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In future if you have confusion like this where two are giving different information I’d suggest also using your experience to decide which is correct. You know the usual carbs in bread as it’s something you eat regularly, so should be able to tell easily that the 62 is more likely correct than 26 for a fish finger sandwich or wrap, because there are carbs in the fish fingers as well as the bread.
In future if you have confusion like this where two are giving different information I’d suggest also using your experience to decide which is correct. You know the usual carbs in bread as it’s something you eat regularly, so should be able to tell easily that the 62 is more likely correct than 26 for a fish finger sandwich or wrap, because there are carbs in the fish fingers as well as the bread.
I’m happy to help but you can’t rely on the forum being able to give advice on carb counts etc. Those are decisions you need the confidence to make yourself when eating out.
Well, I would consider it a better carb load for me, but you might be different. The trouble with higher carb meals is that larger doses of insulin can be a problem with absorption. I was taught that if you need to inject over 7u then you should split it into two injections one after the other in different sites. e.g. if you needed to inject for 80g of carb and the correct dose for you was 8u then split it into 2 x 4u as it makes a difference to absorption.
I agree, and it is what I said. I just said that it wouldn't be my choice (also T1) as I find the higher the carb load the more likely I am to have unstable BGs afterwards.
100g is getting towards the top of my personal limit for fear of over-dosing the insulin I must admit but really there should be no issue.
I suppose on reflection, if I consider how generally healthy food is going to be with that number of carbs in it (leaving carbs aside), I'd be struggling to justify it on those grounds. There's not going to be many foods running at that level which are not also going to be packed with fats, salts and all manner of other c**p. In fact, I can't think of anything off the top of my head. You're really into takeaway territory there I guess.
How about 4 slices of wholemeal bread, toasted with a whole tin of Heinz bakes beans on them? That works out at about 112g carbs. That was a lunchtime treat for me pre diagnosis. I think that would probably be considered reasonably healthy but portion control had got completely out of whack as it was probably a double portion if you go by recommended portion size.
I think most modern eateries just encourage us to eat too much in general, but carbs in particular because they are relatively cheap and addictive.
A typical modern menu - heavy on bread and potatoes, with hardly a veggie in sight. They don't seem to do salads or omelettes, which is what I usually end up eating. A nightmare when you have to get your insulin right. But I did spot on the menu that it can cater for dietary needs, so keep chasing them. And enjoy the company and meal!
Well, I would consider it a better carb load for me, but you might be different. The trouble with higher carb meals is that larger doses of insulin can be a problem with absorption. I was taught that if you need to inject over 7u then you should split it into two injections one after the other in different sites. e.g. if you needed to inject for 80g of carb and the correct dose for you was 8u then split it into 2 x 4u as it makes a difference to absorption.
I was taught that I need to eat carbs but its never been said to me about limiting carbs or about splitting injections if it's a large amount of insulin
When I was first diagnosed it was explained to me low carb less insulin less chance of getting it too badly wrong . But I was also told it’s my choice . Personally I wouldn’t dream of eating that level of carbs but we all make our own choices and manage our condition differently
A typical modern menu - heavy on bread and potatoes, with hardly a veggie in sight. They don't seem to do salads or omelettes, which is what I usually end up eating. A nightmare when you have to get your insulin right. But I did spot on the menu that it can cater for dietary needs, so keep chasing them. And enjoy the company and meal!
Well, I would consider it a better carb load for me, but you might be different. The trouble with higher carb meals is that larger doses of insulin can be a problem with absorption. I was taught that if you need to inject over 7u then you should split it into two injections one after the other in different sites. e.g. if you needed to inject for 80g of carb and the correct dose for you was 8u then split it into 2 x 4u as it makes a difference to absorption.
Larger carb load is only problem if you want it to be, with practice perfectly doable. Ate fish & chips last week, reckon carb count was 120g, highest bg was 8.9 from memory, after that stayed in libre green zone, experience cant be bought.
Not necessarily true. If I eat a higher than normal carb meal no reasonable amount of bolus will stop my BS sky-rocketing and not recoverable for hours. I don't know why and I use a Libre 2 to monitor it. Instead of an evening Bolus ratio of perhaps 1.5 it becomes 3 or more. Any ideas welcome. My BMI is 22 and I have low body fat mass. So sadly, not all T1/LADAs can eat what they want.
We were told you can basically eat anything as long as you bolus for it, so that’s what my daughter does. There are tricks for dealing with heavy carb loads such as pizza and so on, especially on a pump you can run extra basal in for a few hours, sometimes it works and sometimes it doesn’t. Have to admit though, blood sugars would be much easier to handle if she ate less carbs!
It’s all personal choice, how tightly do you want to manage your blood sugars vs not allowing diabetes to stop you from doing what you enjoy. Tough decisions sometimes.
Not necessarily true. If I eat a higher than normal carb meal no reasonable amount of bolus will stop my BS sky-rocketing and not recoverable for hours. I don't know why and I use a Libre 2 to monitor it. Instead of an evening Bolus ratio of perhaps 1.5 it becomes 3 or more. Any ideas welcome. My BMI is 22 and I have low body fat mass. So sadly, not all T1/LADAs can eat what they want.
Without seeing your charts I wouldn't know what to suggest.
When you say sky-rocketing what do you mean in terms of starting levels, peak levels, duration of peak above 10 and recovery level?
Some of the suggestions above like split doses (@nonethewiser) might help. I certainly find that some foods don't kick in for a few hours so I may need to consider things like that myself.
How about 4 slices of wholemeal bread, toasted with a whole tin of Heinz bakes beans on them? That works out at about 112g carbs. That was a lunchtime treat for me pre diagnosis. I think that would probably be considered reasonably healthy but portion control had got completely out of whack as it was probably a double portion if you go by recommended portion size.
I think most modern eateries just encourage us to eat too much in general, but carbs in particular because they are relatively cheap and addictive.
It's a personal thing.
I would consider 4 slices of bread to be excessive for any meal (even pre-diabetes) and I wouldn't consider baked beans to be healthy at all although I do eat them from time to time.
I have eaten that quantity before diagnosis and then reached for a tub of ice cream!!!
The addictive thing is interesting. I must admit I'm not persuaded that carbs are addictive because I've never had a late night craving for bread, pasta, rice or potatoes. It's always chips, crisps, cake, chocolate etc. I'm no expert but I think the culprit is more likely to be a dodgy combination of salt, fat, sugar and artificial flavourings which lead to cravings.
The addictive thing is interesting. I must admit I'm not persuaded that carbs are addictive because I've never had a late night craving for bread, pasta, rice or potatoes. It's always chips, crisps, cake, chocolate etc. I'm no expert but I think the culprit is more likely to be a dodgy combination of salt, fat, sugar and artificial flavourings which lead to cravings.
Luckily I seem to be able to eat a bit of chocolate with impunity after dinner. Got quite addicted to Maltesers at one point so had to stop buying them, but on the whole I don't bother. I do like to finish dinner with a bit of exotic fruit though, such as Mango, Paw paw etc.
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