advertisement
 

  Back to Chat Transcripts Understanding and Using Glycemic Index

Understanding and Using Glycemic Index for Better BG Control
With Betty Brackenridge on November 27, 2000

Chat Room Administrator chat@childrenwithdiabetes.com (206.112.197.133) Mon Nov 27 2000 20:15:13 Eastern US
The 'Food Matters' chat room is now open.

Mon Nov 27 2000 20:35:03 Eastern US
BaconBaby13 (Tom and Davids girl(I Wish!) Gonna be a popstar!) from 205.188.195.53
The first one! Anyone here?

Mon Nov 27 2000 21:00:14 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Hi Guys and welcome to the FOOD MATTERS chat. :-) The topic for this evening is "The Glycemic Index." For those unfamiliar with it, the GI is a system that ranks carbohydrate foods according to how high they raise blood sugar after eating. Single foods are assigned a number that shows their relative ability to raise blood glucose compared to an equal amount of some reference food. The reference used most often in the US is white bread, but pure glucose is also used. The lower the GI number for a given food, the lower the rise in blood sugar it is LIKELY to cause. My goal tonight is to create a forum in which we can share experiences using the GI -- and hopefully answer some questions for people who aren't familiar with this tool. Welcome to the chat!!

Mon Nov 27 2000 21:03:11 Eastern US
Jeff Hitchcock from 206.112.197.133
Good evening Betty. I'll be here for a couple minutes. Brenda's going to stop by later.

Mon Nov 27 2000 21:03:21 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Bacon -- you still there? Is this a subject that interests you?

Mon Nov 27 2000 21:04:07 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Hi, Jeff. Thanks for stopping by. Seems like we could roll a cannon ball through the chat tonight!! LOL

Mon Nov 27 2000 21:04:33 Eastern US
Jeff Hitchcock from 206.112.197.133
Betty ... seems like everyone's setting up for Monday Night Football. After all, the Packers are playing :-)

Mon Nov 27 2000 21:05:01 Eastern US
Susie (T2) from 209.152.220.69
Hi Betty. How are you tonight?

Mon Nov 27 2000 21:05:25 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
I just reminded Jeff that Al Gore was to speak beginning at 8:55.

Mon Nov 27 2000 21:05:29 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Hi everyone

Mon Nov 27 2000 21:05:31 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Ah, yes.. Monday night football! So are you a packers fan by any chance?

Mon Nov 27 2000 21:05:53 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Hi, Barb. Welcome to the chat.

Mon Nov 27 2000 21:06:23 Eastern US
sugarbabe (diagnosed in the dark ages (1980)) from 12.77.12.175
I am going to go on the pump in a few weeks or so (just starting the process) I still have the "old" diabetes pounded in my head and have had a little bit of a hard time with this effect carb counting and bolusing?

Mon Nov 27 2000 21:06:27 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
Hello! We were diagnosed this summer, don't know much at all about this subject, but eager to learn!

Mon Nov 27 2000 21:06:28 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
And Susie -- doing great. How about you? Glad to see you back!

Mon Nov 27 2000 21:06:34 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Jeff is indeed a Packers' fan.
I need to get some kids in bed, but I have been wondering where to find the Glycemic Index.

Mon Nov 27 2000 21:06:55 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Jeez- Brenda, we're competing with politics too. May be a light group tonight - small but mighty!

Mon Nov 27 2000 21:07:22 Eastern US
Susie (T2) from 209.152.220.69
I'm doing much better. Very interested in the topic. My dietician never discussed this with me.

Mon Nov 27 2000 21:07:37 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Well, this is a topic I love to "chat" about. The G.I. works great for my daughter. Her average bg for the last 30 days is 127! Only a few lows in the 70's.

Mon Nov 27 2000 21:07:56 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Well brenda, come back when you can and we'll talk about resources.

Mon Nov 27 2000 21:08:09 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
I had forgotten about Al's talk. Was listening to Tim, 6, read a book. I suspect Al is done, but there's the usual commentary about his talk.

Mon Nov 27 2000 21:08:43 Eastern US
Susie (T2) from 209.152.220.69
Barb and Betty help me understand the GI.

Mon Nov 27 2000 21:08:47 Eastern US
Brenda H. (Marissa, 13, dx'd 9/89) from 10.0.1.3
Barb, those are some great numbers. See you all in a bit.

Mon Nov 27 2000 21:08:59 Eastern US
sugarbabe (diagnosed in the dark ages (1980)) from 12.77.12.175
WOW Barb, That would definately be a dream come true for me!! My last three a1c's have been 10.9, 9.6, 8.6. They are going down, but it took a little over a year just to get it down a little!

Mon Nov 27 2000 21:08:59 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Hi, Jeanne. So much to learn I know. But thankfully you don't have to learn everything at once. Anybody have any particular questions about Glycemic Index? (GI) For those who don't know much about it, I typed in an Introductory paragraph at the beginning of the chat. Maybe you can still scroll down.

Mon Nov 27 2000 21:10:11 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Barb, tell us how you're working this with Lawren. What sort of foods that are low GI appeal to a 6 year old?

Mon Nov 27 2000 21:10:13 Eastern US
sugarbabe (diagnosed in the dark ages (1980)) from 12.77.12.175
How does the GI effect the bolusing in pumps?

Mon Nov 27 2000 21:11:55 Eastern US
Rick (type 2 diet ) from 205.179.212.49
Has anyone else discovered the great new glycemic index Web site? Dr. Jennie Brand-Miller, the world's top researcher on the glycemic index, finally has her own site. The URL is www.glycemicindex.com (easy enough to remember).

Mon Nov 27 2000 21:12:21 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Sugarbabe and all, figuring out specific boluses is always a matter of experimentation. Choosing lower GI foods may cahnge the amount or timing of a bolus (whether through pump, pen or syringe) but it is not an exact tool that you can say "This food definitely does that." It varies a good bit from person to person.

Mon Nov 27 2000 21:13:07 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
The book I follow is called "The Glucose Revolution" the authoritative guide to the glycemic index by Jennie Brand-Miller, PhD, Thomas M.S. Wolever, MD PhD, Stephen Colagiuri, MD, and Kaye Foster-Powell, Diet. You can buy it through Diabetes MAll 1800-988-4772 or www.diabetesnet.com

Mon Nov 27 2000 21:14:01 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Hi, Rick. Thanks for coming. Those of you looking for resources (books, websites, whatever) on GI, Rick is a wonderful resource.

Mon Nov 27 2000 21:15:19 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Definitely a great resource, Barb. How about my earlier question. What foods with low GI are you finding most useful for your 6 year old?

Mon Nov 27 2000 21:16:01 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
I have basically switched from white bread to whole grain breads, from white rice to brown rice, and try to choose cerals with whole grains. My daughter loves fruit (apples especially).

Mon Nov 27 2000 21:16:34 Eastern US
Susie (T2) from 209.152.220.69
Betty, could you suggest some low GI foods?

Mon Nov 27 2000 21:17:33 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Sugarbabe - I personally have found with my patients that working out your bolusing skills BEFORE you go on the pump is time well spent. Are you using Humalog now -- and is that the insulin you'll be using in the pump?

Mon Nov 27 2000 21:17:58 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Wheaties, Cheerios, Oatmeal, Bran Flakes, Multi-grain Cheerios,

Mon Nov 27 2000 21:20:42 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
When I first started reading about GI I was so surprised to learn that a slice of white bread was almost as high as straight glucose. Corn Flakes, Baked potatoes, and white rice are all very high on the list.

Mon Nov 27 2000 21:20:49 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Susie, what kind of carb foods do you normally eat. There are often lower GI substitutions for higher GI carbs choices. They may help improve blood sugars right after meals. For example, say you like rise but find that your blood sugars after a rice-containing meal are higher than you'd like, you could change the portion, adjust your medicine (if taking Humalo or Rpaglinide) or try switching to an equal portion of a lower GI rice - such as a brown rice or a longer grain variety.

Mon Nov 27 2000 21:21:22 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
oops - make that RICE - not rise!!

Mon Nov 27 2000 21:23:35 Eastern US
Connie(BC) (T 1//pumping) from 207.194.16.211
hello

Mon Nov 27 2000 21:23:42 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Barb, your surprise is very common. A lot of people start out assuming that anything with sugar is BOUND to have a greater glucose effect than a starch. But that's simply not true. In fact, most sugars have a lower GI than many pure starches - especially the more refined and processed varieties.

Mon Nov 27 2000 21:24:03 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Hey, Connie - welcome -- you a GI buff?

Mon Nov 27 2000 21:24:08 Eastern US
Susie (T2) from 209.152.220.69
I find that after I eat cereal, even the types that Barb suggests, my bg is higher. I'm on oral meds.

Mon Nov 27 2000 21:24:31 Eastern US
Connie(BC) (T 1//pumping) from 207.194.16.211
GI?

Mon Nov 27 2000 21:25:56 Eastern US
Connie(BC) (T 1//pumping) from 207.194.16.211
Sorry hadn't read back far enough, No I don't seem to be able to work with carb counting, I do exchange and calories

Mon Nov 27 2000 21:26:27 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
You experienced GI users out there - what's your favorite low GI food or meal -- a high carb meal with a relatively low glucose effect??

Mon Nov 27 2000 21:26:43 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
BettyB - I'm unable to scroll down to your explanation (I'll print it out later), but bascially, the lower GI of a food, the slower it changes into sugar, thereby making for a more stable blood sugar reading? (Is this close?)

Mon Nov 27 2000 21:26:45 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Yeah, Connie, we're talking about the Glycemic Index tonight.

Mon Nov 27 2000 21:26:46 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Pasta (spaghetti, noodles, ravioli) are all low GI, most fruits (except dates, raisins, and watermelon) are also low, whole grain breads, most beans (baked, butter beans, kidney, lentils, navy),peanuts, millk, yogurt, cheese, even some candy bars (Snickers! with chocolate and peanuts), these are just of a few

Mon Nov 27 2000 21:28:44 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Jeanne, that's really close -- the lower glucose response after eating a low GI food often translates into a less aacute need for insulin -- especially for people with type 2 diabetes (relying on a sputtering pancreas) or people with type 1 diabetes who are still suing Regular insulin for meal coverage, this can produce a closer match between available insulin and the demand created by the food.

Mon Nov 27 2000 21:29:02 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
What I find is if I combine some foods with a high GI with other foods with a low GI we get a healthy balance. If we have a meal with ALL low she tends to gow low after a meal and if we go all high she goes high after

Mon Nov 27 2000 21:30:29 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Barb, that's a great list but I would add that the best way to tell if a food is low GI for YOU is to test blood suhgar after eating it. The effect can be variable from person to person. It can also vary from the charts in th books depending on how long the food is cooked, the variety eaten, how ripe the fruit is, and a lot of other factors.

Mon Nov 27 2000 21:31:19 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
My daughter is Type I, using Humaog and NPH. Would the GI effect her? (You mentioned Regular insulin.)

Mon Nov 27 2000 21:31:47 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Great advice, Barb. And the other thing to keep in mind is that, for the most part, low GI foods are nutritionally great foods too - highe in viamins, minerals, and fiber than their more processed counterparts.

Mon Nov 27 2000 21:32:22 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
Also - it sounds like high fiber foods have a low GI. Is this right?

Mon Nov 27 2000 21:32:53 Eastern US
stef (mom of baylie andrew diagnosed at age 3.5 yrs. 2 wks ago tomorrow) from 199.174.0.93
Hello, this is all so new to me. I have never been so confused in my life. I have so many questions regarding food. In my experience in the past two weeks, it has been the hardest part of it all.

Mon Nov 27 2000 21:32:55 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Yes, Betty, that is true. I find for my daughter pretzels make her go sky high, but my friend's son who is diabetic pretzels have no effect on him. It is very individual. A lot of trial & error

Mon Nov 27 2000 21:33:22 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Jeanne, the best way to tell if to see how the blood sugars are being controlled in the first hour or two after eating. If they're high, you have a nnumber of tools at your disposal -- lower GI foods are one of them, but so are things like checking out the portion size, confirming that your daughter is using the right carb to insulin ratio...

Mon Nov 27 2000 21:33:57 Eastern US
Rick (type 2 diet ) from 205.179.212.49
"The Glucose Revolution" is indeed the bible of glycemic index studies. It is an update and Americanization of "The G.I. Factor," which was published earlier in three Australian and U.K. editions. It is a paperback and lists for $14.95. John Walsh at Diabetes Mall even undercuts Amazon on the price, offering it at $11.95. The best price that I have been able to find, however, is $10.93 from www.textbooksatcost.com. When comparing prices, however, you always have to consider varying shipping charges and whether the company charges sales tax in your state.

Mon Nov 27 2000 21:35:10 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Hi Stef. This is all good information, but you may get overwhelmed with all this at first. It took me six months just to figure out how to count carbs. Hang in there!

Mon Nov 27 2000 21:35:45 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Wow, Stef -- you must still be trying to get a lot of very basic things straight - I can see where this could be kind of confusing right now. For type 1 diabetes, you have more pressing issues with your child only two weeks in. In my experience, GI is a tool you can use to help finetune control after you have the basics in place. How do others feel about it?

Mon Nov 27 2000 21:36:19 Eastern US
stef (mom of baylie andrew diagnosed at age 3.5 yrs. 2 wks ago tomorrow) from 199.174.0.93
What exactly is GI? Glucose intake?

Mon Nov 27 2000 21:37:39 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
GI stands for the Glycemic Index. It is a measure that uses a number to compare how high different foods raise the blood sugar right after eating.

Mon Nov 27 2000 21:37:58 Eastern US
Connie(BC) (T1//pumping) from 209.53.87.58
I think so BettyB, sure wish I could use it!!

Mon Nov 27 2000 21:38:21 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Thanks, Rick -- let's make sure Bredna gets that info about the book when she gets back.

Mon Nov 27 2000 21:38:45 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
Hello Stef - Glad you found this web site. We're just 4 months out from diagnosis, and I first focused on carb counting, then adding proteins in, now the GI. Also, my daughter's appetite changed alot in the first few months - first very high, (to make up for losing 7 pounds), then gradually cutting down, which required us to consult the endo and decrease her insulin. We're all in this together!

Mon Nov 27 2000 21:40:17 Eastern US
Connie(BC) (T1//pumping) from 209.53.87.58
Hi Stef, make sure you go to parents after this chat is over, lots of support here!!

Mon Nov 27 2000 21:40:32 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
I think most people that watch blood sugars very closley have figured out their own "glycemic Index," to some extent after a while Like the mom Barb mentioned whose son doesn't have much of a glucose response to pretzels - and other people who say -- Jeez, I can't eat (fill in the blank - chinese, pasta, mexican) becausse it sends my sugar through the roof!

Mon Nov 27 2000 21:41:22 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Thanks, Jeanne, that's great insight - and such a common experience.

Mon Nov 27 2000 21:41:28 Eastern US
stef (mom of baylie andrew diagnosed at age 3.5 yrs. 2 wks ago tomorrow) from 199.174.0.93
Thanks, I still have a lot to learn. I have been reading books that were given to me by the hospital. I will learn. I appreciate the support.

Mon Nov 27 2000 21:43:49 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
What's the best way to measure how a single food affects you - eat only that food, and then do a blood sugar reading in an hour?

Mon Nov 27 2000 21:44:09 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Stef, the best teacher will be your exprience. You will eventually be the world's expert on Baylie's diabetes -- reading is great, support is vital, but experience is the great teacher.

Mon Nov 27 2000 21:45:22 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
How about tricks of the trade from you Glycemic Index expert users out there -- somebody already mentioned my fqvorite, I think - M&M's with peanuts. Between the peanuts (which are very low GI) and the fat, the sugar in the chocolate doesn't have a chance!!

Mon Nov 27 2000 21:46:49 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Jeanne - if it's a food KAthleen normally eats alone, then test i that way. If it's a food she normally eats in combination with other things, test it that way. The point is not to KNOW the GI -- the point is to control the BG eating the way the person normally eats.

Mon Nov 27 2000 21:48:11 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
I find that any sandwich using whole grain bread or rolls is a great lunch choice. Brownberry's Health Nut bread tastes great to my family

Mon Nov 27 2000 21:48:30 Eastern US
Rick (type 2 diet ) from 205.179.212.49
BettyB, you asked about my favorite low GI food or meal. It's breakfast, which in my experience and I think in that of many others is the most difficult meal. I agree with Dr. Bob Arnot and Dr. Richard K. Bernstein that its best to minimize the carbs for breakfast. My standard breakfast for years has been two Morningstar Farms Breakfast Patties. These veggie patties, available in the frozen foods section of all supermarkets, have 80 calories per pattie, including 3g fat, 3g carb of which 2g is fiber (leaving just 1g as available or disgested carbohydrate), and 10g protein.

Recently I have begun to top the patties with cheese. I generally use Wildwood Cheddar made from tofu, which is per oz. 5g fat, 3g carb, and 6g protein. Sometimes I use Tillamook Extra Sharp cheddar cheese, which per oz. is 10g fat, 1g carb, and 7g protein.

All in all this is a satisfying, very low carb breakfast for me. It's very easy to make -- 2 minutes in the microwave. And the carb that it contains must be very low GI, because both the Morningstar Farms patties and the Wildwood cheese are made from tofu, which is of course from soybeans, one of the lowest on the index.

Mon Nov 27 2000 21:51:29 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
BettyB - if candy like peanut m&m's slow down absorbtion right away, does it "dump" the sugar into the bloodstream later? I once gave Kathleen a Snickers with peanuts for her late snack, around 8:30 pm, (this is when she was eating more), and her 11pm reading was 350! I thought this made Snickers or other candies a no-no!

Mon Nov 27 2000 21:52:38 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Thanks, Rick. Altogether that's less than one "carb" choice in a meal - which is pretty low carb and likely to have a low glucose effect pretty much regardless of the GI. Bu you're right about soy - what a nutrition powerhouse! Are those brands that folks will find in regular supermarkets or are they more likely to be found in a health or natural foods store?

Mon Nov 27 2000 21:56:14 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Jeanne, I can't give you a definite on that -- don't know the size of the snickers relative to the size of the child, relative to the size and type of insulin dose. BUT, in my experience most high fat (read chocolate) candies, tend to have a pretty modest effect on BG for quite a while instead of giving a big jolt all at onc. Of course, if she was low on insulin that evening when the cqandy kicked in, voila! high blood sugar.

Mon Nov 27 2000 21:56:18 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Jeanne, I wonder if it had to do with the fat content?

Mon Nov 27 2000 21:57:29 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Jeanne, the effect of most everything is magnified in little kids because of their smaller body size.

Mon Nov 27 2000 21:59:11 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
Speaking of high fat, I often hear people speak about the effect of pizza on blood sugar - what exactly is it? (I haven't noticed anything in particular after a pizza meal.)

Mon Nov 27 2000 21:59:33 Eastern US
Rick (type 2 diet ) from 205.179.212.49
Someone mentioned bread. This reminds me of some tortillas that are almost all fiber -- but don't taste like it! In fact, they taste very good.


The only brand of tortillas that I can recommend are those made by La Tortilla Factory. June & Barbara discovered them and used to sell them before they merged with DiabetesWebSite.com, which is now sadly going out of business. These trotilloas are each 2g fat, 12g carb -- of which 9g is fiber, and 5g protein.

We buy them by the case and freeze all but a dozen at a time. We use them for buritos, quesidillas, tacos, etc. They are available from www.latortillafactory.com .

Mon Nov 27 2000 21:59:41 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
One thing I want to mention is fruit juice or orange juice actually have a low GI and are not the best things to use for hypoglycemia. You are actually better off using glucose tablets or a slice of white bread to treat a low

Mon Nov 27 2000 22:00:14 Eastern US
Connie(BC) (T1//pumping) from 207.194.24.184
Pizza hates me, no matter when or what I have with it!! I think it's the starchy dough for me, I just avoid it!!

Mon Nov 27 2000 22:00:41 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Great tip about the ti=ortillas -- how many do you have to buy at once, Rick?

Mon Nov 27 2000 22:02:04 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
really, Connie, mix that dough with all that fat and it seems to keep Lawren high for hours and hours

Mon Nov 27 2000 22:02:21 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Connie, pizza is a uzzle for virtually everyone -- have you tried any of the tricky bolusing approaches with your pump - square wave, dual wave or temporary elevation in basal??

Mon Nov 27 2000 22:02:49 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
I'd like to give those tortillas a try, too!

Mon Nov 27 2000 22:03:10 Eastern US
Connie(BC) (T1//pumping) from 207.194.24.184
Barb, I can't even eat 1 piece without going sky high!

Mon Nov 27 2000 22:03:14 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Good point, Barb -- some people find juices, especially fresh juices to be pretty low GI and a slow treatment for hypo. Too bad they can't put soggy corn flakes in a tube -- THAT is like IV glucose, I swear!! LOL

Mon Nov 27 2000 22:03:59 Eastern US
Connie(BC) (T1//pumping) from 207.194.24.184
BettyB, I've tried all of those, my huby and best friend love pizza, even my own from scratch hate me!!

Mon Nov 27 2000 22:05:04 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Too bad someone can't come up with a whole grain crust and low fat cheese topping that TASTES GREAT

Mon Nov 27 2000 22:05:28 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Connie and barb, yu're in good company - Yale University did that research years ago and dubbed it "The PIzza Effect" -- GI is higher than predicted by the carbohydrate content and delayed for several hours. Many pumpers use a delyed, dual or square wave bolus delivered over several hours when they eat pizze to control the BG. Thin crust seems to help -- and veggie toppings.

Mon Nov 27 2000 22:06:35 Eastern US
Connie(BC) (T1//pumping) from 207.194.16.41
Any starchy foods hate me, even the fbres filled ones!!

Mon Nov 27 2000 22:06:50 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Connie, it sounds like you've covered the waterfront on the pizza issue -- sorry you haven't found a solution yet :-(

Mon Nov 27 2000 22:07:03 Eastern US
Rick (type 2 diet ) from 205.179.212.49
BettyB, all those breakfast foods I mentioned (breakfast patties, cheddar cheese, tofu cheddar cheese) are available in the supermarket that I frequent. But I do live in California, where eating habits are a bit better than elsewhere, I think!

For the tortillas I just looked at the site to be sure. Each package has 10 tortillas, but I don't remember how many packages it. But the site says "Large Low Fat/Low Carb-Net 6 ECC's (8.5"-9") Whole Wheat, Soy, & Oat Fiber
Case Pack 8/ 8ct-17.5oz pkgs - 10 Lbs" for $21.50.

Mon Nov 27 2000 22:08:24 Eastern US
Connie(BC) (T1//pumping) from 207.194.16.41
I can live without it Betty,LOL, I love green vegies thank goodness!!

Mon Nov 27 2000 22:08:32 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Connie, sounds like frustration city to me! Have you tried different bolus ratios? different insulins? enterring the monastary?? never mind - skip the last one -- won't help!

Mon Nov 27 2000 22:09:42 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Well, I have to say sticking with whole foods seems to work the best for us. Lawren has never had a HbA1C over 7.0 this past year

Mon Nov 27 2000 22:10:23 Eastern US
Connie(BC) (T1//pumping) from 207.194.16.41
LOL Betty, I try not to get frustrated, I keep trying when my hubby gets persistant!!

Mon Nov 27 2000 22:10:37 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Rick, thanks so much -- I recognize the morningstar Farms brand -we have that one i supermarkets here in Arizona too -- but the others I'm not so sure -- but perhaps people can find similar products in different brands that are regionally available

Mon Nov 27 2000 22:12:24 Eastern US
Connie(BC) (T1//pumping) from 207.194.16.41
Great A1c Barb if there aren't too many lows!!

Mon Nov 27 2000 22:12:38 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Barb, that's wonderful. But I'm sure you'll start having some challenges when she starts eating away from home a bt more -- at school and friends houses. I remember very well when my girls started developing a taste for the things their friends ate that they's never seen in our little crunchy granola home!! LOL

Mon Nov 27 2000 22:13:05 Eastern US
Jeanne (Mom of Kathleen, 7, dx 4 months ago) from 205.188.198.41
I need to sign off - thank you very much, BettyB,and all of you participating. I learned alot, (and I learned that I have alot to learn!) I'll get the book mentioned earlier. Good night all from sunny Florida, where your vote counts (sort of!)

Mon Nov 27 2000 22:14:18 Eastern US
Rick (type 2 diet ) from 205.179.212.49
I need to sign off now too. Thank you all very much. Please come visit my Web site some day: www.mendosa.com/diabetes.htm .

Mon Nov 27 2000 22:14:27 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Just the occasional low. "The Glucose Revolution" really is a great read. It has an index of 300 foods and drinks.

Mon Nov 27 2000 22:14:38 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Thanks Jeanne !! Hope to see you again.

Mon Nov 27 2000 22:14:52 Eastern US
Connie(BC) (T1//pumping) from 207.194.16.41
Night Jeanne

Mon Nov 27 2000 22:15:11 Eastern US
BettyB (Food Matters Chat Host) from 205.188.200.155
Night all, and thanks again!!

Mon Nov 27 2000 22:15:39 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Bye Jeanne

Mon Nov 27 2000 22:16:33 Eastern US
Connie(BC) (T1//pumping) from 207.194.16.41
Night!! Thanks BettyB!!

Mon Nov 27 2000 22:17:11 Eastern US
Barb (mom of Lawren, 6, dx'd at 4 yrs) from 63.48.17.84
Betty, thanks for all your words of wisdom! I'm signing off, too. Good luck, everyone!

Mon Nov 27 2000 22:19:28 Eastern US
Jeff Hitchcock from 206.112.197.133
Looks like we're winding down here. I'll close this room in 10 minutes. Please move on to another room to continue chatting.

Good night all.



                 
  Home Return to Top

Last Updated: Thursday August 29, 2002 21:04:30
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2015. Comments and Feedback.