I bolus every time I eat. I count carbs and am extremely diligent. However, about twice a month, my boyfriend and I get Thai food, which usually comes with white rice. Why does this make my bloodsugar spike no matter how little I eat and how much insulin I do? Frustrating!
For me, white rice is gram for gram of carb basically the same as table sugar.
Welcome to the "impossible foods" club! We all have foods that we just can't bolus for accurately (see the food graveyard thread!). Rice is one of those foods for many of us. I figured out early on that I just couldn't eat it anymore; exactly as you said, "no matter how little I eat and how much insulin I do". Yep it's frustrating but after awhile you just "get the message" and find something else to eat. You can still enjoy Thai food, just skip the rice!
Eating rice is almost the same as eating raw sugar
GI and GL for Common Foods
|Food||GI||Serving Size||Net Carbs||GL|
|Peanuts||14||4 oz (113g)||15||2|
|Bean sprouts||25||1 cup (104g)||4||1|
|Grapefruit||25||1/2 large (166g)||11||3|
|Pizza||30||2 slices (260g)||42||13|
|Lowfat yogurt||33||1 cup (245g)||47||16|
|Apples||38||1 medium (138g)||16||6|
|Spaghetti||42||1 cup (140g)||38||16|
|Carrots||47||1 large (72g)||5||2|
|Oranges||48||1 medium (131g)||12||6|
|Bananas||52||1 large (136g)||27||14|
|Potato chips||54||4 oz (114g)||55||30|
|Snickers Bar||55||1 bar (113g)||64||35|
|Brown rice||55||1 cup (195g)||42||23|
|Honey||55||1 tbsp (21g)||17||9|
|Oatmeal||58||1 cup (234g)||21||12|
|Ice cream||61||1 cup (72g)||16||10|
|Macaroni and cheese||64||1 serving (166g)||47||30|
|Raisins||64||1 small box (43g)||32||20|
|White rice||64||1 cup (186g)||52||33|
|Sugar (sucrose)||68||1 tbsp (12g)||12||8|
|White bread||70||1 slice (30g)||14||10|
|Watermelon||72||1 cup (154g)||11||8|
|Popcorn||72||2 cups (16g)||10||7|
|Baked potato||85||1 medium (173g)||33||28|
The table below shows values of the
For me, any food that is readily absorbed like sugar, I make sure that I wait 15 to 20 minutes to eat after I bolus. As for white rice, I have switched to brown rice which is not significantly different from white rice (carb wise), but the glycemic index is just different enough that I can handle it if I give myself the 15 to 20 minute lead time.
Some foods though, just don't work for me so I understand. (It's oatmeal for me.)
While rice is certainly one of those foods that is "almost impossible" to dose for, it might also be added ingredients to the Thai food. I love Chinese, but the corn starches that is used, along with a lot of the sauces for the food, is definately a blood sugar spike waiting to happen.
Oatmeal, I go super high over bolus and then drop like a ton of bricks. Oatmeal, all cereals, rice, all on a list of foods I avoid.
Yes, white rice is definitely a problem. I typically make sure I have a MAXIMUM of 1/2 cup, then I double the carb count. From there, using the pump, I use the multiwave function and give the first half of the bolus right away, with the remainder over the next 3 hours. I always follow up with lots of testing and adjustments as needed.
Any Oriental food is problematic. There are hidden carbs, so it may not always be the white rice. If you are on a pump, I suggest a larger bolus and a square wave. I use that for Thai and Chinese and it works well for me!
Rice is hard, but check out the carbs in PAD THAI!!
Or you can learn to make various Asian foods at home so you have control over what you put in it, from a simple stir fry to authentic Thai dishes. You can use all natural ingredients and skip cornstarch or sugar in sauces, and of course, that pesky rice!
We each respond to things in our own individual way. I am VERY carb sensitive; eating white rice sends me through the roof. Might as well just eat a bowl of sugar. On the other hand, I know people who can handle it, at least in modest amounts. We each have our own personal physiology. C'est la vie.
There's also frequently a lot of hidden sugar in Thai food. Tom yun gung soup. for example, has a lot of sugar in it. So it may not be the rice at all.
Because it is evil.