I’ve spent more years treating Type-1 Diabetes than not. It’s sometimes hard for me to imagine a time when I WASN’T Diabetic. By virtue of this, I often find myself in a position where I become… shawl we say, complacent? Laziness has never been an issue for me but I would be lying if I said that I don’t occasionally get a bit too comfortable with certain routines and overlook some important details. And as anyone living with Type-! Diabetes will agree, even a small detail can be an important one and can adversely affect you.
One of those details is the proper and thorough reading of the nutritional label on absolutely everything I eat and drink. The reason behind this is quite simple: I need to know the amount of carbohydrates I’m ingesting. Although I’m quick to say how marvellous a piece of technology my insulin pump may be, it still requires significant attention and care on the user’s part to ensure everything is working as it should. Letting my pump know how many grams of carbs I’m about to eat allows it to inject the proper amount of insulin for my meal according to the different ratios I have programmed for the different times of the day.
This is where my tale begins… Over recent years, we’ve started buying large, club pack boxes of ramen noodles. Setting aside for a moment that one pack of ramen noodles contain more than half one’s daily intake of sodium, they often make a quick meal when there’s little else available. It’s also a great “sometimes” meal for my boys on the weekend, who tend to be fussy as fuck and will barely touch prepared meals that my wife and I make. We’ve taken to buying the chicken-flavoured no name brand, since it costs a bit less and no one in the house will eat any of the other flavours, other than myself. This is where my complacency comes into play…
For years, I’ve been accustomed to the fact that each pack of ramen noodles contains about 50 grams of carbs, give or take. And I usually bolus for this amount. I rarely question this and I don’t bother checking the label as it’s the same stuff, every time I have one. Yesterday, my wife and I took our boys to the grocery store to grab a few items as we had also completely ran out of ramen noodles. As usual, I grabbed a club pack box of the chicken flavoured for everyone to have but I also decided to grab a few name brand ramen noodles in the other flavours. I grabbed a beef, a shrimp and an oriental flavour. I figured I could bring one to work sometime in the next week.
So today, I decided to crack open the oriental flavour for lunch. As I was mixing the noodles and seasoning with the water, I decided to glance at the nutritional label, since its’ theoretically something new, given that it’s name brand, and maybe the carb count is different. See? I’m not completely negligent. I do TRY to stay on track. Anyway, I was surprised to see that not only was the carb count about half of what the no name brand usually has, the package size is also much smaller. This struck me as odd but I didn’t question it and bolused accordingly. I proceeded to enjoy my noodles while I worked.
About an hour later, I started to feel flush and nauseous and couldn’t seem to sit still. I pulled out my pump and noted that my blood sugar levels were rising pretty damn quickly. The CGM reading had three arrows pointing straight up which, for you non-Diabetics, means my levels were skyrocketing. I was mildly confused but bolused a correction dose of insulin to counteract the high. I remembered I had a spare package of no name noodles in my desk and pulled it out. Same as usual, the total carb count was shy over 50 grams. What I realized is that the package didn’t really feel bigger than the name brand one.
I pulled the wrapper out of the trash and took another look at the nutritional label. There it was… the smaller size was because the label measured on SERVING, not one PACKAGE. And one serving was approximately half of the package, which is why the carb count was so much lower. In reality, the total package was abut the same as the no name brand. Now, I don’t know who the hell would prepare and only eat half a pack of ramen noodles or what kind of communist bullshit that serving size is, but shame on me for not picking up on that. The result was an adverse effect on my blood sugars.
So, the important takeaway for today’s post is to pay attention to details and read your nutritional labels carefully. Bolusing properly can be difficult at the best of times, even when there is a label. But overlooking small details such as serving size can have a meaningful impact on proper control. And there’s nothing worse than being on the blood sugar roller coaster; where you’re high so you can correct, then you drop low and have to treat. Wash, rinse and repeat. I’ll be watching my nutritional labels far closer now, believe me. ☯️
The Blogging Buddhist 