Author Topic: Carbs allowances  (Read 696 times)

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Offline himtoo

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Re: Carbs allowances
« Reply #15 on: 11 January 2018, 02:24:29 PM »
my favourite "recipe" to make mash is to steam the following veggies and then mash together with a bit of butter . a dollop of single cream , salt( we use Lo-Salt) and pepper

100 gram potato                    17.5 carb
100 gram cauliflower              3.2 carb
100 gram celeriac                  1.9 carb
100 gram onion                     3.7 carb
40ml single cream                 0.9 carb

total carb 27.2
200 gram portion 13.6 carb

and really really tasty
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline Avocado

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Re: Carbs allowances
« Reply #16 on: 11 January 2018, 07:13:47 PM »
I believe that a Type 1 probably wouldn't need to go quite so low as they can adjust to a certain degree by the amount of insulin they inject.  Someone will no doubt tell me if this is wrong!   :rolleyes:
Yup. With Type 1s it's actually even more important to go so low, reason being to avoid taking too much insulin. Of course a Type 1 can inject insulin to cover the carbs they ingest but the least carbs a Type 1 eats, the least amount of insulin they need to inject - I'm talking insulin for meals, not bolus. Edit - Avocado means 'not basal' here.  Insulin is not especially good, it's as much of an irritant as high carbs - by irritant I mean complications which are casued by high BGs and by high insulin levels - I'm sure there will be peeps who will tell me no, but I'm going on what I've read by Type 1s, including doctors with Type 1 such as Dr Bernstein for example, but there are others. There's an extremely good chapter in the new book 'Diabetes Unpacked' by a Type 1 diabetic doctor, a UK GP, who explains how he adopeted very low carb after reading Dr Bernstein's book and how from then on that stopped his hypos and hypers, he now runs half marathons on this diet.
Anne

Atypical Type 2, thin, not insulin resistant, diagnosed March 2007. Very low carb (30 - 50g per day) Paleo diet and exercise - Prandin (Repaglinide) 0.5mg. Aortic Valve Replacement Jan 2014, Osteoporosis, Small airways disease, probable coeliac - Strontium Ranelate 2g/d, Omacor 2g/d, vitamin K2 300mcg/d, Aviticol (vit D3) 20,000 IU every week, Qvar 100 2/day.

Current HbA1c 33 Current total cholesterol 7, HDL 3.5, LDL 3.2, triglycerides 0.4

Offline Avocado

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Re: Carbs allowances
« Reply #17 on: 11 January 2018, 07:15:50 PM »
Anne

Quote
I eat protein too, I suspect some of that is changed into carbs by my liver but I've no idea how much, protein again is very satisfying.

The liver will turn protein into blood glucose (not carbs  ;) ).
Yes I know, I was in a hurry to go to an appointment and used the word carbs interchageable with glucose, since all carbs become glucose, which was a mistake !
Anne

Atypical Type 2, thin, not insulin resistant, diagnosed March 2007. Very low carb (30 - 50g per day) Paleo diet and exercise - Prandin (Repaglinide) 0.5mg. Aortic Valve Replacement Jan 2014, Osteoporosis, Small airways disease, probable coeliac - Strontium Ranelate 2g/d, Omacor 2g/d, vitamin K2 300mcg/d, Aviticol (vit D3) 20,000 IU every week, Qvar 100 2/day.

Current HbA1c 33 Current total cholesterol 7, HDL 3.5, LDL 3.2, triglycerides 0.4

Offline sedge

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Re: Carbs allowances
« Reply #18 on: 11 January 2018, 09:03:01 PM »
LOL - being a public forum, it is necessary to correct stuff like this - both Patti and I etc may all realise both that we know what you meant and that you do too, it was just a unintentional mistake - but if someone new reads it who knows neither you nor very much about diabetes - they won't!

Of course we are all different whether we're T1 or T2, LADA, MODY, gestational, pancreatic or any other 'type' and 'big up' to anyone who gets fit enough to run marathons half marathons scale Everest or any other physical achievement whether they are diabetic or not, but I'm much more concerned about the ordinary lives of ordinary people really LOL

And surely the sensible thing for all of us, is to make our diabetes fit in comfortably with our lives without going to any extreme lengths, whilst at the same time making it look like it's all easy even though it's still damn hard work !!
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Avocado

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Re: Carbs allowances
« Reply #19 on: 11 January 2018, 09:42:52 PM »
I'm glad Patti pointed out my mistake in interchanging the word carbs with glucose !  My original reply was in response to BBarb's  question in her first post: "Is there such a think as a 'recommended' amount of carbs to stick to on a LCHF diet?" I was givng the recommended carbs in the LCHF (low carb high fat) diet. I know that many people would find this diet extremely difficult to do. I also responded to Pauline when she wrote: "I believe that a Type 1 probably wouldn't need to go quite so low as they can adjust to a certain degree by the amount of insulin they inject.  Someone will no doubt tell me if this is wrong!" - so I explained a little from what I know of that, and wrote about the Type 1 Dr Bernstien and GP who wrote in 'Diabetes Unpacked' and why they keep to LCHF to avoid diabetic complications and achieve good health. I'm not trying to promote LCHF  - I love that way of eating but I truly and really do know that many diabetics simply do not want to eat that way and that is completely their choice.
Anne

Atypical Type 2, thin, not insulin resistant, diagnosed March 2007. Very low carb (30 - 50g per day) Paleo diet and exercise - Prandin (Repaglinide) 0.5mg. Aortic Valve Replacement Jan 2014, Osteoporosis, Small airways disease, probable coeliac - Strontium Ranelate 2g/d, Omacor 2g/d, vitamin K2 300mcg/d, Aviticol (vit D3) 20,000 IU every week, Qvar 100 2/day.

Current HbA1c 33 Current total cholesterol 7, HDL 3.5, LDL 3.2, triglycerides 0.4

Offline Avocado

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Re: Carbs allowances
« Reply #20 on: 12 January 2018, 07:14:06 AM »
I'm talking insulin for meals, not bolus. Edit - Avocado means 'not basal' here.
I was just coming to correct that to basal from bolus when you beat me to it !
Anne

Atypical Type 2, thin, not insulin resistant, diagnosed March 2007. Very low carb (30 - 50g per day) Paleo diet and exercise - Prandin (Repaglinide) 0.5mg. Aortic Valve Replacement Jan 2014, Osteoporosis, Small airways disease, probable coeliac - Strontium Ranelate 2g/d, Omacor 2g/d, vitamin K2 300mcg/d, Aviticol (vit D3) 20,000 IU every week, Qvar 100 2/day.

Current HbA1c 33 Current total cholesterol 7, HDL 3.5, LDL 3.2, triglycerides 0.4

Offline Pattidevans

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Re: Carbs allowances
« Reply #21 on: 12 January 2018, 10:00:28 AM »
I did put a smiley on the correction about carbs so you would know why I was doing it.


I do actually find that restricting carbs leads to more stable BGs, but there are times when I just don’t want to be diabetic, like Christmas for example and I did have carb creep.  My weakness is potatoes!  Not chocolate or sweets.  Mind you, I had this Aussie flu so BGs were all over the place anyway.  Yesterday I had 60g carb, mostly veg apart from 2 sausages and a low carb Protein roll.  8u bolus total  and I stayed in the 6s all day.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline BBarb

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Re: Carbs allowances
« Reply #22 on: 12 January 2018, 12:25:23 PM »
All this makes us non-diabetics think.
I do find catering for the two of us quite difficult at times, and there is so much going round and round in my head when I'm shopping I do frequently buy stuff thats not suitable for either of us.

I can see life is more complicated for type 1s.

I don't buy (or bake) bread, cake or biscuits - so there's no temptation there.  I eat crispbreads which are quite tasteless so he's not tempted to them.
I have always bought lots of fruit as I can eat as much of it as I like, but now only put 4 pieces (usually apples, pears or satsumas) out at a time.
We both like cauliflower mash and I will try himto's veggie mash, it sounds good BUT now will have to 'count' the fat in it (as part of J's allowance from slimming world) as well as the carbs (as part of the diabetic world).
So you see the difficulty of balancing the two.
The SW diet works though - as long as you stick to it.  It really really works for weight.   
 All I need to do now is to balance the fats and carbs, in the terms of calories perhaps?

It'll be interesting to see how much weight he loses next month. 
It'd be even more interesting to see how stable his sugar level is too, but that's not going to happen.

Patti - I know just how you feel 'not wanting to be a diabetic anymore' because I feel the same at Christmas too (about not wanting to be a coeliac).  Having to read the ingredients on a gift of chocolates for example - yes sometimes there's flour in chocolates - seems rather a pain.   But although he can indulge 'just one' (?)  if I even pick up a crumb I shall spend the next 12 hours on the loo (with dreadful stomach gripes and being no use to anyone for the next few days).
 
Is that a good thing or a bad thing I ask myself at these times.


Offline Alan

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Re: Carbs allowances
« Reply #23 on: 12 January 2018, 10:55:12 PM »
Is there such a think as a 'recommended' amount of carbs to stick to on a LCHF diet?  I seem to have seen 50 grams(?) units(?) a day as an achievable amount, but I don't know where or even if it was 50.
Any suggestions?

I'll be honest. There are recommended limits by the dieticians: 45-60gms CHO per meal and 15gms for snacks. I consider those bloody dangerous nonsense. They might be better than the excessive carbs consumed by many non-diabetics but they are a poor one-size-fits-all lazy and ignorant prescription by most dieticians.

My personal carb allowances for my low-BG-spike diet (not necessarily LCHF) was discovered by peak post-meal testing. It is per meal, not per day, because our blood glucose rises after every meal before returning to resting level. It doesn't store up the day's carb/protein/fat response to be one big spike. Thank goodness :)

My own limits are:
  • Breakfast: <10gms CHO (as close to zero as I can reasonably get)
  • Morning snacks: <10gms CHO
  • Lunch: <15gms CHO
  • Afternoon or evening snacks: <15gms CHO
  • Dinner: >40 gms CHO.
Those are specifically my own limits. Other type 2s must do their own testing to discover theirs, which may be totally different to mine.

PS breakfast was a couple of hours ago. One pork sausage and one fried egg. Delicious and my post-meal peak was lower than my fasting.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Slow Cooked Beef Brisket)
Born Under a Wandering Star (Surviving Long-haul Flights in Cattle Class)

Offline himtoo

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Re: Carbs allowances
« Reply #24 on: 13 January 2018, 09:48:53 AM »
Is there such a think as a 'recommended' amount of carbs to stick to on a LCHF diet?  I seem to have seen 50 grams(?) units(?) a day as an achievable amount, but I don't know where or even if it was 50.
Any suggestions?

      Those are specifically my own limits. Other type 2s must do their own testing to discover theirs, which may be totally different to mine.



this is the key -- the phrase "eat to your meter"
only by doing this can one discover what works for themselves.
T1 Dia Aug 1972 -pumping omnipod since 29/09/15  Losartan 100mg , simvastatin 40mg,Furosemide 40mg, Omeprazole 80mg , Doxazosin 8mg
Hba1c - 06/2013 6.1 02/2014 43(6.1) 07/14 42(6.0) 08/14 40( 5.8 ) 12/14 39 (5.7) 08/15 41 ( 5.9) 10/15 44 ( 6.2 ) 03/16 49 (6.6)
cholesterol --nov 2011 4.3 june 2012 4.4 June 2013 4.1 Feb 2014 4.1 dec 14 4.5 oct 15 4.4
Dafne grad. necrobiosis lipoidica on legs
laser treatment on both eyes 2002 and 2012, injections left eye 3 , wearing Noctura mask since oct 2014

Offline sedge

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Re: Carbs allowances
« Reply #25 on: 13 January 2018, 01:51:52 PM »
Barb can't find published figures on what's low, simply for the reason there aren't any, ever since the medical profession got their heads round the fact that we are all different.

If you currently eat 250g a day, 200g is low - whereas it's double what I eat.

But - if the person has no interest in helping themselves and won't take anyone else's advice, short of imprisoning them and feeding him through the bars it's going to be harder than going Nil carb herself, for Barb !
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Alan

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Re: Carbs allowances
« Reply #26 on: 13 January 2018, 07:52:02 PM »
Barb can't find published figures on what's low, simply for the reason there aren't any, ever since the medical profession got their heads round the fact that we are all different.

You must have some good doctors over there. I'm still waiting for that day. Some doctors have got that message but most have not in my experience and in my reading of new T2 arrivals on forums. And only a tiny minority of dieticians have got it.
Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey (latest: Slow Cooked Beef Brisket)
Born Under a Wandering Star (Surviving Long-haul Flights in Cattle Class)

Offline sedge

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Re: Carbs allowances
« Reply #27 on: 13 January 2018, 09:00:18 PM »
That was probably a mis-wording.  SOME good medics, Alan!

My clinic - and yes absolutely - people don't even get referred there as a matter of course! - do advocate low carbing but they don't ever say 'eat X' but rather suggest ways an individual can eat lower carb, then review and if 'that was easy!' suggest the next thing they could try and so forth, to try and get to the level that a person can cope with happily.  Some reduction is always better than none at all.  Doing it progressively of course is the way, same as building UP Metformin doses is the way for that.

However - it relies on the patient themselves being interested in doing something!
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4