Help us improve our 'carb-counting' info

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Bubbsie said:
Carb counting is universal Copepod...anyone managing their condition (really managing) counts carbs...even type 2's non -dependent on hypoglycaemic inducing medications.
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People on basal/bolus insulin have to consider insulin to carb ratios, and the factors that might influence them, including exercise, time of day, pre- and post-prandial readings and a variety of other things. This is why it is more complicated to understand than simply being aware of carb intake, which, of course, all people ought to be aware of, but is not complex to understand.
 
Northerner said:
People on basal/bolus insulin have to consider insulin to carb ratios, and the factors that might influence them, including exercise, time of day, pre- and post-prandial readings and a variety of other things. This is why it is more complicated to understand than simply being aware of carb intake, which, of course, all people ought to be aware of, but is not complex to understand.
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I watched the whole presentation Alan...the majority of which is relevant to all diabetics...universally ...the concluding video...obviously relevant for carb counting/insulin ratios is approximately a minute and a half long..it represents a very small proportion of the overall message...which would be beneficial for diabetics per se...FYI I need to consider the time of day...pre and post-prandial readings...exercise and other things when managing my diabetes...which at times can be a complicated routine...certainly more complex than 'simply being aware of carb intake'...as stated in your response.
 
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@Copepod & @everydaysupsanddowns
Thank you for your responses - however I don't believe they really address the questions raised. As I see it - the Survey is aimed at Diabetics who carb-count & therefore all Types of Diabetics should have been included in the first paragraph of this thread - not just Type 1's.

I have watched the video's and note the majority of which concentrate on understanding the effect that carborhydrates have on our diet and blood glucose and therefore is relevant to managing/controlling our individual Diabetes.

However there is a short video (1.33mins) at the end of the carb counting video appertaining to Type1 Diabetics only ref: matching the insulin ratio required. I'm sorry but I dont believe there is room for excuses for the exclusions here whatsoever. Type2D's do matter and we fight to manage our Diabetes every day too.
 
Carb counting is good for the whole nation to know. 😉 If people knew how many bags of sugar where in whatever :confused:
 
wirralass said:
@Copepod & @everydaysupsanddowns
Thank you for your responses - however I don't believe they really address the questions raised. As I see it - the Survey is aimed at Diabetics who carb-count & therefore all Types of Diabetics should have been included in the first paragraph of this thread - not just Type 1's.

I have watched the video's and note the majority of which concentrate on understanding the effect that carborhydrates have on our diet and blood glucose and therefore is relevant to managing/controlling our individual Diabetes.

However there is a short video (1.33mins) at the end of the carb counting video appertaining to Type1 Diabetics only ref: matching the insulin ratio required. I'm sorry but I dont believe there is room for excuses for the exclusions here whatsoever. Type2D's do matter and we fight to manage our Diabetes every day too.
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Which is why I said there should be more videos, some covering universal topics, some addressing specific issues.
 
Bubbsie said:
Carb counting is universal Copepod...anyone managing their condition (really managing) counts carbs...even type 2's non -dependent on hypoglycaemic inducing medications.
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Agreed, that's why I said there should be more videos, some universal to everyone, to make it even clearer, whether they have diabetes and whatever type. However, discussing bolus insulin doses is only relevant to those on basal bolus insulin regime or using insulin pump, not, for example, those controlling their type 2 diabetes with diet and exercise.
 
Copepod said:
Agreed, that's why I said there should be more videos, some universal to everyone, to make it even clearer, whether they have diabetes and whatever type. However, discussing bolus insulin doses is only relevant to those on basal bolus insulin regime or using insulin pump, not, for example, those controlling their type 2 diabetes with diet and exercise.
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I am aware of that...as are the others who have responded Copepod...myself & @wirralass have both stated that part of the presentation represents a very small proportion of the overall message...it is not a satisfactory explanation...does little to ease my concerns regarding the distinctions drawn here today.
 
I went on one course given by NHS & the DSNs that where taking the class where impressed with my carb counting skill, LUCK ? At times it is an educated guess 🙄
 
Bubbsie said:
I am aware of that...as are the others who have responded Copepod...myself & @wirralass have both stated that part of the presentation represents a very small proportion of the overall message...it is not a satisfactory explanation...does little to ease my concerns regarding the distinctions drawn here today.
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I think this discussion has raised interesting feedback for Diabetes UK to consider (what resources they should provide that give carb counting advice to non-insulin users). However the OP was specifically asking for feedback from people with type 1 regarding materials Diabetes UK had produced and were reviewing.

I am sure Hannah will be able to feed back the strong feelings expressed in this thread as the material is reviewed and pass on the wishes of T2 members to have appropriate carb counting information made available regardless of type and treatment.

One of the things I like best about the forum is the way people with type 1 and type 2 diabetes (and other types), parents, carers and partners all contribute together. We have much to learn from each other's approaches in my view.

There are other forums which intentionally separate different types into their own sections, which I do not believe is helpful.
 
Northerner said:
People on basal/bolus insulin have to consider insulin to carb ratios, and the factors that might influence them, including exercise, time of day, pre- and post-prandial readings and a variety of other things. This is why it is more complicated to understand than simply being aware of carb intake, which, of course, all people ought to be aware of, but is not complex to understand.
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Agree northerner but I'm a t2 on basal bolus , it's not an exclusive concept to t1 so why have t2 on basal bolus been ignored
Jo
 
I am T2. Diagnosed over 20 years ago, put on oral meds, but onto MDI plus oral meds 10 years ago.

my only negative diabetic experience, has been the lack of carb counting courses for T2 insulin users. We are excluded from DAFNE, as it is "for T1s only".

I am entirely self taught in carb counting, yes there has been a bit of guesswork sometimes, a bit ot trial and error, plus a greet book 'Carbs and Cals' and of course this forum.

T2s on insulin do need better access to carb counting information to enable them to administer their insulin dosage effectively. This especially so as T2s are on the rise.

i look forward to reading input from DUK as I have been banging on about this for 10 years as Northerner will comfirm
 
@Hazel i totally agree with you.
 
Hazel said:
i look forward to reading input from DUK as I have been banging on about this for 10 years as Northerner will comfirm
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I absolutely agree @Hazel 🙂 It's all a bit of a nonsense. My point earlier was about the narrower distinction that carb counting in this context means that which is applicable to basal /bolus users, regardless of type. I suppose it's also distinct from people on bimodal insulin - although they carb count, it's to match the carbs to the fixed doses, rather than varying the dose.

Unless I'm mistaken, parents don't get carb counting courses either, but are usually taught one-to-one by a DSN. I think there may be XPert courses now available for basal/bolus T2s, but probably not widely available :(

There's certainly a lot of work to be done in addressing all the different regimes people are on - including the Creonistas! -so they can be better informed about their particular situation. I know that DUK really appreciate all the feedback they get from forum users, so your voices are not being ignored here 🙂
 
I think part of the problem is that DUK has an over-rigid view of diabetes types and, for example, doesn't really accept that there is late onset T1 (same for the NHS). This results in many late onset T1s being labelled as T2s - I'm one of those. Until this rigid classification is sorted-out this sort of problem will continue.
 
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