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Medical Forum / Diseases and Disorders / Diabetes / December 2005

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Weird BG spike

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Paul M. Cook - 10 Dec 2005 03:29 GMT
OK what could be up here?  I have eaten my last bowl of shredded wheat even
though it was OKd by the doc so long as I didn't spike on it.  From now on
I'll eat something else in the AM.  I am very carb intolerant until I have
been up and about for about 4 hours.  After that I seem more tolerant so I
let myself eat things with carbs at that time.

So Today my BG was 120 post prandial about 12 hours at 9:00am.  Had coffee
with some low-sugar coffee creamer.
1:30pm NG 150.  OK - NP I ran out of my pills yesterday afternoon.  I take
500mg metformin 2 times a day.

One cup of Shredded wheat at 1:30pm BG (DP hits me hard still) - 150

5:30pm BG 308
Went for a 15 minute walk to get my pills refilled in town.  15 minute walk
home.

Tested at 7:00pm = BG 92

Could the short walk really have dropped the BG so low so fast?

Paul
Ozgirl - 10 Dec 2005 03:46 GMT
> OK what could be up here?  I have eaten my last bowl of shredded
> wheat even though it was OKd by the doc so long as I
didn't spike on
> it.  From now on I'll eat something else in the AM.  I am
very carb
> intolerant until I have been up and about for about 4
hours.  After
> that I seem more tolerant so I let myself eat things with
carbs at
> that time.
>
[quoted text clipped - 12 lines]
>
> Could the short walk really have dropped the BG so low so fast?

Possibly, but did you also re test when you got the big one?
I would if I had a number that high. Did you just have milk
with the wheat? What is the carb count? If I had just coffee
at breakfast I would keep going higher, as it appears you
did also. Could you possibly eat a little carb to turn off
DP? Say 5-10 gr net carb? Is it possible to test sooner than
4 hours after a meal?
Paul M. Cook - 10 Dec 2005 08:04 GMT
> > OK what could be up here?  I have eaten my last bowl of
> shredded
[quoted text clipped - 35 lines]
> DP? Say 5-10 gr net carb? Is it possible to test sooner than
> 4 hours after a meal?

OK I did retest.  I used my One Touch Ultra for the 308 reading.  The One
Touch profile tested 283 so they are close enough to verify each other.  I
did wash my hands too, I have noticed the Ultra is very touchy about clean
hands.

I did have milk with the Shredded Wheat.  the SW is 36 grams per 3/4 cup.  I
had it with skim milk though I did not finish off all the milk.

I can test anytime.  I tested in this case 4 hours later because I had
forgotten to test earlier.  I just decided to see what it was no expecting
anything close to 308.  I was shocked.

As for DP this is where I get confused.  I am always higher 2 hours after
waking.  Always.  Should I not worry about a spike if it has the effect of
turning off DP?  I was eating Quaker Oats Breakfast Bars.  They have a
low-sugar version that I can't find anymore.  They have about 10 grams of
carbs I think.  Maybe 15.

So this may have been some erratic liver dump?

Paul
Ozgirl - 10 Dec 2005 08:35 GMT
> As for DP this is where I get confused.  I am always higher 2 hours
> after waking.  Always.  Should I not worry about a spike
if it has
> the effect of turning off DP?  I was eating Quaker Oats
Breakfast
> Bars.  They have a low-sugar version that I can't find
anymore.  They
> have about 10 grams of carbs I think.  Maybe 15.
>
> So this may have been some erratic liver dump?

If I don't eat any carbs my DP doesn't switch off. It keeps
going up til I eat at least 5 gr carb. If I have any more
than 10 gr though I get a spike. You will have to experiment
to find your happy median. The other problem with the huge
spike I can't explain, other than the fact that the shredded
wheat/milk might just be a no go for you.
David - 10 Dec 2005 05:20 GMT
> OK what could be up here?  I have eaten my last bowl of shredded wheat even
> though it was OKd by the doc so long as I didn't spike on it.  From now on
[quoted text clipped - 18 lines]
>
> Paul

sometimes meters will give wildly inaccurate readings.  I just got one
last night on my very trusty UltraSmart.  It was so far off from
accurate it's scary.  I think it was my wife who said, "do another
test", which I did, and found out the true reading was more than 80
points lower.  I'm not saying (since I don't KNOW) that's what happened
to you, but just keep it in mind the next time you get an unexpected
high or low reading.  I take zillions of readings with my meter, and
only about 3-4 per year are way off, so generally I trust that it always
reads accurately.  (Morale: I should listen to my wife! :) )

OTOH, it's possible that with a low fat meal, your bg could have dropped
110 pts during 30 minutes of walking.  I've had faster drops, but I take
insulin.

Dave
Paul M. Cook - 10 Dec 2005 08:06 GMT
> > OK what could be up here?  I have eaten my last bowl of shredded wheat even
> > though it was OKd by the doc so long as I didn't spike on it.  From now on
[quoted text clipped - 32 lines]
> 110 pts during 30 minutes of walking.  I've had faster drops, but I take
> insulin.

My OT Profile confirmed the Ultra's reading.  I was really spiking there.
Could I have eaten at just the time the liver was cranking out the glucose?
I can see that.  But such a huge drop, I mean more than 100 points in less
than an hour?  That is so bizarre.

Paul
Chris Malcolm - 11 Dec 2005 10:08 GMT
> sometimes meters will give wildly inaccurate readings.  I just got one
> last night on my very trusty UltraSmart.  It was so far off from
> accurate it's scary.  I think it was my wife who said, "do another
> test", which I did, and found out the true reading was more than 80
> points lower.

I always take a more careful second reading when I get an unexpectedly
high reading. So far the high readings have all been due to my own
carelessness in getting something sweet on my finger from handling a
bit of cake, candy, fruit, etc.. The slightest trace is all that's
required to seriously screw a reading. Developing more careful testing
procedures has reduced the incidence of anomalously high readings a
lot.

In my experience the problem isn't my meter, it's my carelessness.

Signature

Chris Malcolm cam@infirmatics.ed.ac.uk +44 (0)131 651 3445 DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

MaryL - 12 Dec 2005 08:28 GMT
> OK what could be up here?  I have eaten my last bowl of shredded wheat
> even
[quoted text clipped - 20 lines]
>
> Paul

I don't have any specific information about shredded wheat bevause I haven't
eaten that since I was diagnosed T2 in June 2004 (and it used to be one of
my favorites).  However, I have given up *all* flour.  I found that even a
single slice of whole wheat breat will cause spikes, so the only bread I eat
is an occasional slice of Ezekiel bread (a flourless bread produced from
sprouted grains, purchased at my local health food store).  I do eat
old-fashioned oatmeal every morning (often with a small handful fo fresh
blueberries), and that has not caused any problems.

MaryL
 
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