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Angelia,

You say that 45 carbs at a meal sounds like too much. I was told 45-60 per meal

and 15-23 per snack. I don't usually get that much at a meal. Is the 45-60

high for most people with diabetes? The diabetes nurse seems to follow a lot of

the research that is going on (GI and such considered, unlike a friend of mine's

Dr).

I did talk to another friend yesterday and she says she stays at 15-30 a day

most of the time. That seems really low to me.

Darlene

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I have to chime in on this one. I, personally, CANNOT eat more than 20

carbs per meal, or I have to DOUBLE my insulin (I already take 20 units

before each meal, plus my long acting one.). Most nurses and doctors tell

you exactly what you said they told you. When I first started on insulin,

my nurse practitioner really fussed at me because she said I HAD to have 45

carbs per meal at a minimum. I basically said " I DON " T THINK SO " .

The thing about diabetes is that NO 2 people are alike. And what the nurses

and doctors sometimes don't tell you, that almost all carbs you put into

your body are like putting in sugar. Carbs turn to sugar. Now, there are

fast acting carbs and slower acting carbs. There are some who can eat

oatmeal. If I even look at oatmeal, bread (of any kind), any pasta or milk,

my sugars hit the 300 and above range.

Diabetes is an individual disease. I read someone put it like this :

Diabetics are like scientists......daily performing lab experiments on

themselves. The thing is this, you have to play around with what you can

and can't eat. Log EVERYTHING that you put into your mouth and check your

sugars an hour after you eat it, then you will know what you can and can't

eat. It will also depend on how high your sugars are.................are

you a diabetic or a pre diabetic.

Anyway, I hope this helps..........................

Duckie

_____

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I have to chime in on this one. I, personally, CANNOT eat more than 20

carbs per meal, or I have to DOUBLE my insulin (I already take 20 units

before each meal, plus my long acting one.). Most nurses and doctors tell

you exactly what you said they told you. When I first started on insulin,

my nurse practitioner really fussed at me because she said I HAD to have 45

carbs per meal at a minimum. I basically said " I DON " T THINK SO " .

The thing about diabetes is that NO 2 people are alike. And what the nurses

and doctors sometimes don't tell you, that almost all carbs you put into

your body are like putting in sugar. Carbs turn to sugar. Now, there are

fast acting carbs and slower acting carbs. There are some who can eat

oatmeal. If I even look at oatmeal, bread (of any kind), any pasta or milk,

my sugars hit the 300 and above range.

Diabetes is an individual disease. I read someone put it like this :

Diabetics are like scientists......daily performing lab experiments on

themselves. The thing is this, you have to play around with what you can

and can't eat. Log EVERYTHING that you put into your mouth and check your

sugars an hour after you eat it, then you will know what you can and can't

eat. It will also depend on how high your sugars are.................are

you a diabetic or a pre diabetic.

Anyway, I hope this helps..........................

Duckie

_____

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I have to chime in on this one. I, personally, CANNOT eat more than 20

carbs per meal, or I have to DOUBLE my insulin (I already take 20 units

before each meal, plus my long acting one.). Most nurses and doctors tell

you exactly what you said they told you. When I first started on insulin,

my nurse practitioner really fussed at me because she said I HAD to have 45

carbs per meal at a minimum. I basically said " I DON " T THINK SO " .

The thing about diabetes is that NO 2 people are alike. And what the nurses

and doctors sometimes don't tell you, that almost all carbs you put into

your body are like putting in sugar. Carbs turn to sugar. Now, there are

fast acting carbs and slower acting carbs. There are some who can eat

oatmeal. If I even look at oatmeal, bread (of any kind), any pasta or milk,

my sugars hit the 300 and above range.

Diabetes is an individual disease. I read someone put it like this :

Diabetics are like scientists......daily performing lab experiments on

themselves. The thing is this, you have to play around with what you can

and can't eat. Log EVERYTHING that you put into your mouth and check your

sugars an hour after you eat it, then you will know what you can and can't

eat. It will also depend on how high your sugars are.................are

you a diabetic or a pre diabetic.

Anyway, I hope this helps..........................

Duckie

_____

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It was that asked about all of this... =)

I know what I can and cant eat =)

Thanks though

Angelia (yah, its spelled Angelia) in OR

Re: ** I am so frustrated**

> Hi Angelina,

>

> For really good control, some people eat 45 grams in an entire day, as you

> have heard. Nutritionists are notorious for telling us to eat wayyyyy too

> many carbs. Oatmeal is high GI - most people can't eat oatmeal AT ALL. I

> used to have a huge bowl every morning with honey every single day the

> year prior to my dx and I miss it terribly but it definitely is not

> possible for most. Kiwi is high GI I believe so go easy on that. Cold

> cereal will spike most people. Bread - even 100% whole wheat is still

> about 15 carbs per slice depending on brand and some will spike from that

> (I do). Stay away from pasta -even whole wheat and dreamfields supposedly

> net 5 carbs will spike many of us - rice is high GI - even brown rice.

>

> Some on this list will say they can eat the above foods and maybe you can

> but if you really want to lower your numbers, you need to go low carb and

> get control, then you can add in some of the items that you may possible

> be able to eat (and test after to see).

>

> Doing these things will greatly help reduce your numbers, and of course

> exercise.

>

> Go for eggs, low fat cheese, meats, nuts, low fat/low carb yogurt.

>

> Remember - check CARBS on the label not so much sugars as sugars are

> calculated into the carbs.

>

> Sandy

>

>

>

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It was that asked about all of this... =)

I know what I can and cant eat =)

Thanks though

Angelia (yah, its spelled Angelia) in OR

Re: ** I am so frustrated**

> Hi Angelina,

>

> For really good control, some people eat 45 grams in an entire day, as you

> have heard. Nutritionists are notorious for telling us to eat wayyyyy too

> many carbs. Oatmeal is high GI - most people can't eat oatmeal AT ALL. I

> used to have a huge bowl every morning with honey every single day the

> year prior to my dx and I miss it terribly but it definitely is not

> possible for most. Kiwi is high GI I believe so go easy on that. Cold

> cereal will spike most people. Bread - even 100% whole wheat is still

> about 15 carbs per slice depending on brand and some will spike from that

> (I do). Stay away from pasta -even whole wheat and dreamfields supposedly

> net 5 carbs will spike many of us - rice is high GI - even brown rice.

>

> Some on this list will say they can eat the above foods and maybe you can

> but if you really want to lower your numbers, you need to go low carb and

> get control, then you can add in some of the items that you may possible

> be able to eat (and test after to see).

>

> Doing these things will greatly help reduce your numbers, and of course

> exercise.

>

> Go for eggs, low fat cheese, meats, nuts, low fat/low carb yogurt.

>

> Remember - check CARBS on the label not so much sugars as sugars are

> calculated into the carbs.

>

> Sandy

>

>

>

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It was that asked about all of this... =)

I know what I can and cant eat =)

Thanks though

Angelia (yah, its spelled Angelia) in OR

Re: ** I am so frustrated**

> Hi Angelina,

>

> For really good control, some people eat 45 grams in an entire day, as you

> have heard. Nutritionists are notorious for telling us to eat wayyyyy too

> many carbs. Oatmeal is high GI - most people can't eat oatmeal AT ALL. I

> used to have a huge bowl every morning with honey every single day the

> year prior to my dx and I miss it terribly but it definitely is not

> possible for most. Kiwi is high GI I believe so go easy on that. Cold

> cereal will spike most people. Bread - even 100% whole wheat is still

> about 15 carbs per slice depending on brand and some will spike from that

> (I do). Stay away from pasta -even whole wheat and dreamfields supposedly

> net 5 carbs will spike many of us - rice is high GI - even brown rice.

>

> Some on this list will say they can eat the above foods and maybe you can

> but if you really want to lower your numbers, you need to go low carb and

> get control, then you can add in some of the items that you may possible

> be able to eat (and test after to see).

>

> Doing these things will greatly help reduce your numbers, and of course

> exercise.

>

> Go for eggs, low fat cheese, meats, nuts, low fat/low carb yogurt.

>

> Remember - check CARBS on the label not so much sugars as sugars are

> calculated into the carbs.

>

> Sandy

>

>

>

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Each person can handle different ammounts of Carbs at a meal. When someone

cannot keep numbers under control, lessening the ammount of carbs per meal

is a good Idea. and for many many diabetics 45-60 is wayyyy too many carbs.

sounds as though she is doing a great job, but may need to lessen

her carb intake, just to see if it helps.

I still recomend that she go and see a diabetes specialist... (endo

something or other, I dont have one)

Angelia in OR

Re: ** I am so frustrated**

> Angelia,

>

> You say that 45 carbs at a meal sounds like too much. I was told 45-60

> per meal and 15-23 per snack. I don't usually get that much at a meal.

> Is the 45-60 high for most people with diabetes? The diabetes nurse seems

> to follow a lot of the research that is going on (GI and such considered,

> unlike a friend of mine's Dr).

>

> I did talk to another friend yesterday and she says she stays at 15-30 a

> day most of the time. That seems really low to me.

>

> Darlene

>

>

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Each person can handle different ammounts of Carbs at a meal. When someone

cannot keep numbers under control, lessening the ammount of carbs per meal

is a good Idea. and for many many diabetics 45-60 is wayyyy too many carbs.

sounds as though she is doing a great job, but may need to lessen

her carb intake, just to see if it helps.

I still recomend that she go and see a diabetes specialist... (endo

something or other, I dont have one)

Angelia in OR

Re: ** I am so frustrated**

> Angelia,

>

> You say that 45 carbs at a meal sounds like too much. I was told 45-60

> per meal and 15-23 per snack. I don't usually get that much at a meal.

> Is the 45-60 high for most people with diabetes? The diabetes nurse seems

> to follow a lot of the research that is going on (GI and such considered,

> unlike a friend of mine's Dr).

>

> I did talk to another friend yesterday and she says she stays at 15-30 a

> day most of the time. That seems really low to me.

>

> Darlene

>

>

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Each person can handle different ammounts of Carbs at a meal. When someone

cannot keep numbers under control, lessening the ammount of carbs per meal

is a good Idea. and for many many diabetics 45-60 is wayyyy too many carbs.

sounds as though she is doing a great job, but may need to lessen

her carb intake, just to see if it helps.

I still recomend that she go and see a diabetes specialist... (endo

something or other, I dont have one)

Angelia in OR

Re: ** I am so frustrated**

> Angelia,

>

> You say that 45 carbs at a meal sounds like too much. I was told 45-60

> per meal and 15-23 per snack. I don't usually get that much at a meal.

> Is the 45-60 high for most people with diabetes? The diabetes nurse seems

> to follow a lot of the research that is going on (GI and such considered,

> unlike a friend of mine's Dr).

>

> I did talk to another friend yesterday and she says she stays at 15-30 a

> day most of the time. That seems really low to me.

>

> Darlene

>

>

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Darlene,

To echo what everyone else is telling , plus add some perspective;

Dr. Bernstein, who is very, very aggressive, recommends 6 grams of

carb at breakfast and 9 at lunch and dinner. Not easy to do. (Keep

this info in mind when other quote him on this site. It is the

context for the rest of his comments.)

The educator is repeating what he/she has been told. Like the rest

of the folks responding, if I have more than 30 grams of carbs in a

meal I will need more insulin than I'm comfortable taking at once.

Good luck,

Jim

> >

> > I did talk to another friend yesterday and she says she stays at

15-30 a

> > day most of the time. That seems really low to me.

> >

> > Darlene

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Darlene,

To echo what everyone else is telling , plus add some perspective;

Dr. Bernstein, who is very, very aggressive, recommends 6 grams of

carb at breakfast and 9 at lunch and dinner. Not easy to do. (Keep

this info in mind when other quote him on this site. It is the

context for the rest of his comments.)

The educator is repeating what he/she has been told. Like the rest

of the folks responding, if I have more than 30 grams of carbs in a

meal I will need more insulin than I'm comfortable taking at once.

Good luck,

Jim

> >

> > I did talk to another friend yesterday and she says she stays at

15-30 a

> > day most of the time. That seems really low to me.

> >

> > Darlene

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I just met with an dietician on Tuesday who told me 45 carbs a meal

and 15 per snacks.

It's been 26 days since my diagnosis and I know through constant

testing and trial and error it wasn't going to work for me.

I let my meter tell me what I can and cannot eat.

When I told her about my approach, she frowned on it.

If this is disease works differently on each person, why the cutter

cookie approach to treating it?

I was expecting her to say okay you're 5'5 " , you need to lose weight,

you're just starting to exercise...let's start you off with....

She could have told me what she told me over the telephone. I feel

like it was a waste of my time to write down what I typically eat if

she was just going to turn around and give me some generic meal plan.

Great discussion!

Sheila

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I just met with an dietician on Tuesday who told me 45 carbs a meal

and 15 per snacks.

It's been 26 days since my diagnosis and I know through constant

testing and trial and error it wasn't going to work for me.

I let my meter tell me what I can and cannot eat.

When I told her about my approach, she frowned on it.

If this is disease works differently on each person, why the cutter

cookie approach to treating it?

I was expecting her to say okay you're 5'5 " , you need to lose weight,

you're just starting to exercise...let's start you off with....

She could have told me what she told me over the telephone. I feel

like it was a waste of my time to write down what I typically eat if

she was just going to turn around and give me some generic meal plan.

Great discussion!

Sheila

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I just met with an dietician on Tuesday who told me 45 carbs a meal

and 15 per snacks.

It's been 26 days since my diagnosis and I know through constant

testing and trial and error it wasn't going to work for me.

I let my meter tell me what I can and cannot eat.

When I told her about my approach, she frowned on it.

If this is disease works differently on each person, why the cutter

cookie approach to treating it?

I was expecting her to say okay you're 5'5 " , you need to lose weight,

you're just starting to exercise...let's start you off with....

She could have told me what she told me over the telephone. I feel

like it was a waste of my time to write down what I typically eat if

she was just going to turn around and give me some generic meal plan.

Great discussion!

Sheila

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In a message dated 1/27/2006 9:23:45 A.M. Eastern Standard Time,

ron42nm@... writes:

One more thing: don't make lifetime decisions based on a single

meter reading. A food that spikes your sugar one day may not

necessarily the next (although a big piece of chocolate cake surely

will). There are a lot of factors at work that determine a blood

sugar level at any given time.

Hi Ron,

Thanks for posting this because it is so true. An example, I can eat home

made biscuits and never get readings over 120. The other day, I decided to

have a biscuit with egg/veggies. I had been on the phone/website with AnthemRX

before breakfast and again after breakfast. Two hours later, my numbers

were 135. I knew it was stress.

We all need to realize that we have diabetes therefore we are going to get

high numbers sometimes. Even people without diabetes get high readings

occasionally.

We need to stop stressing over those occasionally high numbers. Stress can

do just as much damage to our body as that once in awhile high number.

We need to control our diabetes, but we have to consider our overall health

at the same time.

hugs

Eunice

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In a message dated 1/27/2006 9:23:45 A.M. Eastern Standard Time,

ron42nm@... writes:

One more thing: don't make lifetime decisions based on a single

meter reading. A food that spikes your sugar one day may not

necessarily the next (although a big piece of chocolate cake surely

will). There are a lot of factors at work that determine a blood

sugar level at any given time.

Hi Ron,

Thanks for posting this because it is so true. An example, I can eat home

made biscuits and never get readings over 120. The other day, I decided to

have a biscuit with egg/veggies. I had been on the phone/website with AnthemRX

before breakfast and again after breakfast. Two hours later, my numbers

were 135. I knew it was stress.

We all need to realize that we have diabetes therefore we are going to get

high numbers sometimes. Even people without diabetes get high readings

occasionally.

We need to stop stressing over those occasionally high numbers. Stress can

do just as much damage to our body as that once in awhile high number.

We need to control our diabetes, but we have to consider our overall health

at the same time.

hugs

Eunice

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In a message dated 1/27/2006 9:23:45 A.M. Eastern Standard Time,

ron42nm@... writes:

One more thing: don't make lifetime decisions based on a single

meter reading. A food that spikes your sugar one day may not

necessarily the next (although a big piece of chocolate cake surely

will). There are a lot of factors at work that determine a blood

sugar level at any given time.

Hi Ron,

Thanks for posting this because it is so true. An example, I can eat home

made biscuits and never get readings over 120. The other day, I decided to

have a biscuit with egg/veggies. I had been on the phone/website with AnthemRX

before breakfast and again after breakfast. Two hours later, my numbers

were 135. I knew it was stress.

We all need to realize that we have diabetes therefore we are going to get

high numbers sometimes. Even people without diabetes get high readings

occasionally.

We need to stop stressing over those occasionally high numbers. Stress can

do just as much damage to our body as that once in awhile high number.

We need to control our diabetes, but we have to consider our overall health

at the same time.

hugs

Eunice

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Guest guest

>

> I just met with an dietician on Tuesday who told me 45 carbs a

meal

> and 15 per snacks.

>

> It's been 26 days since my diagnosis and I know through constant

> testing and trial and error it wasn't going to work for me.

>

> I let my meter tell me what I can and cannot eat.

>

> When I told her about my approach, she frowned on it.

>

> If this is disease works differently on each person, why the

cutter

> cookie approach to treating it?

>

You're right that your meter should tell you what to eat.

It's really a matter of learning to balance a number of factors.

You want to obtain normal sugars and maintain, or get to, a proper

weight for you. You use a combination of diet (calories and amount

of carbs, exercise, and medications.

45 grams of carbs per meal is a reasonable starting point. If your

sugars are still too high, you can decrease the carbs, increase the

exercise, or increase the medication. The latter may produce a

weight gain, which may not be desirable. You may need to go to 30

grams of carbs per meal. Some people find extremely low carb diets

unpalatable, others don't. At 26 days from diagnosis, your body is

till adjusting. What doesn't give you perfect blood sugars now may

work well in another month or two.

It's up to you to find a combination that works for you. Remember

always that this is a lifelong condition. You need to work out a

diet and exercise regimen that you can be happy with, not just one

you find tolerable, year in and year out. Don't expect to get

everything worked out in 26 days. Changes in diet are more likely

to stick with you if you make them gradually.

One more thing: don't make lifetime decisions based on a single

meter reading. A food that spikes your sugar one day may not

necessarily the next (although a big piece of chocolate cake surely

will). There are a lot of factors at work that determine a blood

sugar level at any given time. What you should make decisions on is

consistent patterns. You need a lot more than 26 days of trial and

error to do that. At one year I'm still working on it. There are

plenty of people still working on it at 5 and 10 years and more.

Ron

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>

> I just met with an dietician on Tuesday who told me 45 carbs a

meal

> and 15 per snacks.

>

> It's been 26 days since my diagnosis and I know through constant

> testing and trial and error it wasn't going to work for me.

>

> I let my meter tell me what I can and cannot eat.

>

> When I told her about my approach, she frowned on it.

>

> If this is disease works differently on each person, why the

cutter

> cookie approach to treating it?

>

You're right that your meter should tell you what to eat.

It's really a matter of learning to balance a number of factors.

You want to obtain normal sugars and maintain, or get to, a proper

weight for you. You use a combination of diet (calories and amount

of carbs, exercise, and medications.

45 grams of carbs per meal is a reasonable starting point. If your

sugars are still too high, you can decrease the carbs, increase the

exercise, or increase the medication. The latter may produce a

weight gain, which may not be desirable. You may need to go to 30

grams of carbs per meal. Some people find extremely low carb diets

unpalatable, others don't. At 26 days from diagnosis, your body is

till adjusting. What doesn't give you perfect blood sugars now may

work well in another month or two.

It's up to you to find a combination that works for you. Remember

always that this is a lifelong condition. You need to work out a

diet and exercise regimen that you can be happy with, not just one

you find tolerable, year in and year out. Don't expect to get

everything worked out in 26 days. Changes in diet are more likely

to stick with you if you make them gradually.

One more thing: don't make lifetime decisions based on a single

meter reading. A food that spikes your sugar one day may not

necessarily the next (although a big piece of chocolate cake surely

will). There are a lot of factors at work that determine a blood

sugar level at any given time. What you should make decisions on is

consistent patterns. You need a lot more than 26 days of trial and

error to do that. At one year I'm still working on it. There are

plenty of people still working on it at 5 and 10 years and more.

Ron

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You need a lot more than 26 days of trial and

> error to do that. At one year I'm still working on it. There are

> plenty of people still working on it at 5 and 10 years and more.

>

> Ron

>

Sound advice, Ron.

Thank you :-)

Sheila

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You need a lot more than 26 days of trial and

> error to do that. At one year I'm still working on it. There are

> plenty of people still working on it at 5 and 10 years and more.

>

> Ron

>

Sound advice, Ron.

Thank you :-)

Sheila

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OK, figure it out like this...if you can eat 45-60 carbs at a meal and then when

you test 2 hrs later you are at a GOOD bs number, then YOU can eat that many

carbs! If YOU are NOT in good control, you can't! It's that simple.

Just because a nurse tells you, or a dietitian tells you to eat a certain

number, well, that doesn't mean anyting. Period. This disease is different for

everybody. And our individual bodies vary as to how we react to the carbs, or

the TYPE of carbs. And some of us get more exercise than others. Some have more

stress.

Don't look at what you SHOLD be able to eat because some dietitain says it is

the norm for you. If I ate all the carbs that mine told me, I would be 20#

heavier than I am, I would be having a higher A1C, and I would be on more meds.

The goal here is to see what is going to work for YOU. Obviously, you are going

to have to do a bit of work on trying different foods, testing more, trying to

get exercise at different times, etc.

You can do it!

Tucson Kitty

Re: ** I am so frustrated**

Angelia,

You say that 45 carbs at a meal sounds like too much. I was told 45-60 per

meal and 15-23 per snack. I don't usually get that much at a meal. Is the

45-60 high for most people with diabetes? The diabetes nurse seems to follow a

lot of the research that is going on (GI and such considered, unlike a friend of

mine's Dr).

I did talk to another friend yesterday and she says she stays at 15-30 a day

most of the time. That seems really low to me.

Darlene

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Guest guest

OK, figure it out like this...if you can eat 45-60 carbs at a meal and then when

you test 2 hrs later you are at a GOOD bs number, then YOU can eat that many

carbs! If YOU are NOT in good control, you can't! It's that simple.

Just because a nurse tells you, or a dietitian tells you to eat a certain

number, well, that doesn't mean anyting. Period. This disease is different for

everybody. And our individual bodies vary as to how we react to the carbs, or

the TYPE of carbs. And some of us get more exercise than others. Some have more

stress.

Don't look at what you SHOLD be able to eat because some dietitain says it is

the norm for you. If I ate all the carbs that mine told me, I would be 20#

heavier than I am, I would be having a higher A1C, and I would be on more meds.

The goal here is to see what is going to work for YOU. Obviously, you are going

to have to do a bit of work on trying different foods, testing more, trying to

get exercise at different times, etc.

You can do it!

Tucson Kitty

Re: ** I am so frustrated**

Angelia,

You say that 45 carbs at a meal sounds like too much. I was told 45-60 per

meal and 15-23 per snack. I don't usually get that much at a meal. Is the

45-60 high for most people with diabetes? The diabetes nurse seems to follow a

lot of the research that is going on (GI and such considered, unlike a friend of

mine's Dr).

I did talk to another friend yesterday and she says she stays at 15-30 a day

most of the time. That seems really low to me.

Darlene

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OK, figure it out like this...if you can eat 45-60 carbs at a meal and then when

you test 2 hrs later you are at a GOOD bs number, then YOU can eat that many

carbs! If YOU are NOT in good control, you can't! It's that simple.

Just because a nurse tells you, or a dietitian tells you to eat a certain

number, well, that doesn't mean anyting. Period. This disease is different for

everybody. And our individual bodies vary as to how we react to the carbs, or

the TYPE of carbs. And some of us get more exercise than others. Some have more

stress.

Don't look at what you SHOLD be able to eat because some dietitain says it is

the norm for you. If I ate all the carbs that mine told me, I would be 20#

heavier than I am, I would be having a higher A1C, and I would be on more meds.

The goal here is to see what is going to work for YOU. Obviously, you are going

to have to do a bit of work on trying different foods, testing more, trying to

get exercise at different times, etc.

You can do it!

Tucson Kitty

Re: ** I am so frustrated**

Angelia,

You say that 45 carbs at a meal sounds like too much. I was told 45-60 per

meal and 15-23 per snack. I don't usually get that much at a meal. Is the

45-60 high for most people with diabetes? The diabetes nurse seems to follow a

lot of the research that is going on (GI and such considered, unlike a friend of

mine's Dr).

I did talk to another friend yesterday and she says she stays at 15-30 a day

most of the time. That seems really low to me.

Darlene

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