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Carbs per meal for a Type 1 Diabetic?

From: type1blues - 5 years 6 weeks ago

Any recommendation for the amount of carbs per meal for a Type 1 Diabetic?

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I bought a book by Warshaw "Complete guide to carb counting" I think it will answer all your questions. If not it is a good start. It is published by the American Diabetes Association.

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This is a great book. I too recommend having it around.

I'm a strong believer that people suffering from Type 1 should act like any other human being attempting to maintain a healthy and active lifestyle. They unfortunately have the added complication that they have to act as their own pancreas and adjust their insulin levels manually.

So, you should feel comfortable eating as many carbs as is normally healthy. But most importantly you should become very good at understanding exactly how many carbs you are eating and what kind of carbs you are eating (whole grains are very different than ice cream).

type1parent.com

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Hi my name is Dave and I hae been type 1 fo 37 years and on the pump for 9 years I find that 40 to 50 fifty carbs for my lunch and dinner boluses works fairly well for me I etry to eat 4 to 5 small a day hope this helps.

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By far the most popular method of meal planning for those with diabetes is carbohydrate counting.The starting point is to ask how many carbohydrates are in any given food your child might eat. Carbohydrates are measured in grams (g). Virtually all packaged foods carry a nutrition label that will tell you the number of grams of carbohydrates per serving. Be sure to distinguish the difference between a single serving and the entire contents of the container. Package labeling is not typically provided for whole foods, such as fruits and vegetables. These you will have to look up, although they'll likely stick to memory after a while. Adding up the carbohydrates is relatively easy when choosing simple foods.In order for the carbohydrate total to make sense, you must compare it to your child’s meal plan. All children with type 1 diabetes need to have a customized meal plan developed by a registered dietician to establish a target range of carbohydrates. This target range will guide you as to the ideal number of carbohydrates per meal or snack, and also give you a specific total for each day.

Some people find this approach a little cumbersome at first because they must look up the number of carbohydrates in each food. But, once you learn the number of carbs for your favorite foods it becomes less labor-intensive. Many people find the flexibility that carb counting provides is well worth the effort.

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There is NO prescribed amount of carbs for a type 1 diabetic. Many people are confusing 1 type and type 2 diabetes. A type 1 diabetic can enjoy the same foods as anyone else. However, he must "cover" the carbs consumed with the amount of insulin that his endocrinologist prescribed. For instance, if he consumes 75 carbs at a meal, and his "carb ratio" is 1:15, then he must take 5 units of insulin to keep his blood sugar at a normal level. It is so distressing to see people answer questions about type 1 diabetes when they do not know what it is. People really need to make a distinction between the two. People with type 2 diabetes need a restrictive diet. People with type 1 diabetes DO NOT. As a matter of fact, a low carb diet can be dangerous to someone with type 1 diabetes. It can cause something call "starvation ketones" which are EXTREMELY dangerous.

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I think the amount of carbs per day would depend on the person. ie: weight hight activity level ect. I personally like 15g for breakfast - no more than 45 for lunch and no more than 45 for dinner. This is easy to do. 1 serving of past can be 40g or 1 yogurt can be 15g. I usually skip breakfast so my average is about 90 - 105 a day. I find that if I eat much more than than the 45g a meal it makes my after meal bs numbers higher due to the fact thar the more food I eat the longer digestion takes and my humalog will peak but I'll still be digesting so I will go high even it my 2nd post meal numbers are fine. Also fat plays a role in digestion and post meal #. I count fat as well as carbs. I'll take an extra unit it my meal has more than 10g of fat and if it has 20g fat I'll take my norm dose including the 1extra for fat and then another unit an hour later so my insulin will be active with the slow digesting food. I find that if I eat 60+g a meal my margin for error increases (carb count) and it will take a while to digest. It really depend on your personal goals. When I first went on insulin i gained 15 pounds in 2 weeks so I did 15g-b 30g -lunch 30 dinner and that really is best for me.... And what I should go back to.

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For me personally, eating less carbs is better. Having said that, I don't agree with being extremely strict like for instance Dr Berstein suggests. I think there has to be balance. I try to stay around 30 carbs per meal but that doesn't always happen. Sometimes it's more, sometimes it's less, but I never exceed 50 carbs per meal. This seems to work well for me. The general thought is the less insulin you need to take the better and I understand that longic, but it doesn't apply every time I eat. I make the decision whether it's worth takin the extra insulin if I eat something that's not a wise choice.

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While there is no exact meal plan for type 1, there are some people who are "stuck" following a set amount of carbs per meal. If someone is on a pump then carb:insulin ratios do give you the freedom to dose your insulin for your food, which is the way it should be. Even on multiple daily injections that can work. But not everyone has an endocrinologist. Not every provider is comfortable teaching about flexible insulin dosing. Not every person loves math enough to calculate based on ratios. Not everyone has a Certified Diabetes Educator. So in some cases, a person is stuck eating for their insulin. And just like everyone else, if a person with type 1 eats tons of carbs and covers with insulin, that person will gain weight. So the key is finding the right amount of carbohydrates for your body and your situation. That is the beauty of meters...you can find out what your body likes and what it doesn't! Best of luck to everyone doing the balancing act between food and insulin
!

rdm

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Helpful discussion! Thanks

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I try to conserve it to a max of 45g per main meal and 15g per snack. I got things cleared up and i'm eating enough, if not a bit too little at times. I feel like I am always trying to find a healthy way of eating that I can maintain and what I eat kind of is a moving target.
What is type 1 diabetes

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I am a type 1 diabetic and they have me eating 45-60 grams of crabs per meal. But can't I just not eat any? What if I just had a salad and some protein? and i aware of which leads to danger

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Personally I believe 45-60 grams of crabs is fine. Crab contains many of the benefits of other seafood, but without the risk of mercury poisoning.