Carb wars.

Two slices of bread should be pretty easy to carb count and dose for. But for whatever reason, 9 times out of 10 I end up with a blood sugar like this after eating a sandwich:

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It’s true that people with diabetes can technically eat whatever they want, as long as you plan for it and dose for it. But I’ve long believed in the rule of small numbers: Small amounts of carbs only need small amounts of insulin and lead to smaller mistakes. Inversely, large amounts of carbs require large amounts of insulin and can result in greater errors. All that to say that yeah, I can technically carb count anything, but the likelihood of me getting it right drops as the carb count – and complexity of the dish – rises.

It may be this latter issue of combination foods that present the biggest BG challenge for me. Sandwiches I order often contain meat and cheese, so you’re now dealing with all three macronutrients which can slow digestion and cause latent high blood sugars as well as an initial spike from the fast-acting carbs in the bread. This would also explain why I have so much trouble with sushi and everyone’s favorite blood sugar wrecker, pizza. A food high in carbs is only complicated by adding in fats and protein.

It’s part of what makes answering the question “can you eat that?” so annoying. “Can” doesn’t encompass the incredible amount of planning , decision making, and management that it takes to indulge in some foods. But I also don’t like anyone thinking diabetes holds me back from anything, so my answer to that question is always going to be a resounding “yes.”

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