Type 1 diet and milk

Read Richard Bernstein's "Dr. Bernstein's Diabetes Solution" He's a diabetic himself who keeps to a low cqarb diet and uses minimal insulin.
As to milk;
By removing fat from milk, you alter the proportions, so per litre, skimmed milk has a lot more sugar than whole milk. Since the cream on milk is not in anyway harmful, why not just use whole milk?
Hana

Milk is fine for type 1's, unless you prefer skimmed milk or are wanting to lose weight there is no reason you shouldn't rather opt for semi-skimmed or even whole milk as the carb value per 100ml is almost exactly the same for all three types. Make sure you count carbs (including those in the milk) and bolus to cover. If you want to reduce the amount of insulin you use then opting for a lower carb diet is a good idea, but as you're injecting insulin and unless you're insulin resistent then there's no reason you can't have some carbs in your diet (in moderation). Try to avoid fast acting carbs like foods containing lots of sugar, pure fruit juices or processed foods which tend to spike blood glucose levels before the insulin has had a chance to start working. Your doctor talking about white flour is probably referring to these processed foods, white flour will increase your blood glucose more quickly than less processed foods containing whole grains. The meal plan you posted above I see as being perfectly fine for a type 1 to eat, just make sure you count the carb content and bolus the right amount of insulin to cover what you're eating

hanadr said:

skimmed milk has a lot more sugar than whole milk. Since the cream on milk is not in anyway harmful, why not just use whole milk?
Hana

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Whole milk has 4.7g carbs per 100ml and semi skimmed has 4.8g carbs per 100ml so no difference really when putting in tea or coffee, and as for fat not being harmful that is an opinion not shared by many. So until the pro fat lobby prove that fat is really safe it may be wise to err on the side of caution and stick with semi skimmed. Just saying

Reference nutrition http://www.weightlossresources.co.uk/ca ... _dairy.htm

as for fat not being harmful that is an opinion not shared by many

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On this board? You must be new here.

Personally, I'm not a big fan of All-Bran since it contains more sugar (per 100g, all of it added sugar) than regular wheat biscuits/cornflakes/etc.

Cblake843 said:

Anyone see any obvious problem with this type of diet for a type 1 for example Milk?

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I don't drink milk on its own but do use it in my morning porridge and in tea and coffee, if you are worried about the carb count then lactose free milk is around half the carbs of standard milk. Why not include some seeds and fresh berries with your cereal such as pumpkin seeds and blueberries/strawberries, finishing off with a spoonful or two of natural yogurt is even better

Hi,
I found that normal milk with Oatibix would mean I was in double figs BG for too long after breakfast.

So I changed to unsweetened soya which now means that I am very rarely into double figs after breakfast. It also contains very little carbs and I find that the cereal masks the taste quite well.

8) 8)

JUst used a free phone app to find out about mik. The measures above I find hard to understand.

For 1 half pint of milk (which is about what I use on cereal) see carbs and calories below

Whole milk 13g carbs, 189 cals
Semi-skimmed 13g carbs, 132 cals
Skimmed 13g carbs, 92 cals

Though diabetic since 5 in 1970 this carb counting is new to me (old dog new tricks!)

Shaun
www.alphaenterpises.co.uk

If you just adding a small amount of milk to whiten your coffee or tea, then it's not necessary to carb count this,

But the milk that you add to breakfast cereal, drink on it's own (including in all milk coffee etc) add to sauces etc you will need to take this into consideration within carb counting..

How many carbs are permissible

This is totally up to you but there are things to keep in mind though..

Different types of carbs adsorb in the body at different rates, their adsorption rate can also be altered by the fat content or the ratio of carb to protien, so it can be difficult sometimes to match your insulin adsorption rate to your carbs...

Also, injecting large quantities of insulin at one go can effect the evenness of it's adsorption rate again causing problems..

This doesn't mean that you have to avoid Carbs like the plague or resort to Bernstein very restrictive methods unless of cause if you really want to handle control this way that it..

What it does mean, is that you do need to do a lot of testing and food dairy keeping so that you can work out, how various different carbs effect your blood glucose control you also need to include exercise in this dairy as well..

Then you can work out what different types of carbs react so you can decide how best to control them, it may be a split injection, or a shift in the timing of the injection to get correct coverage. It may well be that you need to reduce the portion size or avoid it at certain times of the day or you may prefer to avoid that type altogether..