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Type 1 Diabetes
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<blockquote data-quote="In Response" data-source="post: 2691409" data-attributes="member: 527103"><p>Hi [USER=570182]@Miss Piggywig[/USER] </p><p></p><p>As frustrating as it may feel at the moment,, it is good news that you have the correct diagnosis and that your BG is coming down. It is common to adjust it slowly to give your body time to adjust. </p><p></p><p>There is often a lot of debate about "what is the right diet for someone with Type 1 diabetes?" The usual consensus is that it is the same healthy (whatever that means to you) diet as you would eat without diabetes as long as you can match the insulin to what you eat. </p><p>When it comes to carbs there are two sides to the coin</p><p>- the more carbs you eat, the greater the impact of a miscalculation of your insulin dose. For example, if you are using a ratio of 1 unit of insulin to every 10g carbs whereas it should be 1g insulin to 12g carbs, and you eat a meal with 120g carbs, then you will calculate 12 units of insulin (120/10) whereas you really needed10 units (120/12). The difference would be less on a lower carb meal. </p><p>- low carb diet increases insulin resistance. Therefore, you need more insulin ,especially your basal insulin. In addition, in the absence of carbs, our body will break down protein to produce the glucose it needs so with a very low carb diet, you will need to consider protein in your insulin calculations. </p><p></p><p>I tend to go for the middle ground - around 50g carbs per meal which keeps the insulin dose low enough that I do not worry about over-calculating but high enough that I do not need to worry about insulin resistance and dosing for protein.</p><p></p><p>It may take time to decide the diet that suits you and to work out your insulin to carb ratio which may be different for different meals (we often need more in the morning) and will change as more of your insulin producing cells die off. </p><p></p><p>The last thing I will add is the debate around whether insulin causes weight gain. It is not one of the side effects listed on the patient information leaflets for common insulins. It is often a concern because it is common to lose weight before diagnosis and that weight to return when our body gets the insulin in needs so some think insulin is causing weight gain. I have also seen suggestions that excess insulin (as needed when you have insulin resistance) causes weight gain. I know that after injecting insulin for 20 years (and my body producing it for longer), I have not gained any weight.</p></blockquote><p></p>
[QUOTE="In Response, post: 2691409, member: 527103"] Hi [USER=570182]@Miss Piggywig[/USER] As frustrating as it may feel at the moment,, it is good news that you have the correct diagnosis and that your BG is coming down. It is common to adjust it slowly to give your body time to adjust. There is often a lot of debate about "what is the right diet for someone with Type 1 diabetes?" The usual consensus is that it is the same healthy (whatever that means to you) diet as you would eat without diabetes as long as you can match the insulin to what you eat. When it comes to carbs there are two sides to the coin - the more carbs you eat, the greater the impact of a miscalculation of your insulin dose. For example, if you are using a ratio of 1 unit of insulin to every 10g carbs whereas it should be 1g insulin to 12g carbs, and you eat a meal with 120g carbs, then you will calculate 12 units of insulin (120/10) whereas you really needed10 units (120/12). The difference would be less on a lower carb meal. - low carb diet increases insulin resistance. Therefore, you need more insulin ,especially your basal insulin. In addition, in the absence of carbs, our body will break down protein to produce the glucose it needs so with a very low carb diet, you will need to consider protein in your insulin calculations. I tend to go for the middle ground - around 50g carbs per meal which keeps the insulin dose low enough that I do not worry about over-calculating but high enough that I do not need to worry about insulin resistance and dosing for protein. It may take time to decide the diet that suits you and to work out your insulin to carb ratio which may be different for different meals (we often need more in the morning) and will change as more of your insulin producing cells die off. The last thing I will add is the debate around whether insulin causes weight gain. It is not one of the side effects listed on the patient information leaflets for common insulins. It is often a concern because it is common to lose weight before diagnosis and that weight to return when our body gets the insulin in needs so some think insulin is causing weight gain. I have also seen suggestions that excess insulin (as needed when you have insulin resistance) causes weight gain. I know that after injecting insulin for 20 years (and my body producing it for longer), I have not gained any weight. [/QUOTE]
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