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Absorption of Carbohydrates

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sasha1

Well-Known Member
Relationship to Diabetes
Parent of person with diabetes
Hi All,

I thought this might be of help to some people.. I think the way I work Nathan's insulin out in relation to food eating, and BG at the time has caused some confusion, but I also look at the science behind cooking food as well.
Again diabetes is a very individual condition what works for one, may not work for another, dependent on many factors.

What I am typing here is granted out of the Dr Hanas Bible...but the theory behind it, I use in relation to Nathan and what I have been taught.

Glucose from food can only be passed into the bloodstream after it has passed into the intestines. It cannot be absorbed through the lining of the mouth, as it used to be believed. To reach the intestines, the food must first pass through the lower opening of the stomach..Pylorus.

Complex carbs must first be broken down to simple sugars before they can be absorbed into bloodstream. The lenght of the carbohydrate chain does not seem to affect absorbtion as much as it was once believed since ''cleavage'' (breaking) is a fairly rapid process.

Simple carbs are cleaved by enzymes in the intestinal lining while more complex carbs and starch are first prepared by amylase, an enzyme found in the saliva and pancreas. Starch fibre cannot be cleaved into carbs in the intestine.

At one time, carbs were divided into quick and slow acting, mainly depending on the size of the molecule. It is more accurate to speak of quick acting and long acting foods and to evaluate the composition, fibre content and preperation in order to determine the effect on the blood glucose level, rather than simply its content of pure sugar. The term ''glyceamic index'' is used to describe how the blood glucose level is affected by different foods.

Dietary fibre content and particle size seem to be particularly important according to recent studies. The starch in vegetables is broken down more slowly than the starch in bread. The starch in potatoes is quick to break down to glucose. The starch from pasta products is broken down more slowly, even though it is made from white flour, which is low in fibre.

How you chew the food and the size of the food particals swallowed also influences the blood glucose response. Industrially manufactured mashed potatoes contain a fine powder that is mixed with fluid. The glucose in mashed potatoes is absorbed just as quickly as a glucose solution. Pasta and rice are swallowed in larger bites and must be digested before they can be absorbed. Likewise a whole apple will give a slower rise in blood glucose than apple juice which contains smaller particles and is in liquid form.

Heating decomposes starch, making sugar more accessible and faster to digest. Industrial food processing ususally involves higher temperatures which gives food a quicker blood glucose raising effect compared to a home-cooked meal. Indusrtrial baby food and semi-manufactured food (sometimes used in schools) can raise the BG more than comparable home-cooked meals.

The amount of carb listed on a food label can be misleading as no indication is made between digestible and indigestible carbs. Indigestable carbs cannot be broken down in the intestines and will therefore not give you a BG response.

I can also type out factors on emptying the stomach, and factors that increase the BG level more quickly, factors that increase the BG level more slowly...If you would like me to do so, it may help some of you others may already know...

Heidi
🙂
 
Thank you Heidi, that is really interesting and very helpful. I have never thought about the absorption rate of carbs, but it does explain a lot.
 
Hi Heidi,
Thanks - i have been reading my book too! Its great isnt it?

Just wanted to point out that for people who do carb count - lots of these things are already taken into account. There are foods that i steer clear from as i cant find a way on MDI to get it right! Baked potatoes are the worst one to get right! Mashed potato is like drinking lucozade it absorbs so quickly and misses the insulin if not timed right! Roast dinners especially with roasted potatoes is a nightmare to get right! But lots of these problems can be overcome with either getting the timing right of the injection or going on a pump which can iron out quite a few (but not all) of these things!

Another good post Heidi!:D

Diabetes.....dont you just love it!........🙄Bev
 
Hi Heidi,
Thanks - i have been reading my book too! Its great isnt it?

Just wanted to point out that for people who do carb count - lots of these things are already taken into account. There are foods that i steer clear from as i cant find a way on MDI to get it right! Baked potatoes are the worst one to get right! Mashed potato is like drinking lucozade it absorbs so quickly and misses the insulin if not timed right! Roast dinners especially with roasted potatoes is a nightmare to get right! But lots of these problems can be overcome with either getting the timing right of the injection or going on a pump which can iron out quite a few (but not all) of these things!

Another good post Heidi!:D

Diabetes.....dont you just love it!........🙄Bev


Hi bev,

The book is a absolute must....:D..It helps out in many different situations

I'm really lucky with nathan on the baked potato, beans and cheese..which is his fav lunch time at school meal...they onlt times it can be a bit hit and miss is if he eats shortbread after....I must admit though he has'nt had it recently...but when he does it pushes his levels right up..He has an obsession with shortbread...lol
Mashed potatoe is ok with nathan..but I do add a drop of cream or milk, and a knob of butter to it to increase the fat content..although I am still aware he can drop if the insulin is a little high.
Roasties are ok to ..but I try to limit them a little as I do chips...just we dont have them that often.

Thank you bev, I was'nt sure if this was taken into consideration when you carb count..

How is Alex today? Hope he much better after his hypo last night

Heidi
🙂
 
Hi Heidi,

He is fine today thankyou. We have been on a huge walk in baking hot weather - so lots of exercise and nice times!🙂

How are you and Nathe? Is he still having hypo's or has that been sorted with the changes you have made with his insulin recently?

I am determined one day to get baked potatoes right! How sad is that!😱Bev x
 
Ooops!Meant to say - i think this post will help lots of people - so well done Heidi!🙂 Bev x
 
Hi Heidi,

He is fine today thankyou. We have been on a huge walk in baking hot weather - so lots of exercise and nice times!🙂

How are you and Nathe? Is he still having hypo's or has that been sorted with the changes you have made with his insulin recently?

I am determined one day to get baked potatoes right! How sad is that!😱Bev x

Hi bev,

I'm glad alex is ok today🙂...Yes its been rather hot up here today too...Nathan in a typical teenage mood.....lol..
We both good thanks...no hypos for past day...fingers crossed...must admit though he has'nt done very much today...apart from grunt and swing his arms about...haha...so he had another 2 units less of each N/R at dinner and tea...so think we on the right side at the moment.
Its not sad at all...it was a matter of life in my house to get the baked potatoe right..it drove me made for months....lol...

Heidi
🙂
 
Thanks Heidi , A really interesting subject , facinating reading . 🙂🙂🙂🙂
 
Hi Heidi
That was a very good read.
Yes the carb on food labels are very misleading i agree.
 
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