Hi guys, how are you doing? Today we’re going to talk about counting carbs But before doing that I’ll tell you what it is Counting carbs is a nutritional method where you count how much carbs we’re eating in each meal then we take insulin for that quantity so that we can be more flexible with what we eat That doesn’t mean we can eat junk food at all We should go on a diet made by an nutritionist so that we can get a better glycemic stability This method is recommended for all types of diabetics of all ages The indicated health professionals to recommend the method to patients are the nutritionist teamed with an endocrinologist The nutritionist will give you the diet with the heatlhier possible meals with the right amount of carbs that you’ll eat in your day He’ll also give you the max amount of carbs that you’ll be able to eat in a day as well as the calories So that you don’t eat like crazy=D And last but not least, your endocrinologist will give you the amount of insulin for each meal How he is gonna do that? At your endoctilonogist, he’ll look at the diet that your nutricionist gave to you and will estipulate the CARBS X INSULIN plan This is the amount of carbs that you’re going to eat x the amount of insulin that you’re gonna take for that For example: I have multiple carbs x insulin plans during my day. In the morning, my plan is 1 unit for 10g of carbs. In the afternoon it’s 1 unit for 16g of carbs! And at night it’s 1 unit for 21g It’s a huge difference of insulin quantity that I take So, everyone has your own cabs x insulin plan. You can’t test by yourself: ”I’m gonna use 1 unit for 15g”.
Don’t do that. Wait for your doctor’s opinion He will give to you the plan. Because your weight, your age and what you eat will can influence in this plan. So, don’t try to do it by yourself because it won’t work, ok? Then we have to understand what carbs are They’re the main source of energy of our body and they all become glucose in your blood And that makes our sugar levels rise right? That’s why we have to take insulin and count carbs and correct accordingly with ultra-rapid insulin We should eat protein and a bit of fat. But good fat ok? I mean olive oil and a little bit of diet butter Why? Because protein and fat will help so that the carbs don’t raise the glucose too much Fibers are also good allies when you eat carbs. That’s why it’s good to eat wholefood Cause wholefood have a lot of fiber. And fiber alongside carbs decreases the glycemic index of that food My diet is easy-going. I eat whole rice, beans (just the broth cause i don’t really like the seed) protein, a bit of meat or fish steak and salad and sometimes a bit of vegetables too. These 4 types of food help my diet staying stable. And to have a stable diet while taking insulin will make my sugar levels being sable too That’s why sometimes people ask me how my sugar levels are so good after having a meal? It’s by counting carbs while having a healthy meal. It doesn’t work if you’re trying to count carbs while eating junk food Sometimes on weekends when I want to eat french fries I make some mistakes while counting the carbs Mostly because I’m not used to eat that kind of fat But then I think to myself, my sugar levels are very good the whole week. Just one day wouldn’t be a problem But you shouldn’t do that. I don’t recommend doing this a lot. You should find other types of healthy food that you like Dani, from the blog “Just another T1D”, makes some delicious heathy food that makes hungry=D Sadly I don’t know how to make these recipes=/ She makes beet souffle, brownie beans and other amazing stuff that I want to learn all the recipes Because they’re all very cool recipes that look very good, are healthy and can be very tasty Your diet doesn’t have to be something bad, it can be very tasty. So go take a look at Dani’s blog if you want some of those recipes Don’t try to get those low carb diets, they are very bad for people who have diabetes Because when we consume low carbs our body will search for secondary sources of energy which will lead to the production of ketones That causes ketoacidosis So, yea. Eating low carbs might can cause ketoacidosis. It can make you have high ketones on your blood and that’s very dangerous This is scientifically proven, you can ask your doctor. You don’t have to eat a lot of carbs in a day but don’t eat 10g because it can get you in trouble You should eat a least 130g of carbs in a day. It’s not that much and It’s healthier for you and your body And of course, without ketones in your blood ;D One thing that helps a lot is to have a little notebook to keep track of your sugar levels, how many carbs you ate, what you ate how much insulin you took and how was your sugar levels two hours later to know if that amount of insulin was appropriate You’ll take insulin to avoid your glucose to get high So, if two hours later your insulin is high or low it’s because you made something wrong There are some really nice apps that you can download to use it as your “notebook” They are called MySugr, My Fitness Pal and a couple others that I’ll put donw there in the comments section These apps have the carb sheets that displays how many carbs has in each food. They can help you manage this sheet. My Finess Pal for example, has a food list and when you put the food you want to eat it will show you how many carbs are in it. My Sugr is great because it can estimate your A1C. You need to know about counting carbs before using it because it doesn’t have the sheets. Unless you have a manual notebook or another app to help you Regular insulin (R-insulin) users CANNOT count carbs. Why: The R insulin takes at least 30 minutes to begin to make effect in our blood, and the food that we eat takes 15 minutes. When you count carbs, you need an insulin that acts alongside with the food. And only the analog insulins (ultra-rapid) can do this. So, that’s why only ultra-rapid insulin users can do the counting carbs! Recently here in Brazil, the CONITEC* opened a online questionary to ask what the population thinks about the distribution of analog insulins to the SUS (public hospitals). It’s very important that you answer this questionary and give your positive opinion about this because the insulins that we receive today is the R insulin and the NPH (basal), and they are really bad. The R insulin is used only to decrease the sugar levels. It is used to correct the ”mistake”. And we need an insulin to avoid the sugar levels to rise. We need to avoid the mistake and not correct it. If the SUS have sucess on approving the delivery of analog insulins, it’ll be a HUGE advance in Brazil and we really need this! So, I’ll leave the link of the questionary here in the discription so you can answer it positivily until october 3, so we can get the analog insulins by SUS That are: Humalog, Apidra, Novorapid. So please, answer this public questionary, and let’s hope we win this! My advice is that you know yourself, study hard about diabetes and talk to your doctor before starting the counting carbs Please, don’t start it by yourself I’m making this video to explain some things to you so you can talk to your doctor, and have a flexibility on your control and so you can know yourself better So, before everything, study, be disciplinated in writing on the ”notebook” everything you eat. This will help your doctor. So, I hope you enjoyed this video and learned a bit about couting carbs Don’t forget to subscribe, like my facebook page and like this video down here. XOXO, see you soon!