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Nutrition

Top 10 Reasons Why Your Blood Glucose (BG) May Not Be As Well-Controlled As You Would Like: Advanced BG Pattern Management With Carb Counting

 

  1. Incorrectly estimating or measuring carbs (including eating out, recipes).

  2. Eating high fat foods affecting the digestion of carbs or the action of insulin.

  3. Not eating a “balance” of foods at meals (protein, starch, vegetable).

  4. Eating certain “trigger” foods that elevate YOUR BG (usually certain starches, fruits, or combination foods).

  5. Poor timing of meals—eating too often or not often enough.

  6. Not counting carb grams in “vegetables” (salads, broccoli, etc).

  7. Not considering the effects of stress, sickness, or exercise/lack of exercise on BG.

  8. Not monitoring your BG often enough to identify patterns.

  9. Incorrect Food Factor or BG Correction Factor. Your Food Factor may vary from meal to meal. For example, you may be taking 1 u Novolog or Humalog per 15 grams of carbs. Incorrect BG Correction Factor (eg, you may be taking 1 u Novolog or Humalog per every 50 points your BG is elevated over 150). Either of these factors may need to be changed from time to time.

  10. Incorrectly set basal rates if on the “insulin pump”. The basal rate is the amount of insulin infused from the pump over a 24 hr period. The average person may have 2-4 rates a day. Problems with the infusion line or site could cause erratic BG.

 

Copyright 2006 Eastern Virginia Medical School/The Strelitz Diabetes Institutes. All Rights Reserved.

 


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