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The Question
Thu Aug 22 15:47:26 UTC 2013

I am a type 2 diabetic that can't lose weight but the question is : the va wants me to eat more carbs, but when I eat them they run my sugar up.
Asked By: pand  

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Expert Answers (1)
2014-07-02 14:38:20.0

Dear pand,

Thank you for writing dLIfe!,

  I'm going to assume that you are trying to lose weight when you say "I can't lose weight.”

  The recommendation for carbohydrates is a minimum of 130 grams per day, but this number needs to be individualized to each person.  You may be just fine with a bit less.  It is great that you are monitoring your blood sugars.  The best way to test the affect of a food or meal, is to check your blood sugar right before eating and then check it again 2 hours after the first bite.  After 2 hours your blood sugar should be less than 140.

  Some of the things you can do to make sure your blood sugars stay in range include:


  • Use a measuring cup to make sure the quantity of your carbohydrate is close to the recommended amount.

  • Add a healthy fat to every meal.  This will slow down absorption of the whole meal and decrease the "sugar peak."  Some examples of healthy fats include avocado, olive oil, nuts and seeds (sunflower, pumpkin, chia,).  You can make this simple by having a salad with an olive oil vinaigrette (add recipe link here) and add avocado or nuts. The small portion of extra fat will also help you to feel full for a longer period of time.

  • Include foods with fiber such as non-starchy vegetables (broccoli, string beans, zucchini, red pepper) and whole grain foods such as quinoa in place of white rice.  The non-starchy vegetables should take up half of your plate at lunch and dinner.

  • Avoid "liquid sugar" such as juice and milk.  All milk, even skim, contains 12 grams of carbohydrate per 8 oz. glass. 

      If blood sugars are still high after doing all of the above, re-visit with your dietitian/certified diabetes educator for a review of your food and blood glucose records. 

     A helpful resource for carbohydrate counting is: The Calorie King Calorie Fat & Carb Counter.

  • Accreditations: MSEd, RD, CDE, CDN
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    *** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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