Theresa Hastings

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- 1 year, 3 months ago
  
  Cristina Jorge Schwarz has commented in the same post you commented in :
  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.
  @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 year, 3 months ago
  
  Wanacure has commented in the same post you commented in :
  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.
  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 year, 3 months ago
  
  ConnieT1D62 has commented in the same post you commented in :
  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.
  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 year, 3 months ago
  
  Lawrence S. has commented in the same post you commented in :
  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.
  Exactly!
- 1 year, 3 months ago
  
  Lawrence S. has commented in the same post you commented in :
  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.
  Shelly, I subtract for fibers, and I do extended boluses for fats. Usually, sausages, pizza, pork, etc.
- 1 year, 3 months ago
  
  Jen Farley has commented in the same post you commented in :
  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.
  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 year, 3 months ago
  
  LizB has commented in the same post you commented in :
  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.
  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 year, 3 months ago
  
  MARIE has commented in the same post you commented in :
  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.
  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.
- 1 year, 3 months ago
  
  Chris Albright has commented in the same post you commented in :
  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.
  I rarely find the subtraction of fiber from carbs to be worth wild. It might be applicable for some people, but not for me
- 1 year, 3 months ago
  
  PamK has commented in the same post you commented in :
  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.
  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!
- 1 year, 3 months ago
  
  PamK has commented in the same post you commented in :
  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.
  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.
- 1 year, 3 months ago
  
  Russell Buckbee has commented in the same post you commented in :
  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.
  Aha yes. I am with you. See my comments.
- 1 year, 3 months ago
  
  Russell Buckbee has commented in the same post you commented in :
  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.
  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 year, 3 months ago
  
  Jan Brooks likes your comment at
  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.
  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.
- 1 year, 3 months ago
  
  Bonnie Lundblom has commented in the same post you commented in :
  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.
  Yes, I usually subtract the fiber carbs and dose based on this corrected total carb amount to prevent hypoglycemia.
- 1 year, 3 months ago
  
  Liz Avery has commented in the same post you commented in :
  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.
  My last A1c - 6.4
- 1 year, 3 months ago
  
  Liz Avery has commented in the same post you commented in :
  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.
  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 year, 3 months ago
  
  Pauline M Reynolds has commented in the same post you commented in :
  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.
  I only consider fiber when something is very high in fiber, like a bran muffin.
- 1 year, 3 months ago
  
  Ahh Life has commented in the same post you commented in :
  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.
  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. 😫
- 1 year, 3 months ago
  
  Jillkdubois likes your comment at
  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.
  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.
- 1 year, 3 months ago
  
  Sherrie Johnson has commented in the same post you commented in :
  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.
  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
- 1 year, 3 months ago
  
  TomH has commented in the same post you commented in :
  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.
  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.
- 1 year, 3 months ago
  
  Becky Hertz has commented in the same post you commented in :
  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.
  The only food I consider the fiber in is WASA light rye.
- 1 year, 3 months ago
  
  Carolann Hunt has commented in the same post you commented in :
  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.
  If we deduct the fiber we go high. High fat we need to do an extended bolus
- 1 year, 3 months ago
  
  Louise Robinson has commented in the same post you commented in :
  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.
  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.
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Theresa Hastings

101 Federal Street, Suite 440
Boston, MA 02110
Phone: 617-892-6100
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