Junebugkiller

Q:

How many carbs should I be eating to avoid being insulin dependent? While I believe that eating a healthy diet low in sugars and carbs is the best way to live daily, I would like YOUR idea of how many carbs/sugars I should be ingesting in order to maintain my good numbers. I don't want to be insulin dependent but know that sometimes that is not an option.

Amy Campbell

A:

Unfortunately, I’m unable to give you a very specific answer to your question. With type 2 diabetes, two things happen: the pancreas produces less insulin over time, and the insulin that IS made doesn’t always work as well as it should. Losing weight (5 to 7% of body weight), limiting carbohydrate somewhat, and doing regular physical activity can help the body use its insulin better, which, in turn, helps improve blood glucose levels. Over time, the pancreas produces less and less insulin, which usually means that at some point, a person may need to start taking insulin injections. The amount of carbohydrate that a person with diabetes needs is highly variable. Much of this depends on level of physical activity, weight, and how long the person has had diabetes. It’s best to meet with a dietitian who can take into consideration your situation and recommend an eating plan that can help you reach and stay at your target diabetes numbers. Until you see a dietitian, general carb guidelines are to aim for 45 to 60 grams of carbohydrate per meal for women, and 60 to 75 grams of carbohydrate per meal for men.

September 22, 2012 at 6:20 pm