How much Carbohydrates should you consume in any one meal? I still have not gotten the Carb counting right.

By nzingha Latest Reply 2011-09-25 10:03:14 -0500
Started 2011-09-24 23:34:37 -0500

I am still not sure how much carbohydrates one should consume in a meal and throughout the day to ensure you keep your blood sugar under good control and especially if you are now on insulin? I know each person differs but at the same time the experts show you charts with the recommended amounts you should eat while at the same time, they tell you one size does not fit all. how can they plan a meal for me when my body reacts differently to 2 starches, 1 fat, 1 fruit and 1/2 cup of milk compared to how 'Mary jane's ( just using a name here) body will react ? I take 9 units of insulin at meal time.. how much Carbs should I have on my plate at any one meal… and how much should I consume at my 2 snack timees? and what are some of the things one can snack on to keep those numbers in check by the time u get around to the next peoper meal?

5 replies

jayabee52 2011-09-25 10:03:14 -0500 Report

A registered dietician (RD) my be helpful to you, but a RD cannot give your meal plan the personal teaking that only you and your glucometer can give. Test, Test, Test! Test at the various carb levels. Ladies generally, speaking require 30 to 45 grams of carbs per meal. Men 45 to 60 grams. Generally speaking 15 grams of carb per snack. But you might want to test at various gram levels of carbs to determine what works best for YOU and YOUR metabolism.

To determine what works best for you, do a bg reading before your meal as a baseline. Then eat the 30 grams of carbs and 2 hours after check your BG again.

Then perhaps do the baseline for the next meal, and eat the 45 grams, and likewise check your BGs 2 hrs after. if you're not satisfied with how your numbers are, you can try it at 35 and 40 grams of carbs should you wish. That way you will have a better idea of how levels of carbohydrates affect your metabolism.


veggie1962 2011-09-25 06:37:26 -0500 Report

I have to second wahat MEGriff1950 said in her post. The right person to answer these questions properly is a dieititan who specializes in diabetes or a certified diabetes educator. You are so right when you mention that one size does not fit all!

Who prescribed your insulin? That provider should be able to refer you to one of the above professionals who can give you expert guidance regarding your questions.

In "general", you are allowed between 45 and 60 carbs per meal, 15-30 per snack. If you check your sugar before meals and then 2 hrs after you start the meal, you can use this guideline: if your sugar rises more than 50 pts or is over 180 (or perhaps a different number than 180 given from your provider), then try eating less carbs at the next meal to see if you can meet those guidelines.

If you are looking for low or no carb snacks, string cheese, nuts (like 2 tablespoons), hard boiled eggs, raw veggies, salad (basic salad, not "everything and the kitchen sink salad!) are good. For carb snacks, things like 1/2 a sandwich (like PB, esp no sugar added PB) might be good, 3/4 to 1 c of low sugar cereal with 1/2 c milk, 1/2 c cottage cheese ( or plain yogurt-use artificial sweetener or stevia to sweeten) and 1/2 a cup of fruit might be good places to start.

You might be confused about things at the moment but you are asking all of the right questions!

nzingha 2011-09-25 07:14:25 -0500 Report

thnks for this response… I'm kinna following this plan…I try to stay away from breads.. they dont like me anymore…lol! i love fruits and am tempted to eat more than my fair share.. and vegetables.. I can even overload on that…too. But I am going the mediterrean style of eating.. fish, veg,nuts and fruits.. but i love my sweet potatoe… works for me so I have it with 2 of my 3 meals …

MEGriff1950 2011-09-25 00:06:19 -0500 Report

Nzingha, A dietician or nutritionist can design a meal plan around you and your lifestyle. You mentioned 2 starches, 1 fruit and 1/c milk all of those are considered carbohydrates. If you are able to attend a diabetes education class many of your questions will be answered there.
Are you type 1 or type 2? They are diabetes but so different. The type of insulin you take makes a big difference too. Since you take insulin at each meal I will assume you are type 1. You did not mention if you are testing your blood glucose or what they are. The type of physical activity greatly affects blood glucose levels. Are you taking other medications?
I am type 2 and am allowed 45 grams of carbohydrates per meal, I am supposed to eat 5 servings of vegetables per day and keep my meat under 6 oz of lean meat. I do not have any snacks figured into my meal plan.
I keep a log of what foods I eat, when and my bg readings. This helps give me an accurate picture of how I am doing. Each of us react differently to different foods. Many diabetics do well eating rice, I cannot eat rice at all. I do well when I eat white potatoes and a lot of other people get sick.
You can ask your doctor for a referal to an education class, a dietician or an endocrynologist.
If you answer some of my questions above maybe some others who are in similar circumstances as you can let you know what they do.
Good luck,

nzingha 2011-09-25 07:10:45 -0500 Report

type 2. my readings r like 90 in the am's and sometimes throughout the day can spike up to 160… usually under 180 tho depending on what time i check and what i eat. i keep a journal of what I eat but still not sure how to count carbs or how much I should eat . I just recently went on insulin.. mets were not working.. seems like i have become more insullin resistant than befefore.. but i c all kinna weird things happening to my body since i've started taking it… my body just does not like!