Of which sugars...

[Stuboy]

When you look at the nutritional information on food packs, you get the amount of Carbohydrates, then you have "Of which sugars" underneith it...

Does anyone take this into consideration when bolusing?

[xMenace]

I reduce the fibre from the total carbs, c'est tout.

[Stuboy]

huh? please explain!

[xMenace]

http://www.nestle.ca/NR/rdonlyres/EF764B3A-5216-46BA-95DC-B573C44EF266/0/BistroPestoGrChkn_NFT.gif

I would bolus for 49g (53g - 4g of fibre)

[SueM]

When you look at the nutritional information on food packs, you get the amount of Carbohydrates, then you have "Of which sugars" underneith it...

Does anyone take this into consideration when bolusing?

Hi Stuboy, the more "of which sugars" there is the quicker your bs will go up and then come down.
you either count net carb if this is shown or total carbs if the net carbs are not shown.
Some people deduct the fibre others don't.
The lable that Xmenace showed you is not on UK foods.

[Gary_W]

Hi Stu,

As Sue says, the UK lablels differ from those in the US and we have fibre as a different category.

The 'of which sugars' bit can be misleading in my experience. Take Cornflakes. I've just whipped the box out of the cupboard, and per 100g it has 84g of carbs (of which sugars is 8g).

Now this may lead you to think that Cornflakes will raise your BG but not tremendously rapidly. Most people find Cornflakes to be fairly evil things, and if you look at a chart of Glycemic Index you will find them up there with Lucozade!

I think the GI books are quite helpful in showing which foods are likely to be kind / unkind in terms of spikes. GL books (Glycemic load, a combination of the amount of carbs in a food and its GI) are very useful. BUT.... every one of us is different and what I can tollerate well might halfway finish you off and vice versa. And what works this year may change next (my current situation has pointed that out nicely!). The books tell you how it is supposed to work. Your body and blood tester plus the joys of experimentation will either prove or disprove the theory :)

Gary

[Stuboy]

thanks, I know the labels are different... but we do have a fibre count on our labels in england... at least my duck wrap did at lunch ;)

I dont think im quite ready to even entertain the idea of figuring out fibre in foods just yet.

So the higher the "of which sugars" the quicker it will raise your blood then, that's what i wanted to know, thanks :)

Now i just need to figure out how fast for how much!

[Emm]

I wouldn't say that at all...

Sugars are carbs, so I ignore the sugars and just jab to cover the carb total. I ignore fibre too unless there's a whole lot of it, in which case it's only a teeeeny tiny bit less insulin. (As they say: Your milage may vary!)

The sugars bit doesn't really say anything about the GI of the food - after all, we've all learnt that the higher carb stuff like bread, potatoes and pastas etc can raise our BGs just as high and just as fast as sugary foods.

[xMenace]

To be honest, as Emm said, fibre is usually a small portion of the total. If you bolus for total carbs, you won't be in any danger in most cases. Much of our carb counting is estimated anyway. Very rarely do I measure everything. I find the only foods I do this for are pre-packaged whole grain pastas which can have a significant fibre count.

[Stuboy]

i was just wondering, because im working for 13g:1u at the moment and it seems to be working for breakfast and lunch, but not fruit... But then im having fruit between meals and taking 1u for an apple (15g CHO... by the packet info) and im goin hypo at lunch time. Perhaps i just need to not bolus for my fruit seeing as it's only two hours after my breakfast bolus and i still have that in my system? i dunno, fruit doesn't seem to like me whether it be in pure form or smoothie form or juiced form! :(

I want my fruit!

[RLK]

i was just wondering, because im working for 13g:1u at the moment and it seems to be working for breakfast and lunch, but not fruit... But then im having fruit between meals and taking 1u for an apple (15g CHO... by the packet info) and im goin hypo at lunch time. Perhaps i just need to not bolus for my fruit seeing as it's only two hours after my breakfast bolus and i still have that in my system? i dunno, fruit doesn't seem to like me whether it be in pure form or smoothie form or juiced form! :(

I want my fruit!

What happens if you don't eat the mid-morning apple? Is your BG normal at lunchtime or are you hypo? What happens if you skip breakfast and snack? Normal at lunch or hypo? The answers will help determine if it's too much breakfast bolus, or too much basal. It's also possible that you're running around enough by mid-morning that you don't need to bolus for the snack.

Let's troubleshoot a little here....and see what happens....

[xMenace]

Many of us have agressive breakfast boluses due to our DPs. Not only do we take a bit extra insulin at breakfast, but the tailing end of it can be amplified as our insulin resistance drops. As a result, many of us tend to go low before lunch.

I treat it with a temporary basal reduction which is virtually a superbolus. When I was diagnosed, my doctors always said eat that snack in the morning.

You seem to need an adjustment too. Do as RLK suggests. I suspect you'll need slightly less bolus at that time.

[PusCat1970]

Hi,

Well carb counting will be new to me as from next Monday as I will be starting on pump.

I'm currently on MDI, Levemir and Novorapid and have never been taught how to carb count. Wish I had as it might of stopped me having all those hypos which I've been having yuk!

Best wishes

[xMenace]

Hi,

Well carb counting will be new to me as from next Monday as I will be starting on pump.

I'm currently on MDI, Levemir and Novorapid and have never been taught how to carb count. Wish I had as it might of stopped me having all those hypos which I've been having yuk!

Best wishes

It's kind of important. Good luck and let us know how it goes.

[Stuboy]

What happens if you don't eat the mid-morning apple? Is your BG normal at lunchtime or are you hypo? What happens if you skip breakfast and snack? Normal at lunch or hypo? The answers will help determine if it's too much breakfast bolus, or too much basal. It's also possible that you're running around enough by mid-morning that you don't need to bolus for the snack.

Let's troubleshoot a little here....and see what happens....

I dont do much running around at work tbh lol, i sit at a computer for most of the day! I'm currently trying out eating the fruit with breakfast/meals instead of between.

Im fairly sure my basal is fine now as i don't hypo at lunch if i miss breakfast.