As an insulin dependent diabetic who was following the main stream guidelines eating high carbohydrates diet; I found out that it is impossible to control my blood sugar to the required normal bs numbers by eating this way. In fact I repeatedly found that it is way extremely hard to stop the rise in bs after eating fast acting carbs like juices, rice, wheat, pasta, etc.. either it is one, two or three hours after eating.
I tried every possible way to get the required control ... ways like mastering MDI, knowing all factors (IC ratio, correction factor, IOB) Mastering glycemic index and load, mastering timing of injections..but it was really impossible.
I tried every possible way to get the required control ... ways like mastering MDI, knowing all factors (IC ratio, correction factor, IOB) Mastering glycemic index and load, mastering timing of injections..but it was really impossible.
The folwing factors will explain to you why:
1. One gm of carbs raise bs of 80 kgm diabetic around 5 mg/dl and a raises a diabetic kid weighs 25 kg around 12 to 15 mg/dl - considering the 80 kg guy; if he will follow the guidelines and eat around 240 gms of carbs daily ie 70 gms of carbs a meal with 2 snacks 15 gm each... this 70 gms raises his bs 350 mg/dl and that is a flood of glucose equal to 18 spoons of sugar eaten at once and no amount of insulin will catch that magnitude or speed in raising bs.
2. With such amount of carbs any mistake in IC ratio makes a huge mistake that will show in bs measurements after food.
3. If injected early (long time before eat) and food digested late; BS will drop then rise again.
4. If injected late (closer to eating time) and food digested faster; BS will rise first then hypoglycaemia occurs later.
5. The higher the dose of insulin the higher the uncertainty and the higher the loss in dose units due to immune system attack to big dose as per Dr. Richard Bernstein. The 80 kgs person has a correction factor of about 20. ie one fast acting insulin will lower his bs about 20 mg/dl - for the 70 gms of carbs he requires 70 ÷ 5 = 14 units ... the uncertainty, in this big doses, reachs 30% as per Dr. Bernstein .. ie about 4 units of insulin and that will create 4 x 20 = 80 mg/dl uncertainty in bs expectations ... so if target is 100 mg/dl; that will make bs reading something between 180 and 20 mg/dl!!! And yes this happens a lot.
6. Most diabetics with bad control has Gasteroparasis which means unpredictable digestion pattern and by considering the high carb meal; things gets bad in terms of bs expectations if gasteroparasis exists.
7. If IOB wrongly calculated, you will see problems with bs after eating.
8. According to Dr. Bernstein law of small numbers: the smaller the carbs content in a meal, the smaller the fast acting insulin dose required, the smaller the expected mistake and the easier to fix it.
9. The higher the bs reach, the harder it will come down - as insulin is not working exactly same way when blood sugar rises. Your body will establish insulin resistance when bs rises because cells try to stop insuling from pushing extra toxic glucose inside them so it makes thier insulin receptors more resistant to insulin. So when you are 190 and want to get down to 90 - you will definetly use higher correction factor than if you 110 and wants to get it to 90.
1. One gm of carbs raise bs of 80 kgm diabetic around 5 mg/dl and a raises a diabetic kid weighs 25 kg around 12 to 15 mg/dl - considering the 80 kg guy; if he will follow the guidelines and eat around 240 gms of carbs daily ie 70 gms of carbs a meal with 2 snacks 15 gm each... this 70 gms raises his bs 350 mg/dl and that is a flood of glucose equal to 18 spoons of sugar eaten at once and no amount of insulin will catch that magnitude or speed in raising bs.
2. With such amount of carbs any mistake in IC ratio makes a huge mistake that will show in bs measurements after food.
3. If injected early (long time before eat) and food digested late; BS will drop then rise again.
4. If injected late (closer to eating time) and food digested faster; BS will rise first then hypoglycaemia occurs later.
5. The higher the dose of insulin the higher the uncertainty and the higher the loss in dose units due to immune system attack to big dose as per Dr. Richard Bernstein. The 80 kgs person has a correction factor of about 20. ie one fast acting insulin will lower his bs about 20 mg/dl - for the 70 gms of carbs he requires 70 ÷ 5 = 14 units ... the uncertainty, in this big doses, reachs 30% as per Dr. Bernstein .. ie about 4 units of insulin and that will create 4 x 20 = 80 mg/dl uncertainty in bs expectations ... so if target is 100 mg/dl; that will make bs reading something between 180 and 20 mg/dl!!! And yes this happens a lot.
6. Most diabetics with bad control has Gasteroparasis which means unpredictable digestion pattern and by considering the high carb meal; things gets bad in terms of bs expectations if gasteroparasis exists.
7. If IOB wrongly calculated, you will see problems with bs after eating.
8. According to Dr. Bernstein law of small numbers: the smaller the carbs content in a meal, the smaller the fast acting insulin dose required, the smaller the expected mistake and the easier to fix it.
9. The higher the bs reach, the harder it will come down - as insulin is not working exactly same way when blood sugar rises. Your body will establish insulin resistance when bs rises because cells try to stop insuling from pushing extra toxic glucose inside them so it makes thier insulin receptors more resistant to insulin. So when you are 190 and want to get down to 90 - you will definetly use higher correction factor than if you 110 and wants to get it to 90.
It is a simple as this: You can never get a normal bs sugar while eating high carbs even for non diabetics... you do not believe me! ! Fine. Foeget about measuring your bs 2 hrs after meal and for the next couple of days start measuring your bs 30 min, 45 mins, 1 hr and 75 mins after eating this kind of food and see by yourself.
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