Learning how to count carbs is a skill worth developing.
with Amy Tenderich
Editor's Note: While this columnist is no longer writing for dLife.com and we have ceased to update the information contained herein, there is much to be read here that is still applicable to the lives of people with diabetes. If you wish to act on anything you learn here, be sure to consult your doctor first. Please enjoy the column!
As a person with diabetes, you simply gotta learn this stuff. You need to know how many carbs are going in, plain and simple, in order to keep your glucose levels in check with your oral medications and/or to set insulin doses. Carb-counting is an awesome tool for controlling diabetes that we didn't have even five or 10 years ago. Continuing to "guess" is kind of like doctors continuing to guess at what ails their patients, rather than using the newest methods and procedures for more accurate diagnosis. Why do it?
So, allow me to take you on a quick tour of a few major stumbling blocks, and the best ways around them that I've found.
A little knowledge is a dangerous thing, no? When my mother was recently told she has "pre-diabetes" and thus needs to "control her carbohydrate intake," she began acting like a dark cloud was trailing her, moaning about not being able to eat anything she really likes! When I sat her down to review her worries, I discovered that Mom didn't even know exactly what "carbohydrates" are.
Carb foods are those that break down to glucose (sugar) in your body – mainly grains and starchy foods (pasta, potatoes), along with obviously sugary foods of all kinds. Yes, Mom, this includes fruit! But it doesn't mean you can't enjoy your morning nectarines. It just means you need to be very mindful of how much you're eating, and it's best to mix up the carb foods with other foods – including protein (meat, cheese, nuts), veggies, and a little bit of fat – to slow the absorption of the sugar content into your blood.
Keep in mind that real, unprocessed foods will always do you better than any fabricated "low-carb" product. That stuff is often extremely high in fat and chemicals, and has in some cases even been altered specifically to be indigestible, so that your so-called "free" chocolate will create a nasty stomachache.
II. I Hate Math! (Use Your Hands)
But what about counting the carbs? What a pain! Do I eyeball it or weigh it? Do I really need that fancy kitchen scale? Whoa! Slow down... Yes, carb-counting books and gadgets are big business these days. But I've found that the most useful unit measure is still your fist, which costs nothing and is always handy, so to speak. Think of it as a ball of 15 carbs. It's fairly easy to compare a pile of rice or pasta to your fist. Looks about the size of two-and-a-half fists? That's about 38 carbs, my friend.
If you still like to see it in black-and-white, I've found that the best books are pocket guides that you can easily stash and carry. The ADA's little Pocket Guide to Diabetic Exchanges and the "Fast Facts Series: Carb Counting Made Easy are both just 64 pages of extremely portable and useful information.
I was skeptical when my nutritionist kept insisting that most of us eat the same dozen-or-so foods repeatedly, and that after I a while, I'd just learn how many carbs are in those familiar dishes. But she was right! Trial and error can teach you more than any book or counselor. This is why it's important to write down what you're eating and calculating/dosing, at least for a while -- until you can see that you've got it right, and then stick with that.
Bacon & Boursin Cheese Puff Pastry Peach-Mustard Glazed Pork Chops Wild Mushrooms and Artichoke Dip Hoisin Spring Rolls Holiday Spinach Leek Dip with Crudites Herbed Tomato Risotto Mix Oysters on the Half Shell with Citrus Chili Sauce Roasted Root Vegetables Chocolate-Caramel S'mores Chinatown Chicken Chow Mein
As I mentioned in an earlier post, one of the benefits that made it cost-effective for me to go with the real healthcare (HSA) plan rather than the phony (HRA) plan is that my company is now covering "preventative" medicines at $0 copay. The formulary for these, as stated by CVS/Caremark (my pharmacy benefits provider), covers all test strips, lancets, and control solutions. I dutifully get my doctor to write up prescriptions for all of my testing needs, submit...