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How Does Carb Counting Work?

A DiabetesTeam Member asked a question 💭
Johannesburg, ZA
February 28
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A DiabetesTeam Member

Absolutely, @A DiabetesTeam Member.
When diagnosed with diabetes in February 2021, A1C 13.5. I brgan my ultralow carb right eating lifestyle. I negotiated a 3 month reprieve from beginning diabetes medications. My doctor wanted me on long acting insulin, quick acting insulin, and metformin.

3.5 months later my A1C was 4.9. I then maximized my net carbs at about 5 per meal while eating to my meter. I have been in clinical remission with a nondiabetic A1C near 5.

Still no prescribed diabetes medications.

It's not easy, it's very, very, very hard, especially for a lifelong Japanese rice-aholic.

Good luck.
Praying for you.

February 28 (edited)
A DiabetesTeam Member

Carb Counting is simple but a lot of work

So essentially what you do is check the nutrition labels (or look them for thing that don't have labels like apples) and figure out how many carbs are in a given portion size

In the label below the Total Carbs is 30 grams for a 3oz serving (85g) of whatever it is

Then, when starting carb counting, you would test your blood sugar, record it, then eat 3oz/85g of this (food) and no other carbs, test after 2 hours and record your blood sugar

If you went too high then you "know" that 30 carbs is TOO MANY for YOU

If you were in your range then you know 30 carbs is just fine (with a few exceptions)

Next time you could try maybe 35 carbs and see if you are still fine - after a number of tests over a period that may extend weeks you will figure out "YOUR CARB ALLOWANCE"

From then on you simply pre-plan your meals with "measured portions" - I can tolerate about 35 carbs so I could choose 20g from Potato, and 8g from Carrots to go along with a piece of roast beef or something (meat is zero carb as long as it's not coated, covered with sauce etc) - so that would be a "safe meal" for me

So you figure out your tolerance through testing

Then think of that number as your "allowance" per meal or per day - and when you eat something you have to take "carbs" out of your allowance

If you figure your carb number and count your carbs all the time your blood sugar will theoretically stay in range almost all the time

But you do have to count, measure, weigh and track literally everything that goes in your mouth, even if it's just a single carb (coffee with cream is one carb for each tblsp of cream as an example - you have to be aware of everywhere they hide)

February 28

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