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confused

captainkirk

Newbie
Messages
3
Hi Folks
If the DAFNE approch is insulin to carb ratio, and you only need insulin for carbs? how come my blood suger goes up with proteins ie chicken fish etc confused or what :roll:
 
Hi CaptainKirk,
What vegetables are you eating with the chicken and/or fish? If the protein portion is in breadcrumbs or batter then both of these are pure carbohydrate.
 
Hi Cap'n,
One of the real shortcomings of some of the DAFNE type programs is that they do seem to focus only on carb/insulin ratios. The amino acids in protein are also metabolised to glucose (up to 36%, depending on a number of variables). Sarah is right, I still need 3 units of Humalog to cover my bacon'n'eggs of a morning - in other words zero carbs but lots of protein.
Even if you ate nothing at all, you would still need some insulin to counter the bodys own in-house production of glucose - a process known as gluconeogenesis.

All the best,

fergus
 
Fergus, that is so helpful to know. I have been told to match insulin to carbs. only and did not realise about still needing insulin if a meal has practically no carbs. I was in a situation today where I was in a restaurant. I'd ordered poached salmon in lemon and tarragon butter, mixed salad and new potatoes. Before meal turned up,felt wobbly, I took a reading and it was 3.5. Had a fruit pastille I had in my bag to tide me over until meal arrived a few minutes later. Then I sat there, insulin in hand, totally at a loss as to what to do. Feeling wobbly probably didn't help my thinking process but I was worried that being so low, to inject insulin would make my reading drop even lower initially, so injected just 1 unit of insulin. To read you have 3 units of fast-acting insulin to cover your bacon and eggs has taught me something.
I tell you, if my computer went down, I'd feel so lost. My second appointment with the dietician has been put back to December and I feel utterly useless without the enormous knowledge that can be gleaned from the likes of Fergus, iHS and Sarah Q. I am so grateful to all of you more experienced diabetics.
 
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