On 02/11/2013 09:04 PM, Janet Wilder wrote:
> On 2/11/2013 7:51 PM, Todd wrote:
>> On 02/11/2013 01:14 PM, W. Baker wrote:
>>
>>> How many grams of those carbs are fiber? Many of us find that using
>>> high
>>> fiber foods(that the US counts as carbs as a catch all but British folk
>>> don't but list them separately) acrtually reduces the effective nomer of
>>> carb grams in the food, so if something had 5 grams of carb listed in
>>> the
>>> US and uder that lists 4 grams carb, you are for most purposes gettign
>>> only about 2 grams of carbsin the portion. I count only the effective ,
>>> or starchy or sugary, non-fiber carbs in my diet and it works well fot
>>> me.
>>> Many food value listing books do give these number so yocan figure how
>>> many "turn into sugar" carbs a food actually has.
>>>
>>> Wendy
>>>
>>
>> Hi Wendy,
>>
>> My GP said that balancing carbs against fiber is an
>> Akins thing. He said I don't get too. Have you measured
>> your BG after a carb/fiber combo?
>>
>> -T
>
> Your GP is only partly right.
> Diabetic carb counters are taught that anything with more than 5 grams
> of dietary fiber PER SERVING can be subtracted from total carbs for "net
> carbs" This does not work for sugar alcohols (like Atkins does) which
> most Endos we've used say you can halve, but not totally deduct. Any
> fiber less than 5 grams per serving cannot be subtracted for net carbs
> when carb counting. Something with 25 grams of carbs and 7 grams of
> dietary fiber would count as 18 grams of carbs for purposes of an
> insulin bolus.
>
> It also has to be per serving as listed on the label.
>
> My DH is a carb counter and uses an insulin pump so he needs to
> calculate carbs for meals and snacks. His A1C is always under 6.1. His
> endo just told him that at his age, he needs to raise it as his control
> is too a little too tight and she worries about lows.
>

Thank you for sharing!