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Newbie Seeking Some Low Carb Advise

sarahjones

Newbie
Messages
2
Location
Southampton
Hi everyone,

I am hoping someone may be able to help me. My Diabetic Specialist has finally agreed for me to start on a Low Carb Diet can anyone recommend the maximum amount of carbs I should be starting on. I have a dieticians appointment but not for another couple of weeks and would really like to get started!! I am currently 115kgs and my bloods are running constantly above 10, I am taking Lantus 140 units at night and Apridra 50 units three times a day.

I have been diabetic for a few years now and have been constantly struggling with my weight, this is my last chance to finally shift the weight and reduce my blood sugars and amounts of insulin I'm taken - my only other option is Weight Loss surgery and I really don't want to go down that route.

Any help you can give me would be greatly appreciated.

Take Care
Sarah x :wave:
 
There's no set amount - it's a bit of trial and error ie testing blood sugar, eating foods with different carb amounts then seeing what effect it has had 2hrs later on your blood sugars - people will react differently to different amounts
I find 30g - 50g max aday works for me, others vary anythingvbetween 0 & 100
 
Hi Sarah and welcome to the forum :)
There is a low carb forum section here and I suggest you have a look as you will find a lot of useful information there.
Here is the information which we give to new members and you will also find information on carbohydrates in here.


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 30,000 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

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes ... rains.html

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

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.
 
Hi All

Just wanted to say hello and thank you for the above comments. I have now seen the Dietician at the hospital and have been put on Low Carb Diet 40g a day.

I have been told to make up my carbs by the food groups ie. 10g Complex Carbs, 10g Dairy, 10g Fruit, 10g Veg - thats carb amounts not weight of food by the way.

I have been really good and kept to it strictly even though its been the festive season, in the past three weeks I have lost 8lbs which I am really chuffed with. My only problem is my sugars are just not really budging - I was told to half my insulin which I did, the first week of low carbing I got a urine infection and was on antibiotics so I expected higher than normal BS results. I am now clear of the infection, and off the anti biotics have been for over a week, although my sugars are stable they are around 14 which is way too high. I have increased my insulin but this doesnt seem to have helped. I don't want to increase to much as am worried I may suddenly hypo!!

I am drinking plently at least 2 litres of fluid a day!

Any thoughts or suggestions would be greatly appreciated, I am due to see the dietician again next week but right now I just want to give up!!

Thank you in anticipation

Sarah :wave: :cry:
 
Hey Sarah

Well done on the weight loss, I bet you are well chuffed in such a short space of time, if you are happy with that diet combination and are getting the results you want weight loss wise then stick with it for a while longer to see if you can maintain something along those lines on a long term basis, as that is the trick to any diet.

14 mmols is not a good constant reading at all, and I'm sure if this is your constant reading on your meter then you will certainly need more insulin. I would not worry too much about sudden Hypo's if you increase steadily and test on a very regular basis over the next several days. Just have plenty of Glucose tabs to hand, and give adjustment to your regime a day or so to see results, remember to test after meals more regularly to see where rises are coming in.

Hope some of this helps, and again well done on the diet changes and weight loss
 
sarahjones said:
I have been told to make up my carbs by the food groups ie. 10g Complex Carbs, 10g Dairy, 10g Fruit, 10g Veg - thats carb amounts not weight of food by the way.

Any thoughts or suggestions would be greatly appreciated, I am due to see the dietician again next week but right now I just want to give up!!

Well done with the weight loss. My view will conflict with the dietician in that I would say avoid any high sugar or starch sweet fruits and restrict yourself to low carb berries - frozen raspberries and strawberries perhaps, or blueberries. The carb content of an orange for example is composed of simple sugars that'll hit your blood sugar directly, a banana is mainly starch etc.

So I would go for 15g of carbs from low-GI green veg and 5g from low carb berries.

While I'm being argumentative I would limit dairy carbs too as often they are lactose aka sugar. So low carb greek yoghurt etc.

Complex carbs are still just carbs and they're up for debate too - the complex carbs in a potato or bread hit your blood sugar the same as white sugar does.

Maybe a list of what you eat & drink will solicit further comments.
 
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