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Insulin Pumps

Insulin pumps are recommended as state of the art treatment for many individuals with diabetes. They supply continuous insulin over 24 hours with supplements at meals by using an external computerized pump and an insulin reservoir attached to the patient by tubing under the skin.

Dr. Scoma and his staff are continuously checking diabetic patients to determine those who will do best with insulin pumps. At any one time, we have over 100 patients on insulin pumps.

Carbohydrate Counting

How do you count carbohydrates?

There are two ways of counting carbohydrate: grams and servings. A gram(g) is a unit of measure. Carbohydrate can be counted by. the exact number of grams in a portion of food, or by servings. A serving of carbohydrate contains 15 grams. All carbohydrate containing foods can be counted equally.

Counting Carbohydrate Grams

The nutrition facts panel on food labels provides the amount of carbohydrate grams in one portion of the food item. There are several books available that list carbohydrate amounts of other foods, such as fresh produce. As you become more familiar with carbohydrate amounts of your favorite foods, it will be easy to quickly add up your total carbohydrate grams in your meals and snacks.

Counting Carbohydrate Servings

You may be familiar with the American Diabetes Association and American Dietetic Association Exchange Lists for Meal Planning system. In this system, foods are grouped together according to their nutrient values. Each food item in the carbohydrate-containing food groups has about 15 grams carbohydrate per serving. These groups are:

  • Bread/starch (includes some vegetables, like corn and potatoes)
  • Fruit
  • Milk
  • Other carbohydrates
(The Vegetables Group also contains foods with smaller amounts of carbohydrate, about 5 grams per serving.) Serving sizes of the foods in each group vary. Each serving contains 15 grams carbohydrate. Examples of 15-gram servings of carbohydrate:
  • 1 slice bread
  • 1/2 cup cooked cereal
  • 1/3 cup cooked pasta or rice
  • 1 small piece fruit
  • 1/2 cup fruit juice
  • 8 to 10 ounces milk (skim, 1 %, 2%, whole)
  • 2 small cookies
  • 1/2 cup ice cream
With either system, you learn the carbohydrate amounts of your favorite foods and match your meal or snack insulin dose to the total amount of carbohydrate grams in your meal or snack.

Information on this page provided by Deltec Cozmo™ Pump.

Related links



Type 1 Diabetes  - Symptoms, Treatments, and Long Term Concerns
Type 2 Diabetes  - Symptoms, Treatments...Are you at risk?
Hypoglycemia     - Symptoms, Treatments, Causes and Prevention
Hyperglycemia    - Symptoms, Treatments and Causes
Ketoacidosis       - Symptoms and Treatments
About Insulin       - Insulin Dosage and Adjustments
Long Term Concerns    

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