When I started eating a lower-carb diet I raised the question with my DSN a couple of years ago about how eggs in the absence of carbs raise my blood glucose and I was therefore counting them and having insulin with them.
Her reply was: 'We do not recommend taking bolus insulin if you are not having carbohydrate.'
I showed her pages of fasting, mid morning and pre lunch readings, showing clearly what my breakfast eggs were doing to my blood glucose when I didn't bolus for them. I just didn't get it.
The DSN simply repeated her previous sentence, but in such a way as to make me think that having insulin with them
would be a good idea. But she couldn't
say that.
A while later, after I had gone onto a pump and we were talking about basal rate testing, she was saying that although some clinics had in the past said that people could eat carb-free food such as ham or hard-boiled eggs during basal testing, now they recommend consumption of only water during basal testing periods.
'Oh,' I said, 'Is that because of the thing that happens to
my blood glucose when I eat eggs?'!
I think
I scored the point on that occasion.....
I have a lot of carb-free meals - bacon, eggs, mushrooms - in the form of fry-ups or omelettes, often with almost carb-free salad. For me*, this means 'pretending' to my pump handset's bolus calculator that I'm having 15-20g carbohydrate.
When I finally realised (fairly recently) that many foods not containing carbohydrate, and eaten without any carbohydrate, had the ability to do this to my numbers, it was a
huge relief, as it explained a LOT of high blood sugars that had previously been inexplicable!
Love Snapsy
*this applies to
my experience and shouldn't be considered as specific bolusing advice for others!
️
