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Between 40 - 70 per meal. Roughly 200 a day
I'm T1 in the US of A
snack (if I can fit it in and want one) under 20
snack (again if i can fit it in and want one) 20
All these are up to numbers. I used to hate popcorn but after my dx, I seem to have some every night before bed on days where I have one or no snacks. I usually with out fail hit my breakfast. Before my dx I never ate breakfast, now If I go with out it, I'm a total bear.
I shoot for less than 50 per day. I have IR big time and something like 30-40 grms of carbs would cause me to have a blood glucose around 300 with a shot of 25 units of Apidra. I have been on the south beach diet and it works for me. Rick
I have been trying to eat 60g with each meal-- total 180 per day with no snack. I'm certainly not convinced this is the best way of doing things, and I'm open to all other ideas and suggestions. The CDE I met with on the very first day I was diagnosed told me 45-60g of carbs with each meal. I had lost 20 lbs at that point, and was thin before I lost all the weight, so I decided to go on the high side. That was only a month ago, so I've stuck with it, mostly just for the sake of consistency, and trying to get a baseline figured out before I start experimenting too much-- have decent control, but definitely get spikes higher than I would like to see after meals. Haven't had a post-meal reading over 180 in the past week though, so thats better. I have no doubt I was in the quadruple digits after meals right before diagnosed. I'd still like to improve my control much more though. Just ordered Dr. Bernstein's book. As I'm in honeymoon phase, I'm only taking small doses of insulin-- which limits my ability to fine tune doses. IE the difference between 3 and 4 units is proportionally much more than the difference between 10 and 11 units. By all means I welcome all other suggestions-- I'm 6'1 about 185 lb (normally) and type 1.
First thing, welcome to D. Sorry you had to join the party. Second, read the book, it's an eye opener. Plus there is some thought on the Honeymoon / insulin dosing that might be helpful right now.
So, I tend to think of it like this, non PWD have BGs in the 80s/90s and there is no reason we shouldn't as well. That will keep both our bodies and the Dr.s happy.
If you need anything, please call on any of us here. We're all happy to help and lend avice or support at a moments notice.
Thanks for the welcome. I actually ordered the 2003 edition of Dr. Bernstein's book-- found it on ebay for like a dollar. Has anything important been added to the several newer editions?
You might put your first question to the Bernstein group. Although, they will generally say about 30 carbs a day. Shooting for 6-12-12. 6 breakfast, 12 lunch, and 12 dinner. But, we (Bernstein group) are spread out carb wise, so please pose the question for more input there.
On the other notes, yes, I agree. If I could keep my BGs tight with minimal attention to carb amounts, I would. I find though, that eating "normal" amounts of carbs just makes for screwy days BG wise. And especially after changing my metabolism to LCHF. Call it incentive I guess. =^)
The law of small numbers really is a nice advantage. LBS with 5u IOB is tough compared to LBS with .5u IOB.
If going meal by meal, keep a diary. I was doing that for a while and would run into meals I forgot and would have to experiment bolusign again. I found I don't get a bolus perfect for at least a few times of eating the same thing (e.g., cobb salad), taking fat, protein and carbs into consideration (see the TAGing group). If eating higher carbs, just make sure your using the glucose your consuming (i.e., exercise). There's more ways to skin the cat, but finding the right one for you personally can be hard.
No problem! I haven't read an updated copy myself, so I can't say. I presume it's the same theories with updated references and recommendations (like certain meds, goals, etc.). Granted he's been touting this for 60 years, so.,,
When I started, I read the book, talked a lot with a few other T1Ds (a low carber and another a non low carb biologist) and tried to get a real understanding of what my metabolism was doing and going to do (and I still don't think I completely understand it all!). So, do your research be it low carb or not. I personally found this way works and over the last 2 years have had my most normal BGs (80-120) in my 26 years as a T1D.
The new addition is extensively revised and I would recommend it.