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<blockquote data-quote="noblehead" data-source="post: 122192" data-attributes="member: 11028"><p>Needed,</p><p></p><p>I have never heard anything so stupid, are you sure she is a qualified DSN?</p><p></p><p>Of course you need to test after food, it is essential to know what impact the food you eat is having on your glucose levels, there is no other way apart from testing. Only by testing every hour up until your next meal-time can you be sure that you have the correct ratio of insulin to carbs. As Kegstore states, the glycemic index is a excellent tool to understand what impact certain foods have on post-meal bg's. A meal consisting of medium/low gi foods will limit the spikes to which you have been experiencing, provided you have the correct insulin match in place.</p><p></p><p>I too eat around 100-130g of carbs( most days nearer to 100)eating foods that are lower in the gi table. I have had excellent results to date, and usually stay between 5-7 post-meals, occasionally no more than 8, but pre-meal time I tend to be back down to 5-6, which is where I want to be. More and more diabetics are using the gi/gl approach to manage their diabetes, it is less restrictive than a strict low-carb diet, and I believe much healthier too. By reducing carb intake together with the low gi/gl approach, good control is achievable.</p><p></p><p>Go back to your diabetes clinic and ask to see another dsn, should this not be possible ask to speak with the consultant, stating that you are not happy with the advice you have previousely been given.</p><p></p><p>Good luck and hope all goes well!</p><p></p><p>Nigel</p></blockquote><p></p>
[QUOTE="noblehead, post: 122192, member: 11028"] Needed, I have never heard anything so stupid, are you sure she is a qualified DSN? Of course you need to test after food, it is essential to know what impact the food you eat is having on your glucose levels, there is no other way apart from testing. Only by testing every hour up until your next meal-time can you be sure that you have the correct ratio of insulin to carbs. As Kegstore states, the glycemic index is a excellent tool to understand what impact certain foods have on post-meal bg's. A meal consisting of medium/low gi foods will limit the spikes to which you have been experiencing, provided you have the correct insulin match in place. I too eat around 100-130g of carbs( most days nearer to 100)eating foods that are lower in the gi table. I have had excellent results to date, and usually stay between 5-7 post-meals, occasionally no more than 8, but pre-meal time I tend to be back down to 5-6, which is where I want to be. More and more diabetics are using the gi/gl approach to manage their diabetes, it is less restrictive than a strict low-carb diet, and I believe much healthier too. By reducing carb intake together with the low gi/gl approach, good control is achievable. Go back to your diabetes clinic and ask to see another dsn, should this not be possible ask to speak with the consultant, stating that you are not happy with the advice you have previousely been given. Good luck and hope all goes well! Nigel [/QUOTE]
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