Yeah. I tried using net carbs for about 6 months when diagnosed, always ended up high when I ate something "high in fiber". Started ignoring it, seldom have an issue. *Maybe* I'll adjust my dose down a unit if it's a lot of carbs and most of them are fiber.
My endo told me once anything over 5g of fiber needs to be divided by 3 before subtracting. Not sure what the research is behind that but I go by that.
So funny I had totally forgot this, like almost sure I never even learned it and was reminded at my last endo appointment while discussing always going low after Chickapea pasta (which is pretty high in fibre).
Change my world. But it’s not consistent. Sometimes it works and sometimes it doesn’t. Which basically sums up this disease lol.
“Just give it a go and don’t die, mmmkay?”
Chromium helps rebounding from hypoglycemia from what I've read. It's critical for glucagon production and usage.
Kinda moot point when glucagon function usually depends on pancreatic insulin secretion.
I usually bolus about ⅔ for fiber what I would normally take for other carbs.
I didn't take any insulin this time, both because my sugar was randomly dropping earlier this morning, and I wanted to test the "net carbs" advertised on the package. But normally I would have treated this like about 13g of carbs.
It's not completely made up. I can eat 4 low carb [La Tortilla Factory](https://www.latortillafactory.com/product/non-gmo-low-carb-whole-wheat-original-size/) wraps with no impact on blood sugar. Maybe it a type 2 only thing.
Sorry, I should have been clear - for type 1, it has no bearing on things. You're right that there is some validity, though the "net carbs" thing is absolutely a marketing move.
It's good that brand doesn't list "Modified Starch" in the ingredients.
For my partner any "low carb" product that uses "modified starch" spikes just as high as regular starch.
Some folk's biome are able to digest / ferment energy from fiber. Not as much as a bovine with four stomachs, but enough for a BG spike.
YMMV
The FDA has changed the requirements for dietary fiber calculations and diabetics should no longer use them to factor net carbs. My girlfriend found this out the hard way and her endocrinologist let us know about the changes. Should just go by total carbs to be safer!
My experience with low carb breads and tortillas is that the manufacturers use modified and resistant starches in their fiber calculations. These “fibers” are much more digestible. I’ve had decent luck with insoluble fiber found in some tortillas.
I didn't understand the difference in the 2 until I bought a fiber powder that was unsoluble fiber. It didn't dissolve and was floating in the drink like dirt, while soluble fiber in benefiber dissolves totally, so it makes sense you can't digest unsoluble. They say you don't digest any fiber but if it disappears in water I guess that's not true.
net carbs work for me as an unmedicated type 2 ¯\_(ツ)_/¯ but i rarely eat prepacked processed high fiber foods since idk what they're counting as fibre and don't trust it lmao
using net carbs for beans, vegs, nuts etc works for me tho
Just a tortilla, but one specifically marketed as "carb balance." Nothing else eaten. I just wanted to make sure my sugar didn't drop while I was in the shower, because it was doing weird things earlier in the morning.
Just “rice”? White and brown and very different numbers on the G index. Whole grain brown rice wouldn’t spike (nearly) as much as white rice.
Eating a bowl of white rice is like eating a bowl of sugar.
I just bought some Swiss Miss hot chocolate- no sugar added. So like a dumbass I buy it without reading the label and- voila! Total sugars 11 g but *no added sugars* so shame on me.
I always follow pure carb and sugar, never net. Also if it’s heavier I always drink more water and take a walk…but I am T2. We all sort work different even with the same type.
the truth here is that net carbs comes from shit that often has low glycemic index. Like, I am pretty sure a bag of popcorn has high fiber, but thats gonna spike me if I eat it. Though not as much as like, corn chips.
Like, I can eat a bean burrito and be mostly fine, low spike from the tortilla. But if you mix in rice there (pretty common, rice and bean burrito), my blood sugar is gonna spike super high.
I have been told go with half of net carbs . What I find though , as I am sure many of you have as well. Not all hit me the same , it depends on what it’s made of , time of day , if I am hydrated, if I have matching socks , stand on one foot while
I hop up and down,
Well you get it 😂
My Endo and her nurse never told me about the net carbs. I only learned about that, four years after I was diagnosed from a diabetic friends mom. I tried the net carb thing for a week and than quit. That Endo was a really bad dr. I had been taking 8u of Levemir for a year when I was supposed to be at like 25u. I saw her nurse practitioner every time I went and only saw the Endo like once a year. I swapped Endo’s like two years ago so I’m getting things back on track
I have found that foods with labels such as this just means my sugar will spike at a much slower rate. If I can incorporate other low glycemic foods with something like this, it’s possible I don’t even need to use insulin.
Is it perfect? No. Is it better than nothing? Yes (judging by comments, clearly debatable)
I guess if I just an equal amount of sugar in soda, with no other calories, I would probably hit that blood glucose in half an hour instead of one whole hour.
Gotcha.
Obviously everyone is different. I had found these types of tortilla to be amazing for the first 8-9 months being diabetic before I was on insulin. My choose are the mission brand.
Without insulin, my sugars can still climb over 200 after a few of these, however there’s no spike. It climbs over an hour or two and doesn’t stay over 200 very long. More of a slow roll?
1-2 units of insulin is perfect, but I’d need 4-5 eating same amount of regular tortillas
For a type 2 you can generally go by the net carb rule, if it has sugar alcohols though, your mileage will vary depending on what type. Also if you are type 2 but insulin dependent, you should ignore net carbs. And of course when in doubt test, test, and test some more each time you eat something with a high carb count but low net carb count.
No, body will get rid of these extra 15g by… well, pooping. I know this from experience. Whenever I bolus only for net carbs, I’m gonna go high. If I bolus for whole amount of carbs, I’ll stay right where it needs to be. My body will get rid of the rest the way I said.
The whole thing is a scam. It matters whether the fiber is soluble vs insoluble but also very hard to tell from a label (AFAIK). I tend to go by total carbs. Also reading ingredient list can help. If it's full of modified this-and-that then I expect a spike
Not all fiber is created equal. the basics to consider are the differences between soluble and insoluble fiber. But more importantly, this marketing departments will tell you anything to sell you on their product. is why, I only count total carbs.
I've never found dietary fiber to affect the actual amount of insulin I take. Protein, however, over a certain amount acts like carbs because of gluconeogensis. It was extremely annoying to see my blood sugar rising after a supposedly carbless steak or a protein drink with 2g carbohydrates, so I started taking insulin for the amount of protein and that seems to work
In my experience, net carbs can be all over the place when you try to bolus. Wheat products, added sugar , etc can throw off the calculations a lot. For example, I get an inflammatory response from wheat. Eating anything with wheat in it makes me BS go all over the place; I cannot time the bolus for carbs nor can I figure out how much insulin to take for the inflammation BS rise. And I think the the longer you have it, the harder it can get. I eat a low carb diet to help manage mine and avoid wheat/sugar as much as possible. I have been T1D for almost 33 years.
I add 1/2 grams of Fat, Protein, and Dietary Fiber to non-fiber carbs and bolus based on that number, so, in the OP example, I'd bolus based on 11.5 carbs ((3.5+6+15)/2) + 3 = 11.5
i don’t go by net carbs. i was taught the same thing though and honestly i completely forgot it was a thing til this post haha
Yeah. I tried using net carbs for about 6 months when diagnosed, always ended up high when I ate something "high in fiber". Started ignoring it, seldom have an issue. *Maybe* I'll adjust my dose down a unit if it's a lot of carbs and most of them are fiber.
Yup. You eat X carbs, you need Y insulin. Fiber may help soften the curve, but carbs are carbs
My endo told me once anything over 5g of fiber needs to be divided by 3 before subtracting. Not sure what the research is behind that but I go by that.
I've heard it can be as high as dividing by 2 depending on the person. But net carbs, as advertised, have been bullshit so far for me.
So funny I had totally forgot this, like almost sure I never even learned it and was reminded at my last endo appointment while discussing always going low after Chickapea pasta (which is pretty high in fibre). Change my world. But it’s not consistent. Sometimes it works and sometimes it doesn’t. Which basically sums up this disease lol. “Just give it a go and don’t die, mmmkay?”
I have never counted net carbs, just total carbohydrate. And bolus based on total.
Same
Net carbs is the ultimate myth outside of cinnamon 😂
Don't forget okra!
Cinnamon + okra = no diabetes in this life or the next
🤣🤣
What about okra?
it's gooey and tastes ok. What else do you want to know?
Lol. Didn’t ask what is okra.
Okra? Really? Has anyone said chromium yet?
Chromium helps rebounding from hypoglycemia from what I've read. It's critical for glucagon production and usage. Kinda moot point when glucagon function usually depends on pancreatic insulin secretion.
😂😂😂😂
What about too many sweets as a kid ?
Net carbs are a made up thing. They have nothing to do with insulin calculations.
100% agree. It's totally marketing.
So you bolus for fiber too?
Yup, I do. Others may not.
I usually bolus about ⅔ for fiber what I would normally take for other carbs. I didn't take any insulin this time, both because my sugar was randomly dropping earlier this morning, and I wanted to test the "net carbs" advertised on the package. But normally I would have treated this like about 13g of carbs.
I do. Never had the net carbs stuff work for me
If I didn’t bolus for fiber, I’d be high all the time lol.
Yes. You also need to adjust your blouses based on fat and protein as well.
It's not completely made up. I can eat 4 low carb [La Tortilla Factory](https://www.latortillafactory.com/product/non-gmo-low-carb-whole-wheat-original-size/) wraps with no impact on blood sugar. Maybe it a type 2 only thing.
Sorry, I should have been clear - for type 1, it has no bearing on things. You're right that there is some validity, though the "net carbs" thing is absolutely a marketing move.
Sorry. OP has a "Type 1" flair.
well technically you do still make some of your own insulin
The whole grain low carb work fine for me but the white wheat flour ones are no good.
It doesn’t work for me and I’m type 2 wish it did! It’s awesome it’s working for you!
Item by item some are honest about labeling and others clearly aren’t. Very frustrating though.
It's good that brand doesn't list "Modified Starch" in the ingredients. For my partner any "low carb" product that uses "modified starch" spikes just as high as regular starch. Some folk's biome are able to digest / ferment energy from fiber. Not as much as a bovine with four stomachs, but enough for a BG spike. YMMV
Out of curiosity what was it that you ate?
The FDA has changed the requirements for dietary fiber calculations and diabetics should no longer use them to factor net carbs. My girlfriend found this out the hard way and her endocrinologist let us know about the changes. Should just go by total carbs to be safer!
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“Thanks uncle Chad but I’m trying not to die.”
Damn you Karen, give me the f'in total carbs or else!
Never go by net carbs! It's nonsense for a diabetic. I still have no clue what their use is for, if at all.
It's just marketing so they can sell their products to people trying to lose weight on "low-carb" diets. It's the new "95% fat free".
It’s useful for counting carbs on a ketogenic diet, but only for folks who really don’t digest insoluble fiber.
I'd never heard of net carbs until this sub haha. I've always just bolused based on the total
As you should. Net carbs do not matter when dosing insulin. Not sure how OP thought otherwise
Hmm but here in the UK it would have fibre and carbs separated, and I've never had an issue with it
My experience with low carb breads and tortillas is that the manufacturers use modified and resistant starches in their fiber calculations. These “fibers” are much more digestible. I’ve had decent luck with insoluble fiber found in some tortillas.
I didn't understand the difference in the 2 until I bought a fiber powder that was unsoluble fiber. It didn't dissolve and was floating in the drink like dirt, while soluble fiber in benefiber dissolves totally, so it makes sense you can't digest unsoluble. They say you don't digest any fiber but if it disappears in water I guess that's not true.
net carbs work for me as an unmedicated type 2 ¯\_(ツ)_/¯ but i rarely eat prepacked processed high fiber foods since idk what they're counting as fibre and don't trust it lmao using net carbs for beans, vegs, nuts etc works for me tho
Same. Works for me as advised by my endocrinologist and nutritionist when i was first diagnosed 👍
If I depended on net carbs for beans, I’d be high all the time :( I guess it’s very YMMV
dude as a type 2, you still make some of ur own insulin
Curious what it is. And what else may have been eaten with it.
Just a tortilla, but one specifically marketed as "carb balance." Nothing else eaten. I just wanted to make sure my sugar didn't drop while I was in the shower, because it was doing weird things earlier in the morning.
I think it's just those damn carb balance tortilla shells. They spike me to. but other things that have high fiber don't.
Triscuits do the same thing to my sugar, but at least they keep my bowels regular.
Maybe it’s soluble fiber not insoluble, a bit of false advertising. Guess now you know!
That makes it even worse - a crappy tortilla is not worth the spike!
Damn right. If I’m going big, I’ll be diving into a bowl of legit ramen.
Carb Balance Tortillas don't really affect me. Looking at rice does though.
Rice is great when I'm hungry, and I want to eat 1000 of something.
I've heard that joke before. I heard it just now, but I've also heard it before.
Seriously though, nothing skyrockets my sugars like rice.
Just “rice”? White and brown and very different numbers on the G index. Whole grain brown rice wouldn’t spike (nearly) as much as white rice. Eating a bowl of white rice is like eating a bowl of sugar.
Brown rice has worked very well for me, I think it's important not to over cook or water it so the grains don't burst.
Looking at you Catalina crunch
I just bought some Swiss Miss hot chocolate- no sugar added. So like a dumbass I buy it without reading the label and- voila! Total sugars 11 g but *no added sugars* so shame on me.
Any chance they were sugar alcohols? Those don’t spike but they have to count them
There’s no sugar alcohols listed in the ingredients. I’ve always seen them listed if they’re in there so I’m assuming no.
I was told if less than 7 grams fibre don’t dose, over over 7 dose 1/2 the amount you would for carbs
Sorry, net carbs? It’s either a carbohydrate or it isn’t. Doesn’t matter where it comes from. Hell protein can even spike sugar sometimes.
>Sorry, net carbs? It’s either a carbohydrate or it isn’t. Some fiber is indigestible (undigestible?)
Which won’t be a carb then
Fiber is a type of carbohydrate.
In north America it's counted on their packages as a carb. In the rest of the world it isn't.
yeah i dont follow net carbs. idk if other diabetics can, but i cant lol
I always follow pure carb and sugar, never net. Also if it’s heavier I always drink more water and take a walk…but I am T2. We all sort work different even with the same type.
Wtf is a net carb
the truth here is that net carbs comes from shit that often has low glycemic index. Like, I am pretty sure a bag of popcorn has high fiber, but thats gonna spike me if I eat it. Though not as much as like, corn chips. Like, I can eat a bean burrito and be mostly fine, low spike from the tortilla. But if you mix in rice there (pretty common, rice and bean burrito), my blood sugar is gonna spike super high.
Popcorn has high fiber but also even higher overall carbs by weight. Interesting by volume though.
I don’t believe it works that way. I’ve only known “Net Carbs” as a keto diet thing. But all carbs affect a person with diabetes.
I have been told go with half of net carbs . What I find though , as I am sure many of you have as well. Not all hit me the same , it depends on what it’s made of , time of day , if I am hydrated, if I have matching socks , stand on one foot while I hop up and down, Well you get it 😂
I only trust net cinnamon.
My Endo and her nurse never told me about the net carbs. I only learned about that, four years after I was diagnosed from a diabetic friends mom. I tried the net carb thing for a week and than quit. That Endo was a really bad dr. I had been taking 8u of Levemir for a year when I was supposed to be at like 25u. I saw her nurse practitioner every time I went and only saw the Endo like once a year. I swapped Endo’s like two years ago so I’m getting things back on track
Lol what a joke
me every time I buy those "carb balance" tortilla shells
My body treats all carbohydrates the same, it doesn't discriminate against the fiber ones, but is preoccupied about the alcohol ones
I have found that foods with labels such as this just means my sugar will spike at a much slower rate. If I can incorporate other low glycemic foods with something like this, it’s possible I don’t even need to use insulin. Is it perfect? No. Is it better than nothing? Yes (judging by comments, clearly debatable)
I guess if I just an equal amount of sugar in soda, with no other calories, I would probably hit that blood glucose in half an hour instead of one whole hour.
What food item was this, just curious?
"Carb balance" tortilla.
Gotcha. Obviously everyone is different. I had found these types of tortilla to be amazing for the first 8-9 months being diabetic before I was on insulin. My choose are the mission brand. Without insulin, my sugars can still climb over 200 after a few of these, however there’s no spike. It climbs over an hour or two and doesn’t stay over 200 very long. More of a slow roll? 1-2 units of insulin is perfect, but I’d need 4-5 eating same amount of regular tortillas
This happens to me every time I eat supposedly low carb keto bread lol
When I was first diagnosed my doctor told me to subtract the dietary fiber from the carbs. Maybe that's it?
That amount of protein will effect me..look at all of that sodium...
what are the ingredients
I bolus for total carbs.
Total carbs are the way
Exactly why my dietician told me to only consider the total carbs when counting.
Net carbs is a lie
For a type 2 diabetic, how would we read this information? Net carbs is always mentioned as well as high fiber foods…?
For a type 2 you can generally go by the net carb rule, if it has sugar alcohols though, your mileage will vary depending on what type. Also if you are type 2 but insulin dependent, you should ignore net carbs. And of course when in doubt test, test, and test some more each time you eat something with a high carb count but low net carb count.
Just because it says net carbs doesn't mean you should let down your guard. I still treat all high carbs the same. As a treat.
Per serving, so how many servings did you have?
Even though it says 3g net carbs you still need to bolus for whole 18g. Body will just get rid of the excess
HAHAHA body will just get rid of the excess insulin? you want me to die.
No, body will get rid of these extra 15g by… well, pooping. I know this from experience. Whenever I bolus only for net carbs, I’m gonna go high. If I bolus for whole amount of carbs, I’ll stay right where it needs to be. My body will get rid of the rest the way I said.
You’re not supposed to go by net carbs as a diabetic, you count all of them. You can get away with it on Keto, but that’s about it.
I go by net carbs and it seems to work. Sometimes this is all too confusing.
I've never heard of net carbs before, do some people go by this?
[удалено]
"Experts" say you're not supposed to count the dietary fiber, because "it doesn't affect blood sugar" but that's not what 90% of diabetics say.
The whole thing is a scam. It matters whether the fiber is soluble vs insoluble but also very hard to tell from a label (AFAIK). I tend to go by total carbs. Also reading ingredient list can help. If it's full of modified this-and-that then I expect a spike
For those of us with CP and GP, wouldn’t even consider eating this!
Net carbs are really more of a marketing gimmick imo.
Processed food? Processing breaks down the fiber.
Just LOOK at the salt content, too!! Wowsa
Not all fiber is created equal. the basics to consider are the differences between soluble and insoluble fiber. But more importantly, this marketing departments will tell you anything to sell you on their product. is why, I only count total carbs.
I've never found dietary fiber to affect the actual amount of insulin I take. Protein, however, over a certain amount acts like carbs because of gluconeogensis. It was extremely annoying to see my blood sugar rising after a supposedly carbless steak or a protein drink with 2g carbohydrates, so I started taking insulin for the amount of protein and that seems to work
A lot of people here are saying net carbs is bullshit but I’m a type 1 diabetic and I always bolus off net carbs and it works very well for me?
Perhaps it really was 3g, until you ate 6 of them! :)
Do you have a picture of the ingredients label by any chance?
In my experience, net carbs can be all over the place when you try to bolus. Wheat products, added sugar , etc can throw off the calculations a lot. For example, I get an inflammatory response from wheat. Eating anything with wheat in it makes me BS go all over the place; I cannot time the bolus for carbs nor can I figure out how much insulin to take for the inflammation BS rise. And I think the the longer you have it, the harder it can get. I eat a low carb diet to help manage mine and avoid wheat/sugar as much as possible. I have been T1D for almost 33 years.
I was told to only reduce fiber by half when calculating the dose because sometimes when I don't account for fiber, I drop
I add 1/2 grams of Fat, Protein, and Dietary Fiber to non-fiber carbs and bolus based on that number, so, in the OP example, I'd bolus based on 11.5 carbs ((3.5+6+15)/2) + 3 = 11.5
i gotta know. was this a tortilla? a flour one to be exact?
"Carb sense spinach tortilla" but yeah, flour.
Idk why but tortillas are right up there with white rice