It can be heartbreaking when we do see what a serving size looks like.
If I had a patient with a limited ability to grasp...I provided a styrofoam plate that I drew on with a marker. I "cut" that plate up into pie wedge shapes. A great big wedge for salads and steamed veggies...a narrow wedge for dessertora carb..a medium wedge for protein.. It worked. .try to eat the food according to the wedge sizes on the plate....one day a patient and his wife came by and asked me for another marked plate ....it was a bit confusing...what happened to the first??
He had been USING it...putting actual food on it night after night. It fell apart!! Lesson learned.
Now...Medicare will pay for visits for a diabetic educator ..and for some dietician visits if there is a condition that warrants ..I am not sure how many.