Home  |  Contact Us  |  Site Map  |  Staff Tools  |  Classes  |  Newsroom

  Chat Transcript
Open Forum and Carb Counting Tips with Karen Gesell: May 30, 2012
 rainbow:
 I need some advice about reading the labels on packages regarding carbohydrates. Some whole grain pastas I pick up which are whole grain say they have so many digestable carbs or net carbs and other carbs. Can you clarify this for me, Karen?
 KarenG@Unity:

 Welcome to the Unity Diabetes Online Community! I’m Karen Gesell and I’ll be hosting today’s chat. We’re glad you could join us today. I’m excited to share a few pointers on counting carbs and to answer all of your diabetes-related questions. Before we get started let me just tell you how we’ll address your questions and comments today. I answer questions one at a time, in the order that they are posted to the site, and there might be a slight delay as I respond to each question.

  KarenG@Unity:
 It may take a few minutes for me to type answers to your questions, so please stay logged-in to the chat to see my response, even if it takes a few minutes. And you might need to refresh every few minutes to keep up with the latest posts in the chat if you switch to another application on your computer.
 KarenG@Unity:
 Great question Rainbow, currently there are no government approved definitions for net carb or digestable carb. You must go by total carbs on the label for the true carb value. Some of these pastas have higher fiber content however, and are better for you because they are digested slower.
 Jackson:
 What are the concerns with the "no carb" diet? Is it healthy to eat no carbs to lose weight?
 KarenG@Unity:
 The body needs some carbs to maintain normal functions. So a female should try to have 45 grams of carbs at each meal and males should shoot for 60 grams at each meal. It would be okay to have a couple of snacks a day that consist of 30 grams of carb. Example 4-5 crackers with 1 Tablespoon peanut butter.
 sassy35:
 If you choose a food with a high fiber content can you "disregard" the carbs?
  KarenG@Unity:
 Sassy, if the fiber is over 5 grams you can take 1/2 that number and subtract from the total carbs. Example: total fiber is 6g and total carbs are 10g so 1/2 of 6 = 3 and 10-3 = 7 so the new total carb value is 7 grams.
 rainbow:
 Love all this information about carbs. I am eating my yogurt now and it has 33 grams of carbohydrate and no fiber, hmmm, I will have my orange now. Karen, are there any classes for people with pre diabetes?
 lucyblue:
 How much carb should be in a snack?
  KarenG@Unity:
Rainbow, great question! We offer our managing diabetes classes that are held on an ongoing basis. We also have a diabetes prevention program that will start in the fall. Please call 368 -4560 for more information.
 Jackson:
 Does this work with separate foods? Example: if I eat something high in fiber like raw vegetables with something high in carbs like a few pieces of bread, does that equation above work too?
 KarenG@Unity:
 Lucyblue, a snack can have 15-30 grams of carb. If you are trying to lose weight I would keep to 15 grams for snacks.
 sassy35:
 So if I eat a cereal high in fiber - could that discount the carb in the milk I put in it?
 KarenG@Unity:
 Jackson, no the formula only works for a food item. The high fibers does not cancel out the carbs in the bread, but the fiber may slow down digestion and cause less spike in blood sugar. However all food effects everyone differently, and you will need to see how each food effects you.
 Jackson:
 Thank you, this is helpful!
 rainbow:
 How about fat in the diet, will that directly affect my blood sugars?
  KarenG@Unity:
 Sassy, no you can not cancel out milk carbs – see my last post to Jackson.
 sassy35:
 Great advice on the snacks - any ideas for 15g carb snacks?
 jack34:
 My fasting readings for the past 5 months have averaged 138. My Dr. says that because my last 2 A1C readings have been 6.8, that the fasting readings are OK. Do you agree?
 KarenG@Unity:
 Low carb yogurt, 4-5 crackers with 1 oz cheese or 1 tablespoon peanut butter, small apple, 1/2 hummus with carrot sticks, 1/2 cup sugar free ice cream and 5-6 almonds.
 KarenG@Unity:
 Jack34, your doctor is taking in many different factors. The American Diabetes Association recommends fasting blood sugars be 70- 130 and have an A1C of less than 7.
 jack34:
 Thank you.
 sassy35:
 Thanks for the info on snacks...what about low carb breakfasts? I always get stuck there.
 rainbow:
 Yes sassy me too, it seems like cereal is so high in carbs!
 KarenG@Unity:
 Sassy, good question and one many people struggle with. You could try whole grain toast with peanut butter, oatmeal with berries, or an egg white omlet with veggies.
 sassy35:
 Those are good ideas! What about alternatives for juices? Any low sugar, or no sugar suggestions?
 rainbow:
 Thanks for all the tips on carbs, KarenG, you made everything so clear.
 KarenG@Unity:
 Sassy, you could try crystal light, tea, coffee. There is a lite juice but it is still pretty high in carbs. You could try having just a small 2-4 oz glass.
 KarenG@Unity:
 Are there any other questions before we wrap up the session.
 juanitajolley:
 None from me. It was helpful to listen in. Thanks.
KarenG@Unity:
That’s all the time we have for today. I’ve really enjoyed our conversation and hope that I was able to provide some insight for you. If we didn’t get to your question today or if you think of another question later on – feel free to jump into the conversation in the forum, or submit a question using our “Ask an expert” feature.”
 KarenG@Unity:
 Be sure to join us for our next chat Wednesday, June 13 at 12 p.m. with Dr. Rajamani. He’ll be taking questions and chatting about all of the new diabetes apps!
 
 
Diabetes events and classes to help you get the support you need. Diabetes classes and diabetes events
August 11, 2014
5:30 p.m. - 7:30 p.m.

 
Monday – Friday, 8:00 a.m. - 4:30 p.m.
Phone: (585) 368-4560
© 2013 Unity Health System, Rochester, N.Y.