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Laura Plunkett says

Our endocrinologist at Boston Children's Hospital has had diabetes herself
since she was a young child. Some of the best advice she gave my son was to subtract the fiber grams from the total carbohydrates and then add half the protein grams. She also advised Dan to take insulin twenty minutes before eating (unless his blood sugar level was already low). She explained that protein actually raises blood sugars, but more slowly than simple or complex carbohydrates. This formula allows her to keep excellent blood sugar control, and it has worked wonderfully for my son.

Gary Scheiner says

Since fiber has no noticable impact on blood sugar levels, I recommend deducting 100% of the fiber from the total carb count, regardless of how many fiber grams there are.

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