Tag Archives: Ginger Vieira

Classification of Carbs

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I really believe carb counting alone is insufficient when it comes to my diabetes management.  At least the simple way it’s taught.  It’s just my opinion and I’ll explain why:

I’ve found that for ME, there are adjustments I make for different types of carbs.  These are adjustments beyond just subtracting grams of fiber.  A carb is not a carb.  They vary spectacularly and learning their differences helps me keep my blood sugars in range and helps me decide which carbs to avoid.

I classify my carbs:

-Refined grains

-Sugar/sucrose/plain fructose (no fiber)

-HFCS (High Fructose Corn Syrup)

-Chocolate, ice cream, and other high fat desserts

-Poultry/Meat/Seafood

-Fruits and vegetables

Refined Grains

When I eat anything with processed grains like white rice sushi or pizza or cookies, cake, or crackers, I have to watch out for a post meal blood sugar skyrocket.  It doesn’t happen right away which is why it’s often confusing to dose for these kinds of foods.  For example, last time you had pizza you were high afterwards so this time around you give more insulin, only to get low in the middle-towards the end of your meal.

I find that about 30 minutes after eating anything with refined or processed grains, I have to give another dose of insulin.  An insulin pump option on a dual or square wave bolus works well for a lot of people, but from what I gather, people with and without pumps have a hard time keeping blood sugars in range with processed grains.

Sugar

Eating something like candy made from glucose or sugar or drinking plain 100% juice or sugar sweetened beverage is a bit different.  I find that if I’m going to consume this within a reasonably fast amount time (as opposed to snacking over a period of 30 minutes) then I count carbs and using my 1:15 scale, I give just that amount of insulin.  Then I wait 15 minutes for the insulin to start working (more if I’m not in range).  I find that the insulin cancels out the sugar carbs pretty well and there is no shocking aftermath.

High Fructose Corn Syrup (HFCS)

This one is interesting.  At least for me (remember, this is just what happens in MY body).  I find that candy or beverages made with HFCS works like when I eat refined grains.  But that makes sense to me when I think about corn being a grain!  It’s easy to forget because people serve it to kids and say “eat your veggies”.

High fat desserts

This gets it’s own category because of the large amount of fat (and because they’re my favorite!)  I try to stick with dark chocolate for a low dose of sugar.  I also make sure to buy desserts that do not have HFCS in it as a sweetener.  I try to get the gourmet kind with minimal ingredients and then I count carbs and give insulin in the middle of eating since the fat content really slows down the absorption of most of these foods.  If there is a lot of sugar I give insulin prior to eating as usual.  I’m referring to a dessert like high fat truffles, mostly.

Poultry/Meat/Seafood

I count carbs and then add a tiny extra amount of insulin to my carb count depending on how much I eat.  I don’t have to do this unless I’m really filling up on this protein source.  I love how these foods fill me up and do very little to my blood sugars.

Vegetables and Fruits

I’m a fan of these, especially in terms of carbs.  As you are well aware, the high antioxidant, vitamin, mineral, fiber, and water content of these foods makes them wonderful for our health.  I definitely don’t need as much insulin for these foods.  I count the carbs and then omit for fiber content.  Fruit is something I stick to consuming in it’s natural state and in small quantities.  The sugar in fruit is fructose and too much overloads the liver, causing fatty liver problems.  Oh and it definitely affects blood sugars.  My favorite are cherries, they are very low glycemic.  Have you tried them for a low?  It takes so many!

I know I didn’t talk about legumes or nuts.  I don’t eat legumes anymore.  I think I ate too many as a kid.  I treat legumes like vegetables and I treat nuts like meat.

With any food:  If I eat a lot, I need to give a little extra insulin for the full stomach effect that Dr. Bernstein has talked about in his books.

I adjust for a few other things.  I’ve mentioned them before but here we go again:

BM status.  Eww, I know.  But being backed up might make a person anticipate a need for more insulin.  The opposite of that issue= less insulin.  So watch out for major lows if you get food poisoning!

Stress.  If I’m stressed, I have to give a little bit extra insulin to combat the stress hormones and their affects on my blood sugars.

Exercise.  Different types of exercise require different diabetes management approaches.  Read Ginger Vieira’s book for that info and so much more-even worksheets for getting all these changes right!

PMS.  Days before I start, I need to up my basal insulin.

Sleep.  If I stay up late (past midnight), I have to give some extra insulin (unless I’m active).

Sedentary.  If I’m being sedentary more than two days in a row due to sickness or diabetes burnout or whatever, I definitely have to up my basal insulin substantially (by 30-40%).

Too much artificial sweeteners.  Certain artificial sweeteners in high doses do contain carbs (it’s a small amount per serving so they’re legally allowed to round down to 0) so if you’re binging on diet coke, check your blood sugar and stay alert to a sneaky increase.

That’s all I can think of.  It’s just an example of how you want to be aware of how your body reacts to different types of food and activity.  You can see why I stick with meat/poultry/seafood, vegetables, and fruits.  Much better blood sugar stability and less variability for me.  But when I do splurge, at least being aware of how those foods act differently help me manage them for those occasions.

I write all this out because you can have tighter blood sugar management.  It helps to learn yourself and the foods you’re eating.  Again, get Ginger’s book or ebook and discover how to improve your blood sugars.  I highly recommend it.

Book Review: Your Diabetes Science Experiment

I firmly believe in telling the truth when I review a book or product and this post is no different.

There were particular changes I made to my diabetes management several years ago.  As a result, my blood sugars went from chronically high to very well managed.  Nerve pain in my feet and cramping in my legs ceased.  My kidney function returned to normal.  My head stepped out of a fog.  I had the clarity of mind and the physical and emotional energy to change my job, relationship, and diet.  My depression alleviated.  I’m much happier and healthier now, a wife, and a mother.  So it’s my opinion that getting my blood sugars managed was a completely life altering experience.  I now consider blood sugar management my top priority.

The steps I took, the reason that I have improved my blood sugars over the years had to do with a few basic ideas that I acted upon.  Recently I read Ginger Vieira’s book, “Your Diabetes Science Experiment” and practically jumped for joy when I finished it.  The very information that saved my life and changed it entirely for the better is in this book! This book does what every Endocrinologist should do, but doesn’t have time to do or doesn’t do because he or she doesn’t feel the info is relevant to share with patients. This book educates you on how the human body works in relation to insulin, stress, food, and exercise.  This book does not give you any unscientific nonsense.  Instead, the information in it, if taken seriously, has the potential to make your diabetes management what it needs to be.  Our reality is we need to avoid lows and highs.  We need to know how to manage our diabetes largely on our own.  We need to understand how our bodies work so that we can make our own adjustments quickly and accurately.  This book can help you do that.

The info in this book will empower you.  I find it incredibly useful to know for example, that a low uses up glycogen stores in my muscles and is therefore the reason that my post low blood sugar workout is going to make me feel like a wimp.  For someone who isn’t aware of this, they might be the person to say something like, “Sometimes I have energy for my workouts and sometimes I just don’t, there is no rhyme or reason, and it’s because I have diabetes.”  We need to empower ourselves with knowledge and get away from these general expressions that mean nothing.  They just reveal our vulnerability to the facts about the body and diabetes.  They also take away our power to foresee changes in our diabetes management which could otherwise be dealt with successfully or at least more successfully, more often.

I started this blog to share what I’ve learned the hard way over the years and tell you what has worked for me, just in the case it works for you.  Reading this book has confirmed what I do and why I do it.  It does much more however, as it gives you the full, clear, and organized explanation as to why something is the way that it is.  Ginger shoots from the head but is also quite warm and inspiring.  She is a record holding power lifter and uses the information in the book in her own life.  I appreciate the examples she provides in the book which have to do with her own experiences.  I also really appreciate her positive attitude and the clever metaphors she uses in order to make concepts easier to understand.

This isn’t a book published by a huge agency.  It’s not coming to you through the ADA.  I do however, wholeheartedly recommend it to you.  If you have money to buy only one book this year, make it this one.  And when you get the book, travel slowly through it.  Take your time soaking in the information and sit down with your own data to perform your own diabetes science experiments.  Seriously, do them.  As Ginger reminds us, the work involved is well worth it.  I have little adjustments that I do according to variances in my routine which took some time to get right but now that I have those adjustments, I don’t know what I’d do without them-because they work so well.

Diabetes management can be less of a puzzle.  Many don’t like me to say that I usually know why my blood sugars are what they are.  The old me wouldn’t have liked it, either.  Maybe you don’t want to read this book because the idea that there is a scientific reason behind each one of your blood sugar results seems unrealistic or far fetched.  I assure you it’s not.  I completely understand the place many people are in where they work very hard and don’t see the results they deserve.  It’s too bad that doctors never shared any of this information with me and that people like Ginger and I had to look it up and research it for ourselves.  It’s not your fault that your diabetes causes this cycle of ups and downs but the ability to improve your situation is in your hands.  I promise you can improve your diabetes management with the information in this book.

I have a lot of respect for someone who writes a book that has no BS factor and is altogether upbeat, hopeful, and honest.  Ginger, thank you for writing this book.  I did not know how I’d feel about it.  Instead, I was pleasantly surprised to find this book is a treasure and it is my strong hope that you’ll all read it.

You can buy the book here.  Check out Ginger’s website here.

Ginger Vieira’s Must See Type 1 VS Type 2 Video

 

Ginger Vieira is a fellow type 1 diabetic who happens to powerlift, coach, teach yoga, blog, and the list goes on and one.  She also  has a way with words.  Here she is speaking about the difference between type 1 and 2 diabetes.  I hope you’ll take a moment to watch it :)  Be sure to share it with someone!  And be sure to visit Ginger’s website.

Take it away Ginger:

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