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    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 1 minute ago
      Janis Senungetuk 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.
      Fortunately that hasn't been an issue for quite some time. If I need help beyond what I've learned from 67 years of previous experience, I'd contact my endo or CDE.
    • 6 minutes ago
      Janis Senungetuk 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.
      The resources I use in managing my glucose levels once sick is my own personal experience after living with t1d for 46 years
    • 7 minutes ago
      Janis Senungetuk 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.
      Just did what makes sense to me- eating less carbs, watching blood glucose more often and taking corrections as needed. Also some level of activity if possible.
    • 7 minutes ago
      Janis Senungetuk 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.
      Been type 1 since the early 80's learned self management as therapies changed. Unless hospitalized(which I never am anymore) I decide how much insulin to put in my body based on my on going experience with the 1000's of reasons I may need more or less of it. I do love my pump, insulin and CGM so I guess I have to tell the doctor what I do once a year. .. I just keep throwing info and facts he isn't up on till he gets a glazed over look on his face and writes my scripts. I find the most inconvenient part of diabetes is all the people that want to help but don't know much about everyday life with the disease. And NO I do not want to join a discussion group!
    • 9 minutes ago
      Janis Senungetuk 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.
      Many times I have needed to adjust insulin intake amount in order to cope with illness, but only rarely needed outside help. In the early 1970’s I made some mistakes managing influenza. My BG went very high (no meter available for testing at home), and I ended up in the hospital then.
    • 10 minutes ago
      Janis Senungetuk 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.
      Except for those brand new at this, we all know the drill. We know that we need to be flexible, make adjustments, and pay attention.
    • 11 minutes ago
      TEH 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 time that I have been sick was when I got COVID during Jan '22. my sugars were going crazy high and I couldn't understand why but when I tested positive for COVID, in retrospect it made sense.
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    When looking at a food’s nutrition information and deciding how many carbohydrates you plan to bolus for, do you consider the amount of fiber in the food? Share more in the comments about how fiber factors into your carb counting and insulin dosing.

    Home > LC Polls > When looking at a food’s nutrition information and deciding how many carbohydrates you plan to bolus for, do you consider the amount of fiber in the food? Share more in the comments about how fiber factors into your carb counting and insulin dosing.
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    43 Comments

    1. Lawrence S.

      I don’t like to use the word “always”, but I always subtract the fibers from the total carbohydrates to determine how many carbs to count and how much insulin I take.

      5
      2 weeks ago Log in to Reply
      1. Cristina Jorge Schwarz

        Me too. I eat so many high fiber veggies, etc., that if I didn’t substract fiber, I’d go super low after each meal!

        3
        2 weeks ago Log in to Reply
    2. dave hedeen

      Fiber is not factored into carbs; yet the food usually is preselected because of higher fiber content

      1
      2 weeks ago Log in to Reply
    3. skoogirl

      We really only have a problem with raisin bran and he rarely eats that.

      2 weeks ago Log in to Reply
    4. Shelly Engel

      The fiber to carbohydrate ratio in my food is the main thing I consider. I can eat foods or meals with a 1/3 up to 1/6 fiber/carb ratio with success( blood sugar staying in range) with my usual bolus of 1 unit insulin per 20g carbs. I see that amount of fat seems to effect that as well, but I try to limit that element for my digestive system which has issues. I know every body is different. I am curious to see more comments on this question 🙂

      2
      2 weeks ago Log in to Reply
      1. Cristina Jorge Schwarz

        Fat only slows my response. So I now keep my macros in similar ratios per meal, and use the same extended bolus time for each meal. The up front bolus are my net carbs, the protein portion is in the delayed.

        2 weeks ago Log in to Reply
      2. Lawrence S.

        Shelly,
        I subtract for fibers, and I do extended boluses for fats. Usually, sausages, pizza, pork, etc.

        1
        1 week ago Log in to Reply
    5. Randy Reed

      High fiber reduces the uptake of sugars but it does not de

      2 weeks ago Log in to Reply
      1. Sherrie Johnson

        I go too low if I don’t. I rarely eat packaged goods bread 1piece a day.
        Sometimes you have to be a rocket scientist to figure this out no set rules that I have found Another reason I do all my own cooking have a lot of trouble when I go out for Chinese though

        2 weeks ago Log in to Reply
    6. Cristina Jorge Schwarz

      Absolutely! Almost all fibers have no impact on my BG. I substract the fiber from the total carbs (as well as allulose). Sugar alcohols: I add half to the net carbs, they still have an impact on my BG.

      I have found a few fibers that raise my glucose. Inulin and so-called “resistant” fibers…are not. They just have a delayed spike, later than the protein. So, I try to avoid them.

      1
      2 weeks ago Log in to Reply
    7. AnitaS

      One of the foods that I do pay attention to and subtract some of the fiber content from the total carbs is cereal. I tend to eat the types with the most fiber, and if the cereal has 18 grams of fiber, I definitely have to subtract some of the fiber from the carbs or I will over-bolus and my blood sugar will go too low.

      3
      2 weeks ago Log in to Reply
      1. ConnieT1D62

        The rule of thumb for fiber content adjustment with carb counting is to deduct anything over 6 grams of fiber divided by two. So if you have 18 grams of fiber, you would deduct 9 grams from total CHO count. If you have 6 grams, it would be 3 grams; 5 grams or less they say leave it alone … and so on. It’s a crap shoot and doesn’t always work the same. In my personal experience it depends on the density of the fiber. I may deduct 1/2 of 4 or 5 grams.

        1 week ago Log in to Reply
    8. kenneth brooks

      Fiber is a glucose polymer which is not absorbed. I would not count that as a digestible carbohydrate

      3
      2 weeks ago Log in to Reply
    9. Kathy Morison

      I was taught early on that the amount of fiber grams would minus out the same amount of carb grams so I always calculate my dose accordingly

      1
      2 weeks ago Log in to Reply
    10. Joan Benedetto

      In answered “No” for our son. We have over nine years experience with our 10.5 year old. At trading, we were taught to deduct have of fiber grams over 6. This method totally backfired on us multiple times. We dose for total carbs.

      1
      2 weeks ago Log in to Reply
      1. Joan Benedetto

        Training

        2 weeks ago Log in to Reply
    11. Jane Cerullo

      Net carbs is a myth at least for me. I count all carbs and base bolus on that number.

      2
      2 weeks ago Log in to Reply
    12. Theresa Hastings

      I no longer enter carbs or count carbs. I use a DIY closed-loop system that does not require carb entry to stay in-range. My diabetes goal is to never need to bolus or count carbs again.

      2
      2 weeks ago Log in to Reply
      1. Jneticdiabetic

        @Teresa Hastings and other DIY closed loop users – Please tell me more about this no carb counting lifestyle! My understanding was the major challenge with full automation of insulin delivery was food — by the time CGM detects sugar starting to rise post meal and then insulin slowly absorbs from under the skin, you’re facing hours above range. I’m on a Tandem with Dex that overall works well for me, but if I forget to pre-meal bolus, this is a situation I find myself in.

        2 weeks ago Log in to Reply
      2. Gerald Oefelein

        Sounds interesting! What system are you using?

        2 weeks ago Log in to Reply
      3. Louise Robinson

        Care to share what your A1c has been doing this? What does your diet consist of? Also, which pump/system are you using? I would not be able to sustain an acceptable A1c without inputting carbs and bolusing from my Tandem T:slim X2 with Control IQ.

        1
        2 weeks ago Log in to Reply
    13. Claude Laforest

      I count on the ratios to compensate for the fibers I don’t count.

      2 weeks ago Log in to Reply
    14. Patricia Kilwein

      I only consider subtracting fiber from carbs if grams are over 10 per serving.

      2
      2 weeks ago Log in to Reply
    15. Sherolyn Newell

      I haven’t found the fiber content to make any difference for me. I tested a couple times and subtracting fiber from carbs made my BG go too high.

      4
      2 weeks ago Log in to Reply
    16. Carolann Hunt

      If we deduct the fiber we go high. High fat we need to do an extended bolus

      1
      2 weeks ago Log in to Reply
    17. Becky Hertz

      The only food I consider the fiber in is WASA light rye.

      2 weeks ago Log in to Reply
    18. TomH

      When dx’d T2, I was taught to count the carbs, subtract 1/2 the fiber, and 1/2 the protein if over 5g. Dx’d correctly as T1, the Endo said she’d never hear of any such thing and count carbs, period. Since then, I’ver learned some count carbs and count part of the fat and part of the protein if a high fat/high protein meal (25% and 10% respectively and usually). Seems to vary widely, some to great effect, some to questionable effect.

      2 weeks ago Log in to Reply
    19. Ahh Life

      During the garden of Eden days, all the formulas worked, all the minute calculations seemed to work, and I mostly loved happily ever after.

      Then the giant ogre of gastro paresis reared its despicable ugly head saying, “A curse on all your formulae!”

      Now, it’s like flinging a net over more or less random numbers, drawing it in, and hoping some kind of pattern emerges. 😫

      3
      2 weeks ago Log in to Reply
      1. Russell Buckbee

        Aha yes. I am with you. See my comments.

        2 weeks ago Log in to Reply
      2. Lawrence S.

        Exactly!

        1 week ago Log in to Reply
    20. Pauline M Reynolds

      I only consider fiber when something is very high in fiber, like a bran muffin.

      1
      2 weeks ago Log in to Reply
    21. Liz Avery

      I answered other. I was given exchange lists as a child – 1966 – then the Cleveland Clinic high fiber diet, then carb counting when I went on the pump. I had nutrition classes in college. I got into it one day with the Medtronic Representative as she insisted I was not counting correctly( damn youngster). I have a modified way of counting. Yes I count fiber. I also am leery of package labeling as some add or subtract for fiber ( ala an Atkins diet). My husband is a pre-type 2 and I am the cook and grocery getter. I know the ins and outs of several diets helping him. So my method of counting is difficult to explain, and if I am off, I do correction boluses.

      1
      2 weeks ago Log in to Reply
      1. Liz Avery

        My last A1c – 6.4

        1
        2 weeks ago Log in to Reply
      2. PamK

        Good for you, Liz! I was diagnosed in 1964 and was on an exchange diet, then went on a high fiber diet and now count carbs (on a pump!). I agree with you that no matter how you calculate your bolus it will never be 100% right. Too many other factors play into blood sugar for just carb/fiber counting to work!

        4
        2 weeks ago Log in to Reply
    22. Bonnie Lundblom

      Yes, I usually subtract the fiber carbs and dose based on this corrected total carb amount to prevent hypoglycemia.

      1
      2 weeks ago Log in to Reply
    23. Russell Buckbee

      Really fiber counting ? One could do fiber guessing which isn’t much different than carb counting aka guessing. The reality of diet and BS is way too complicated for the human mind to do. Maybe I could put an artificial intelligence to good use and have it do my BS management. LOL Anyone have an app for that.

      1
      2 weeks ago Log in to Reply
    24. PamK

      I look at the amount of fiber and deduct 1/2 of that amount from the number of carbs. So, if there are 6 carbs, I deduct 3 grams of carb. For odd numbers, I round down – – IE: for 5 grams of fiber I deduct 2 grams of carb.

      2
      2 weeks ago Log in to Reply
    25. Chris Albright

      I rarely find the subtraction of fiber from carbs to be worth wild. It might be applicable for some people, but not for me

      2 weeks ago Log in to Reply
    26. MARIE

      My husband is on a very low carb diet and always counts carbs and subtracts fiber. He eats a fiber rich diet and while there are too many variables for any system to be perfect, he’d always be overdosing if he did not subtract fiber.

      2
      1 week ago Log in to Reply
    27. LizB

      If I eat a LOT of vegetables in one meal I do usually deduct at least half the fiber, sometimes more. I find that those low carb tortillas with a ton of fiber need to be deducted as well or else I’ll crash. If my meal contains just a few grams, especially if they come from multiple ingredients, I don’t bother.

      1
      1 week ago Log in to Reply
    28. Jen Farley

      As a pump user, you over bolus if you add anything to the total carb count and under bolus if you subtract anything. It would need to be set up like that at the beginning so the calculations correct for how a person processes carbs. No two are the same, that is what I am told.

      1 week ago Log in to Reply
    29. Wanacure

      On a very low carb diet, but not keto. Use yoghurt not milk. And take 1 TB flax meal at breakfast and another 1 TB at dinner. Veggies at every meal. So I use net grams carbo. 6.1 was last A1c using multiple daily injections, CGM, and doublechecking readings w/ finger sticks before raising or lowering premeal dose (bolus) of fast acting lispro (Humalog brand).

      1 week ago Log in to Reply
      1. Cristina Jorge Schwarz

        @Wanacure I do similarly, but on a pump. It’s a lot of work, as I weigh out almost all my foods to be precise. But, my A1Cs have been under 5.5 for several years now, low standard deviation. I’m not changing my methods, they’re working!

        1 week ago Log in to Reply

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