Medical Forum / Diseases and Disorders / Diabetes / January 2006
Total confusion
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Peter - 23 Jan 2006 19:30 GMT I'm not technically diabetic, but very very close to the IGT/IFG boundaries and I'm taking that as a severe warning to mend my ways. I've got a meter (ACCU-chek Advantage) and I've probably been measuring too much (finger tips all a bit sore). The results are hard to reconcile with general dietary advice.
For example, all the advice is along the lines of, 'base your meals on bread, potato, rice and other starchy foodstuffs'. Yeah right! I tried that and monitored closely. BG rockets up after any meal containing those foodstuffs. As an experiment, I ate 100g of potato chips containing about 60 gms of carbs of which only 5gms are sugars. BG went up to 193 after 1 hour and at 2 hours its still 140. This is pretty much a record for me. The previous peak was 169 falling to 117 two hours later, but that was after a burger and fries blow-out.
The lesson is clear, me and potatoes are no longer on speaking terms.
You guys are in a better position to know so let me ask two questions:-
Is the dietary advice re starchy food worth a damn or am I just doing something wrong?
If it's rubbish, how do some people come to think it's good advice.
Peter
wmmckee@cox.net - 23 Jan 2006 19:57 GMT > The lesson is clear, me and potatoes are no longer on speaking terms. Hi Peter,
I don't know where you are getting your "advice", but it sounds like you have been the victim of a lot of misinformation. First, you will likely be hearing from a number of others, including Jennifer, who will provide a helpful link of advice. Next, until you really get a handle on things, I would advise you avoid bread, potatoes, rice, cakes, pies, candy, cookies, and anything sweetented with sugar. Focus upon eating salads, leafy vegetables, maybe some beans, possibly small amounts of lean meats, esp. fish, chicken, possibly turkey, and maybe very lean beef. (4-5 oz.) A little cheese might be OK, from time to time, (3 0z., or less)... Avoid crackers and anything containing trans fats. Then, keep testing, as much as 6-8 times a day, especially upon awakening in the morning, before breakfast, and before and after meals, and before bed. This is not 100% foolproof advice, but it should get you off to a good start. Then, get a book on the glycemic index and try to learn about the GI value of different foods and what they mean.... Also acquaint yourself with the concept of glycemic load.
Stay tuned. There are very many helpful and knowledgeable people who come to this newsgroup.... People like Alan, Quentin, Jennifer, Julie, Susan, Kate, and many others who will be eager to help. Keep coming back and you will learn a lot.
Finally, if you have not had yourself really checked out by a competent doctor, for you own sake, I would advise you to do so asap. If you have not had one already, you need a thorough work-up, if only to know where you stand, medically, so to speak.
We are not doctors, here, but we do have considrable experience to share.
Wishing you all the best,
Will T2
Michelle - 23 Jan 2006 20:00 GMT Hi Peter,
First off you are to be commended for taking control of your sugar situation at this early stage!
You are in the same place I am in the diabetic progression--1 hour sugars spiked by carbs that are quickly broken down in the body. These generally include such things as potatoes, bread, pasta--anything made with flour--rice, sugar (of course), fruit juices. As for me, it's been easiest if I totally eliminate these things from my diet, however others practice portion control. In other words, they still eat these foods but only in amounts that do not spike their sugars. You may find that not all of the items I listed above are problematic for you; and there may be some things I haven't listed that are. Problem foods and amounts tolerated varies for each person.
For a terrific overview on how to determine which foods, and in what portions, are okay for you, read Jennifer's page: http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm. When I first became aware of my own sugar issues, I utilized her advice, and now know what I can and cannot eat. By controlling those one hour blood sugar spikes, I have more energy, am not plagued by constant hunger the way I was before, and generally feel better.
There are many wise and helpful people in this group, and I'm sure they will respond as well.
Please hang around and keep us apprised of your progress.
Michelle
Temujin - 23 Jan 2006 20:26 GMT Peter,
Re: the sore finger tips. You may not be spreading your test sites out enough. Set up a rotation. I start 90 degrees around to the outside from the tip of my little finger, go through all 8 fingers in that same place, then move to about 45 degrees, then right on the tip, then 45 and 90 degrees around to the inside, etc. That's 40 tests in between pricking at the same site, which should be enough time to heal up. If you're testing 8 times a day and not controlling sugar too well (thus not healing too quickly) you may need to go in smaller angle increments, but you may need to keep a chart to remember where the hell you are. If this all sounds a little anal, or like it was devised by an engineer, well, uh. . . anyway, it works for me.
Temujin - 23 Jan 2006 20:00 GMT I doubt you'll find much support for a starchy diet in this NG. Carbs drive up blood sugar. Period. Rice, potatoes, breads, etc. are worse for me than pure cane sugar. A bagel probably has more sugar-raising power than any other single piece of food. Complex carbs are a little, but not much, better. And I haven't had much luck with low glycemic index foods like pasta and apples, either. You may be able to control sugar spikes due to high carb meals with meds and/or insulin, but the less of those you can get by with, the better off you will be, so why stress your system.
Eat your broccoli. Cut out empty carbs. Get used to it.
By the way, you are doing way better than most at your stage. I was still in heavy denial when my symptoms were like yours.
Loretta Eisenberg - 23 Jan 2006 20:25 GMT Peter, who gave you that advice. You cannot eat starches with abandon. As a non diabetic your numbers should be less than 140 after one hour and under 120 at two hours.
Having those things might be alrright, but you have to watch the portions. An ounce of potato chipis would be one carb, not a bag full.
Testing is your mos valuable tool and I am sure that others have told you to check our website
Loetta
-- In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
oldal4865 - 23 Jan 2006 20:49 GMT Peter wrote in message ...
>I'm not technically diabetic, but very very close to the IGT/IFG boundaries >and I'm taking that as a severe warning to mend my ways. I've got a meter [quoted text clipped - 21 lines] > >Peter The advice "works" for diabetics who:
a. Are using heavy insulin augmentation
b. Are willing to follow old-fashioned blood sugar guidelines.
(The NHANES average HbA1c for T2 is about 7.78. That correlates with an average, 24/7 bG of 197.)
c. Are willing to accept the higher risk of heart attack which results from handling heavy insulin augmentation poorly
There are some political considerations in this advice, i.e. if doctors ask Type 2 diabetics to follow too-stringent a diet, they "run away".
The docs are between a rock and a hard place. Ask for too much, and they get to watch patients run away, then die young while in pain. Allow their patients to eat a lot of carb and use a lot of insulin augmentation, and they just die prematurely.
What a choice. More than a few diabetologists spend some time in counseling.
You have fallen in with a bunch of weird people. They don't want to die young and are willing to work at it.
Regards Old Al
Julie Bove - 23 Jan 2006 23:07 GMT > I'm not technically diabetic, but very very close to the IGT/IFG boundaries > and I'm taking that as a severe warning to mend my ways. I've got a meter [quoted text clipped - 19 lines] > > If it's rubbish, how do some people come to think it's good advice. Your numbers sound to me like they have crossed the line into full blown diabetes. If you have diabetes, then the advice to base meals around starches does not apply. If you do not have diabetes (or blood sugar issues) then no amount of starch in the world is going to affect your BG.
What you need to do is increase the amount of salad and other non-starchy vegetables. Cut out or cut back on the fried foods. And see your Dr. about your numbers. You may need to be on meds.
 Signature See my webpage: http://mysite.verizon.net/juliebove/index.htm
Susan - 23 Jan 2006 23:11 GMT > I'm not technically diabetic, but very very close to the IGT/IFG boundaries > and I'm taking that as a severe warning to mend my ways. I've got a meter [quoted text clipped - 21 lines] > > Peter You clearly are a diabetic.
Starchy foods are a bad bet for diabetics.
Potato chips are a bad nutritional choice for anyone.
Susan
David - 23 Jan 2006 23:30 GMT > I'm not technically diabetic, but very very close to the IGT/IFG boundaries > and I'm taking that as a severe warning to mend my ways. I've got a meter [quoted text clipped - 21 lines] > > Peter Do as I say and not as I do: ie, don't eat potato chips or fries. :)
Dave
Jenny - 23 Jan 2006 23:46 GMT > I'm not technically diabetic, but very very close to the IGT/IFG boundaries > and I'm taking that as a severe warning to mend my ways. I've got a meter [quoted text clipped - 21 lines] > > Peter Peter,
You've gotten lots of good feedback. It also sounds like you are smart and motivated and not willing to wait until after severe damage has already been done to your body.
Check out both links below my signature. Jennifer and I, Jenny, are two different people with a common goal--helping people avoid damage from high blood sugars. My site looks at why diabetes is diagnosed the way it is, and why the diagnostic standard misses a lot of people with abnormal blood sugar who are already at risk for serious complications. It also points you to some of the research that upholds the importance of maintaining much lower blood sugars than most doctors will recommend.
And yes, eating starch to control diabetes, is like smoking crack to control drug addiction.
--Jenny
http://www.geocities.com/lottadata4u What They Don't Tell You About Diabetes -- my site
http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control-- Jennifer's advice
Alan S - 24 Jan 2006 00:02 GMT Hi Peter
>I'm not technically diabetic, Err, yeah, right:
>As an experiment, I ate 100g of potato chips containing about >60 gms of carbs of which only 5gms are sugars. BG went up to 193 after 1 >hour and at 2 hours its still 140. This is pretty much a record for me. >The previous peak was 169 falling to 117 two hours later, You're right, technically. The bad news is that being a little bit diabetic is similar to being a little bit pregnant - except that the problem isn't cured in nine months.
But the good news is that you're doing all the right things. You are pro-active, not just blindly accepting what the "official" sources tell you.
You've had great advice from everyone, so I'll just repeat some and add some tips to bring it together.
1. Read Jennifer's brilliant advice on testing again: http://www.alt-support-diabetes.org/NewlyDiagnosed.htm
2. Add about 30 minutes of moderate exercise to your day.
3. If you need to lose weight, set up a plan to do it.
And see if this helps with your finger soreness:
Painless Pricks
Wash your hands in warm water first, and shake them to get the circulation going. Check your lancet - it should be adjustable. Mine is Soft-clix, made by Roche and is usually painless. I get an occasional tiny sting, and it lets me know if it's getting blunt sometimes, but I've tested close to 4000 times in the past 3 years without any trauma. That's from a guy who was, and is, needle-phobic. Start with the second lowest setting (1 or 1.5), hold it firmly against your skin on the side of a finger near the tip. Don't flinch when you release the button. The button releases a spring-loaded tiny needle which makes a tiny hole in your skin and instantly retracts. Incidentally, using the sides has two advantages - there are less nerve-ends than on the pads, and it doubles the number of test-points so you can rotate through the positions.
Massage gently (milking a cow) until a drop of blood forms sufficient to put on the test strip. If this setting doesn't provide an adequate quantity, move the lancet setting up one notch for the next one. If you got a large sample and it hurt a little, go to the lower setting.
And that's all there is to it. Sometimes it helps to shake your hands a little more, or warm them up if it's cold. The manufacturers advise changing the lancet needle every time; I change mine when I remember or if it gets a bit blunt - that's about once a month or every 150 tests :-) You do what you are comfortable with.
Cheers, Alan, T2, Australia.
 Signature Everything in Moderation - Except Laughter.
Chris J. - 24 Jan 2006 01:49 GMT >I'm not technically diabetic, but very very close to the IGT/IFG boundaries >and I'm taking that as a severe warning to mend my ways. I've got a meter >(ACCU-chek Advantage) and I've probably been measuring too much (finger tips >all a bit sore). The results are hard to reconcile with general dietary >advice.
>For example, all the advice is along the lines of, 'base your meals on >bread, potato, rice and other starchy foodstuffs'. That, sadly is true in that it's the most common advice. The problem is that it does not work for most T2 diabetics.
Apparently, there are a few diabetics who can handle such a diet. However, most cannot, not without accepting unhealthy blood glucose levels or much higher medication, or both. I do know for sure that I'm not one of the few who can handle such a diet.
The key thing here is that everyone is different, and responds differently to different foods. However, as a rule of thumb, fast carbs such as starch will send your blood sugar high worse than just about anything.
BTW, congratulations to you for being so pro-active now! Far too many wait until it's too late, and diabetic complications have set in.
> Yeah right! I tried >that and monitored closely. BG rockets up after any meal containing those [quoted text clipped - 3 lines] >The previous peak was 169 falling to 117 two hours later, but that was after >a burger and fries blow-out.
>The lesson is clear, me and potatoes are no longer on speaking terms. > [quoted text clipped - 4 lines] > >If it's rubbish, how do some people come to think it's good advice. Oh, that's a loaded question! :-) There have been some hot debates on this group on that topic. :-)
There are many schools of thought on that. The biggest offender, IMHO, is that it's a case of over-simplification and misunderstanding, compounded by the medical community not wishing to reverse themselves on advice they have given for decades.
The reason for pushing high carb starchy foods seems to be that they are trying to avoid fat, due to heart issues. This overlooks the fact that fats are not equal; some are good, some are bad. It also overlooks the fact that dietary fat is not as big a player in blood cholesterol levels as previously believed.
But, worst of all, it overlooks the fact that one cause of heart trouble in T2 diabetics is excess insulin in the blood. This is a result of insulin resistance, common in T2's, meaning that they either have to produce more or inject more insulin to keep their blood sugar levels down. Eating starches is the direct opposite of good advice, as starches convert almost immediately to glucose (sugar) in the digestive system.
The best possible advice anyone can give you is to "eat to your meter", by testing. The best advice around for how to do this is at http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm
The cardinal rule here (in this group, and for diabetes in general) is YMMV, which stands for Your Milage May Vary. In other words, we are all different, and react to different foods and medications differently. Your meter is the very best tool you have for figuring out what you can eat, and what you need to cut down on.
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