eating

[sugarfree2]

hi would like to askabout eating bread i have heard that type 1 when they have a mcdonalds or kfc they cannot eat the bread bun also been told white bread is no good i use wholemeal at the moment is that ok i am type 1 had it for just over a year i have only had three hypos where i have had to recover from rapidly all others below 4 but no real concern i dont carb count as not really being affected when check my bg its normally around 5 to 7 does this show i am dealing with it at moment also i have read on other diabetes sites about type1.5 has anyone one else seen this is it just a usa term i am 47 so got it late in life so somesay this is type 1. i use novo mix twice a day i know people seem to change their insulin from this to other fast acting ones sometimes i check bg after a little time after eating and it is high but only for an hour or two by nextmeal it is normal does diabetes affect anyone and stops or hinders them working and is there a claim that can be made to help financially if they are restricted thanks for reading sorry for so manyquestions but would reallyapprieciate if any were answered ia 47 13st and used to have a big sugar intake a day with coke biscuite and sweets probally why pancreas packed up any way once again thanks very much

 

[lilibet]

Hi there

A couple of points you raised

All bread is high in carbs, so although you might eat the healthier option of wholemeal, and it wont 'hit' you as hard in terms of speed, it will still raise bg quite high. Of course you might be ok with it, but ive yet to meet a diabetic (esp on on mixed insulin) who can cope with it to any great degree. Many people look at GI of food, and Burgen bread is often quoted as the least evil of breads (11g carbs per slice as opposed to a 20g per slice in Allison hi bran)

As for bg - being between 5 and 7 is good, but as you said it goes higher after eating and although it comes back to normal after a few hours there is increasing research to suggest that high 'spikes' in bg can also be harmful.If you are happy on mixed insulin thats good, but it wont give you as good control or freedom as other multiple injections. Also, very hard to cover carbs with mixed insulin across the whole day. It gives you a sense of 'false security' as your pre meal and pre bed readings can be fab on paper but dont really tell the whole story across the day

Eg starting bg 5.2, bit of toast, spike to 11.3 and then back to 5 at lunch.
If you tested as they advise (pre meal, pre bed) then you would only see 5.2, then 5 etc etc

Maybe think a bit more about carbohydrates but PLEASE be careful on mixed insulin (or any insulin) when you change your diet, doses need to change usually. So maybe contact med professionals

As for work, Diabetes is covered by disability legislation - employers must make reasonable adjustments for you (ie somewhere to inject, fridge for insulin or whatever). If they dont, they are breaking the law

Also, DLA benefits are the benefits if you cant work -but you need to demonstrate some serious probs with diabetes to get it per se. EG demonstrate that you have serious hypos and need to be accompanied at all times. Contact a local money advice for more information?