13/12/2025
Carb counting doesn't need to be rocket science with the medtronic 780G! We no longer need extensive knowledge about carb counting before starting a pump, we no longer need to be put through carb training woth a dietitian and get marked off as competent or not. Never having carb counted before IS NOT A BARRIER to getting on insulin pump therapy!
This morning I had a bacon and egg roll and an almond latte, I didnt overthink it, i bolussed 30g (a massive under bolus, I know, but I dknt care - my pump has my back!).
Heres my thought process explained: Sandwich = 30g (medium meal). Bacon and egg roll and latte is a little bigger of a meal but close to a sandwich and im walking around buying some stuff for Christmas lunch, need a little padding, let the pump do some work.. 30g it is!
My rule of thumb is - small 10g (this looks like a almond latte if my bg is above 8mmol, any small food item if my bg is above 10, or a meal that is asalad and meat).
Medium 30g (sandwich, meat and veg with some carb containing, rice and meat)
Large 45g (pasta, pizza, fish and chips) - a meal that is ore than YOUR average meal.
It can be that simple! From that, you can make it as little or as mych as you want to but the pump doesn't not need more than this. **everyone's grams estimates are different and not necessarily the same as mine BUT 30g IS A SANDWICH - everyone can compare that as a basis!
You do not need to know about carbs to be appropriate to get an insulin pump. You dont even need to see a dietitian. We talk to yiu about normal food patterns and talk to you about what the carbs look like for that. More often I give people a small, medium and large carb bolus snd thats where they start.they do very well with this!! And as their use of the pump grows, sometimes, so to does the knowledge of their carbs.
Sometimes, they grow no further knowledge about carbs but you know what, they are still getting increased time InRange. Dont let a system that is stuck in the past hold you back from achieving better blood glucose levels!
Medtronic Diabetes - Aus Australian College of Nurse Practitioners Diabetes Australia RACGP Mark Butler MP Australian Diabetes Educators Association