derekh1965
DAFNE Graduate
NHS Lothian
90 posts
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Hi All, Happy Christmas to you all. I have a question and some advice about injecting for vegetables. I follow the dafne rules of not injecting for vegetables but my BS always goes high. Today breakfast at 8:45 my BS was 8.7 and I just checked at 13:10 and my BS was at 13.5. 4.5hrs later, using the 3-5hr duration I would think the insulin would have ran out.
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derekh1965
DAFNE Graduate
NHS Lothian
90 posts
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sorry, meant to say for my breakfast I had 100g of carbs of which 85g was from vegetables
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stephenbrowne
DAFNE Graduate
University Hospitals Birmingham NHS Foundation Trust
37 posts
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Hi derekh1967, I may be wrong about this but my impression is that if the CHO count from the vegetables is reasonably low one can ignore it. I think that 85 g CHO may be a fairly hefty amount and it is possible that you may need to count the vegetables in your CHO if more than say 30G but perhaps at 30-50% of their true value. I.e 85g as if they were 30-40 G. I have had type 1 diabetes for 47 years and have been carbohydrate counting all that time but my experience has been that I do have to count some items which in theory one should be able to ignore but it depends on the amount. Thus if I have one or two vegetarian(soya) sausages I can disregard it but if I were to have 3 or 4 at one meal I may need to allow a little insulin bolus increment to cover it. I do realise that everyone is different and what works for me may not work for you. I think DAFNE rules are very helpful in general but may need a bit of tweaking for individual cases ( I do hope this is not regrded as heretical ! ). Interesting to see what others think. All the best sb
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JayBee
DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
587 posts
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What happens with your BGs when you have a less veg heavy breakfast for comparison?
I agree with stephen that the release is too slow to bother counting, though I think it may matter with a large amount. I'm not sure what the amount is exactly though, sorry.
Most of the time I do not worry about veg, especially if having with other carbohydrates as well. I exercise eating with carbs for protein after reading Ginger Vieira's "Your Diabetes Science Experiment" . I will rarely eat meat foods on their own now because I don't know how much insulin I'll need to take (because it apparently converts into carbs), but if I stick to low amounts of veg, I don't worry.
Body's are complicated things and it's definitely within the realms of possibility that our body's will all have different needs. Hope y'all can find yours sooner rather than later.
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gawleys
1 post
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I don't know if this will help. I think it is a very individual thing. I have had Type 1 now for nearly 21 years and have always had reasonable control with Hba1C readings in the right range. I never counted carbs in vegetables.
Following an illness this year I now have to take steroids. As we all know this plays havoc with BG control. I have just managed to regain some control but I now have to count my vegetables, root vegs, squashes, peas, even tomatoes.
I think we all have to act on our individual experiences. If you show a trend following certain foods then I think action should be taken.
Derek, I expect you have weighing scales, I would establish the carb content of your vegetables and would start by increasing insulin for half that amount, and then carry on increasing until desired BG is achieved. Good Luck
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