How Many Carb Ratios

#21

I was glad to read a post from someone eating a higher-carb diet! I never gave up carbs to manage my type 1, despite reading so many posts of how it changed peoples’ lives for the better. I love carbs, even the “junky” ones! Like you, Marilyn, I eat 300 grams and sometimes more each day and am able to keep fast-acting insulin needs to 12-20 units/day (in addition to a baseline of 7 levemir in divided doses-I use MDI). I felt like kind of a bad boy for not going low carb, so it’s good to hear I’m not alone. Like you, I use exercise to make my diet work - cross country skiing each morning in the winter and hiking or maintaining the ski trails the rest of the year. I only have 38 years of diabetes behind me, but the exercise has enabled me to maintain A1c within normal limits throughout those years. Happy cycling to you!

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#22

Oh yes, on the carb ratio, it’s not really fixed. I need about 35-40grams/u to start the day. Then by 3:00 or so I must be down to 26 or 27 and by the end of the day I need to have averaged 21-27 grams/unit over the course of the whole day in order to make it safely through the night. (Varies based upon activity level.)

#23

Bob10, something else we have in common is that I too do MDI and have a non diabetic A1c. When I was doing the Bernstein diet, I never dreamed that I could eat 300 carbs a day and still use a low amount of insulin and have a terrific A1c. I just didn’t think it was possible.

Course I also never thought I would be spending an hour at the gym most days. I feel so much better when I exercise.

#24

Yeah - Your explanation makes more sense than the lab explanation.
There is a whole lot more going on in the human body then simply:
“producing insulin or not producing insulin”

Maybe your Endo is more suited to basic management and you need a new Endo that has more advanced training?

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#25

I use 3, one for each meal. I eat what I want and bolus for it.

#26

I have 7 different insulin:carb ratios throughout the day. Timing of physical activity, meals (I often skip if I am not in my “eating range”).