I’ve never been a truly low carber. During the 18 months my PCP was treating me as a type 2 on oral meds that didn’t work effectively, I did have to restrict carbs more. But after an endo diagnosed me as type 1 and put me on insulin over five years ago, my daily diet has included about 120-150 grams carb most of the time. Nonetheless, I’d typically have to spread the carbs out over many meals and snacks because at my low weight, I’d otherwise have higher peak BG than I found acceptable.
Unfortunately, due to other health problems that caused lack of energy even to eat, I lost too much weight, getting down to a scrawny 101 pounds recently. I had so little real estate in which to give my many MDI injections that I was starting to get a lot of scar tissue. My last visit with the endo was spent mostly on talking about me trying to gain weight back rather than more typical diabetic issues. Anyway, I’ve been trying to expand my diet to include more high carb foods that I formerly avoided. One of these is to add some Mexican foods. My first try at stopping at a Mexican restaurant for an order of 2 enchiladas, beans and rice resulted in the BG reading later that afternoon of 335. I’d taken 12 units of insulin before lunch, then took another 3 units mid afternoon, which eventually brought me down to normal.
The second time I ordered the same thing, I told the waiter to skip the rice, as I’d only eaten a couple of bites of it the previous time. Past experience tells me that rice shoots my BG up far faster than beans, so I generally avoid it. I again took 12 units initially, expecting to check my BG sooner than the previous time and if necessary, give up to 3 more units as the BG started rising but long before it hit 300. Oops! It didn’t work. I still ended up over 300. However, I think part of that was that I hit scar tissue (I could feel something amiss) and probably didn’t have normal absorption.
So for the third time in about three months I tried ordering the same thing at the same restaurant yesterday. The 12 units of insulin taken just before eating was perfect! I didn’t need to take a correction in mid-afternoon and I never got over BG of 140 before dinner. I do think they gave me a smaller serving of beans yesterday, though. I’m so happy that it looks like I might be able to tolerate an additional menu item that initially looked like it would be impossible to tame. With my many dietary changes in the past month, I’ve only managed to gain about four pounds. Roughly 25 to go for my best weight.