It might take some experimentation and effort, and the collaboration of your diabetes care team, to determine the best amount of carbs for you to eat. It’s also wise to discuss any interest you have in specific diets and discuss how to incorporate them safely.
“Everyone’s health journey is unique, so eating patterns need to be individualized to include other health conditions (like heart, kidney, or liver disease), food preferences, cultural foods, cooking skills, and accessibility to healthy food choices,” says Smithson.
It’s also possible for your carbohydrate needs to change with time. “There are many life scenarios that would change the amount of recommended carbs or the amount of recommended insulin per carbohydrate,” says Kumar. For example, “if somebody develops more muscle mass, and they’re more fit, their insulin sensitivity will improve, and their blood sugar spikes less in response to carbohydrates.”
Based on changes that can happen, Kumar says that the relationship between patients and specialists remains important over time. “Having a good diabetes team, like a nutritionist and a diabetes educator is important, even if patients only check in once every several years when something changes.”
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