Is a low-carb diet a must?



I experienced lows after eating like V because I have gastroparesis. Endo said the telling symptom is lows after eating followed by highs hours later when the insulin is gone. I inject after meals & switched to Humulin Regular because it works slower & lasts longer. I also have rapid acting to correct highs.

I tested every hour after eating for five hours to learn when the spikes happened. This meant I was testing almost every hour on the hour for days.

Having gastroparesis makes things unpredictable. Usually, gastroparesis is worse in the evening. My endo wasn’t sure if my fasting highs were due to food was digesting when sleeping, or dawn phenonmenon. I was told not to eat for at least 5 hours before bed, to eat a light dinner & to space meals by 4-5 hours.


Hello Janet.

I have been told the only veggies that you have to count are, potatoes, corn, and peas. The rest of then don’t add many carbs.

Don’t expect perfection in your diets because there are other factors in your body that also affect your readings over which you have no control. Just do the best you can. But also check to see if you are not eating something that you don’t expect to bother you but do so. Dick Meade PS I went about 30 years of my 56 years as a diabetic just staying away from all sweets this worked OK for me then Now I am more careful about my carb intake.


All carbs should be counted. Vegetables have varying amounts of carbs & also dependent on the quantity eaten. Carrots are sweet & have a lot more carbs than cabbage, for example. Winter squash is high carb compared to summer squash. If you’re not counting carbs, how do you dose your insulin?


I count carbs from veggies, too, even though they don’t amount to much especially considering the amount of fiber some contain.

A couple of years ago, I read a lot about the glycemic index and took that into account, too. From a glycemic index standpoint, foods like carrots and winter squash aren’t so “bad.”

I’ve gradually fallen away from using the glycemic index but I’m not sure why. General laziness, most likely. :slight_smile:


I don’t bother with GI either. Like we need something else to count & calculate! The problem with GI for diabetics is that studies determining glycemic index haven’t used people with diabetes. Since we obviously don’t deal with food like normal people, I question whether GI has much bearing for us. I’d also rather have the carbs hit me right away than later.


Thanks, Gerri… I can see more research in my future. His next appointment with the docs in in October.


Sorry, Katie, I think I lost track of the thread topic! I typed “souring” instead of “soaring”, maybe I have sour grapes about anyone who can enjoy so many of the foods I can’t…lol. I think it’s pretty funny I had some heart concerns (ended up a false alarm) so switched my breakfast from eggs to cereal and now with diabetes have to switch back!


Good points, Gerri. I didn’t know it wasn’t tested on diabetics and I too dislike things that hit us later because we are then under the illusion of good numbers. I just bought some bread I found in the store which says low glycemic index. It has the same number of carbs as other bread and I prefer fresh artisan bread but I am floundering a bit with breakfast so I’m going to give it a try. (It’s Alvarado Street “diabetic lifestyles”. )


Low GI is the latest marketing hook. Throw in some fiber & it’s low GI. Sooner or later, the carbs will hit. They’ll be putting insoluable fiber in ice cream & candy bars & calling them low GI–watch! First low fat, then no trans fat, now low GI. All marketing bs to appeal to consumers who think they can eat quantity without paying for it later.

Angers me all the crap targeted to people with diabetes as alternatives, like Glucerna junk. Nothing healthy there, filled with chemicals.

Bread of any type turns to sugar the moment you chew it because mouth enzymes digest carbs quickly, & in bread carbs are readily available, so enjoy the kind you like best.


I am insulin dependent, and use a pump. I eat about 200 or so carbs per day. My A1C1’s are always in the low 6’s.

So to answer your question, “Is a low-carb diet required to achieve great A1cs?”, the answer is No.

My daily diet includes lots of vegetables and fruit, low-fat dairy, whole grains, lean meats. I eat 1800-2000 calories per day.


Forgot to add - I do not have huge swings in my bgl’s.


I don’t count veg carbs either, except for potatoes, corn and peas. If I do, I end up hypoglycemic.


I used to eat alot of carbs, 150+… I now get most of my carbs through veggies. Sort of a modified Dr Bernstein diet I still eat low carb bread. For Breakfast i have 2 portions of egg beaters and 1 egg scrambled together and 1 piece of Low carb bread Sara Lee Delightful 9 grams carb. Total breakfast =11 carbs
Lunch 2 slices same bread 4 oz chicken ,turkey etc mustard lettuce total = 18 carbs
Dinner usally 1 to 2 cups of veg or salad (to equal 12 grams carb) 5-6 oz protein =12 carb
snack carb buster yogurt from Ralphs grocery store only 4 carbs and tastes great !! = 4 carb
45 carbs total = 5 u Humalog First couple weeks tested every 1/2 to 1 hr to see if any spikes and to correct dossage. Now #s stay even, no spike at 1/2- 1 - 2 hr.
I feel more Satiated, more alert and use around 5 units humalog for all day. I have had D for <<u>u>43 years and I finally feel like I have found something that works for me and has been a pretty easy transition , which I did not expect. bottom line find what works for you. I am not perfect by anymeans, but I keep trying to stay on trac


You didn’t know that you can eat a gazillion calories a day and lose weight fast provided it’s allo fat? Or is that no fat? All protein?
Makes you wonder if all the bad diet advice kills brain cells…
Thanks for the GI info. I started looking into it when V was still in hospital - actually, I read a book on it while he was in the recovery room after having his pancreas removed… Then decided I couldn’t deal with that, too at the moment so set it aside.Now I can forget it - tick that one off the list.
BTW, in France the recovery room is called ‘Reanimation’. I can tell you, that gave me a start when they sent me down the hall to wait…



Fantastic that you take so little Humalog! Wow. Just to show once again how different we all are, I take more insulin than you & eat less carbs. What are your basal doses?


That must be it! Bad diet advice kills brain cells. Seems that fewer brain cells is a sure route to fame & fortune writing the latest diet book.

Ssshhh, don’t tell anyone but calories don’t count if you eat standing. The calories go to your feet & you can walk them off:)

Reanimation–that is a scary phrase!


Hi Joe - I’m the same as Maureen - around 200 g of carbs a day. I’m on a pump - and use on average 25 units a day depending on what I eat. I am so amazed that you take such a small amount of insulin for your carb intake! I’m curious like Gerri - as to what your amount of basal insulin you take.


I also do not eat to much carb…Try to avoid pasta, rice or potatos really unless I really fancy them. I try to avoid higher amount of carbs to be able to live with as little insulin need as necessary (my own personal choice)

During the day I eat twice fruit (apple/pear/rasberries/strawberries) total carbs of max 25-30gr
My breakfast is my highest carb count due to my Latte (my only vice that I am still not willing to give up) + 1 slice of pumpelnickel bread= 37gr
Lunch usually consists near to none carbs
Dinner usually not over 30 carbs
My max carb intake during a day would be 110gr
My min carb intake probably around 90gr

My daily insulin intake is on average (ex basal) 7-8 units.

It works for the moment but who knows if I will EVER get a HbA1C lvl under 6.0 as my HBA1C is at 6.2…not been below 6.0 for a year and the high of the last 12m has been 6.5

My weight is very stable and has not changed at all for a year


I use between 15-20 units total insulin per day. Less if I’m exercising more than usual.


I don’t eat as many carbs as Joe. On a typical day I use 0 units of Humalog.