If you are following a dietary protocol that requires counting carbohydrates (and you should be!), your first question probably is, Should I count total carbs or net carbs? And what is the difference?
In the United States, properly labeled packaged food shows Total Carbohydrates as a main category with possible sub-categories of Dietary Fiber, Sugar, and Sugar Alcohols. “For nutrition labeling in the EU and Mexico, carbohydrate is defined as ‘available carbohydrate,’ which does not include the fiber component.” What does all that even mean?!?
The ADA bases the recommendation for daily carbs on net carbs, which is total carbs minus fiber carbs and sugar alcohols.
Some diabetes coaches recommend a compromise by subtracting fiber carbs only when eating a whole food and the fiber carbs are part of the whole food, and they calculate total carbs for any processed food (packaged in a box, bag, jar, or can). Often the food manufacturer adds fiber carbs to the food (exogenesis carbs) and the fiber carbs are not part of the actual food. We can’t always trust the food manufacturer to be honest about the fiber carb content. “The commonly held advice to subtract ‘fiber’ from the total amount of carbohydrate on the label to arrive at ‘net carbs’ can lead to an [underestimate] of nutrient intake, as well as possibly an [underestimate] of the effect of the food on blood glucose and insulin release when those foods are processed into other foods by grinding and/or heating.”
Michaella Thornton of Diabetes Daily says, “Counting ‘net carbs’ may work for some people, but it is not a way of counting carbs certified diabetes educators (CDEs) or other health professionals are likely to endorse nor a legal term but rather a food-industry marketing phrase.”
One author and health podcaster recommends counting total carbs no matter what! In a podcast, he reveals the origin of the net carb calculations. What follows is the complete transcript of the podcast on September 9, 2017:
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