{"id":1850,"date":"2018-11-20T17:26:34","date_gmt":"2018-11-20T16:26:34","guid":{"rendered":"http:\/\/samjwatkins.com\/blog\/?p=1850"},"modified":"2018-11-20T17:26:34","modified_gmt":"2018-11-20T16:26:34","slug":"a-strange-new-world","status":"publish","type":"post","link":"https:\/\/samjwatkins.com\/blog\/?p=1850","title":{"rendered":"A strange new world"},"content":{"rendered":"<p>Food is something I care about.\u00a0 I have to, not understanding how food works in the body is not possible for a type 1 diabetic.<\/p>\n<p>I do not diet per se.\u00a0 I do count my carbs, that is the foundation of my bolusing decisions: if I am not aware of what sugar, protein and fat is in a food, I cannot hope to get the bolusing correct.<\/p>\n<h2>Bolusing?<\/h2>\n<p>That&#8217;s the extra insulin I give to cope with food digestion and sometimes with the release of glucose stores when exercising or when stressed.<\/p>\n<p>When I say food, that&#8217;s anything with sugar, fat and protein.<\/p>\n<p>I don&#8217;t necessarily give insulin for fat but a higher concentration of fat makes the carbohydrates I eat act behaviour differently in my body.\u00a0 Very few foods are purely fat, sugar or protein.\u00a0 All mammalian meat has some stores of fat and sugar because that&#8217;s how mammals work.\u00a0 We store energy in our muscles. Birds and fish do this in a suitably different way. Beans also provide some fats and sugars along with the base proteins.<\/p>\n<p>What you end up with is a wonderfully tasty mix that&#8217;s hard to quantity in terms of what sugar is entering your body at any one time.<\/p>\n<h2>Honey&#8217;s there &#8211; I don&#8217;t count honey as sugar<\/h2>\n<p>It works with my insulin exactly as sugar does.\u00a0 It might provide some trace elements, but I need to bolus for honey exactly as I do for sugar.\u00a0 Weight for weight.\u00a0 Sorry, but I have the bolusing facts to back it up.<\/p>\n<p>I don&#8217;t produce insulin any other way, so it&#8217;s pretty conclusive.<\/p>\n<h2>Hmm, OK, we&#8217;ll leave that there.\u00a0 Bolusing decisions?<\/h2>\n<p>Fibre does make a difference, if a food is very fibrous I take off the fibre from the carb count and bolus the difference.<\/p>\n<p>Fat slows absorption but doesn&#8217;t affect the amount I bolus.<\/p>\n<p>Protein is a whole different and fun ball game.\u00a0 Hard to measure and harder to know when it will act.\u00a0 I keep my protein count down low to keep things easy, about 100cals spread throughout the day.<\/p>\n<h2>Complicated!<\/h2>\n<p>Yes, yes it is.\u00a0 I didn&#8217;t get it right when counting a new home made recipe and ended up fighting to get my blood sugar down most of Sunday evening.<\/p>\n<p>Butternet squash soup tastes great but needs bolusing in a suitably different way to my approach on Sunday &#8211; I propose giving the bread bolus over a 15minute extended bolus and the soup needs more quick bolusing &#8211; possibly 40g of carbohydrate for a bowl of soup.<\/p>\n<h2>Wow, you&#8217;ve completely lost me!<\/h2>\n<p>Have a great evening \ud83d\ude09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Food is something I care about.\u00a0 I have to, not understanding how food works in the body is not possible for a type 1 diabetic. I do not diet per se.\u00a0 I do count my carbs, that is the foundation of my bolusing decisions: if I am not aware of what sugar, protein and fat [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[5,9],"tags":[],"class_list":["post-1850","post","type-post","status-publish","format-standard","hentry","category-forty-two","category-type-1-diabetes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A strange new world - Finding the chase and cutting to it<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/samjwatkins.com\/blog\/?p=1850\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A strange new world - Finding the chase and cutting to it\" \/>\n<meta property=\"og:description\" content=\"Food is something I care about.\u00a0 I have to, not understanding how food works in the body is not possible for a type 1 diabetic. 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