@WestOfPecos asked in another thread: “@Britt_J, I am curious: how strictly low carb are you?”
Fairly strict? I’ve taken Dr. Bernstein’s recommendations and applied some tweaks. Some examples:
Carb Counts: I deduct 100% of insoluble fiber and 50% soluble fiber. FMI:
Fiber Content of Foods in Common Portions; HUHS (Harvard University Health Services)
Bolus: I use Apidra twice per meal/snack. Once for carbs and once for protein (I TAG 60% for protein but don’t bother with fat as I work it into my basal). I also stack.
Corrections: IM w/ heat and exercise – e.g. quad, warmed rice pack + squats.
Note: Dr. Bernstein initially recommends 6-12-12. However, he allows more carbs as long as one doesn’t exceed +/-10 excursions with meals. He also allows snacks following the same rules. Unlike many PWDs who find Dr. Bernstein inflexible (See any thread re: Bernstein + @Jag1 for some sterling examples…), I find him quite reasonable. He has one patient that uses chocolate chip cookies as excarbs. Another uses peanut butter and jelly sandwiches!
My TAG for most days is ~60. I don’t monitor ketones unless I have a reason to be concerned, but my docs test me regularly. I always test positive. Generally, between 1-3. After a good workout, I occasionally will go up to ~5.
