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    • 4 hours, 15 minutes ago
      AnitaS likes your comment at
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      Only "illness" that makes it really difficult to control my blood sugar is getting steroid injections into my cervical spine or fingers. I leave my basal rate on my pump at 250% and need much higher bolus doses and many "extra" doses if my blood sugar remains really high. I tell the MD's that it turns my insulin into tap water and try to avoid it, experience with having gotten these injections over the past few years has helped, but having blood sugars of 400-500 despite much higher basal and bolus dosing is so frustrating!
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
    • 4 hours, 16 minutes ago
      AnitaS has commented in the same post you commented in :
      When you experience an illness that makes your blood glucose levels more difficult to manage (whether because you are unable to eat, the stress of being sick, or any other reason), what resources do you refer to for help managing your blood glucose levels while sick? Please select all that apply to you.
      When I had surgery last year and couldn't exercise for a few months, my time-in-range was very good. I was shocked but I shouldn't have been as exercise is one of the things that make my diabetes harder to keep under control. During recovery, I didn't have the ups-n-downs in blood sugar that I usually have when I exercise.
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      Randell Cole has commented in the same post you commented in :
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      Randell Cole has commented in the same post you commented in :
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    When deciding how much to bolus for a meal, do you factor the amount of fiber into your calculation?

    Home > LC Polls > When deciding how much to bolus for a meal, do you factor the amount of fiber into your calculation?
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    When giving an insulin injection, do you ever inject through clothing?

    Sarah Howard

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    28 Comments

    1. Carol Meares

      I used to occasionally inject through clothing when I was on MDI but now I don’t because I only do occasional injections to supplement my pump if I need a faster correction. I find injections create a faster correction time than corrections through the pump.

      1
      1 year ago Log in to Reply
    2. ConnieT1D62

      Yes, anything over 5 grams I subtract 1/2 the amount of grams of fiber from the total carb count. I pay attention to it but don’t make a big deal about it. I happen to like fiber rich foods and the fiber content has a beneficial effect on the physical body systems of digestion, metabolism, assimilation and elimination.

      3
      1 year ago Log in to Reply
    3. Ahh Life

      Exact formulas? Right. Treatment and remedies are often presented as if they contained the precision and exactness of an IRS tax audit, but reality renders itself much more in the realm of biological uncertainty if not outright Heissenberg uncertainty.

      13
      1 year ago Log in to Reply
      1. Miriam Gordon

        Love your comment. So you’re saying if you check your BG it will have an influence on what it really is? (Ala Heisenberg)šŸ˜‰

        1
        1 year ago Log in to Reply
    4. Sherolyn Newell

      I used to use the math the diabetes instructor gave us. If you use that, raspberries have negative carbs. I tested that theory once. Raspberries definitely have carbs and raise BG. After that, I pretty much ignore fiber. The most consideration I give it now is to use the extended bolus.

      3
      1 year ago Log in to Reply
    5. Patricia Kilwein

      Fiber can only be subtracted from bolus amount only when fiber grams are above 5 per serving, then it’s only what is over the 5.

      2
      1 year ago Log in to Reply
    6. Sasha Wooldridge

      It only matters for certain foods, so it depends. All foods affect my BG differently, so I use the calculated amount my pump produces and manually increase or decrease the bolus manually depending on what I’m eating. It also affects the timing. For instance I know eating nuts will raise my BG, but much more slowly and much later. I usually don’t bolus for nuts until after I’ve eaten them, but I ALWAYS pre-bolus for “carby” foods.

      3
      1 year ago Log in to Reply
    7. TomH

      When dx’d T2, the CDE class I took advocated counting carbs minus fiber minus 1/2 the protein (if 5g+). I correct dx of T1 in discussion with Endo, Endo said she’d never heard of that formula and said, ā€œJust count all the carbs.ā€ i.e. no subtractions for fiber or protein. I’ve since learned fiber is complicated to determine what is/isn’t digested and both fat and protein CAN contribute to BG rise depending on their amount and the amount of carbs in a meal.

      2
      1 year ago Log in to Reply
    8. Lawrence Stearns

      When eating or cooking with packaged foods, I subtract the “fiber” from the “carbohydrates”. The remainder is the carbs that I use to calculate how much insulin to take. For fresh foods, I guesstimate vegetables, fruits, etc.

      1
      1 year ago Log in to Reply
    9. Bill Marston

      Sometimes I discount fiber > 5g per serving but only for those foods that I have felt affected me in the past. I liked Sasha Wooldridge’s answer – it is also the way I approach it.
      P.S. for me, just very old habit – way before USDA Nutrition labels were around to make it easier (not only for diabetic carb counters but for every other condition where we know enough to use those data on the label).

      1 year ago Log in to Reply
    10. Bea Anderson

      A more accurate answer would be that when checking the CARBS I also notice the amount of fiber. This information is unconsciously added or subtracted to the bolus configuration along with related factors such as time of day, past or future exercise, my happiness levels, wellbeing, clarity of mind and timing of delivery of insulin in relationship to the Carb/fiber intake. All is math and magic.

      5
      1 year ago Log in to Reply
    11. MARIE

      We subtract the fiber from the total carbs. As others have pointed out, it’s not an exact science but that seems to work best because we tend to eat a lot of high fiber foods.

      1
      1 year ago Log in to Reply
    12. Kristine Warmecke

      I used to. I stopped when I didn’t see any change in my numbers.

      2
      1 year ago Log in to Reply
    13. Clearblueskynm

      If my blood sugar is over target range I do not factor fiber. If my blood sugar is in or is on the lower side of my target range I do factor in the fiber, as well as extend the bolus, as it takes longer for my digestive system with fiber to make the carbohydrates available to my system. If pumps had an if/then programming option, I would not have to do this in my head. We really need our pumps to be more programmable, even with basal iq options.

      1 year ago Log in to Reply
    14. Dave Akers

      It’s really interesting… when on liquid mealtime Insulins, I used to factor for fiber. Now after 3yrs being on Inhaled meal time insulin, I no longer account for it. JUST REALIZED that due to todays question! WOW!šŸ˜„. This stuff is really amazing. I actually think less about my BG’s and I’ve had better control than when on a pump. Never thought I’d see the day!

      2
      1 year ago Log in to Reply
      1. PamK

        I’ve always felt my control was better on MDI than it has been since going on a pump!

        1 year ago Log in to Reply
    15. Nevin Bowman

      Insoluble = no, otherwise yes.

      1 year ago Log in to Reply
    16. Sharon Lillibridge

      why would I?

      1 year ago Log in to Reply
    17. Mary Dexter

      I used to deduct anything over 5, but everything has become so unpredictable from day to day (how much insulin am I producing, how sensitive am I to the insulin I inject) and I have also realized that even if one’s carb calculations are taken from packaging, there is an element of error, never mind if it’s a casserole or soup.

      1
      1 year ago Log in to Reply
      1. Sherolyn Newell

        I think I read somewhere that those labels only have to be +/- 10%.

        1 year ago Log in to Reply
    18. AnitaS

      Not usually except in rare instances where the product’s nutrition label shows a large percentage of fiber per carbohydrate content. For instance a product may have 20 grams of carbs per serving but may also have 16 grams of fiber per serving. I have heard some diabetes educators say just subtract 1/2 of the fiber when calculating the carbohydrate count, so I would count the carbs as (20 minus 8 grams of fiber= 12 grams of carbs.) Most of the time however, I am not that precise.

      1 year ago Log in to Reply
    19. Kathleen Begbie

      I include it in the carb totals

      1 year ago Log in to Reply
    20. LizB

      Unless I’m eating a LOT of fiber in one meal I don’t bother.

      1 year ago Log in to Reply
    21. PamK

      I chose “other” because I do subtract 1/2 of the fiber content from the total carbs, if I have the information. Unfortunately, I don’t always know the amount of carbs or the amount of fiber in my meals so I have to guesstimate how much to bolus for.

      1 year ago Log in to Reply
    22. Cheryl Seibert

      I always use Total Carbs (my opinion is that Net carbs are a marketing stat used to make food look ‘healthy’). I have never factored in Fiber nor Protein as some do. Bodies age and change though…..

      1 year ago Log in to Reply
      1. Cheryl Seibert

        oops…. Total carbs include Fiber! So my answer should have been “Yes’ I do factor in Fiber in my calculations. Sorry to skew the data!

        1 year ago Log in to Reply
    23. Molly Jones

      I chose other. Most often the answer is no, but if my BG is being a diver and wanting to stay low I will decrease the amount of insulin for foods that take longer to digest.

      1 year ago Log in to Reply
    24. KCR

      Generally not unless I am eating a very fiber-rich meal (e.g. chili with beans).

      1 year ago Log in to Reply

    When deciding how much to bolus for a meal, do you factor the amount of fiber into your calculation? Cancel reply

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