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Re: [IPk] survey: carb-related questions



Please can someone tell me, who or what is NICE ??

Barbara


----- Original Message ----- 
From: "Michael" <email @ redacted>
To: <email @ redacted>
Sent: Friday, November 08, 2002 6:52 PM
Subject: Re: [IPk] survey: carb-related questions


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> <snip>
> > Sinead took exception to the statement that
> > 
> > 20g of carbohydrate from carrot and 20g of carbohydrate from
> > chocolate will have the same overall impact on your blood sugar
> > 
> > because 20g of CHO fr. carrots is unrealistic and that
> > evidence-based research shows that they do not have the same impact
> >
> 
> I would be tempted to ask her if a pound of feathers weighs as much 
> as a pound of lead :-)
>  
> > 4) Do you think thie statement is inaccurate?
> > 
> The original statement is accurate. I suspect that the glycemic index 
> of carrots vs chocolate are very different and would have a different 
> effect on blood sugar (timing). However, that is true for many foods 
> so the statement must be interpreted with care. A better example 
> perhaps would be two foods that have different volumes, the same carb 
> content and similar glycemic indices. For example: a tablespoon of 
> granulated sugar (~13g) vs a slice of white bread (~14g).
> 
> > 5) If the statements is inaccurate, do you agree with the reasons?
> > 
> no, too simplistic
> 
> > 6) Do you think this statement is more accurate:
> > 
> > For the purposes of determining insulin doses, 20g of carbohydrate
> > from carrots and 20g of carbohydrate from chocolate has the same
> > impact on your blood sugar
> > 
> see above -- pick some other foods and the statements become more 
> meaningful.
> > 7) Have you ever confused portion size/weight with amount of
> > carbohydrate (you thought that you'd get 20g of carb from 20g of
> > carrots)?
> > 
> > 8) Is the concept of grams of carbohydrate difficult for people new
> > to carbohydrate counting?
> 
> yes, food weight / carb charts help in understanding as do real 
> world examples --- like weighing bread instead of believing the 
> serving size labeling which is frequently incorrect.
> 
> 
> > 
> > 10) Does your insulin-carb ratio match your weight according to the
> > table at www.geocities.com/sastact/insulin_doses.htm ?
> > 
> An informal survey conducted a couple of years ago by Insulin Pumpers 
> determined that these charts are good at predicting averages, but way 
> off for most people, particularly kids.
> 
> > 11) Does your insulin-carb ratio match your daily insulin intake
> > according to the table at
> > www.geocities.com/sastacht/insulin_doses.htm ?
> > 
> 
> Michael
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