal items, noting the weight of each item. When you have finished adding items to the plate, calculate the total carbs by multiplying each weight by the appropriate ratio. This is especially handy with cold cereal at breakfast time—put the bowl on the scale and tare. Add however much cereal you want, note the weight and tare the scale. Add your milk and note the weight. Calculate the carbs with the ratios determined from the packaging or ratio data base and figure your insulin dose. You can use the same approach for adding fruit and muesli to your morning yogurt or, as you’ll see in the next chapter, to add ingredients to a mixing bowl when you are baking. Proof Copy—Do Not Distribute, Copy or Quote 11 ROUNDING OUT THE COUNT Another useful trick facilitated by carb ratios is determining the precise amount of food needed to equal a specific number of carbs. If you need a certain number of carbohydrates to make your insulin dose work out right just use the following calculation: Depending on how well you desired number of carbs / carb ratio of food paid attention to your high school math teacher, you Here’s an example. Let’s say you’d like a bit of will quickly realize that frozen yogurt to top off your meal and you need 12 there are a number of ways more carbs for your preferred insulin dose. The to do the math here. carton says ½ cup or 67 grams of yogurt has 19 carbs. You could scoop out a rounded ¼ cup or a somewhat more precise 2/3rd cup and just assume you were close to 12. But it’s both easier and more accurate to determine the carb ratio for the yogurt and weigh it right in the bowl. First, determine the carb ratio by dividing the carbs per serving by the total grams per serving. In this case it is 19/67 which equals .283. Now divide the number of carbs you’d like to eat by this ratio. For 12 carbs you figure 12/.283 which equals 42 grams. Now all you have to do is weigh 42 grams of frozen yogurt into your favorite bowl and enjoy your 12 carbs. You might also want to note the carb ratio on the carton with a marker for future reference. Depending on how well you paid attention to your high school math teacher, you will quickly realize that there are a number of ways to do the math here. If you like to do each step in linear order as described above and your calculator has the 1/x function you can do the calculation like this: 19/67 = [PRESS 1/X] * 12 = 42. Or, just punch in 67/19*12 or even 12/19*67 . Either way you get 42. 12 Proof Copy—Do Not Distribute, Copy or Quote A WORD ABOUT SCALES When selecting a scale for use in this system, choose a scale that has a digital read out. It will make things much simpler when you are determining weights and reduce errors introduced by incorrect reading. Another feature that you will want to look for is the ability to tare. Because you will often want to weight something in a container or on a plate, or will want to exclude other items on a plate, this feature will be especially useful. You should also look for a scale that can weigh a minimum of 2kg if you are planning to use it for baking or cooking. SCALES THAT CALCULATE CARBS FOR YOU There are several scales on the market that incorporate carb ratio technology. Instead of determining the gram weight and then multiplying by the ratio yourself, these scales compute the total number of carbohydrates automatically. They are programmed with the carb ratios for a number of foods and are able to calculate and display the total carbs for these foods. Basically, these scales prompt you to enter a code or food name for the food in question and then to place the food on the scale. The scale is then able to display the amount of carbs and other nutritional information based on the weight of the food. The Salter 1400 The Salter 1400 is one such scale. It is available at Bed Bath and Beyond as well as a number of other retailers for about $100. It looks like a small laptop computer with a numerical keypad and contains the USDA nutritional information for several thousand food items. To use it, you type in the name of the food you wish to eat using the numerical keypad like a cell phone. (i.e. for banana you press the “1” key twice for the letter “b” and once for the letter “a”, press the 6 twice for “n” and so on.) Once the food name is entered, you place the food on the scale and the carb information is displayed on the monitor along with calorie, Proof Copy—Do Not Distribute, Copy or Quote 13 fat, sodium and, for many items, the glycemic index. This scale is easy to use, portable and accurate. The Weigh of life Scale Another scale that computes carbs is the “Weigh of Life” scale which is available at WalMart and Sam’s Club for roughly $40. Although it looks more like a traditional scale, it works on the same principle as the Salter scale. This scale requires the entry of a code for each food item which is found in a laminated source book listing nearly one thousand common foods. After the code is entered, the scale displays the nutritional information. While both of these scales basically do the same thing, you should look at both of them as well as regular non-carb counting scales before you buy in order to determine which one is right for you. I personally use a regular scale and my PDA to track carbs, but my daughter really likes the Weigh of Life scale. Because she is just learning to read, typing in the three digit code is much easier than knowing how to spell each item and the scale does the multiplication for her. She also likes the fact that she can eat right from the weighing platform, which is simply a clear glass plate. Finally, the fact that this company donates a significant portion of each sale to the Juvenile Diabetes Research Foundation is a real plus. The fact that the Weigh of Life scale has significantly fewer food items than the Salter 1400 is not really an issue for us because we generally use The Carb Perfectionist software program to track carb intake. However, that is the main reason our school’s nurses prefer the Salter scale when they need to calculate the carbs in birthday treats and snack items. CALCULATING CARBS ON YOUR COMPUTER OR PDA The Carb Perfectionist software uses the same information as the Salter and Weigh of Life scales. However, here you weigh the food item on any scale and then input the results into the program for calculation. The program design permits you to scroll through the entire range of food choices available from the USDA so you can easily locate the item that most closely matches the food you are about to eat. After selecting your food item from the list, type in the amount you want to eat and the program will determine the number of carbs for you along with the calories, fat and 14 Proof Copy—Do Not Distribute, Copy or Quote nutrient information. One great feature of this program is that it shows you the carb ratio (instead of hiding it like the scales described above) so you can note it for future reference. The program also allows you to input the amount of food in several formats depending on the item. In addition to the gram weight, you can usually select a standard measurement such as the number of tablespoons or cups, and in some cases, other useful amounts such as slices (for bread) or half jar amounts (for baby foods and the like). The Carb Perfectionist software also allows you to tally the number of carbs for an entire meal or day and to add or subtract foods along the way. You can also use this program to tally carb totals for recipes. (Please consult the appendix for more detailed software information.) The Carb Perfectionist software program is available for order for $9.99 by mail using the card in the back of this book. PERFECTIONIST REALIT IES Sadly, for all its many advantages, even the carb perfectionist cannot always be perfect. Although using carb ratios can increase the accuracy of your carb counting, it is not foolproof. Just as with other carb counting approaches, neither calculating your own ratios and carb counts nor the pre-programmed scales and software are always 100% accurate. Food items vary in their composition depending on how long they have been stored, how long they have been cooked, exposure to sun or moisture and many other variables. Likewise, different varieties of fruits and vegetables or baked goods can differ somewhat in their makeup. While the differences are usually minor, they do exist. However, while the fact that carb ratios are not always 100% accurate is disheartening for a true perfectionist, you can take great comfort in knowing that weighing items the same way every time will give you a reliable and systematic method of determining the amount of carbohydrates you consume. This results in fewer blood sugar surprises from When you weigh your food, you aren’t bound by a pre-specified serving size. You can eat a dollop of yogurt, a sprinkle of sugar or a handful of broken chips. Proof Copy—Do Not Distribute, Copy or Quote 15 miscounting which may help you to achieve better control. The carb ratio system works in tandem with your current counting regime. While you can continue to count many foods by memory or serving, you can increase your overall accuracy by reducing the number of times you are forced to make an estimate with limited or faulty information. No longer will you be forced to gauge whether or not your piece of fruit is “average” or “small”. No longer will you realize three hours later that the bowl of cereal you ate was quite a bit larger than you thought. And eating out of measuring cups—that’s all in the past! The carb perfectionist system is especially useful for foods that are difficult to eyeball—like pancakes, and even more so for those foods that are both difficult to measure accurately using measuring cups and as well as being somewhat high in carbohydrates, like bananas, grapes or ice cream. While using carb ratios doesn’t allow you to eat more of these high carb foods, it does make eating them less of a challenge. Because weighing them means that there will be less error in the carb count than if you guessed the number total carbohydrates based on a rough estimate of size, you can be more confident in calculating your total carb intake. **An important exclusion to this generalization is pasta, which may be more accurately measured with a measuring cup depending on how it is cooked. Because the carbohydrate count of pasta depends on how long it has been boiled and how much liquid it has absorbed, the volume of pasta is generally a more accurate reflection of the total carbs than the gram weight. You can weigh dry pasta very accurately, but be sure to cook it al dente for an accurate count! THE ADVANTAGES One of the best advantages of using carb ratios is the fact that they allow you to easily determine the carb count of any size serving without worrying about measuring cups or spoons. When you weigh your food, you aren’t bound by a pre-specified serving size. You can eat a dollop of yogurt, a sprinkle of sugar or a handful of broken chips and still know the exact number of carbs you have consumed. 16 Proof Copy—Do Not Distribute, Copy or Quote It is also great for finicky kids who don’t want to clean their plates. If you are using an insulin regimen that allows you to give insulin after a meal, you don’t have to make your child finish everything on their plate in order to get an accurate carb count. When your child is finished eating, reweigh the leftover food and subtract from the original measurement before determining the total carbs for the meal. For me, the time is takes to reweigh a few items is significantly less than the time I would usually spend worrying that I incorrectly estimated the count of the food items left on the You don’t have to make your child plate—not to mention the time it would take to finish everything on their plate in talk my child into eating what they didn’t want! order to get an accurate carb count. Another advantage of using carb ratios from the USDA database is increased accuracy when eating new foods. Having the information for over 7,000 foods allows you to try items that don’t have nutritional information attached—like most fruits and vegetables—and those that aren’t always found in exchange lists. This gives you more flexibility in eating foods that you aren’t used to eating and gives you great information when eating at restaurants that don’t provide nutrition information. All you need is the USDA information written down or downloaded to your PDA, a small scale and you are ready to go! Also, although the only comment I’ve ever encountered at a restaurant is “where can I get that information for my diabetic friend/uncle/cousin”, if you prefer to be more discrete when you are “out on the town”, many restaurants can tell you the gram weight of the food portions that they serve for each menu item in advance, allowing you to calculate the totals before you go and not have to worry about taking the scale. Finally, weighing in grams allows you to easily determine carb ratios for your own recipes. The following chapters explain how this process works and gives you the information you need to convert your own favorite recipes. Proof Copy—Do Not Distribute, Copy or Quote 17 CHAPTER TWO: THE CARB PERFECTIONIST INTRODUCTION TO BAKING When we were first diagnosed, our whole family ate apple sauce out of single serving cups and cereal from little tiny boxes every day. The idea of trying to figure out how many carbs I was serving nearly drove me insane. I was so worried about getting it right, I could barely add, let alone measure AND add AND figure the insulin dose AND give the shot. Once we got over the initial newness of it all, I thought we could go back to eating what we were used to. I called the local dietitian and asked for a carb-friendly pancake recipe so I could get back to business as usual. In short, the dietitian told us to forget about making pancakes—they are just too difficult to count accurately. She explained that they can vary dramatically in size and shape even in a single batch and so we should stay away from them unless we bought them in the freezer section where they came prepackaged in uniform sized cakes. So I dutifully went out and bought some pancakes. They were terrible! I wanted my old pancakes back and was determined to find a way to make and eat them without worrying that the meter would give us unwelcome news an hour or two later. Before diabetes I wasn’t particularly concerned with measuring many ingredients. A handful of this, a pinch of that, and everything to taste—just like my grandma showed me when I was a little girl. I loved cooking and baked at least twice a week with my kids. But after we were diagnosed, I stopped baking cold turkey. There was just too much uncertainty. How many carbs in two scoops of flour and a handful of sugar? I had no idea. And I couldn’t in good conscience just guess and adjust after seeing the numbers. A few months later I was measuring everything carefully, using a recipe with nutritional information per serving and measuring, remeasuring and jotting down multiple calculations just for a single batch of pancakes. To put it mildly, it was completely unsatisfying. All that measuring, and what if my daughter wanted a pancake in the shape of a letter or Mickey Mouse instead of a 4 inch circle? How could I make each pancake with exactly ¼ cup of batter? 18 Proof Copy—Do Not Distribute, Copy or Quote Even with all that work, I still couldn’t estimate the carbs very well and, frankly, the lack of certainty was unsettling. And what if she ate 3 cakes instead of the 4 listed in the nutritional information? Dividing and multiplying all the numbers again, I could come up with a count, but I still wasn’t too happy with any of these issues. The answer came one day when I was surfing the internet. Reading through some message boards, I stumbled across a mention of a carb factor on the Children with Diabetes “ask the experts” site. I began searching for more information and finally located the USDA magic number mother load. Here, finally, was the information I needed to go back to enjoying my kitchen! With carb ratios, I could go back to a handful of this and a pinch of that—all I needed to do was keep track of the weight of each item and then calculate the carbs based on that information. I also could convert all my old recipes as well as those I got from friends or saw in magazines and determine the carb ratios with stress-busting accuracy. The recipes that follow will show you how the process works, but essentially it can be boiled down to this: when you make something, you begin by adding up the carbohydrates in each ingredient to determine the total carbs in the batch. Then you weigh the whole cake (or all the cookies, pancakes, soup, casserole etc.) in grams. Divide the total number of carbs by the total weight in grams to get the percent carbs for the item. This is your carb ratio. Save the ratio for your favorite recipes and then you can eat exactly what you want, in exactly the amount you want, and still determine a very precise carb count. Proof Copy—Do Not Distribute, Copy or Quote 19 PERFECTIONIST PANCAKES 130g 15g 15g 2g 250g 5g 50g Unbleached Flour Sugar Baking Powder Salt Milk Vegetable Oil Egg (1) lightly beaten CARB RATIO .32 Gather ingredients. Weigh each dry ingredient into the mixing bowl and wisk together. Add wet ingredients to the bowl. Stir gently. Batter should remain a bit lumpy. Cook on a 275 degree griddle or non-stick pan that is hot enough to make a drop of water sizzle and dance. If you like your pancakes with a crispy edge, add a bit of butter to the pan before adding the batter—it won’t affect the carb count. STEP BY STEP When assembling the recipe, you can measure everything in the same bowl. First place your mixing bowl on the scale. I like to use one with a spout for pouring, but any bowl will do. Tare the scale (see page 11 for details on the tare function). Now spoon flour into the bowl until the scale reads 130 grams. Tare the scale again, then add the sugar for a reading of 15 grams. Tare, add 15 grams of baking power, tare, and add 2 grams salt. If you prefer to measure these ingredients with a spoon, the amounts are listed on the opposite page, but I find that it is just as easy and efficient to add them straight into the bowl by weight. 20 Proof Copy—Do Not Distribute, Copy or Quote Continue with the wet ingredients until all have been added. Mix them up and bake. That’s all there is to it—and no measuring cups to wash! LET’S DO THE MATH Now it’s time to see how the original recipe was converted and the carb ratio was determined. Starting with the first ingredient in the original recipe, if you measure out one cup of flour, you’ll find that it weighs 130 total grams. Now find the carb ratio for flour. You can calculate your own ratio from the package (see page 10) or use the ratio determined by the USDA as I have done here. Next, multiply the gram weight of the flour (130) by the carb ratio (.7631) to find the grams of carbohydrate for this item (99.203). Enter it into a chart . Continue down the list of ingredients, measuring out each item, determining the gram weight and calculating the total grams of carbohydrates. Standard Measure Ingredient Gram Weight USDA Carb Ratio .7631 1 .277 0 .048 0 .0077 Grams Carbohydrate 1 cup plus 1 TBS Flour 130g 99.203 1 Tablespoon Sugar 15 g 15 1 Tablespoon Baking Powder 15 g 4.155 ¼ teaspoon Salt 2g 0 1 cup Milk 250g 12 1 teaspoon Vegetable Oil 5g 0 1 large Egg 50g .385 Total 130.743 Once the chart is filled in, add the grams of carbohydrates for each item together to find the total for the entire recipe. For this particular recipe, the total is 130.743. The next step is to prepare the pancakes. When all the cakes are cooked, weigh them all together to determine the total weight. Here, the cooked cakes totaled 405 grams. To determine the carb ratio, divide the total grams of carbs (130.743) by the total weight in grams (405). The result is .3228. Proof Copy—Do Not Distribute, Copy or Quote 21 CLASSIC MASHED POTATOES 450g 60g 40g 30g 2g Potatoes Chicken Broth Butter Cream Cheese Salt and Pepper CARB RATIO: .16 Peel and cube potatoes. Cover with water and bring to a boil. Simmer 15 minutes, remove from heat and drain. Put potatoes through ricer. Add remaining ingredients and stir to incorporate. STEP BY STEP You will notice in this calculation that while you begin with 450 grams of raw potato, you calculate the number of carbs based on the carb factor for boiled potatoes multiplied by their cooked weight. When you are calculating carb ratios for your own recipes, be aware that 100 grams of a boiled (or baked, or steamed) vegetable is not always the same as 100 grams of a vegetable put into a pot and boiled. Also, be certain to use the ratio that corresponds to the final dish. In this particular recipe, relying on the uncooked weight and ratio (450 and .1747) would cause you to undercount the total number of carbs in the dish by about 20. This error would skew the resulting ratio downward, ultimately causing you to miscalculate the amount of carbs in your final servings by about one-fourth. 22 Proof Copy—Do Not Distribute, Copy or Quote Standard Measure Ingredient 3 large ¼ cup 2½ Tablespoons 2 Tablespoons To taste Potatoes Chicken Broth Butter Gram Weight Raw 450g Gram Weight Prepared 490g 60g 40g USDA Carb Ratio for prepared item .2013 .012 0 30g 2g .0266 0 Cream Cheese Salt and Pepper Grams Carbohydrate 98.637 .72 0 .798 0 100.155 Total Dividing the total carbs (100.155) by the total weight of the mashed potatoes (622g) gives a carb ratio of .1610. A WORD OF CAUTION—RAW VERSUS COOKED ITEMS Generally, the weight of an item will increase when boiled, and decrease when steamed or sautéed. However, depending on the item, even if the weight decreases, the amount of available carbohydrate may actually increase. For some items, like onions, the difference is negligible. But for items high in starches, such as potatoes and corn, the ratios for cooked items are quite a bit higher than for the raw food. When determining the total carbs in a recipe like this one, weigh the food after it is prepared, but before adding it to the recipe and make your calculation using the ratio for the cooked item. The second time you make the dish, you will know in advance that 450 grams of raw potato ends up to be 98.6 carbs of boiled potato so you can skip this step. Russet Potato Onion Broccoli Carrot Corn Spinach Green Beans Raw .1747 .0934 .0664 .0958 .1902 .0363 .0713 Boiled (Baked) .2013 (.2144) .0956 .0506 .0822 .2511 .0375 .0788 Proof Copy—Do Not Distribute, Copy or Quote 23 CUPCAKES FOR THE PURIST 120g 200g 30g 4g 1g 2g 190g 40g 100g Unbleached Flour Sugar Cocoa Powder Baking Powder Baking Soda Salt Milk Shortening Eggs (2) CARB RATIO .51 Preheat oven to 350. Add dry ingredients to your mixing bowl. Wisk to combine. Add wet ingredients except eggs and beat until well combined. Add eggs and beat another 2 minutes. Bake until cake springs back when touched gently—about 30 minutes for a layer cake or 20 minutes for eight large cupcakes. STEP BY STEP As before, in order to determine the carb count, work down the list of ingredients, measuring out each item and determining the gram weight. Then use the proper carb ratio to calculate the total grams of carbohydrates. Standard Measure Ingredient 1 cup 1 cup ¼ cup 1 Teaspoon Flour Sugar Cocoa Baking Powder 24 Gram Weight 120g 200g 30g 4g USDA Carb Ratio .7631 1 .6 .277 Grams Carbohydrate Proof Copy—Do Not Distribute, Copy or Quote 91.572 200 18 1.108 ¼ Teaspoon ¼ teaspoon ¾ cup ¼ cup 2 large Baking Soda Salt Milk Shortening Eggs 1g 2g 190g 40g 100g 0 0 .048 0 .0077 0 0 9.12 0 .77 Total 320.57 WEIGHING THE CAKES If you made cupcakes, you will want to subtract the weight of the papers from the total. The papers are generally about 2 grams per 5 cups. Here I determined a total weight of 627 (with papers excluded). I divided 320.57 by the weight for a carb ratio of .5113. Similarly, if you are making a layer cake, it’s a good idea to weigh your cake pan before you grease it and fill it with batter. That way you don’t have to take the cake out of the pan in order to determine the total weight. Just weight the cake and pan together and then subtract the weight of the pan. If you want to bake the batter in ice cream cones for a child’s party, subtract the weight of the cones (usually about 4-5 grams each) from the amount you multiply by the carb ratio and then add 4 carbs (or as listed on the package) to the final count for each cupcake cone. FOR TRUE PERFECTIONISTS ONLY! These cupcakes are so good they don’t need frosting, but hypothetically, you could make the carb count of each cupcake exactly the same by determining the amount of frosting needed to bring each cake to the desired count. To do this you would weigh each cupcake, and figure how many carbs you need to add to each one to bring them all to a common total. As described on page 12, divide the amount of carbs you need to add to each cake by the carb ratio for the frosting to determine how many grams of frosting to add. Then add the appropriate amount of frosting to each cupcake. Proof Copy—Do Not Distribute, Copy or Quote 25 BUSY DAY CUPCAKES 517g 275g 70g 150g Yellow Cake Mix Water Vegetable Oil Eggs (3) CARB RATIO .48 Mix and bake per package directions. STEP BY STEP In this particular calculation you will notice that I have determined the total grams of carbohydrate without the aid of a ratio (although I can determine that it is .8356 by dividing the grams carbohydrate by the total gram weight of the dry mix). To calculate the grams of carbohydrate for the package of mix, take the number of suggested servings times the number of carbs per serving. This may differ somewhat from the number you would obtain if you used the carb ratio listed in the USDA database (dry yellow cake mix is listed at .8410). However, I tend to believe that the amount listed on the label is more accurate as it should be specific to the mix you are using. Standard Measure 1 package 1 1/3 c 1/3 cup 3 large 26 Ingredient Gram Weight Yellow Cake Mix (I used Duncan Hines Moist Deluxe) Water Vegetable Oil Eggs 517g USDA Carb Ratio - 275g 70 g 150g 0 0 .0077 Proof Copy—Do Not Distribute, Copy or Quote Grams Carbohydrate 432 0 0 1.155 Total 433.155 Divide the total carbs by the total weight of the baked cake to determine the carb ratio. In this case the ratio is .4770 (433.155 / 908). You will notice that the ratio for busy day cupcakes is pretty much the same as for the purist cupcakes. It is also comparable to the USDA ratio, even if you add frosting! WHICH RATIO SHOULD I USE??? Duncan Hines yellow .48 Purist cupcakes .51 Yellow (USDA) .53 Yellow with choc frosting (USDA) .55 35 gram cupcake: 16.8 17.85 18.55 19.25 45 gram cupcake 21.6 22.95 23.85 24.75 When you have the specific ratio, of course you should use it, but you can see from the chart that the non-specific ratio from the USDA works nearly as well as our specific calculation. There is roughly 2 carbs difference for a 35 gram cupcake depending on if you use the ratio for the Duncan Hines cake, the purist cupcake ratio or the USDA yellow cake ratio. But, there is a 5 gram difference between the 35 and 45 gram cupcake. So the issue here is not so much which exact ratio to use but whether or not you weigh the cake accurately. Unless you are going to be eating several cupcakes, your count will be very close no matter which ratio you choose. However, if you just assume that most cupcakes are 2 exchanges, you may be off by quite a bit. And trust me—it is difficult to tell the difference between a 35 gram and a 45 gram cupcake without weighing it. Proof Copy—Do Not Distribute, Copy or Quote 27 BLACK BEAN SOUP 15g 160g 120g 15g 411g 850g 411g 95g Olive Oil Celery Onion Garlic Chicken broth Canned Black Beans Canned Crushed Tomatoes Cubed Turkey Sausage (precooked links) CARB RATIO: .10 Chop celery and onion. Mince garlic. Heat oil in a large stock pot, add celery first and sauté for 3-4 minutes, add onion and garlic and sauté until soft and translucent. Add chicken broth, beans and tomatoes, bring to a boil. Lower heat and simmer about 45 minutes. Add meat near the end of the cooking time, heating through before serving. MAKE IT YOUR OWN If you want to customize this or any other recipe, here are a few guidelines to keep in mind. First, when you reduce or increase an ingredient, remember to adjust the carb count accordingly. You may also need to weigh the final dish and recalculate the carb ratio depending on the changes you make. For example, if you prefer a vegetarian soup, you will want to leave out the turkey sausage and replace the chicken broth with water. Eliminating the meat reduces the total weight by 95 grams. Changing the broth to water doesn’t affect the weight (broth and water weigh the same amount), but it will lower the carb count ever so slightly. Without the meat and broth, the carb ratio is a tiny bit higher than before (.1097) but not significantly different than the non-vegetarian soup. If you change the chicken stock for 28 Proof Copy—Do Not Distribute, Copy or Quote vegetable stock, you may need to adjust the carb count, but there is no need to reweigh the soup as the total gram weight will remain the same. On the other hand, If you like a thinner soup and decide to add more water, it won’t affect the total carb count for the soup, but the ratio will change slightly as the weight of the soup will increase. Finally, understand that doubling a recipe does not double the carb ratio. The carb ratio remains the same as long as all ingredients are increased or decreased by the same ratio. For example, you can halve or double or triple all the ingredients and the ratio remains the unchanged. STEP BY STEP By now you are familiar with the chart method of determining a carb ratio. Like the mashed potatoes in lesson two, this recipe also begins with a gram weight of raw vegetables that will be cooked during the preparation of the dish. Standard Measure Ingredient 1Tablespoon 1 ½ cup 1 cup 1 Tablespoon 2 cups (1 can) 4 cups (2 cans) 2 cups (1 can) 1 cup Olive Oil Celery Onion Garlic Chicken Broth Black Beans Tomatoes Turkey Sausage Gram Weight Raw Gram Weight Prepared 15 107 101 12 411 850 411 95 USDA Carb Ratio for prepared item 0 .0401 .0786 .3306 .0038 .1461 .0729 0 Grams Carbohydrate 0 4.2907 7.9386 3.9672 1.5618 124.185 29.9619 0 Total 171.905 It is useful to weigh the stock pot before adding ingredients in order to facilitate the final weighing of the dish. Just weigh the final product in the stock pot, remembering to subtract the weight of the pot before making your final calculations. 160 120 15 The total weight of this soup was 1648 grams. As before, I divide the total carbs (171.905) by the weight (1648) to determine a carb ratio of .1043. Proof Copy—Do Not Distribute, Copy or Quote 29 NOTES: 30 Proof Copy—Do Not Distribute, Copy or Quote CHAPTER THREE: THE CARB PERFEC TIONIST COOKS WITH THE KIDS The next five recipes are all favorites with my kids. They are quick to fix, healthy, and can be executed even by elementary school age kids without much help from Mom or Dad. These recipes can also be used as a quick tutorial in carb factor cooking for your child, or for anyone who would like a quick and easy demonstration of Carb Perfectionist cooking before moving on to other recipes. The cinnamon milk recipe shows the basic technique for using carb factors, and the baked pears recipe gives a lesson in computing your own carb ratio from a label. The cereal “recipe” is really an exercise in becoming familiar with the tare function on your scale. You can substitute any cereal—even old fashioned oatmeal—and the process is exactly the same. The last two recipes are good for a bit of cooking with the whole family. My friend Nicole introduced me to the silly pizza idea. I love it because if we keep the size of the slices somewhat small and use low fat cheese, we don’t have to worry about the usual challenges of eating pizza for a diabetic. I also like the fact that everyone can top their slices with exactly what they like so no one complains about having to pick “the yucky stuff” off. Finally, making the “60 gram” smoothie is another great way to spend a few minutes with your kids in the kitchen. And if they are old enough, they will want to come up with their own concoctions and figure the carb ratios with the handy shortcut explained here. Proof Copy—Do Not Distribute, Copy or Quote 31 CINNAMON MILK STEP ONE: Gather your materials and ingredients: Gram Scale Drinking Glass or Mug Spoon Milk Stevia (or other 0 carb sweetener) Cinnamon STEP TWO: Weigh the desired amount of milk in the glass you are going to drink from STEP THREE: Note the weight in grams and multiply by .05. This gives you the total number of carbohydrates. Step Four: Sprinkle in one packet stevia, and 3-4 shakes cinnamon*. Step Five: Stir it up and enjoy. If you have a lid for your cup, it is also fun to shake all the ingredients together before drinking. *Cinnamon is .7985 carbs per gram (a little over 1 carb per teaspoon), so if you get carried away with the sprinkling, add 1 to your total carb count. The nutmeg on the next page is .4929 or 1 carb per teaspoon. 32 Proof Copy—Do Not Distribute, Copy or Quote BAKED PEARS STEP ONE: Gather your materials and ingredients: Gram Scale 8 inch baking dish 1 can pear halves in light syrup Cinnamon Nutmeg STEP TWO: Pour the pear halves into a baking dish and sprinkle with cinnamon* and nutmeg. STEP THREE: Heat for ½ hour at 350 degrees. No need to preheat the oven for this one. Put the pears in the oven and then turn it on. STEP FOUR: While the pears are warming up, determine the carb ratio. Either look up pears in the USDA database or calculate the carb ratio yourself. To calculate your own ratio, first locate the nutrition information on the label. Then divide the number of carbs per serving by the gram weight per serving. (It should be about .15) STEP FIVE: When it is time to serve, weigh each serving and multiply the gram weight by the carb ratio (.15) to determine total carbs. Proof Copy—Do Not Distribute, Copy or Quote 33 FAVORITE CEREAL STEP ONE: Gather your materials and ingredients Gram Scale Bowl Spoon Your Favorite Cereal Milk Optional: Fresh Blueberries STEP TWO: Put the bowl on the scale; tare, add your favorite cereal to the bowl. Note the weight in grams. Locate the nutrition information on the label of the cereal you are using and divide the number of carbs per serving by the gram weight per serving. The result is the carb ratio you will enter in the chart on the following page. STEP THREE: Reset the scale to 0 (this is the tare function again). Pour the desired amount of milk into the bowl. Note the weight in grams. Step Four: Optional Items If you are using blueberries, tare the scale again and note the weight of the berries. 34 Proof Copy—Do Not Distribute, Copy or Quote Enter the weights in the worksheet below. Food Weight in Grams Suggested Carb Ratio Total Cereal Milk Blueberries .05 .1449 Overall Total: Step Five: Multiply the weight of each item by its carb ratio. Enter totals in the final column. Step Six: Add the totals for each item together for the overall carb count. (Don’t forget to bolus!) Proof Copy—Do Not Distribute, Copy or Quote 35 SILLY PIZZA STEP ONE: Gather your materials and ingredients Gram Scale Ready Made Pizza Crust (like Boboli) Pizza Sauce Pepperoni Pre-cooked Sausage Non-Fat Mozzarella Cheese Peppercini Black Olives STEP TWO: Cut a slice of pizza crust and put it on the scale. Note the weight in grams and enter it into the chart below. STEP THREE: Reset the scale to 0 (this is the tare function). Top the pizza with the desired toppings, weighing each one separately in grams. 36 Proof Copy—Do Not Distribute, Copy or Quote Enter the weight of each item you use for your pizza in the chart below. Food Weight in Grams Suggested Carb Ratio Crust .5 Sauce .0867 Pepperoni .0404 Sausage 0 Cheese .0350 Peppercini .0390 Black Olives .0626 Total Overall Total: Step Four: Toast your pizza under the broiler until the cheese melts. While you are waiting, multiply the weight for each item by its carb ratio. Enter totals in the final column. Step Five: Add the totals for each item together for the overall carb count for your slice. Proof Copy—Do Not Distribute, Copy or Quote 37 “60 GRAMS” FRUIT SMO OTHIE STEP ONE: Gather your materials and ingredients Gram Scale Blender Plain Lofat Yogurt Frozen Raspberries Frozen Blueberries Skim Milk Unsweetened Apple juice STEP TWO: Measure 60 grams yogurt, 60 grams raspberries, 60 grams blueberries, 60 grams milk and 60 grams apple juice into the blender. STEP THREE: Blend everything together, and weigh your serving in grams. Multiply by .0974 to determine the total carb count for your serving. (Makes about 2 kid size servings.) 38 Proof Copy—Do Not Distribute, Copy or Quote Step Four: Wow your parents with your math proficiency by showing them how to calculate the carb ratio for this recipe. JUST THE FACTS Usually when you determine a carb count for a recipe you start by calculating the total carbs in the entire recipe. Just like for the bowl of cereal and the silly pizza, that means multiplying each item’s weight by its carb ratio, and then adding all the results together to find the total carbs. Food Weight in Grams Suggested Carb Ratio Total Yogurt 60 .0792 4.752 Raspberries 60 .1214 7.284 Blueberries 60 .1214 7.284 Milk 60 .0480 2.88 Apple juice 60 .1168 7.008 Total: 300 Total 29.208 Then, in order to find the carb ratio, you must divide the total carbs by the total weight of the entire batch. If you are baking, you would have to weigh the finished product, but because there are no chemical reactions or evaporation here, we know that the weight of the ingredients is simply the total for all ingredients—60 x 5 = 300. Thus, to find the carb count for the “60 grams” Smoothie we divide 29.208 by 300 to get .0974 as listed above. Now turn the page to discover “the twist”…….. Proof Copy—Do Not Distribute, Copy or Quote 39 HERE’S THE TWIST There is a second way to determine the count for this particular recipe. Because the “60 grams” Smoothie has equal amounts of every ingredient, we can find the specific carb ratio of the whole by taking an average of the carb ratios for each item. This means that we add all the ratios together and then divide it by the number of ingredients (in this case 5). Or, more specifically: .0792 + .1214 + .1214 + .0480 + .1168 = .4874 .4868 / 5 = .0974—the same result as doing all the calculations above! This works because each ingredient weighs the same and thus contributes equally to the ratio. And although we used 60 grams of each item here it would still work if you used 150 grams of each item—or 200 grams—or 50 grams etc. For example, if you decided to double the recipe and use 120 grams of each item you find that: Food Weight in Grams Suggested Carb Ratio Total Yogurt 120 .0792 9.504 Raspberries 120 .1214 14.568 Blueberries 120 .1214 14.568 Milk 120 .0480 5.76 Apple juice 120 .1168 14.016 Total: 600 Total 58.416 Divide total carbs by total weight and you’ll see that 58.416/600 = .0974, just like the last time. How cool is that! 40 Proof Copy—Do Not Distribute, Copy or Quote NOTES Proof Copy—Do Not Distribute, Copy or Quote 41 CHAPTER FOUR: TCP CHEAT SHEETS Sometimes it is nice to have a quick reference list to take along when you are out on the town! Keep in mind that these ratios won’t be 100% exact, as recipes vary somewhat, but they should be quite close. THANKSGIVING DAY To grandmother’s house we go! Suggested Carb Ratio Turkey 0 Gravy .05 Mashed Potatoes .17 Dressing .22 Green Bean Casserole .10 Candied Sweet Potatoes .28 Cranberry sauce .39 White Roll .5 Butter 0 Jello Salad with fruit cocktail (regular jello) .19 Pumpkin Pie .25 42 X gram weight Proof Copy—Do Not Distribute, Copy or Quote = Total Carbs SUNDAY BRUNCH Get two plates—fill one at the buffet and then weigh each food on the new plate at the table. But watch the fat here, the muffins, gravy and high fat sauces can wreak havoc with your blood sugar. Suggested Carb Ratio Roast Beef or Bacon 0 Hollandaise sauce .05 Strawberries .07 Melon .08 Muffins or Biscuits or Caramel Rolls .5 Sausage .02 Garlic Mashed Potatoes .17 Gravy .05 French Toast .25 Syrup .61 Scrambled Eggs .02 Bloody Mary .05 Orange Juice .10 X gram weight Proof Copy—Do Not Distribute, Copy or Quote =Total Carbs 43 NIGHT AT THE BALLFIELD Suggested Carb Ratio Hamburger or hot dog bun .5 Pizza with regular crust .25 Ice Cream (no cone) .25 Popcorn .57 Snow Cone Syrup .67 X Gram Weight = Total Carbs FROM THE FARMER’S MARKET Suggested Carb Ratio Kettle Corn .79 Breads .5 (on average) Radishes, Tomatoes, Cucumbers .03 Sweet Peppers .04 Sweet Corn .19 (raw) Strawberries, Watermelon .07 Blueberries, Raspberries .14 Cantaloupe .08 44 X Gram Weight Proof Copy—Do Not Distribute, Copy or Quote = Total Carbs POT LUCK AND BUFFET STRATEGIES One strategy for “pot luck” or buffet style meals is to select items with roughly the same carb counts. Make a list of likely items before you go or use the ones below. That way you only have to weigh the entire plate of food once which makes for less fuss. Just don’t forget to tare or subtract the weight of the plate before you calculate the carbs! Of course, you will be making a few estimations here and there, but as long as you don’t take too much of any one item, the Carb Perfectionist will never tell! THE .5 PLATE (DIVIDE TOTAL GRAM WEIGHT BY 2) Most soft white breads, including plain or toasted slices, waffles, buns, and flour tortillas Also, cookies, unfrosted cupcakes, unfrosted cinnamon rolls, pound cake, donuts etc. THE .25 PLATE (DIVIDE TOTAL GRAM WEIGHT BY 4) Ice Cream, Pizza (regular crust), Ketchup, Fast food single burger or burrito, French Fries, French Toast, Boiled Corn, Cheese cake, Cheese and Sausage English Muffin, Long Grain Rice. Mixed Nuts, Lemon Pudding THE .1 PLATE (DIVIDE TOTAL GRAM WEIGHT BY 10) Chili, Bean Soup, Lentil Soup, Chicken Soup, Green Bean Casserole, Fresh Peaches or Pears, Carrot Sticks, Blackberries, Grapefruit sections, Canned peas, Velveeta, Non-Fat yogurt, Taco Salad, Stewed tomatoes, Fried Chicken, Hot Dogs (no bun), Italian Salad dressing, Fried Tofu, Scalloped potatoes, “Fake” Mashed Potatoes, Unsweetened apple sauce, Also, Potato Salad (.13), Cole slaw (.13), Most canned pastas (.15), Breaded Shrimp (.12), Strawberries, (.07) Watermelon (.07), Pineapple (.12) and Cantaloupe (.08) might be on this plate depending on how serious a perfectionist you are. Proof Copy—Do Not Distribute, Copy or Quote 45 CHAPTER FIVE: USING TCP SOFTWARE The Carb Perfectionist software program provides carb ratios and nutritional information for over 7,000 foods. In addition to providing the entire USDA database (including specific carb ratios), this program can calculate total carbs for any size serving, an entire meal or day as well as for recipes. When you are adding up the contents of a plate or determining the carbs in a favorite recipe there is no need for a paper chart. Just enter the weight in grams or other serving size into The Carb Perfectionist software and add items to your workspace to determine the total. GETTING STARTED To use the software you must have Window 98 or Windows Vista. To install the program simply click on the .exe file and follow the instructions on your screen. USING THE PROGRAM TO START COUNTING CARBS, USE THE FOLLOWING STEPS: 1. Type the name of the food you want to eat in the box labeled “enter the search terms” 2. Click the “find” button 3. Use the scroll tool to locate the item which best matches your particular food item and click on that item. 4. Select a unit of measurement from the options provided. Depending on the food item, it can be a standard or gram measurement. 46 Proof Copy—Do Not Distribute, Copy or Quote 5. Weigh or measure your food and enter the amount into the space provided. Use decimal points for fractions. For example, use .5 cups for ½ cup or .66 for 2/3rds cup. 6. Look down the nutrient list for the highlighted carbohydrate information. 7. To calculate and catalog the amount of carbohydrate in more than one item (for a meal, a recipe or for an entire day), enter the total for each item into the workspace by clicking the “add carbs to total” button. The total carbs for all entered items will appear in the box above the workspace as well as in the “daily total” column. Cumulative amounts for other nutrient categories for the items in the workspace are also shown in the “daily total” column. 8. If you need to remove an item from the workspace, highlight it by clicking on the item and then click the “remove” button. The carbs for that item will be subtracted from the workspace total and all information for that item is removed from the daily totals column as well. TO CALCULATE A CARB RATIO FOR A RECIPE, COMPLETE THE FOLLOWING STEPS: 1. Enter the item and amount for each ingredient into the workspace. 2. Weigh the entire results of the recipe (all the cupcakes, casserole, bread, etc.) excluding any serving items or packaging. 3. Divide the total grams of carbohydrates fro the entire recipe by the total weight of the prepared item(s) in grams to determine the carb ratio for the recipe. Proof Copy—Do Not Distribute, Copy or Quote 47 48 Proof Copy—Do Not Distribute, Copy or Quote FOR TROUBLESHOOTING E-MAIL [email protected] To order additional copies, please send this card along with your check or money order to: MeadowHill Press P.O. Box Marion, IA 52302 Number of Copies The Carb Perfectionist (book only) TCP Software Book and Software Combo The Carb Perfectionist Cookbook Shipping and handling (per order) Price $9.99 $9.99 $15.99 $18.99 $4.00 Total Name:______________________________________ Address:____________________________________ City/State:_________________________________ E-mail: _________________@_________________ Check here to receive our e-newsletter The Carb Perfectionist is a product of: MeadowHill Press P.O. Box Marion, IA 52302 www.CarbPerfectionist.com Proof Copy—Do Not Distribute, Copy or Quote 49 50 Proof Copy—Do Not Distribute, Copy or Quote WHAT PEOPLE ARE SAYING ABOUT THE CARB PERFECTIONI ST: This is the absolute best guide to baking and cooking I’ve ever seen. Judy—a grandma with Type II diabetes With this system, I no longer have to force my child to finish everything on their plate just so I know how many carbs they are eating. Thank you! Pat—Dad to a 8 year old with Type I diabetes For our family, using carb factors takes the stress out of mealtimes. I can’t believe no one ever told me about it before. Heidi—Mom to a 6 year old with Type I diabetes This book should be required reading for anyone who has diabetes or cares for someone with diabetes. Kelly Deal—Registered Nurse $15.99 USD MeadowHill Press P.O. Box Marion, IA 52302 www.CarbPerfectionist.com Proof Copy—Do Not Distribute, Copy or Quote 51