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Type 1 Diabetes
Can't I eat what I want?
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<blockquote data-quote="tim2000s" data-source="post: 1118836" data-attributes="member: 30007"><p>Hi [USER=284779]@GBS_82_[/USER] People with T1 restrict carb intake for a couple of reasons. </p><p></p><p>The first is that, unless you get your insulin timing spot on, the spike you get after eating easter eggs, cake, bread, some fruits (in fact it will be dependent on you) during the first two hours after eating can be much more than the level you are at at two hours. By testing at hourly intervals after eating, you may find that after an hour, your bg level is up in the 10-12 range. </p><p></p><p>Whilst coming down to a better level after 2 hours is okay, there is mounting evidence that spiking like this (known as glycaemic variability) is a key indicator of certain types of complication, specifically talking about Retinopathy, Neuropathy and Nephropathy. As a result, many try to keep their levels lower in order to reduce this risk. </p><p></p><p>The second is linked to the first, in that spikes are usually followed by dips and for some, this roller coaster effect can be difficult to predict and manage, result in many hypos and therefore have a direct impact on life. By keeping carb intake relatively low, the rises aren't generally as high and the drops, as you are using much less insulin, are also much less dramatic. </p><p></p><p>As [USER=101136]@Jaylee[/USER] says, it's all about keeping nice smooth, flat lines. It just makes living life easier if your bg isn't fluctuating all the time.</p><p></p><p>Ultimately though, it's up to each person to make their own mind up as to how they want to approach it.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1118836, member: 30007"] Hi [USER=284779]@GBS_82_[/USER] People with T1 restrict carb intake for a couple of reasons. The first is that, unless you get your insulin timing spot on, the spike you get after eating easter eggs, cake, bread, some fruits (in fact it will be dependent on you) during the first two hours after eating can be much more than the level you are at at two hours. By testing at hourly intervals after eating, you may find that after an hour, your bg level is up in the 10-12 range. Whilst coming down to a better level after 2 hours is okay, there is mounting evidence that spiking like this (known as glycaemic variability) is a key indicator of certain types of complication, specifically talking about Retinopathy, Neuropathy and Nephropathy. As a result, many try to keep their levels lower in order to reduce this risk. The second is linked to the first, in that spikes are usually followed by dips and for some, this roller coaster effect can be difficult to predict and manage, result in many hypos and therefore have a direct impact on life. By keeping carb intake relatively low, the rises aren't generally as high and the drops, as you are using much less insulin, are also much less dramatic. As [USER=101136]@Jaylee[/USER] says, it's all about keeping nice smooth, flat lines. It just makes living life easier if your bg isn't fluctuating all the time. Ultimately though, it's up to each person to make their own mind up as to how they want to approach it. [/QUOTE]
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