Some people count grams of protein as well as carbs, since digestion converts some of the protein into blood sugar. This is normally ignored in insulin calculations, but the standard diabetes diets are low-protein anyway.
Keeping Karl's carbs down means keeping his protein up, so maybe it's worth doing. Dr. Bernstein, who promotes a very low-carb diet, has his patients track their protein consumption.
Our motivation to look into this is that Karl always has chicken nuggets for dinner (sigh), and this is his highest-protein meal of the day, and it's typically followed by high blood sugar, meaning we didn't give him enough insulin. Maybe if we didn't ignore the protein, the math and the results would align better?
I'm looking into this...
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