question about carbs

[Guest guest]

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

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