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Which Carbs?

Discussion in 'Diabetes Discussions' started by lefeilouss, Aug 28, 2018.

  1. lefeilouss

    lefeilouss Type 2 · Active Member

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    If you have to choose carbs..which carbs are better? Potatoes, rice, pasta, noodles, bread, etc?

    Although its recommended to go on LC diet for diabetics but which is better?

    Just some thoughts and discussion

    Cheers!
     
  2. zand

    zand Type 2 · Expert

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    For me it's potatoes, though I rarely have them, at least they are natural and unprocessed and don't contain grain.
     
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  3. Indy51

    Indy51 Type 2 · Expert

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    I would say none on your list. If I'm going to eat any starch, it would be pumpkin or sweet potato. All the others give me aching joints and banana gives me ghastly indigestion.
     
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  4. Guzzler

    Guzzler Type 2 · Master

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    This is highly individual. The best way to find out is to test and test again. For some people it can be down to a complete intolerance, others find that portion size makes a difference and for some others it can be a food's glycaemic load that makes enough of a difference. Like I said, it is the individual response that is important.
     
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  5. britishpub

    britishpub Type 2 · Well-Known Member

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    None of those.

    I haven't eaten those since diagnosis, and feel much better for it.
     
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  6. lucylocket61

    lucylocket61 Type 2 · Well-Known Member

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    I would try small portions of each one at different meals, test before and 2 hours after, and see if there are any you can have without raising your blood sugar levels too much. I can have 2 slices of wholemeal bread, but more than that in one day is too much. i can have potatoes, but again, only a small amount once a day. We are all different in our reactions.

    paging @daisy1 for her advice post, just in case you havent seen it.
     
  7. Crocodile

    Crocodile Type 2 · Well-Known Member

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    I eat most of those things except for the bread. I get around the too many carbs problem by limiting the portion size. I don't have more than 20 to 30g of carbs per meal depending on GI. Adjusting the size of the portion in accordance works for me. May not work for everybody though.
    Have fun,
    Glenn
     
  8. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @lefeilouss

    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you like 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 235,000 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 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. Most of these are 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.
     
    • Like Like x 1
  9. britishpub

    britishpub Type 2 · Well-Known Member

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    You see......................I told you
     
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  10. NicoleC1971

    NicoleC1971 Type 1 · Well-Known Member

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    I quite like these 4 golden rules of carbs I heard on a US podcast a couple of years ago. The rules can be tailored to your individual needs based on testing after meals to see how much you can tolerate. Eat to your meter in other words.
    1 quality = above the ground veg then unprocessed e.g. sweet potatoes, new potatoes with the worst being sugary white carbs (rice, bread, chips, crisps as well as biscusits, cakes and sweets). Fruits are also on a spectrum from berries (low carb) through to tropical fruits/juices (very sweet).
    2 quantity - think of carbs as an accompanying your main meal as a side dish if you are having some. A cupped handful or 2 depending on your activity levels, whether you need to lose body fat and gender. If you are not filling up on carbs you will need to eat plenty of fat, protein and fibrous veg to keep you full so don't stint on those foods.
    3 company - eating carbs with protein, fat and those which include plenty of fibre means a slower rise in your blood sugar levels I would avoid pure carb snacks for this reason.
    4 timing - eating carbs for breakfast may set you up for blood sugar spikes and dips through the day because your body will be more responsive to them at this point for hormonal reasons.
     
  11. bulkbiker

    bulkbiker Type 2 · Master

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    As there are no essential carbs then why choose?
     
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  12. Rachox

    Rachox Type 2 (in remission!) · Moderator
    Staff Member

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    I can get away with one tiny roast potato (previously frozen) with a roast dinner so plenty of fat content or 1 x slice of HiLo bread with an otherwise very low carb meal. Don’t touch rice, pasta or noodles these days :)
     
  13. Grateful

    Grateful Type 2 · Well-Known Member

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    I have four small slices of banana with breakfast (one banana lasts for 3 days). Also two squares of 85% cocoa chocolate per day after coffee. Otherwise, almost no carbs in my *food*.

    But my big "cheat" is beer....
     
  14. DavidGrahamJones

    DavidGrahamJones Type 2 · Well-Known Member

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    It all depends, some can tolerate more than others. Personally I can't touch anything on that list, not without causing a BG spike. I even find proteins are causing slight rises in BG and tend to affect dawn phenomena. In the last two weeks I've been vegetarian Monday to Friday, at least my DP seems to have stopped.
     
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