Type 2 Low Carb counting

ShealsMc

Member
Messages
9
Type of diabetes
Type 2
How Many carbs should you have to start a Low Carb diet I have been type 2 since have just watched what I eaten since being diagnosed in2000 and take medication:
2 x Metformin SR 1000mg
1 x Glimepiride
100mg Atenalol
10mg Ramipril
20mg Atorvastatin
75mg Aspirin
My Hba1c is 55mmol

Look forward to receiving your advices.
 

Guzzler

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10,577
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Type 2
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Diet only
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I can only speak for myself here. I started at 100g per day but found that was too easy so lowered it to 75g then, over a few weeks, gently lowered it still further. I am now on 25g/35g per day and quite comfortable with that number though I sometimes have 20g or fewer in one day but not often. Good luck and take it steady.
 

britishpub

Well-Known Member
Messages
2,722
Type of diabetes
Type 2
Treatment type
Diet only
Personally I don't / have never counted Carbs.

For me LC is achieved by not eating the obvious "heavy" carbs such as Bread, Potatoes, Pasta etc and anything containing sugar.

Counting, weighing and worrying unnecessarily over tiny amounts of carbohydrate would be far too tiresome.
 

Guzzler

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I don't find that counting carbs is tiresome at all and I do not weigh food often, either. When I first started LCHF I needed to have an idea of the carb value of different foods and by testing my bg as well it took the guess work out of planning meals. I knew that the big baddies were the rice, pasta, bread etc but I didn't know about other foods or how they would affect my bg. As well as checking labels and a smattering of adding up there's no big problem. I am getting fewer and fewer surprises with my bg readings and the entries in my food diary are shorter as I know more of the foods that spike me and avoid them. Simples.
 

Rachox

Oracle
Retired Moderator
Messages
15,898
Type of diabetes
I reversed my Type 2
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Tablets (oral)
I'm with Guzzler here, I need to count to know I'm not straying. I started on 100g carbs/day on diagnosis and after about six weeks I reduced it to 50-70g/day, and that's where I stay. Counting was a bit tricky to start with but you learn the values of your regular meals and the effect they have on your blood sugars. Supermarket websites are a good resource for nutritional values of foods to help with counting. Do you regularly test your blood sugars @ShealsMc? If not it would be worth starting otherwise you are working blind. For instance some Type 2s can't eat potato but I know from testing that I can eat a small one with little effect in my blood sugar. I know you're not new to Type 2 but I'll tag @daisy1 who will post lots of useful info for you.
 
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mytype1.life

Well-Known Member
Messages
455
Type of diabetes
Type 1
Treatment type
Pump
I've reduced my carbs dependant on what happens when I eat them. Everyone is different but for me in particular bread and potatoes cause spikes.

I've swapped cereal (approx 45g of carbs) with paleo museli or yoghurt and berries (about 20g). Pasta works really well for me in small portions with an extended bolus. I tend to have approx 20g worth of carbs which can be 50-100g of pasta with salad/avocado. Evenings i go for stir fry or some kind of veg with fish or chicken (about 20g or less).

Snacking depends on how hungry i am/how active/if Im heading low but have replaced cereal bars with Graze nuts/berries/rice cake with peanut butter. If I'm desperate for a treat and running on the low side I'll have a treat sized chocolate!

So it's all a case of trial and error and what works for you. I won't be certain this is working for me until I get my next HbA1c results!
 
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ShealsMc

Member
Messages
9
Type of diabetes
Type 2
I'm with Guzzler here, I need to count to know I'm not straying. I started on 100g carbs/day on diagnosis and after about six weeks I reduced it to 50-70g/day, and that's where I stay. Counting was a bit tricky to start with but you learn the values of your regular meals and the effect they have on your blood sugars. Supermarket websites are a good resource for nutritional values of foods to help with counting. Do you regularly test your blood sugars @ShealsMc? If not it would be worth starting otherwise you are working blind. For instance some Type 2s can't eat potato but I know from testing that I can eat a small one with little effect in my blood sugar. I know you're not new to Type 2 but I'll tag @daisy1 who will post lots of useful info for you.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
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Tablets (oral)
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@ShealsMc

Hello ShealsMc and welcome to the Forum :) Here is the Basic Information which we give to new members and I hope you will find it useful. In here there is a link to the Low Carb Program which you could try as I think it would be helpful to you. Ask as many questions as you want and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 250,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.

Take part in Diabetes.co.uk digital education programs and improve your understanding. They're all free.
  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 

Goonergal

Master
Retired Moderator
Messages
13,465
Type of diabetes
Type 2
Treatment type
Diet only
Do you count carbs net or gross?

Net carbs is really a US concept - there they include fibre as a carbohydrate so fibre needs to be deducted from the carb total to get net carbs. In the UK - and I believe most other places - the total carbohydrate figure does not include fibre, so that is the figure I use.This figure is much more helpful than using the “of which sugars” figure as all carbs turn to sugar in the body.
 
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