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1.5 - Insulin problem
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<blockquote data-quote="AMBrennan" data-source="post: 305278" data-attributes="member: 37697"><p>Sorry, but I don't see how that's relevant. You could get plenty of carbohydrates without eating gluten - potatoes, rice, maize...</p><p></p><p></p><p>Your endo is actually correct here. Exercise increases insulin sensitivity; a healthy person would compensate for this by reducing insulin output but you obviously cannot because your insulin is constant and depends only on your last Levemir injection. Unless you're using an insulin pump, you need extra carbs for exercise (or reduce the meal insulin and exercise right after eating, which amounts to the same thing). </p><p></p><p></p><p>Yes, that is indeed flawed. If you need 0.25-0.5u per 10g carbs, then you simply cannot cover meals, regardless of whether they're low carb or high carb - you're forced to eat meals with multiples of 40g carbs in the summer, which significantly affects quality of life (e.g. Costa sandwiches are 60g, so...). You cannot accurately correct for high BG either. </p><p></p><p>Basically, keep in mind that the official recommendation is to NOT low-carb; I can see her feeling threatened (because you're effectively saying that you know better than her and all the experts that made the guidelines) and being less helpful than if you asked for the pen to enable you to properly carb count and do stuff you're supposed to be doing. </p><p></p><p>Have you tried talking to your GP?</p></blockquote><p></p>
[QUOTE="AMBrennan, post: 305278, member: 37697"] Sorry, but I don't see how that's relevant. You could get plenty of carbohydrates without eating gluten - potatoes, rice, maize... Your endo is actually correct here. Exercise increases insulin sensitivity; a healthy person would compensate for this by reducing insulin output but you obviously cannot because your insulin is constant and depends only on your last Levemir injection. Unless you're using an insulin pump, you need extra carbs for exercise (or reduce the meal insulin and exercise right after eating, which amounts to the same thing). Yes, that is indeed flawed. If you need 0.25-0.5u per 10g carbs, then you simply cannot cover meals, regardless of whether they're low carb or high carb - you're forced to eat meals with multiples of 40g carbs in the summer, which significantly affects quality of life (e.g. Costa sandwiches are 60g, so...). You cannot accurately correct for high BG either. Basically, keep in mind that the official recommendation is to NOT low-carb; I can see her feeling threatened (because you're effectively saying that you know better than her and all the experts that made the guidelines) and being less helpful than if you asked for the pen to enable you to properly carb count and do stuff you're supposed to be doing. Have you tried talking to your GP? [/QUOTE]
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