RE: question about carbs

November 30, 2008

You are absolutely right, Dave. That is why diabetes is such an individual

disease.

Re: question about carbs

I would add to Dan's comments by saying, that along with the fact that all

of us are different, not only between type 1 and type 2, but in age, gender,

activity level/life style, length of time as a diabetic, etc., that weight

management is also a major consideration. Indeed, as a type 1, I can eat a

piece of pie, or eat something extra, and cover it with a little extra

insulin. If I am healthy, or active, this is more acceptable. However, for

an older, and less healthy diabetic, and in particular, one who is over

weight, this is probably not an advisable practice.

Dave

God doesn't hate sinners, just sin!

question about carbs

The nutrition advice given that says over 200 g of carbs is the target is a

common problem in diabetes treatment. The reason given was that many would

not eat less. This means the standard of care is being set at the worst

case level rather then setting it at the level likely to provide optimal

results. Too often doctors take a similar path. They will accept an a1c

of 7 as ok when knowing that the current research based advice says 6

should be the worst case number.

Both result in many more diabetics then would otherwise have better results

are getting complications and are being misled by the complacency of the

advice giver. They should be pushing not enabling poor results. I once

read a doctor's advice that if your doctor is not yelling at you about your

poor results then you should be yelling at your doctor. The problem is

that the customer is not being told results are poor and complications are

the price they pay.

There is another prroblem with the carb advice. It is almost useless to

set a standard number as a target given the range of individual reactions

to the same number of carbs. One should rather set a post meal number for

blood glucose which will then on average result in an effective a1c over

time.

One relies on the meter to tell us how many carbs of what kind result in

what post meal number. One then adjusts that carb content of that kind of

food accordingly until the post meal target is matched.

XB

IC|XC

November 30, 2008

Ricky,

So glad you are questioning that woman. I can't believe and dietician would

recommend that many carbs. You were smart in eating what you did for

Thanksgiving and I give you a lot of credit for cutting down on the carbs.

We all blow it once in while. I'm sure I ate that many crbs on

thanksgiving, but I can cover it with insulin as I am a type 1. I try to

eat only about 90 caarbs a day so I don't have to take so much insulin.

question about carbs

Hi all, I saw the dietician on Wednesday and we were talking about carbs and

she recommended eating 75 gm of carbs per meal or a total daily amount of

225 gms of carbs.

This seemed like a lot to me since I'd been reading that 30 to 50 carbs per

meal were best. When I asked her about that she said that her experience was

that her clients usually couldn't stick with that low amount of carbs.

What do all of you think.

I showed her my bg log and she said that I was doing a pretty good job of

getting them down. She said that my first A1C was 10.6 and from the readings

it looked like my reading for my next test which should be coming up

probably would be in the 8 range which she said was a good drop for a two

month period. Of course I want to get it down in the normal range if

possible and know its going to take a lot of work and support to do that.

I didn't go to my friends house for Thanksgiving because I wasn't sure what

they were going to be having because someone other than my friend was doing

the shopping and cooking. I wanted to try to keep up the healthy eating. My

partner and I got a turkey breast, I did make stuffing but used a organic

wholewheat stuffing that had a low carb amount. I fixed regular mashed

potatoes for my partner and I made mock mashed potatoes out of cauliflower.

I got a sugar free apple pie and had just a small piece.

I tested before bed last night and had a reading of 139 and again this

morning fasting test was 120 which I know aren't great readings but much

better than the 200 ones I was getting in the beginning.

Ricky Joe

November 30, 2008

hehehe, I know the feeling, I will usually blow it on special days like my

birthday and Christmas etc. I still try to keep it in check as much as possible.

But once every now and then is Okay with me, as long as I don't make a habit of

it, Smile.

Cheers,

Brett.