Caught unguarded

[Lucyr]

With what is a high level of ketones with a high BG you are almost certain to be type 1. T2s can not produce ketones except under very specific conditions such as a serious prolonged infection. Even with this ketones are rare in T2

This is not true. T2 can produce ketones for many reasons without a serious infection. Some T2 don’t produce much of their own insulin and can produce ketones if not injecting enough insulin, some get ketones as a side effect of certain medications, can get ketones from dehydration, from a low carb diet, there are many causes.

 

[Irisaria]

Actually I agree with you rayray119. I often check before going out for a walk for example to make sure I won't hypo while out.

 

[Mrs Mimoo]

I eat lots of asian foods and I found that paneer and curry sauces were ok but rice and breads etc. were a no go area. so I have curry with cauliflower rice and no bread and it's almost as good and low carb. Konjak rice is ok too.

 

[Lih]

Thank you reaching out. I only got diagnosed on 11th April. Rushed to the Hospital. Spent 9 days there. Upon admission my sugar levels were over 30. Ketones were borderline 1.3 and HbA1c of 99. First it was thought to be Type 1. I was suggested insulin. That was my major undoing. I have never been too heavy for my age and height. Lost more weight now. My summery from the hospital is suggesting that it is most likely to be type 2 or LADA. Type 1.5? Not confirmed yet. No idea regarding BP or cholesterol. I test 4 times a day and take NoveRapid x3 and Lantas before bed. Gliclazide 2x2 daily. Could not tolerate Metformin so stopped by the consultant. Coming back to food, I have been given too many mixed messages. I can eat brown bread. Then I can't eat brown bread. Only Bran or Oats for breakfast. Eggs? High in cholesterol. Small clementines? Too sweet. Do not be eat Almonds, too fatty. Go easy on tomatoes. No pasta. Only brown. Less potatoes. Milk and cheese? Can not eat bananas everyday. Must be small. 2 rich tea everyday are too many. I am allowed digestives. Portion control. Only eat half of what I used to. Being vegetarian, there is not much left which I can eat guilt free. When feel hungry, one must eat, I was told. But eat what and how much? I have already come to my tethers end. Worried, hungry, confused and angry at myself. All I want for some one is to guide me, which item I can eat and how many times a week. Such as 3 eggs, 3 small bananas a week. How many apples or tomatoes? Can I finish my meal with a piece of fruit? 2 slices of whole meal bread a day. Can I eat rice krispies or Corn flakes or pop corn? Blue or green cap milk. I hardly take any as it is. A dash in my tea and little amount in cereal. Salt or butter? How to count carbs and calorie control? The list is endless.
I also suffer from depression and anxiety and am on meds for life. Battled Breast cancer in 2016. I am originally an Indian female with strong will power, principled and aim for perfection, not a positive trait to have, I hasten to add. I cook and prefer to eat home cooked meals. So, I know there are choices out there as long as I ve the knowledge and understanding.
I am sure you can understand my desperation, confusion and frustration. I am so grateful that I ve found this platform. Thanks. Stay safe and healthy!

Hi. Have you had any guidance on how much insulin to take per gram of carbohydrates? I've been type 1 for 42 years and I have to count carbohydrates so I know how much insulin to take each mealtime.I'm here if you want to ask anything

 

[Purls of Wisdom]

I eat lots of asian foods and I found that paneer and curry sauces were ok but rice and breads etc. were a no go area. so I have curry with cauliflower rice and no bread and it's almost as good and low carb. Konjak rice is ok too.

How do you carb count when it comes to home cooked curries? I have come to this conclusion that I can't eat 2 slices of brown bread or 2 wholemeal chapattis. No problem in making various low carb veg dishes but carb counting is a bit tricky. Any suggestions are welcome.

 

[Purls of Wisdom]

Hi. Have you had any guidance on how much insulin to take per gram of carbohydrates? I've been type 1 for 42 years and I have to count carbohydrates so I know how much insulin to take each mealtime.I'm here if you want to ask anything

I have only had one meeting with the dietitian and the nurse. Still on set insulin but counting carbs. Keeping a food diary. Type of Diabetes is not known yet. I have forgotten how many carbs I could eat in a day. So, I am only consuming around 100 carbs. Too many? My relationship with food is very rocky these days. I wish I could feel a little bit more relaxed and less anxious when it comes to food. Thanks.

 

[Lucyr]

How do you carb count when it comes to home cooked curries? I have come to this conclusion that I can't eat 2 slices of brown bread or 2 wholemeal chapattis. No problem in making various low carb veg dishes but carb counting is a bit tricky. Any suggestions are welcome.

I calculate the carbs in the whole dish and then divide it by how many portions it is serving to find the carbs in my portion

 

[ianf0ster]

Where it's difficult to count the carbs directly, just experiment with what you think/feel will be OK and check with your BG meter that it actually was OK. After several tests of similar dishes you get experienced enough not to make any major mistakes.

 

[Inka]

How do you carb count when it comes to home cooked curries? I have come to this conclusion that I can't eat 2 slices of brown bread or 2 wholemeal chapattis. No problem in making various low carb veg dishes but carb counting is a bit tricky. Any suggestions are welcome.

Count the carbs in the main carby thing eg. rice, then look at any sauce or sides. If there’s small amounts of carbs in each side dish, but I’m having a few side dishes, then I consider them all together and add on 5/10/whatever grams of carbs.

If you’re on fixed doses of insulin, you shouldn’t reduce your carbs without support else you risk a hypo. You should be having fixed amounts of carbs for each meal to go with your fixed doses of insulin. That is, you can’t make up missing carbs later in the day, you need to work with your insulin for each meal.

 

[Leadinglights]

I have only had one meeting with the dietitian and the nurse. Still on set insulin but counting carbs. Keeping a food diary. Type of Diabetes is not known yet. I have forgotten how many carbs I could eat in a day. So, I am only consuming around 100 carbs. Too many? My relationship with food is very rocky these days. I wish I could feel a little bit more relaxed and less anxious when it comes to food. Thanks.

Surely if you are on fixed dose of insulin you need to be quite careful of the amount of carbs in each meal otherwise you are risking being hypo or having a big spike. If you can't remember then ask your DSN for a reminder.

 

[Purls of Wisdom]

Surely if you are on fixed dose of insulin you need to be quite careful of the amount of carbs in each meal otherwise you are risking being hypo or having a big spike. If you can't remember then ask your DSN for a reminder.

I just did. Thanks.

 

[Purls of Wisdom]

Count the carbs in the main carby thing eg. rice, then look at any sauce or sides. If there’s small amounts of carbs in each side dish, but I’m having a few side dishes, then I consider them all together and add on 5/10/whatever grams of carbs.

If you’re on fixed doses of insulin, you shouldn’t reduce your carbs without support else you risk a hypo. You should be having fixed amounts of carbs for each meal to go with your fixed doses of insulin. That is, you can’t make up missing carbs later in the day, you need to work with your insulin for each meal.

Thank you for clearing it for me. I ve emailed my DSN. Roughly how many carbs are needed to deal with 3u and 4 u of Novorapid? Lack of knowledge and understanding is making me more anxious.

 

[Purls of Wisdom]

I calculate the carbs in the whole dish and then divide it by how many portions it is serving to find the carbs in my portion

I did that when I made soup the other night but homemade lentils and veg curries is either tricky or I am trying too hard?

 

[Purls of Wisdom]

If you want to see what sort of impact the food you are eating is having on you then yes, you would need to test before and 2 hours after.

You can always start just testing one meal and see how you get on. It's never going to be a one size fits all situation, you need to find what works for you.

As you are using Novorapid 3 times a day I'm assuming that you are using it with each meal? I believe you would either need to be adjusting your food to match the carbs covered by a set dose or adjusting your dose to match the carbs you are eating.

For example, I inject 1 Unit of Novorapid for every 10g of carbs I'm going to be eating but that ratio is different for different people. Try to speak with your DSN about carb counting.

You are God sent. Now the proverbial penny has dropped. Thanks. If carbs are little over 1:10 ratio? For example, 33 carbs and 3u of Novorapid?

 

[Jacen017]

You are God sent. Now the proverbial penny has dropped. Thanks. If carbs are little over 1:10 ratio? For example, 33 carbs and 3u of Novorapid?

Yes 🙂

Keep in mind that the ratios are different for different people however.

 

[rayray119]

You are God sent. Now the proverbial penny has dropped. Thanks. If carbs are little over 1:10 ratio? For example, 33 carbs and 3u of Novorapid?

Thats just a starting point they tend to try people on and even if it turns out to be right amount for now it won't always be. Needs change over time.

 

[Purls of Wisdom]

Understood. Thanks. Knowing this much will do for now.

 

[Inka]

Thank you for clearing it for me. I ve emailed my DSN. Roughly how many carbs are needed to deal with 3u and 4 u of Novorapid? Lack of knowledge and understanding is making me more anxious.

It completely depends on the individual and their situation. When you were given your fixed doses of Novorapid, you should have been given a carb amount for each meal eg Lunch - 3 units of Novorapid, 40g carbs or whatever, evening meal 4 units, 50g carbs or whatever. My figures there are just an example - do not follow them!

 

[Purls of Wisdom]

You are God sent. Now the proverbial penny has dropped. Thanks. If carbs are little over 1:10 ratio? For example, 33 carbs and 3u of Novorapid?

Understood. Thanks. Knowing this much will do for now.

You are God sent. Now the proverbial penny has dropped. Thanks. If carbs are little over 1:10 ratio? For example, 33 carbs and 3u of Novorapid?

What about mid morning and mid afternoon snack? Usually it is either a piece of fruit or small amount of unsalted peanuts / seeds.

 

[rayray119]

It completely depends on the individual and their situation. When you were given your fixed doses of Novorapid, you should have been given a carb amount for each meal eg Lunch - 3 units of Novorapid, 40g carbs or whatever, evening meal 4 units, 50g carbs or whatever. My figures there are just an example - do not follow them!

its looks not everyone is unfounmtly unforttly(and s when i started on set doses I was just told to limit it for now and would to taught how to it depending on what i'm eating afterwards) bit awkward at the time i just ate a salad a salad for lunch and injected 6 units of novorapid(i know would better know but being only a week in and that point I didn't) not sure how it if would worked diffinatty if i was diagnosed in the hospital i actually go to.