Carbs

[Dee1960]

Are 60 carbs a day to much?

 

[Melgar]

Hi @Dee1960 , only you will know. Everyone is different. If your blood sugars are still too high, then yes. If your blood sugars are dropping then no. If your blood sugars are at a level you are comfirtable with and they are stable then you have hit your personal carb ‘ sweet spot’, so to speak. It’s a question of finding how many carbs your body can deal with.

 

[Dee1960]

OK that makes sense. I've only been diagnosed this year and still trying to work things out there's so MUCH! I was conserend that if I didn't have carbs my mmol would drop to much and I've read somewhere about keytons if you don't have enough carbs.

 

[grantg]

ketones are a bi-product of the body burning fat to use for energy, state of ketosis. some people choose to follow keto diet as method of control for helping to control blood sugars although apparently following a keto diet comes with a much higher risk of dka for those with type1 according to dsn i see and they do not recremmend that form of diet for type1 esp if the person has had DKA in the past. I've recently been asked to up my carb intake slightly to see if it has an effect on ketone levels. the same dsn has said that several people which were diagnosed as type2 have done exceptionally well on a keto diet.

 

[Melgar]

OK that makes sense. I've only been diagnosed this year and still trying to work things out there's so MUCH! I was conserend that if I didn't have carbs my mmol would drop to much and I've read somewhere about keytons if you don't have enough carbs.

It is understandable @Dee1960 . Firstly, Nutritional ketones are different completely different from ketones that appear when your blood becomes too acidic because of very high blood sugars and not enough insulin. People with T1 diabetes are those most likely to suffer Diabetic keto acidosis (DKA) . It’s very uncommon for people with Type 2 diabetes , because T2 is due, mostly, but not always, to too much insulin. T1 no insulin production.

Nutritional ketones are generated when you go on a very low carb diet, like Keto. The aim of that diet is to drop your carb intake to a level where your body has to switch from carbs to burning fat for energy. It’s called fat adaption. That is the aim of going on a very restricted carb diet. Quite a few members here are able to remain in the normal blood sugar range by sticking to a very low carb diet.

By reducing you carb intake you will be trying to find how many carbohydrates your body can deal with, without your blood sugars remain elevated.
ed word correction

 

[Dee1960]

Now I understand thank you.

ketones are a bi-product of the body burning fat to use for energy, state of ketosis. some people choose to follow keto diet as method of control for helping to control blood sugars although apparently following a keto diet comes with a much higher risk of dka for those with type1 according to dsn i see and they do not recremmend that form of diet for type1 esp if the person has had DKA in the past. I've recently been asked to up my carb intake slightly to see if it has an effect on ketone levels. the same dsn has said that several people which were diagnosed as type2 have done exceptionally well on a keto diet.

I'll take a look thank you.

 

[Dee1960]

It is understandable @Dee1960 . Firstly, Nutritional ketones are different completely different from ketones that appear when your blood becomes too acidic because of very high blood sugars and not enough insulin. People with T1 diabetes are those most likely to suffer Diabetic keto acidosis (DKA) . It’s very uncommon for people with Type 2 diabetes , because T2 is due, mostly, but not always, to too much insulin. T1 no insulin production.

Nutritional ketones are generated when you go on a very low carb diet, like Keto. The aim of that diet is to drop your carb intake to a level where your body has to switch from carbs to burning fat for energy. It’s called fat adaption. That is the aim of going on a very restricted carb diet. Quite a few members here are able to remain in the normal blood sugar range by sticking to a very low carb diet.

By reducing you carb intake you will be trying to find how many carbohydrates your body can deal with, without your blood sugars remain elevated.
ed word correction

So I'm having to many carbs for lunch as my mmol stay elevated for 3 to 4 hours after eating 2 slices of brown bread 30gram carbs.

 

[grantg]

So I'm having to many carbs for lunch as my mmol stay elevated for 3 to 4 hours after eating 2 slices of brown bread 30gram carbs.

some people find that they can cope with carbs better at various times of day. some forms of carbs some people can also tolerate better than others. fats/protiens will generally slow down 'spikes'

a short walk (10-20mins) prior to eating breakfast and afterwards should have an effect on helping it to lower quicker. 2-3mmol difference is roughly what should be aiming at for 2 hours after food.

any faster is a bonus imo


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could be worth your time having a wee expiriment with the above. if using cgm data i'd write a list before hand of foods you love then try a few of them, then try simular foods with different ingrediants, alongside trying different times of day if falls just outside the range that you would be happy with eg swap a typical lunch for evening meal or vice versa.

 

[ianf0ster]

So I'm having to many carbs for lunch as my mmol stay elevated for 3 to 4 hours after eating 2 slices of brown bread 30gram carbs.

Yes, if at 2hrs after first bite of your 2 slices of bread, your Blood Glucose was more than 2 mmol higher than it was just before eating.
To put it into perspective, i eat between 20gms and 40gms of carbs per DAY! So you just eat my average daily carbs in probably a couple of minutes!

 

[grantg]

i'm going add a liltle more info some carbs may take much longer to digest and any potential spike can later ... (more complex the carb can take longer to breakdown) if i eat mac n cheese i will not see a spike start to rise for approx an hour with max reading around 3-4 hours after initial first bite then would be very very very slow to return to 'fasting state level'. i wouldnt of been able to catch above without cgm as would of been within 2mmol after 2 hours however would of went higher and for a longer period of duration. foods glycemic index could be worth looking into

 

[KennyA]

OK that makes sense. I've only been diagnosed this year and still trying to work things out there's so MUCH! I was conserend that if I didn't have carbs my mmol would drop to much and I've read somewhere about keytons if you don't have enough carbs.

If it helps, I eat around 20g carb per day and have done for over five years now. 99% of that time I have had ketones in my urine which is simply a sign that my system is using bodyfat for fuel - it's making the glucose that I'm not getting from carbs in food. These days if I have a blood or urine test I tell them in advance that there will be ketones in the sample because I'm on very low carb.

There is often confusion between ketosis (which is the bodyfat-using) and diabetic ketoacidosis, which is the serious condition. People on the forum have reported this confusion extends to doctors and nurses as well.

 

[Dee1960]

i'm going add a liltle more info some carbs may take much longer to digest and any potential spike can later ... (more complex the carb can take longer to breakdown) if i eat mac n cheese i will not see a spike start to rise for approx an hour with max reading around 3-4 hours after initial first bite then would be very very very slow to return to 'fasting state level'. i wouldnt of been able to catch above without cgm as would of been within 2mmol after 2 hours however would of went higher and for a longer period of duration. foods glycemic index could be worth looking into

I have freestyle libre 2. It was a cheese tostie I had! So it was the fats slowing down the mmol returning to fasting state.

 

[Dee1960]

If it helps, I eat around 20g carb per day and have done for over five years now. 99% of that time I have had ketones in my urine which is simply a sign that my system is using bodyfat for fuel - it's making the glucose that I'm not getting from carbs in food. These days if I have a blood or urine test I tell them in advance that there will be ketones in the sample because I'm on very low carb.

There is often confusion between ketosis (which is the bodyfat-using) and diabetic ketoacidosis, which is the serious condition. People on the forum have reported this confusion extends to doctors and nurses as well.

So what are these for and hope often should I test with these?

 

[grantg]

I have freestyle libre 2. It was a cheese tostie I had! So it was the fats slowing down the mmol returning to fasting state.

nice that you have freestyle libre i'd presume you'd of checked out the glucose reports https://www.libreview.com/ theres a section near the top: Considerations for the Clinician¹ sometimes that can contain useful infor. Weekly Summary
section i find most useful.

although the fats would slow down the return to fasting state the same holds true for spike it would have effect of slowing down the inintial spike as well (to a lesser maximal 'interestrial glucose level').

 

[Dee1960]

So what are these for and hope often should I test with these?

*how, not hope.

 

[Dee1960]

nice that you have freestyle libre i'd presume you'd of checked out the glucose reports https://www.libreview.com/ theres a section near the top: Considerations for the Clinician¹ sometimes that can contain useful infor. Weekly Summary
section i find most useful.

although the fats would slow down the return to fasting state the same holds true for spike it would have effect of slowing down the inintial spike as well (to a lesser maximal 'interestrial glucose level').

I can't download it on my phone, I think it's to old but I do have a reader.

 

[grantg]

So what are these for and hope often should I test with these?

those check ketone levels, which if your not feeling ok you should check. a build up of ketones can result in diabetic ketoacidosis. https://www.diabetes.co.uk/diabetes-complications/diabetic-ketoacidosis.html for some info. in general my ketone levels appear to be elevated (was advised yesterday to increase carbs slightly to see if that has any effect)... diagnosed as type1 lada here. higher ketones higher chance of dka. most on keto/low carb diets will have some present as they are a bi-product of the body burning fat to use for energy. after ketones have done their job they are usually pee'd out.

it would appear the strips you have are the same as the ones i have. normal advise is to check if blood sugars are high for several hours (teens+) recheck if high drink lots. if very high get medical advice. you use those same way as you do with fingerprick glucose. however in normal circumstances only if feeling unwell and/or glucose levels are very high teens+ and are not coming back down.

 

[Dee1960]

Thank you.

 

[grantg]

I can't download it on my phone, I think it's to old but I do have a reader.

you can download the data from the reader to a pc / laptop if you have one. https://pat.libreview.io/articles/meter-drivers reports etc then can access as your phone is too old. you could also try using xdrip+ or simular third party app if your phone isnt compatable with librelink.

 

[Dee1960]

Thank you so much I'll give it a go and let you know.