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Newish pre-diabetic. Help me understand. How many carbs a day can you have and how/which figure/where do you get figures???

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Someone highlighted bread before (I forget who), but check your supermarket 'gluten free' breads as those seem to have lower carbs. I just took a quick look and they are mostly quoting 39g carbs per 100g.
Same principal applies, less bread = less carbs 🙂
 
Hi @Bluebell22. I'll just take one of the things you asked about and that is bread.

If you eat a lot of bread, then it will be one of the big hitters in my approach to carb reduction.

You have two ways to go... eat less of it, halving the amount you eat will halve the carbohydrate, or eat lower carbohydrate bread.

Take the second first.

There are breads made from grain and flour mixtures which have less carb than most other breads but they are very specialised and are few and far between.

The first thing to remember is that to all intents and purposes virtually all the bread you can buy has the same carb content, around 50-60 g/100g. White, brown, wholemeal, seeded, sourdough it does not matter, if it is made mostly from wheat flour it will have the same carb content despite what the marketing departments of the big bread makers tell you about how "healthy" their particular product is. I know of one bread sold by Booths that has a flour mix which is contains low carb flours and claims to be genuinely lower carb, weight for weight, than other breads. I don't know of any other although those who live outside Booths country might know of some others.

You can try and make your own low carb bread but if you go looking for recipes all you will find are things that do not use yeast and are bound with eggs which makes the product more cake than bread for me. Makes me think that making yeast risen bread from low carb flours is not a straightforward task and even though I am a reasonably competent cook and baker I have given the idea a miss. Life is too short and all that.

Take the first, cut back on the amount of bread you eat.

If you look around the supermarket you will find low carb breads but if you look closely they will be quoting carbs per slice! If you make a smaller loaf and slice it thinner then you will get fewer carbs per slice than the same bread offered in standard format. Carbs in your sandwich will be reduced but so will the size of the sandwich.

Nevertheless, this gives you the best clue to cutting carbs from bread ... use less bread. They way I go about this without feeling deprived is to develop a taste for more highly flavoured breads, use smaller size loaves, and slice it thinner. You can rummage around the "artisan " bread section in the supermarket and trying a few until you find something you like. I get there by making my own bread using seeded wholemeal flour, baking it to give a decent crust and a low cross sectional area when compared with supermarket stuff. That way the carb content of one of my slices is about 25% of that of a slab of sliced white. The compensation is that it tastes far better (it actually has some flavour) and you can up the volume of the sandwich by putting in more (low carb) filling. Same for my breakfast toast. Small highly flavoured slice with butter and the most highly flavoured marmalade you can find so you need hardly any of it. And you have guessed it, make your own marmalade when Seville oranges are in season and you will never touch shop marmalade again.

They are my thoughts on bread. Fundamentally eat less of it but make the experience more enjoyable.

Same principles apply elsewhere. Eat less of something of better quality - chocolate, pasta, potatoes whatever. You can also use psychology.... eat French fries rather than chip shop chips. For a given weight of spud, the pile of French fries you get is much bigger than that you would get from chip shop chips so you don't feel deprived. Its why burger places always use French fries........

Some ideas to start with.
 
Thank you all so much. Eye opener about bread and thought provoking. I will look at gluten free bread too to check carbs. I need to really take stock of what you have kindly shared and apply to my eating habits. Bread is little devil who whispers in my ear "it won't hurt" as I spread a 3rd slice of bread/toast.
Thank you too
I used to buy plant-based sausages until I found out that they are UPF. People seem to be turning away from plant-based alternatives to meat for the same reason, as reported last year:-


I swapped potatoes for mashed cauliflower and mashed celeriac, and I make chips with celeriac. I swapped rice for riced cauliflower and wheat pasta for red lentil pasta. To give just one example of the carb saving, if we have a rice dish my wife has a portion of long grain rice (58g carb) while I have a portion of riced cauliflower (8g carb).

Great advice. Thanks so much. I have tried mashed celeriac before and loved it it - but I can make chips too ??????? Fantastic!!!!
I used to buy plant-based sausages until I found out that they are UPF. People seem to be turning away from plant-based alternatives to meat for the same reason, as reported last year:-


I swapped potatoes for mashed cauliflower and mashed celeriac, and I make chips with celeriac. I swapped rice for riced cauliflower and wheat pasta for red lentil pasta. To give just one example of the carb saving, if we have a rice dish my wife has a portion of long grain rice (58g carb) while I have a portion of riced cauliflower (8g carb).

Thank you all so much for sharing. I'm blown away that you have all been so kind by taking time to support me and my understanding, particularly around carbohydrate counting and ways of adjusting (my bad) eating habits into more positive ones. Grateful for info about bread from what to look for in shops to making myself!

I've bren veggie for 30 plus yrs. Now days so much in way of choice than there used to be. Sadly however lots of negatively about plant based foods cutrently which I take on board. It has impacted on what I eat now (both before and after pre diabetic result). But there is no way I would consider eating meat or fish so understanding and eating lower, healthier carb foods (and smaller portions) has to be my way forward. But wow... Celeriac is on shopping list now and double wow knowing I can make chips with Celeriac too... Amazing, I'd never have thought of that. Forgot about cauliflower rice - I just need to get a blender now . Got to find out about these different pastas and breads too Thanks again everyone. You are all appreciated . .
 
Thank you all so much. Eye opener about bread and thought provoking. I will look at gluten free bread too to check carbs. I need to really take stock of what you have kindly shared and apply to my eating habits. Bread is little devil who whispers in my ear "it won't hurt" as I spread a 3rd slice of bread/toast.
Thank you too

Great advice. Thanks so much. I have tried mashed celeriac before and loved it it - but I can make chips too ??????? Fantastic!!!!

Thank you all so much for sharing. I'm blown away that you have all been so kind by taking time to support me and my understanding, particularly around carbohydrate counting and ways of adjusting (my bad) eating habits into more positive ones. Grateful for info about bread from what to look for in shops to making myself!

I've bren veggie for 30 plus yrs. Now days so much in way of choice than there used to be. Sadly however lots of negatively about plant based foods cutrently which I take on board. It has impacted on what I eat now (both before and after pre diabetic result). But there is no way I would consider eating meat or fish so understanding and eating lower, healthier carb foods (and smaller portions) has to be my way forward. But wow... Celeriac is on shopping list now and double wow knowing I can make chips with Celeriac too... Amazing, I'd never have thought of that. Forgot about cauliflower rice - I just need to get a blender now . Got to find out about these different pastas and breads too Thanks again everyone. You are all appreciated . .
I have one of these which I use all the time, about £30 from Amazon. Bosch MMR08R1GB Mini Chopper, 400 W, 0.8 Litre - Red
 
After I've cut the celeriac into chips I boil them for a couple of minutes to soften them a little, put them into a small roasting tin, drizzle with olive oil then season and bake them for 30 minutes at 200. If you Google celeriac chips there are guides on how to make them (BBC Good Food has one, for example). I can't remember where I got my recipe from.

I failed miserably trying to make rice cauliflower so I now buy packs of FullGreen, which need just 2 minutes in the microwave.
 
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Sadly however lots of negatively about plant based foods cutrently which I take on board.

I haven’t seen any extra negativity @Bluebell22 In fact, I think it’s a good time for plant-based eating 🙂 It’s recommended by a number of organisations (not vegan, they usually say based on plants so sometimes allow small amounts of animal foods). The Blue Zones diet recommends it (how to live to 100), as does Michael Greger (How Not to Die) and Joel Fuhrman (Eat to Live). It’s also been linked with a reduced risk of heart disease and better ongoing heart health (Esselstyn and Ornish).

As for totalling up your carbs, you could try the little Collins Gem Carb Counter book or simply the internet 🙂
 
Sadly however lots of negatively about plant based foods cutrently which I take on board.

I haven’t seen any extra negativity @Bluebell22 In fact, I think it’s a good time for plant-based eating 🙂 It’s recommended by a number of organisations (not vegan, they usually say based on plants so sometimes allow small amounts of animal foods). The Blue Zones diet recommends it (how to live to 100), as does Michael Greger (How Not to Die) and Joel Fuhrman (Eat to Live). It’s also been linked with a reduced risk of heart disease and better ongoing heart health (Esselstyn and Ornish).

As for totalling up your carbs, you could try the little Collins Gem Carb Counter book or simply the internet 🙂
I don't think the negativity is around plant-based diets as such but around plant-based meat substitutes like veggie sausages, veggie bacon etc. These products are all UPF, which is what's turning people off and resulting in manufacturers cutting their ranges or to stop producing them altogether.

Hugh Fearnley-Whittingstall is currently promoting a '30 Plants a Week' dietary regime and I'm pleased to see that my diet already includes 49 of the ones he lists.
 
Oh, yes @Martin.A ! I completely agree with that! There are some very over-processed foods. What’s sad is that some people think that’s what a plant-based diet is.
 
Can we put the plant based foods into context. Yes, things like veggie burgers and veggie sausages are processed (probably ultra-process) foods. But it depends how often you eat them. Once a week is not going to kill you, But, just like a meat based diet of sausages, pizzas, etc. eating UPF every day can be a problem.
I understand that there are days when you just need a break or don't have time to cook from scratch and need convenance.

And for veggie burgers, I like beetroot burgers made with grated beetroot, smooshed chickpeas and some spices.
 
Hi. I am so confused. Been told I'm pre diabetic. Attending NHS Healthy Course, but 4 sessions in I'm really confused big time.
That's a shame because prediabetes is easily reversed in over 90% of cases by adopting a healthy diet and losing weight.

Your HbA1c result (42-47) indicates two things: (1) your blood sugar is too high and (2) you have accumulated too much visceral fat over the years, a condition known as 'fatty liver'.

Fatty liver is a nasty condition that puts you at risk of cardiovascular diseases, diabetes and many other unwelcome health problems in future. So you need to stop consuming all the sugary, starchy stuff and all the processed foods that have caused the problem. Aim to get your HbA1c down (30-39) and keep it down for good.

There is no need to obsess about carbs, just focus on nutritious foods such as protein, vegetables and heathly fats. The carbs will take care of themselves.

While the best thing may be to work out everything for yourself, there are a few ready made programmes you can adopt straight away. Here are two:
1. Dr David Unwins diet sheet (and his presentation: The nuts & bolts of drug free prediabetes T2 diabetes remission 
)
2. Zoe Harcombe's What should we eat? (many have found her 3 Step diet effective in the long term, when others have failed).

You may find these videos helpful as background:
1. Reversing Prediabetes (and T2D)
2. Information for Doctors
3. Roy Taylor, Achieving T2D remission (May 2023)
 
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Morning. Thank you again for sharing and caring. Regarding my plant based food comment (giving up) - i realise I wasn't clear, I meant knocking on the head the pre made and pre packed burgers, sausages etc that are in the Ultra Processed Foods. Group. Just got to understand the difference as packaging can be so misleading. I couldn't manage without my veggies, fruit, chickpeas etc. But must try harder with not eating so much bread, whether lower carb or not. I just love toast, sandwiches, wraps etc.

I'll definitely look at the plant based theorists that have been suggested, such as Dr Mosley and Hugh Fearnley-Whittingstall (currently doing the rounds promoting his new, expensive book). Armed with all the info shared by you informed, caring Forum posters I have tools in my bag to move forward. I certainly trust your views and knowledge over some things I've read independently. And you have made clearer so many things.

I will look into the Collins and Calorie and Carb books as I think will help me count carbs - NOW I've had you lovelies explain much better than I think the NHS Healthier Lifestyle Group I'm attending has for me. Group (started with about 40 people, has dropped to half that now) lasted 80 mins. 20mins weighing and taking peoples waist measurements. Rest time is mainly slides and saying what is written on them. Any time for questions seem rushed as always finish on or before time. Group leader now left. New one started last week but cancelled night before, in fairness to not being well. Our next group in 2 weeks time after about 6 weeks from last.session. It's an outside agency running group and annoyingly costing tax payers £1200 for each attendee. As half class not seemingly returning that is up to £24,00.00 wasted (you all sign-up beforehand saying u will attend whole 9 month course) and it is ££ that could be better spent with better training too. I've learnt things obviously but hand on heart I've learnt more through this Forum and grateful to those taking time to answer questions and contribute to this post. I'm still learning and your advice and suggestions are still so welcomed. Apologies I've gone off the rails a bit, but huge thank you once again.
 
Morning. Thank you again for sharing and caring. Regarding my plant based food comment (giving up) - i realise I wasn't clear, I meant knocking on the head the pre made and pre packed burgers, sausages etc that are in the Ultra Processed Foods. Group. Just got to understand the difference as packaging can be so misleading. I couldn't manage without my veggies, fruit, chickpeas etc. But must try harder with not eating so much bread, whether lower carb or not. I just love toast, sandwiches, wraps etc.

I'll definitely look at the plant based theorists that have been suggested, such as Dr Mosley and Hugh Fearnley-Whittingstall (currently doing the rounds promoting his new, expensive book). Armed with all the info shared by you informed, caring Forum posters I have tools in my bag to move forward. I certainly trust your views and knowledge over some things I've read independently. And you have made clearer so many things.

I will look into the Collins and Calorie and Carb books as I think will help me count carbs - NOW I've had you lovelies explain much better than I think the NHS Healthier Lifestyle Group I'm attending has for me. Group (started with about 40 people, has dropped to half that now) lasted 80 mins. 20mins weighing and taking peoples waist measurements. Rest time is mainly slides and saying what is written on them. Any time for questions seem rushed as always finish on or before time. Group leader now left. New one started last week but cancelled night before, in fairness to not being well. Our next group in 2 weeks time after about 6 weeks from last.session. It's an outside agency running group and annoyingly costing tax payers £1200 for each attendee. As half class not seemingly returning that is up to £24,00.00 wasted (you all sign-up beforehand saying u will attend whole 9 month course) and it is ££ that could be better spent with better training too. I've learnt things obviously but hand on heart I've learnt more through this Forum and grateful to those taking time to answer questions and contribute to this post. I'm still learning and your advice and suggestions are still so welcomed. Apologies I've gone off the rails a bit, but huge thank you once again.

Whoops. That's supposed to be a smiley face I'm sending you all. ☺
 
Oh, yes @Martin.A ! I completely agree with that! There are some very over-processed foods. What’s sad is that some people think that’s what a plant-based diet is.
Both my grandfather and father were lifelong vegetarian in an era when there were virtually no pre-prepared foods, the only thing I remember was something called nut meat brawn, came in a tin and was sliced and a mix for making rissoles, Savormix I think it was called. Otherwise fresh veg, salads, eggs and cheese.
They passed away within days of each other, father aged 55, grandfather aged 90. You just can never tell.
 
Like you say... you never can tell.

Can i ask forum (another) random question please... when out at say Starbucks or other coffee shops - what is sensible coffee to order that is better eg.
carb/protein etc ? Also what milk is better. Fresh and plant based.

Thank you, yet again, for any responses
 
Like you say... you never can tell.

Can i ask forum (another) random question please... when out at say Starbucks or other coffee shops - what is sensible coffee to order that is better eg.
carb/protein etc ? Also what milk is better. Fresh and plant based.

Thank you, yet again, for any responses
There's barely any difference between milk and a plant-based milk like oat milk in terms of carbs, so on that basis it doesn't really matter which one you have. I always have an oat milk cappuccino in coffee shops and we use a Barista Blend oat milk to make coffees at home. I use oat milk because I keep an eye on my saturated fat intake and oat milk has a fraction of the saturated fat of our usual semi-skimmed milk.
 
Like you say... you never can tell.

Can i ask forum (another) random question please... when out at say Starbucks or other coffee shops - what is sensible coffee to order that is better eg.
carb/protein etc ? Also what milk is better. Fresh and plant based.

Thank you, yet again, for any responses

In the early days I specifically tested the effect of a cappuccino on my blood glucose levels and got a big response - blood glucose over 14 an hour later.

Taking @Martin.A 's point, this surprised me - coffee should not be a big hitter, the only carbs were in the milk and there really isn't much of that in a cappuccino. Then I remembered the "chocolate" sprinkled on the top. I'm guessing that was mostly sugar and accounted for the BG reading. So might not be the base ingredients you have to think about but the other stuff they add to make the drink palatable!
 
There's barely any difference between milk and a plant-based milk like oat milk in terms of carbs, so on that basis it doesn't really matter which one you have. I always have an oat milk cappuccino in coffee shops and we use a Barista Blend oat milk to make coffees at home. I use oat milk because I keep an eye on my saturated fat intake and oat milk has a fraction of the saturated fat of our usual semi-skimmed milk.

Oat milk is similar but some plant milks are very low carb, eg Koko (coconut milk) and the No added sugar almond milks, etc.
 
I have Americano coffee, basically black coffee with real cream (not Elmlea which is a UPF) Less carbs in cream than milk because lactose is water soluble and cream is fat..... not that I ever set foot in Starbucks or Costa, so don't know if they do real cream.

Oat milk is actually the highest carb of the plant based milks so I would be wary of an oat milk cappuccino on a regular basis ,unless you have tested it yourself. As a one off treat, probably no need to worry.
 
Costa have a table of nutritional information for all their drinks on their website, you may need a magnifying glass to read it though. A flat white no sugar is 8.7g carb for example.
 
Like you say... you never can tell.

Can i ask forum (another) random question please... when out at say Starbucks or other coffee shops - what is sensible coffee to order that is better eg.
carb/protein etc ? Also what milk is better. Fresh and plant based.

Thank you, yet again, for any responses
I tried drinking something at a Starbucks. It was the vilest liquid I ever found in a cup, but it was sold as coffee.
Never again.
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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