I just was wondering do you need so many carbs to prevent low sugar shakes? I get constipated does it cause like gastroprosis with insulin. I've done Atkins but as a diabetic Bernstein. spoke to VA endocrinologist which informed me VA allows 45 carbs diabetic. At least she will ok if numbers good and I am not sick. Read book listen tapes and keeping food and bg levels. I go up and down with constipation. One day I lost next up. I belive that if the close is big your loosing.