Carbs is kicking my butt!

By Steve45694 Latest Reply 2011-04-04 22:13:07 -0500
Started 2011-02-13 14:19:10 -0600

I have been trying so hard to watch my carbs. This is one of the hardest things I have tried to accomplish on my own. Unfortunately I'm not going in the right direction. I had gotten down to 265 but am back up to 330lbs. I feel like I'm starving in 30 minutes after eating with limiting my carbs. I need to be more educated in carb counting and to learn about how much insulin to adjust for what my BG level is. There isn't any Endocrinologists or a diabetic advisors on my insurance plan in my area. So I'm pretty much stuck to do it on my own. My family doctor is pretty much worthless when it comes to my diabetes and checking my A1C. I have to remind him when my A1C is due to be checked. I take Actos, Levemir, Humalog and Symlin and I have to adjust my insulin myself, and I bottom out all the time. I need help or I don't know what the future holds for me… I realize that I'm asking for a lot here, but don't know really what to do. Thanks, Steve…

41 replies

tripletsmamaw 2011-04-04 21:08:07 -0500 Report

I am new at this site but am finding useful information. I too am having trouble counting carbs, but by reading this, i think I must of misunderstood my dr. I know he said 60 carbs but i thought he meant 60 carbs a day, and i am having lot of trouble keeping it to that. I am trying to loose wight but my dr put me on two shots one is lantus and i take it at night , it the long lasting one, the other i take five units before i eat. But he did say a side effect could be weight gain. I also am having trouble finding something to drink. I drink alot of water , but i am addicted to PEPSI. I have not totally quit it but i have cut back and am trying to get off of it. I dont like the died and not finding much more to drink other then stuff that has had aspertame in it which they say is bad for you. But that has been some of my big problem Thanks

Nonna2Three 2011-04-04 22:13:07 -0500 Report

I had a hard time giving up my Mtn Dew & Dr Pepper because the diet version DO taste different and it's not the taste I want or expect from Mtn Dew & Dr Pepper so what I did was swap to two completely different sodas in the diet version (Diet Dr Pepper Cherry & Diet Sunkist Orange) and it was easier since it wasn't a bad version of a flavor i loved. But what has actually happened is that I find I don't even want carbonated soda as much as I did when I drank the regular versions. Now I drink water or Crystal Light. But I will confess to adding a spoon of Truvia to each bottle of Crystal Light when I mix it up because I wasn't much liking it in the state they "suggest" you make it.

Steve45694 2011-04-04 21:24:23 -0500 Report

It should be 60 carbs per meal. When I drink soda it's diet Coke. That's the only one I prefer to drink… I have gained quite a bit of weight since I have been on insulin.

Steve45694 2011-02-18 02:47:48 -0600 Report

GOOD NEWS: Since I have been on DC my A1c has dropped from 12.6 to 9.3. Thanks everyone for all your help! It is much easier when you have people who care and help you through the tough things in life!

WendyFR 2011-02-16 20:41:15 -0600 Report

Me too. I did the whole counting carbs and still so bad at it. I started to eat more protein and fiber, that will kill the hunger and sustain you until the next meal time, also started to eat every 3 to 4 hours. I started eating more of the good carbs whole grains, wheat, fruit, instead of white bread, white ric e, etc. Remember the A1c is a 3 month average of your blood sugar. Do you check your blood sugar before and after your meals? Maybe your hitting the lows because your taking so many medications. I constantly check my blood sugar for better control of my diabetes. Maybe you need to find a new primary doctor who know a little more about diabetes, if the one you have is not helping or ask your pharmacist of any diabetic programs in your area.

Mrs. Alilce
Mrs. Alilce 2011-02-16 14:11:34 -0600 Report

Sweetie I can't tell you what to do. I can tell you what I did that worked for me. No breads or glutens, no sugar , no white potatoes. Use olive oil and vinegar for dressing. Use coconut oil, grapeseed oil, flax oil to season, saute, etc. At Whole Foods one can find Coconut aminos which I use like a Dales or Worchestershire seasoning. Use sea salt, it has more beneficial trace minerals. One my use brown and wild rice. It is better to eat cream of buckwheat (a flower) and use cooked quinoa (a protein) to stir fry in with minced veggies. I have a 5 bean soup from dry beans and sweet potato "fries" from the oven to soothe my carb fix. Fish, chicken, turkey, and limit beef and pork to once a week. It truly helped me to feel better!! Good luck

Steve45694 2011-02-15 10:52:53 -0600 Report

Thanks to all that has replied. I am now on my way to a better life. I got an app for my iPhone to help count carbs and keep track of them. I believe I can do better about the carbs and help myself with how to regulate and control my BG levels. Thanks again for all your help and I really appreciate it very much. Now for my next obstacle. I go today to have another epidural block injection in my back. This will raise my BG levels dramatically and will have to adjust for these injections. Please pray that this will go well for me as I pray everyday for my well being and others… God is Great!!!

Yasmina 2011-02-16 12:54:34 -0600 Report

May there be angels to keep you safe and to help you to heal. The epidural should help somewhat, but I can understand about the raise in sugars. Just keep track on them and all will go well.

Steve45694 2011-02-16 12:47:38 -0600 Report

Well I had my injection. I actually got it on both sides this time on my L-4 lumbar area. The injection site on my left side is still hurting. I checked my BG and it was 412 this morning, so I took more insulin. That is diffidently the down side to Epidural Steroid injections. I have it down in the mid 100's to low 200's now so I should be in pretty good shape God willing. Thanks for the thoughts and prayers. God Bless!

CaliKo 2011-02-15 12:05:11 -0600 Report

I hope the procedure goes well, and also that it has the desired result. Prayers with you and the doctor. Hugs.

MewElla 2011-02-15 11:59:25 -0600 Report

Steve, you are in my thoughts and prayer. Take care now and keep us postedon how the bg's #'s go for you.

Kaiyle 2011-02-15 09:20:28 -0600 Report

I hope you find this helpful as well.

You can use this formula to figure out your carbs. Let's say you are in a 1,500 calorie diet. You calculate 50% of 1,500 = 750. Then you divide 750 by 4 (the number of calories in each carb) = 187.50. You can split it as follows:
If you have 3 meals and 3 snacks you can have 40 carbs in each of the three main meals and 20 carbs in each snack.
Make sure your carbs are whole such as whole bread, whole pasta, brown rice, etc.
But, as some people advised you here, be alert at your reaction when you eat certain carbs and to the amount you eat.
Emilia Klapp,RD, BS

Kaiyle August 8 at 4:33 am report
What I've learned in my diabetic class is that we can have 45-60 grams of carbs per meal and 15-25 grams of carbs per snack. Also 10-15 grams of fat per meal, no more than 35-55 grams of fat per day. You can also subtract from your total carb grams any fiber grams.

Nonna2Three 2011-02-14 14:50:07 -0600 Report

Here is a link to a page with a couple of charts and a couple of free cookbooks that may help:

I like knowing what falls into the carb-free category so that I know what I can add more of if my carb allowance has been eaten up by a small quantity of a higher carb selection. Like when I have a frozen meal for convenience - it is usually not a great quantity of food, so I can add a nice bowl of "free" foods and help make my stomach fell happier. :D

Yasmina 2011-02-14 14:18:13 -0600 Report

I know that it is very hard to follow the carb thing. But if you are bottoming out, what are the numbers? Everyone seems to have a different idea of what a low blood sugar is, but if they have been running high for too long, even a good one seems to be too low for you. I speak from experience. I have had diabetes since 1990 and still have to fight with everyday control. There are days when you seem like there is progress and then something goes wrong and you go back up. I have a problem with stress and not in good control of my sugars either. My weight fluctuates too much. At one time I weighed in at 300 pounds…then dropped drastically through diet and exercise to 165…then bounced back to 285 after several surgeries and emotional setbacks. Now I am back to trying again, but it just seems that everything stacks againest me at times. Please just keep on trying…I know I am and I won't consider it a failure if it doesn't work this time. I will consider it trial and error…and a new learning experience and try to avoid some of the pitfalls. Don't beat yourself up…just forge ahead and try not to make the same mistake again. But it you do…try, try, again until you accomplish your goal. DON'T GIVE UP! And one day you will look back and say "I've done it!"

Steve45694 2011-02-15 09:06:41 -0600 Report

I usually get down around mid 40's to 30's. I had an episode in October that I almost passed out at a Wendy's. I thought I was a gonner, and I couldn't even talk or think straight. So when I say I bottom out that is usually the most that I have bottomed out…

Yasmina 2011-02-16 12:51:29 -0600 Report

That is really low. Don't you get some sort of a warning before they get that low? I usually get the sweats or sick to my stomache…sometimes I feeel like I have spiderwebs on my face and can't get them off. I've had some low ones in the low sixties to 59 when I was shopping at the local WalMart, and my best friend noticed that all of a sudden I was loading the cart with things that I don't usually buy like cookies, candies, etc. Then she says to check my sugars and they are usually quite low so I know to carry something with me for just such an occassion.

Steve45694 2011-02-16 12:59:06 -0600 Report

Not always, I can usually feel it coming on. But there are times that it hits me all at once. I do get the sweats and shaking, but by that time it is already pretty low. I guess some people are different, because my father gets warnings when his hits in the 70's or 60's. I generally don't though…

Yasmina 2011-02-17 13:08:02 -0600 Report

I know that some of the times, I don't realise it's happening to me, but from discussions I had with my endrocrynologist that all diabetics can respond differently to their symptoms. She says that the symptoms that we are given for a guideline are the most common and expected ones. It's like with me all of a sudden packing my cart with sugary goodies that I don't normally buy. My body was telling me that there was something going on but the rest of me didn't get the message. Another sign for me is that I have a tendancy to start to overtalk. I get very chatty and cant't seem to be quiet.

Steve45694 2011-02-17 13:12:10 -0600 Report

The chatty part is my problem too. So don't feel alone there… lol!!! That is what I love about my DC family always have great suggestions and comments…

kdroberts 2011-02-14 07:34:05 -0600 Report

Who is your insurance company? Most have diabetes educators, nurses, pharmacists and sometimes doctors you can talk to on the phone for free. You just need to call up the customer service number and ask.

EJMac 2011-02-13 23:23:38 -0600 Report

It may be worth your while to travel a bit to go to a dietician and endocrinologist. I met with the dietician last last week and have a much better understanding of carbs. I'm finding that portion control is imperative. A serving of rice, potatoes, yams, spagetti is only 1/3 of a cup. So I may get to have 2 servings for dinner-only 2/3 of a cup. I'm not used to eating that small amount. I am only on a 1200 diabetic diet plan. I'm sure you would have much more calories than I do. Slowly losing weight. Started taking PGX fiber pills and it helps me to feel full most of the time. There is so much to learn and we are all a little different., The experts do know and it's worth it to go out of your way to make sure you get the education.

Harlen 2011-02-13 18:46:59 -0600 Report

One thing you may try is a pump???
Best wishes

Armourer 2011-02-16 00:23:01 -0600 Report

I'm happy for you and the pump, but my neighbor tried the pump and threw it away cause for her it made things worse. My insurance won't pay for a pump and they cost around $4-6,000 dollars, and the insulin is around a $1,000 a month, or so my wife's friend says it costs her. I can't afford the $300 insulin a month now!

Harlen 2011-02-16 14:57:04 -0600 Report

The pumps are costly but insulin is insulin I use only 1/2 of the insulin I did on shots.Your neighbor threw it out ??? Just. A lot of people just cant get something new. but thats life.
Best wishes

Nonna2Three 2011-02-13 17:58:03 -0600 Report

Maybe it would help to start a chart and list foods in columns according to their carbs then when you plan what your meal will be limit any items in the high carb column to 1 or even 1/2 serving and then double up on something from the low carb or carb free column.
Having some kind of a guide "at a glance" is always helpful.

MrsJgKENT 2011-02-13 17:41:11 -0600 Report

If I post twice please for give I am still getting use to how to do this on this site…I Have days that I CRAVE BREAD and it is hard days..but most of the time I can make the 60 20 60 20 work for me. Water works but I treat myself with a one of those 5 cal lemonades sometimes..I use the one with stevia..and It helps knock out the carb attack. It is hard and you just got to work with it..I make sure I have nite nite snack because I find out that is when I have a good start for the next day It helps

Bunny Cakes
Bunny Cakes 2011-02-13 16:29:49 -0600 Report

I find that my hunger really hinges on the kind of carbs I eat. I limit myself to no more than 60 carbs for a meal and 20-30 carbs for a snack if the snack has carbs at all.

It's really easy to hit 60 carbs eating junk and then there I am at my carb limit still hungry. So now I try to make sure most of my carbs are the slow acting kind because I feel full longer and because they have a smaller effect on blood sugar. Filling up on things like veggies or brown rice or oatmeal really helps get me through the day without that hungry feeling.

I also try to drink a lot of water because it keeps me hydrated and feeling full. The other thing I do is try very hard to eat at about the same time each day because it helps my body know when it's time for food and it lets me know if what I'm feeling is real hunger or just head hunger. I eat breakfast around 9am, lunch around 12:30pm, and dinner around 5pm or 6pm. I also have at least two snacks, on between lunch and dinner and one after dinner with my evening pill. Some days, if I'm really active in the morning I'll have a small snack between breakfast and lunch to keep my numbers up because sometimes I get a little low after a lot of activity.

Never let yourself get to the point that you're starving because you're more likely to have a low and/or over eat at your next meal.

Also your weight gain may be because you've been treating all those lows, thus adding more calories and carbs into your system which add weight, this happens to me when I have a lot of lows.

As for the doctor sometimes you have to force them to pay attention because they don't realize you need it. Either because they think you should know or because they are used to patient who do know more. Or because from our body language and attitude they think we don't want their help as is the case I've got to fix with my doctor when I go back in a few weeks. He tried to help me but I was scared and ran away but I've been reading everything I can about diabetes and writing down questions I have and I plan on quizzing him thoroughly in a few weeks.

One of your best tools is your own brain, use the power of the internet and your local library and your friends here to learn everything you can about the disease so you can learn to fight it. And don;t forget to educate those people who are close to you, you never know when you might need a family member to really know what to do if you're having a low and are not able to test or inject or eat or even communicate properly.

REH2006 2011-02-14 18:06:45 -0600 Report

Thanks for sharing so much helpful information.
I am new at all this also, I usually eat what I want & when for so many years but having real weight issues as a result. The doctor has advised me to cut portions, carbs. & smaller portions, exercise & keep a food chart . I did better for a while, lost 25 pds. but got tired & quit, have to start again. So hard to do!

realsis77 2011-02-13 15:55:49 -0600 Report

Don't give up you can do it! It is tough espically lowering carb intake. I remember the first time I went to the store after finding out I was diabetic. I cried I didn't know what to buy. You know what helped me a lot? Diabetic cookbooks! I got them very cheap online and they have easy cheap delious reciepies that help me learn how to eat! I got some books an amazon and ebay and they only costed about 3.00! They have reciepies the whole family can enjoy! Believe it or not the books really help! My doctor gave me a sliding scale for my second insulin. My first insulin I take in the morning its a 24 hour insulin then I take a second insulin depending on my numbers. Maybe your doc can give you a sliding scale or write down how much insulin he wants you to use depending on your numbers. That what my doctor did for my second insulin. So I just look at my chart and adjust accordingly. It shouldn't be a problem for your doc to do that for you. You can even possiably get the answers you need by calling and asking your doc on the phone! Id call right away and ask. Just write it down and it helps a lot! I know my doc wants me to use 4 units when I'm at 150 for example.then if I'm at 160 he wants me to use 6units it all depends on what your doc wants for you. Its important to keep a good realationship with your doc to get the adjustments correct with your insulin because that does take time sometimes. Once you get the adjestments right its smooth sailing. Be patient but remember do get your correct adjestments so that you can be healthy. For me it took adjesting my insulin doses a few times before I got it right. I hope I've helped you in someway! Good luck and God bless!

angelhart0464 2011-02-13 15:22:57 -0600 Report

hi steve , i was like that too when i first started out , then i started eatting like 6 little meals a day and drinking a lot of water between meals and that seem to work for me i hope this helps i have lost about 130 pounds but make sure you watch your suger intake

Yin1973 2011-02-13 15:13:44 -0600 Report

Sorry to hear that you are having a hard time with things. I went to a diabetes class at my doctors office and learned a few things. Counting carbs is the hardest thing I have done myself but I follow a simple rule, 16 carbs should not equal more then 100 calories. Mind you that is based on the face that I need no more then 1300 calories a day (this is what I was told females need). In your case, you might want to try 20 carbs per 150 calories. See if that helps you a bit easier.

Another thing, limit your bread intake to no more then 2 pieces a day. Unless you can get the 45 calorie bread then you can try for more. With the amount of meds you are on I would say working on your eating and getting that under control will help alot with your lvls.

To help with the "starving" feeling you are getting, try gum. Anytime you feel the urge to "eat" or are "starving" just chew some gum, you would be amazed how much chewing gum can help. I also try not to eat after a certain time at night. If i come up with anything else that I can think of I will let you know.


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