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M. B. Agieb
Saudi German Hospital, Saudi Arabia

Maha Bushra Hamed was born in Sudan 1972 and has been residing in Saudi Arabia since 1995. She holds a PhD in Human Nutrition from Ahfad University for Women in Sudan 2009, joining the Saudi-German Hospital Group as a head of the Dietetic Department in 2001. She has taught a number of courses on food and Nutrition at Al-Batterjee Medical College. Her current concern and interests include nutrition therapy for obesity and diabetes in both adult and adolescents.


Carbohydrates have the greatest effect on blood-sugar levels when digested . around 90-100% of the carbohydrate converts to sugar (glucose) within 15 minutes to 1.5 hours. comparing with Only 58% of protein, and less than 10% of fat, are converted into sugar within several hours after consumption. Counting carbohydrates is a meal plan that involves matching your insulin dose to the amount of carbohydrates Insulin to carbohydrate ratio is a guide for determining how much insulin needed as a bolus dose to help the body process the amount of carbohydrate consuming in a meal. The magic number is "15" for counting carbohydrates (15 grams of CHO = one carbohydrate choice or serving). As an initiation for this method An "average" might be 1 unit of insulin for every 10 or 15 grams of CHO for an adult, or 1 unit for every 20 to 30 grams for a school-age child, depending on the calculation method used and it will be adjusted as food intake recorded and matching with blood sugar monitoring Infants and toddlers need individualized determinations by the diabetes care team. Fiber and alcoholic sugar have special consideration in this method because both of them had an effect on blood sugar absorption which affect blood sugar levels

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