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Re: [IP] carb counting
> She said that I am not counting carbs right.
> That I have to measure my milk in a measuring cup
> (not pour it in an 8oz glass, because it may be 9 oz.
> or 7 oz.) and that I have to have a diet scale. I
> have been using a carb reference book to get carb
> values of food - she said that is not acceptable.
> I would just like some input from other people - how
> do you count carbs - very, very accurately, or
> educated estimates, or another way. This lady will
> make my life miserable. She said I will not be able
> to start pumping for at least 3 months - have to
> practice carb counting until then!!!! Even my endo
> thinks she is crazy, but he leaves everything up to
> the CDE who is not saying anything much - she let the
> dietician run on and on.
> So...what do ya'll think. Do I need a scale?
There is a middle ground here. Carb counting needs to be accurate to
be effective. The CDE sounds like nurse Rachet though. When you begin
carb counting it is not easy to accurately estimate carbs, even when
pouring milk into a 9 oz glass :-). The other side of that is after a
while, you become very good at estimating and you will be able to
tell by looking at a glass if it is 8 oz or 9oz or 7 oz, and
adjusting accordingly. I am continually amazed by my daughter's
ability to go out to a resturant for dinner and "inspect" the plate
and do a bolus that will keep her bg's within acceptable range -- it
doesn't always work, but usually it does. The ability comes from
months of studiously measuring every morsel of food by volume or
weight and carrying around a book full of carb conversions. Now she
can draw on all of that from memory and it is automatic. No, it is
not as easy as counting exchanges, but it's a heck of a lot more
accurate and will become as easy for you with time.
The three things you need for measurement are
1) a good scale
2) a one cup measure
3) a tablespoon measure
For a long time after Lily started pumping, we toted a portable scale
into resturants when we dined out and always asked for a "water
glass" (standard 8 oz) to measure stuff like rice and potatoes when
we forgot to bring a measuring cup. Like I said, now she just looks
at the plate. Practice makes perfect.
All of that said, I see no reason whatsoever why you should wait 3
months to go on the pump because the CDE is some kind of control
freak. Practicing carb counting while using a pump is the absolute
best way that I can think of to see the results and get immediate
feedback about how you are doing. I sure won't work nearly as well
with MDI and the unpredictable long terms insulins.
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