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03-24-2007, 06:03 PM
| | Junior Member | | Join Date: Feb 2007
Posts: 49
| | | Carbs and Fibers Is this calculation correct to figure out the dose?
Carbs = 35
Fibers = 5
Net Carbs = 35-5 = 30 Carbs.
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T1, born in March/1974 , diagnosed 11/01/06 , Lispro 3 times a day(6 Units avg.) , Lantus before sleep (15 Units)
A1C 6.9 - Feb 2007
A1C 6.1 - June 2007
A1C 6.0 - Feb 2008
A1C 5.8 - May 2008
Precision Xtra and Ultra Smart
Dexcom CGSM
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03-24-2007, 06:09 PM
| | Junior Member
I am a: Type 1 | | Join Date: Mar 2007
Posts: 87
| | That is the calculation I have been using for a very long time. But I am not sure if it is correct. 
__________________ Type 1
Pumping with a Clear Minimed 722
Using Novolog
Diagnosed in 1987 | 
03-24-2007, 06:18 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Nov 2006 Location: B.C., Canada
Posts: 1,877
| | | Looks good to me! I only subtract the fibre though if it's 5 or more grams.
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Happiness isn't getting what you want.....
It's wanting what you've got.
Last A1C - 5.9
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03-25-2007, 12:29 AM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,833
| | | I always subtract fiber...
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You may call me Locutus | 
03-26-2007, 08:26 AM
| | Senior Member
I am a: Type 1 | | Join Date: Jan 2006 Location: Rhode Island
Posts: 4,505
| | | I very rarely substract out the fiber from the total carbohydrate count. It has to be over 10g fiber before I do.
Cyborg............do you subtract even if there's only 1g of fiber?
Karen | 
03-26-2007, 09:37 AM
|  | Super Moderator
I am a: Type 1 | | Join Date: Aug 2003 Location: Northern California
Posts: 6,232
| | | I never subtract for fiber. I will end up with high blood glucose if I do. I am sure it is different for everyone. I do think your calculations are correct if you subtract for fiber. | 
03-26-2007, 10:27 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Oct 2006
Posts: 1,006
| | | I subtract out the fiber. | 
03-26-2007, 07:34 PM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,833
| | Quote:
Originally Posted by kgm0612 Cyborg............do you subtract even if there's only 1g of fiber?
Karen | Yes, even if it's only 1g of fiber...
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You may call me Locutus | 
03-26-2007, 08:26 PM
| | Member
I am a: Type 1 | | Join Date: Mar 2007 Location: Minneapolis, MN
Posts: 102
| | Quote:
Originally Posted by kgm0612 I very rarely substract out the fiber from the total carbohydrate count. It has to be over 10g fiber before I do.
Cyborg............do you subtract even if there's only 1g of fiber? | Why the threshold? Fiber is still fiber and interacts with your body the same way regardless of how much or how little there is, no? (If there is a threshold, doing it as a percentage seems more rational to me than a fixed amount - I would think it's more sensible to subtract the fiber in something with 5g carb/4g fiber than something with 100g carb/10g fiber. This would also avoid any games that may be played with serving sizes.)
And I'm with Cyborg, at least for now. I always subtract fiber, but I'm only a month into this, so I may find that not subtracting it or only subtracting a fraction of it works better for me. | 
03-26-2007, 09:24 PM
|  | Senior Member
I am a: Type 1 | | Join Date: Nov 2006 Location: B.C., Canada
Posts: 1,877
| | If my insulin to carb ratio is x/10 (dinner) then eating something with 5 or more grams of fiber is going to change how much insulin that I need to take to cover the remaining carbs. On the other hand, if my ratio is x/15 (breakfast) and I eat something with only 1 or 2 carbs, then I hardly have to change my amount of insulin. I rewrote this 3 times and I feel like I'm still not being articulate! LOL! It makes sense in my world! 
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Happiness isn't getting what you want.....
It's wanting what you've got.
Last A1C - 5.9
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03-26-2007, 09:41 PM
|  | Member
I am a: Type 1 | | Join Date: Jan 2007 Location: Boston
Posts: 141
| | | I always subtract out fiber (and I subtract 1/2 the sugar alcohols).
tanya, I understand what you are saying... if the fiber is such a small percentage you don't worry about it. and depending on what your ratio is for time of day, that percentage is different. I think the same way for snacks. If it's the morning, when my ratio is 1:45, I don't let 5 or 10 carbs bother me as a snack. but if that same snack was at dinner time, that would be half a unit, so i would dose for it.
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Type 1, diagnosed 7/13/06
Using OmniPod w/Novolog (since 12/06)
A1C at diagnosis = 8.2
most recent A1C = 5.3
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03-27-2007, 06:19 AM
| | Senior Member
I am a: Type 1 | | Join Date: Jan 2006 Location: Rhode Island
Posts: 4,505
| | | For some reason, subtracting the fiber count of anything less than 10g doesn't work for me. I don't eat many food items that contain high fiber counts, so it's usually not a subtracting issue for me.
For example. Over the weekend I ate a Thomas's Light Multi-Grain English Muffin for breakfast with butter. One muffin contains 100 calories, 22 grams total carbohydrates, 8 grams fiber. I do NOT subtract the fiber out because two hours after eating I will test high and then two hours after that I will be within range.
Saturday 9am: 86 before, 165 at 11am, 90 at 1pm.
Sunday 8am: 85 before, 174 at 10:15am, 90 at noon
Had I subtracted out the fiber for the above example, I would have been much higher than the 165 and 174 two hours later. My guess is that I would have been into the 200's.
Monday 8:15am: 1/2 an english muffin and a small Dannon carb & sugar control yogurt. 75 before and 100 at 10am.
I'm best sticking with 1/2 an english muffin and a yogurt for breakfast, rather than an entire muffin.
Karen | 
03-27-2007, 04:55 PM
| | Member
I am a: Type 1 | | Join Date: Mar 2007 Location: Minneapolis, MN
Posts: 102
| | Quote:
Originally Posted by kgm0612 For some reason, subtracting the fiber count of anything less than 10g doesn't work for me. | OK, fair enough. I know better than to argue with empirical data.  | 
03-27-2007, 05:29 PM
|  | Member
I am a: Type 1 | | Join Date: May 2006 Location: in my own state
Posts: 294
| | | I don't subtract for fiber.
I just make sure I have enough of something else...
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''one day u too will achieve bs greatness'' -- April
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03-27-2007, 06:01 PM
|  | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2006 Location: Orlando, FL
Posts: 7,833
| | Quote:
Originally Posted by kgm0612 For some reason, subtracting the fiber count of anything less than 10g doesn't work for me. I don't eat many food items that contain high fiber counts, so it's usually not a subtracting issue for me.
For example. Over the weekend I ate a Thomas's Light Multi-Grain English Muffin for breakfast with butter. One muffin contains 100 calories, 22 grams total carbohydrates, 8 grams fiber. I do NOT subtract the fiber out because two hours after eating I will test high and then two hours after that I will be within range.
Saturday 9am: 86 before, 165 at 11am, 90 at 1pm.
Sunday 8am: 85 before, 174 at 10:15am, 90 at noon
Had I subtracted out the fiber for the above example, I would have been much higher than the 165 and 174 two hours later. My guess is that I would have been into the 200's.
Monday 8:15am: 1/2 an english muffin and a small Dannon carb & sugar control yogurt. 75 before and 100 at 10am.
I'm best sticking with 1/2 an english muffin and a yogurt for breakfast, rather than an entire muffin.
Karen |
Since the fiber does not contribute to bg, perhaps you need to increase your morning I:C ratio...
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