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Gary Scheiner says

Interestingly, the challenge of counting carbs while out on the go applies to adults as well as teenagers.  The first important message to impress upon your son is that every carb must be covered with bolus insulin.  Then, I find the best approach to counting carbs when out is to estimate portion sizes (using a 1/2 pint milk carton or a fist as a reference to represent 1 cup) and then converting the portion into grams of carb.  It's quick, easy, and accurate enough to keep BGs from going way out of range.  For example, potato is around 40g per cup, so having a "fist and a half" of fries equals 60g carb.  A hand-sized slice of pizza is about 30g, so a 2-handed slice is also around 60g.  There are lists of these types of conversions in my book, "The Ultimate Guide to Accurate Carb Counting", and we also cover them in detail at the www.type1university.com course on Advanced Carb Counting.

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