Conflicting Carb Confusion!

[Deleted member 564899]

Hello All,
Is it any wonder people get confused over Carbs when advice varies greatly, including that from your Diabetes Team....
I'm T2 trying to get my sugars under control after a heart attack and the Diabetes Team said to include carbs with every meal, but as snacks keep them under 20g . Also, not to be bothered about sugars in labelling. (??)
Yet there are people saying they stay below 10g per 100g all the time. I can see lots of Low Carb Diets and various others but I don't want that, just want to eat healthily for my Heart and my Diabetes.
Is there a general "Carbs per 100g" rule....and do you go by this or Carbs Per Portion?

 

[plantae]

It's probably something you need to talk to about with your team, but I see that you're on insulin which might mean you have to consume a certain amount of carbohydrates per meal depending on your insulin regimen... to stop you having hypos. That's not advice from me to you, it's just a possible reason why they're saying to "include carbs with every meal". Sugars in labeling are already included in the carbohydrate amount so maybe that's why they say to not be bothered about that -- it's the total carbs, not just sugars that matters and they're already included

 

[Goonergal]

What type of insulin regime are you on @Alison95 ? I’m not an insulin user, but from reading this forum it seems that Type 2s are fairly often put onto a fixed dose of insulin which reduces flexibility when eating as you’ll need to eat a consistent amount of carbs to match the insulin. If you’re on a basal bolus regime you have a lot more flexibility as you can dose to match your food.

If you could mention what you’re taking it’ll help those with experience of insulin to give you better advice.

 

[catinahat]

advice varies greatly, including that from your Diabetes Team....

Welcome Alison
We don't have a "Diabetes Team" this forum is made up of people just like yourself trying to live as healthy as we can with diabetes. We have members with every type of diabetes you can think of, and probably some types you have never heard of.

When you read this forum you will no doubt come across different opinions on diet and blood sugar management. That's because different types of diabetes require very different treatments, there is no one size fits all.

We don't have any medical qualifications and we're not allowed to give medical advice. What we can do however is share out experience of living with diabetes, our failures and successes, we can offer support when needed and hopefully help people find their own way to better blood sugar control and health.

The reason you will see lots of people recommending a low carb diet is because that's what they have found to be most effective, especially for type 2's who would rather control thing without medication if possible.
Some have found they get good control on 150g of carbs, others 100g, at that level of carbs some people would find their diabetes getting worse and would need to be much lower to avoid medication and possible diabetic complications.

We have members from all over the world, different cultures, religions, we have people following every diet you can think of from vegan to carnivore and dealing with every ailment under the sun as well as their diabetes. So whatever you are struggling with there will almost certainly be someone going through or have experienced the same.

 

[Jaylee]

Hello All,
Is it any wonder people get confused over Carbs when advice varies greatly, including that from your Diabetes Team....
I'm T2 trying to get my sugars under control after a heart attack and the Diabetes Team said to include carbs with every meal, but as snacks keep them under 20g . Also, not to be bothered about sugars in labelling. (??)
Yet there are people saying they stay below 10g per 100g all the time. I can see lots of Low Carb Diets and various others but I don't want that, just want to eat healthily for my Heart and my Diabetes.
Is there a general "Carbs per 100g" rule....and do you go by this or Carbs Per Portion?

Hi,

Carb counting & dosing adjustment of insulin for what I eat as a T1 using an MDI regime.
If I was looking at the label panel on the back of packaging perusing the carb content, I would take into account the percentage of the “of which are sugars.” & avoid if it was snapping at the heels of the overall carb content.?
The faster acting carbs (sugars.) for me, can spike before the bolus insulin working profile gets a chance to do it’s job.
Quite often later, (4 maybe 5 hours later.) possibly, insulin still working causing a low?
Some, can manage by experimenting with the timing of the bolus dose?

Are you on a fixed mixed insulin regime?
Or two separate types? (Long acting & shorter profile for meals?)

 

[Deleted member 564899]

It's probably something you need to talk to about with your team, but I see that you're on insulin which might mean you have to consume a certain amount of carbohydrates per meal depending on your insulin regimen... to stop you having hypos. That's not advice from me to you, it's just a possible reason why they're saying to "include carbs with every meal". Sugars in labeling are already included in the carbohydrate amount so maybe that's why they say to not be bothered about that -- it's the total carbs, not just sugars that matters and they're already included

I don't really have much faith in the team as they give conflicting advice to each other (depending on who I see). Thanks for the information., good to know why Sugars aren't much of an issue in the labelling.

 

[Deleted member 564899]

Welcome Alison
We don't have a "Diabetes Team" this forum is made up of people just like yourself trying to live as healthy as we can with diabetes. We have members with every type of diabetes you can think of, and probably some types you have never heard of.

When you read this forum you will no doubt come across different opinions on diet and blood sugar management. That's because different types of diabetes require very different treatments, there is no one size fits all.

We don't have any medical qualifications and we're not allowed to give medical advice. What we can do however is share out experience of living with diabetes, our failures and successes, we can offer support when needed and hopefully help people find their own way to better blood sugar control and health.

The reason you will see lots of people recommending a low carb diet is because that's what they have found to be most effective, especially for type 2's who would rather control thing without medication if possible.
Some have found they get good control on 150g of carbs, others 100g, at that level of carbs some people would find their diabetes getting worse and would need to be much lower to avoid medication and possible diabetic complications.

We have members from all over the world, different cultures, religions, we have people following every diet you can think of from vegan to carnivore and dealing with every ailment under the sun as well as their diabetes. So whatever you are struggling with there will almost certainly be someone going through or have experienced the same.

Hi
I meant

Welcome Alison
We don't have a "Diabetes Team" this forum is made up of people just like yourself trying to live as healthy as we can with diabetes. We have members with every type of diabetes you can think of, and probably some types you have never heard of.

When you read this forum you will no doubt come across different opinions on diet and blood sugar management. That's because different types of diabetes require very different treatments, there is no one size fits all.

We don't have any medical qualifications and we're not allowed to give medical advice. What we can do however is share out experience of living with diabetes, our failures and successes, we can offer support when needed and hopefully help people find their own way to better blood sugar control and health.

The reason you will see lots of people recommending a low carb diet is because that's what they have found to be most effective, especially for type 2's who would rather control thing without medication if possible.
Some have found they get good control on 150g of carbs, others 100g, at that level of carbs some people would find their diabetes getting worse and would need to be much lower to avoid medication and possible diabetic complications.

We have members from all over the world, different cultures, religions, we have people following every diet you can think of from vegan to carnivore and dealing with every ailment under the sun as well as their diabetes. So whatever you are struggling with there will almost certainly be someone going through or have experienced the same.

Hi
I meant my own Diabetes Team, as in "even from your own Team", not "YOUR team".
Thanks for the info

 

[Deleted member 564899]

What type of insulin regime are you on @Alison95 ? I’m not an insulin user, but from reading this forum it seems that Type 2s are fairly often put onto a fixed dose of insulin which reduces flexibility when eating as you’ll need to eat a consistent amount of carbs to match the insulin. If you’re on a basal bolus regime you have a lot more flexibility as you can dose to match your food.

If you could mention what you’re taking it’ll help those with experience of insulin to give you better advice.

Hi,
I'm on NovoMix30, flexi pen. Yes, fixed dose but based on doing my own profile readings, the dose needs increasing.
Thanks for the reply.

 

[Deleted member 564899]

Hi,

Carb counting & dosing adjustment of insulin for what I eat as a T1 using an MDI regime.
If I was looking at the label panel on the back of packaging perusing the carb content, I would take into account the percentage of the “of which are sugars.” & avoid if it was snapping at the heels of the overall carb content.?
The faster acting carbs (sugars.) for me, can spike before the bolus insulin working profile gets a chance to do it’s job.
Quite often later, (4 maybe 5 hours later.) possibly, insulin still working causing a low?
Some, can manage by experimenting with the timing of the bolus dose?

Are you on a fixed mixed insulin regime?
Or two separate types? (Long acting & shorter profile for meals?)

Hi,
Yes, I've noticed a lot of times, sugars are nearly the same % as carbs.
Your regime sounds tricky, as Lows are terrible.
My Insulin is mixed- 30% fast acting, 70 long in one pen. Time for a review, I think.
Thanks

 

[miahara]

Hi,
I'm on NovoMix30, flexi pen. Yes, fixed dose but based on doing my own profile readings, the dose needs increasing.
Thanks for the reply.

Hi Alison. It looks like you've solved your problem and you need to adjust the dose according to the carbs you consume, which is what I do. The only suggestion I can offer, beyond the suggestions already posted is to start keeping a paper log of carbs and insulin with each meal and your glucose levels after a meal. If you are like me and many others, on insulin, you'll most likely find that your insulin:carb ratio vary meal to meal. In my case I need much more insulin per carb at breakfast than I do with my evening meal.

 

[Deleted member 564899]

Hi Alison. It looks like you've solved your problem and you need to adjust the dose according to the carbs you consume, which is what I do. The only suggestion I can offer, beyond the suggestions already posted is to start keeping a paper log of carbs and insulin with each meal and your glucose levels after a meal. If you are like me and many others, on insulin, you'll most likely find that your insulin:carb ratio vary meal to meal. In my case I need much more insulin per carb at breakfast than I do with my evening meal.

Thanks Miahara, yes, I definitely need to play Sherlock Holmes for a while.
It's frustrating to say the least.
Out of curiosity, what is 3C Diabetes- never heard of that one,
Alison

 

[miahara]

Thanks Miahara, yes, I definitely need to play Sherlock Holmes for a while.
It's frustrating to say the least.
Out of curiosity, what is 3C Diabetes- never heard of that one,
Alison

Type 3c is pancreatogenic diabetes caused by the pancreas not producing sufficient insulin. The damaged pancreas might also not produce the digestive enzymes required to digest food which may lead to weight loss. Type 3c is often mistaken as T2.

 

[Deleted member 564899]

Type 3c is pancreatogenic diabetes caused by the pancreas not producing sufficient insulin. The damaged pancreas might also not produce the digestive enzymes required to digest food which may lead to weight loss. Type 3c is often mistaken as

Type 3c is pancreatogenic diabetes caused by the pancreas not producing sufficient insulin. The damaged pancreas might also not produce the digestive enzymes required to digest food which may lead to weight loss. Type 3c is often mistaken as T2.

Well, I've learnt something new today!