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RE: [IP] Counting "Net" Carbs



Carbs are carbs - if your ratoios are right they should work

Since there is a lot of fiber you can either manually subtract from the
total or try giving an extended bolus 

You will know that the extended bolus is the right choice if you go high a
few hours later 

-----Original Message-----
From: email @ redacted
[mailto:email @ redacted] On Behalf Of Steven Schoch
Sent: Tuesday, January 07, 2014 12:20 PM
To: email @ redacted
Subject: [IP] Counting "Net" Carbs

I've been on insulin for 50 years, but I'm new to pumping and carb counting
(as of last July).

The instruction on carb counting says to only look at the total carbs -
don't adjust for fiber or "net" carbs. This morning I had 30 grams of carbs
from Kellog's All-Bran cereal, along with some granola. I used the total
carbs in the bolus wizard, but now (2 hours later), my reading is 68, up
from 55 after I drank a whole box of apple juice.

When I eat a breakfast of cereal like corn flakes that doesn't have as much
fiber, I don't seem to get low. This is causing me to question the carb
counting advice of not adjusting for fiber content.

Do any of you have the same issue? Do you have to adjust your carb count or
your dose when you eat high-fiber?

--
Steve
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