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Originally Posted by chickadee32
We also got very conflicting information while in the hospital - the diabetes educator telling us he needs to have 60-70g carbs per meal for 3 meals per day, and the doctor telling us he must eliminate all sugar, bread, potatoes, pasta, rice, etc. from his diet(this as the hospital was feeding him those items daily in his diabetic meals).
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You need to listen to the diabetes educator not his general/primary doctor. The diabetes educator has specific education and training for diabetes patients while your other doctor probably does not. You don't have to cut out all those things but change them up. Instead of white potato eat sweet potato. Instead of white bread eat whole wheat, eat brown rice, wild rice, or quinoa. Sugar I'd eliminate things like candy bars and most sweets (they do make sugar free sweets) but not eliminate fruits.
Quote:
Originally Posted by chickadee32
Regarding fat: I am giving him protein snacks to avoid the carbs between meals, but these typically contain fat. Reduced-fat cheese, nuts, etc. They are good fats, I know, but I have become so used to eating pretty low fat that I worry he won't lose weight if I am giving him too much fat. His fat intake the past few days has been ~55g. I take it from several of your posts that this number is ok... I guess I've just always heard that % calories from fat should be lower than 30%, and 55g of fat in a 1500 calorie day is more than 30%. The nutritionist I saw previously recommended 25% of calories from fat.
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Remember that's the nutrionist YOU saw- for YOU. Your husband's body chemistry is very different from yours. I eat lower carb and typically eat 30-40% fat but I'm very healthy
Quote:
Originally Posted by chickadee32
Fiber and Carbs: Can anyone help me understand a bit better glycemic index and net carbs? I assume net carbs are the carb grams minus the fiber grams; is that the case for both soluble and insoluble fiber? Should I be tracking total carbs, or net carbs? I definitely have a good sense of high-fiber foods and am used to selecting those for myself, but I need to understand better how the fiber content impacts the number of carbs he can/should consume each day.
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I wouldn't worry about net carbs and all that, just worry about picking the right carbs and getting in enough fiber.
115 grams of carbs is not high by any means- the average American eats 55-60% carbs which is easily over 200 grams of carbs a day. I eat around 100 grams a day and that is considered low carb
It's great you have your spreadsheet and all that but it sounds like you are starting to overwhelm yourself and that your tool is hurting you because you are eating less and less calories which is not a good thing for you or for hubby!
As long as you are making healthy choices, eating enough fiber (25 grams a day), then I wouldn't worry about exact percentages- you might also overwhelm your husband since he's new to this- you don't want him to be frustrated cuz he did 36% fat one day and not 35%- know what I'm saying? In all of this making sure he doesn't get overwhelmed and making slow changes that last is the best thing for you and him
Good luck!
