Sorry, I'm being a slight bit leary as of today about "newbies" so I'll
give
a brief answer.

Most T1's find that Bernstein is a QUACK! There's no need to limit your
carbs that low.  Unfortunately a few T2's here recommend his approach for
those who are IDDM without understanding how much of what he writes is
incorrect.  A T1 should be able to eat just about anything they wish (of
course
within reason..) and match their insulin once you've figured out your
carb/insulin
ratio.  Also, my Endo, and no doctor since has allowed me to be on such a
"low
carb" diet for the fact that I am DKA proned and going that low will cause
Ketones
which a T1 isn't able to tell the difference between DKA ketones and
dietary
from the low carb diet.  With my doctors help, I eat just enough carbs to
help
me stay out of dietary ketosis, keep my weight steady as well as my
glucose.
I've had more then a few bouts of DKA and 2 of them were when my glucose
was under 160... I'd rather be safe then sorry!

As for your question about Protein.  I HIGHLY suggest you burn Bernsquack's
book at your next bonfire and spend money on John Walsh's "Injecting
Insulin"
I believe his website is www.diabetesnet.net or something like that..
google
will fix you right up.  He explains how to properly adjust your insulin for
Protein.
What I've found for myself, is that Protein (anything over 10gm) will hit
me
about 4-5.5hrs after I've eaten.  For that, a combo bolus on my pump works
wonders and saves me from having to inject at a later time to cover the
increase
from the Protein.

It's pretty much a hit and miss in learning how to watch for the high from
the
Protein and then be prepared to bolus for the protein.  Since everyone is
different
it would be in bad faith if I told you how much to bolus for the Protein.
I'm extremely
sensitive to insulin some days and highly resistant on others just depends
on my
situation at the time..

But John Walsh book will help you sort it all out.. I used his method in
making sure
my Basal and Bolus were correct and since doing so.. my numbers are great!
It's just my other health issues that screw me up..

Good luck.

Hi BLT. I cannot help you with type 1 stuff but I'd like to welcome you.

On Apr 30, 10:14�pm, bigliscio...@yahoo.com wrote:

Why would you want to eat that extreme of low carb?

My only advice would be to find an endo to work with and ask these
questions.

Kurt

why are you eating this diet?  did your doctor recomend it?  

Bernstein explains how to do that in quite some detail, and has quite
a following of T1s who are enthusiastic about his methods. Have you
found that his methods don't work for you?

Welcome.

I can't and won't offer a type 1 dietary advice. There
aren't any T1's on this forum following Bernstein that I am
aware of - I invite them to delurk if there are.

You will find a forum of both types following Bernstein's
advice at:
http://www.diabetes-book.com/cgi-bin/yabb2/YaBB.pl

That doesn't mean you have to leave us - who knows, hanging
'round in this argumentative bunch of malcontents you may
even pick up something useful:-)


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com/
http://loraltravel.blogspot.com/
latest: Athens and The Adriatic

On May 1, 1:14 am, bigliscio...@yahoo.com wrote:

Are you using Humalog or Regular insulin for your fast-acting insulin?

If you are low-carbing, Humalog is hard to work with it, because it
kicks in faster than your bg will go up. I am not a militant low-
carber but I find that humalog still kicks in faster than my bg goes
up.

Regular (aka good old "R") insulin has a peak around the 2 or 2.5 hour
point and is more appropriate to a low-carb, high-protein meal.

Tim.

Thanks for chiming in to all of you who did.  It's good to get a
diverse set of opinions on the matter.  

I just ordered "Using Insulin" as was suggested.  I've been meaning to
order it but hadn't gotten around to it yet.  I hear good things about
it.

I think it's exactly right that there isn't any perfect way to deal
with this.  Bernstein is just more information as far as I'm concerned
and I've been playing around and experimenting with implimenting some
of the things he suggests.  I can't, as of this writing, fully
impliment it because I'm using so little insulin that I can't go down
to even as low as 15 carbs per meal.  I would need to get the pharmacy
to dilute my insulin for me if I were to try that.

I'm taking 1 unit of Novolog per 30g carb right now on top of Lantus
in the morning.  I am told this will likely change.

Someone asked why I would want to go so low with the carbs.  I'm just
trying some new things.  I've become really systematic about writing
down what I eat and checking my bg 1hr, 2hr and sometimes 3hrs after
eating.  I can see what the carbs do to me in particular.  Not good.
Once I started backing off the carbs, especially in the morning I saw
a much flatter response to the meal.  And a lower peak.  

And I actually like eating this way.  The diet the nutritionist put me
on was more carbs than I ate normally before I was diagnosed so this
is actually less of a change for me than the other way around.

I have considered changing from Aspart to Regular in order to match
the protien a little better as Burnstein suggests.

Again, it's nice to meet you all and I hope we can chat  a little more
in the near future.

Cheers,

Jordan  

I don't think a very low carb diet is a good idea for a Type 1. For
one thing, if you skip the carbs, you have to increase your intake of
proteins and fats to provide adequate calories to maintain your weight
and energy. High-protein and/or high-fat diets have their own serious
dangers.

I've been at this for more than 41 years, and I typically eat about 60
grams of carbs for breakfast. 6 units of Humalog covers this
adequately.

As for determining the bolus dosage, I ignore the fats and proteins
and base it strictly on my BG reading and the amount of carbs I'm
about to eat. The basal insulin should cover everything else.

Don't be afraid of taking the insulin you need. Unlike Type 2, Type 1
diabetes is not a progressive disease (at least in the sense of
increasing insulin resistance). My insulin needs have remained
constant over most of the period I've had diabetes.

The easiest way is with an insulin pump, because you can set your bolus and
extend it over a number of hours, rather than taking it all at once.
There's something called the TAG method of calculating a bolus.  I think it
stands for Total Available Glucose and takes protein & fat into account.
You can Google it and look for info.  You might want to split your meal
bolus in two, taking part up front and part a few hours later.

I briefly tried low carbing a number of years ago and would have huge BG
spikes/rises hours after a meal.  It was a big problem at night, because my
BG would be fine after dinner through bedtime.  During the night my BG would
go crazy and I'd wake up in the 400-500 range.  I quickly gave it up.  Plus,
I really like carbs.

--
Liz
Type 1 dx 4/1987
Minimed Paradigm 715 5/2005