Since fiber is not digested or absorbed, you should subtract the grams of fiber from the total carbohydrate on the label if there are more than 5 grams of fiber per serving. People who are very sensitive to insulin may wish to subtract all fiber, even if there are fewer than 5 grams per serving.
Learn more about counting fiber here.
For people with diabetes and celiac disease, starting a gluten-free diet requires learning the carbohydrate content of new, gluten-free foods, so they can be introduced into a meal plan or so that insulin doses can be adjusted accordingly.
Learn more about celiac disease here.
In people with diabetes, malabsorption of nutrients from undiagnosed celiac disease can lead to frequent, unexplained low or high blood glucose readings.
Learn more about celiac disease here.
If your physician suspects celiac disease, you should continue to eat gluten-containing foods until after the biopsy. If the biopsy confirms that you have the condition, the treatment is a lifelong, 100% gluten-free diet.
Learn more about celiac disease here.
Celiac disease is an inherited disease that occurs at a higher rate in people with type 1 diabetes. All first-degree family members — parents, siblings and children — of people with celiac disease should be screened for the condition.
Learn more about celiac disease here.
Be careful when taking extra insulin to “cover” for high blood glucose. Take into account any insulin that is still active from your previous dose, as well as any variability in the effect of the “correction” insulin based on the time of day or other factors.
Learn more about insulin here.
If you are aiming for tight diabetes control with insulin or another medicine that creates the risk of hypoglycemia, accept that an occasional low will occur and have a plan for when it does. This is usually better for your long-term health than keeping blood glucose higher than recommended to avoid hypoglycemia.
Learn more about low blood glucose here.
A variety factors can influence your blood glucose levels, including food, medicines, exercise, stress, infection, and normal hormonal variation in the body. A single high blood glucose level is of little concern, but a pattern of high blood glucose needs to be addressed.
Learn more about blood glucose monitoring here.
If your blood glucose levels are rising despite your best efforts to control them, speak to your physician about adding, increasing, or changing your dose of diabetes medicines.
Learn more about blood glucose levels here.
Unless otherwise directed, don’t skip insulin or oral medicines when you’re sick, even if you’re eating less than usual. The stress of an illness may actually increase your insulin needs temporarily.
Learn more about handling sick days here.
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