A good breakfast? A 9.2 after breakfast is a shocking
number. You should have been less than the 6.2 after
breakfast not before lunch.

From that breakfast, I hate to say it, but you haven't a
real clue about diet. Expecting drugs to compensate for a
diabetic unfriendly diet is pie in the sky. Nothing short of
insulin is going to help you if you don't want to modify
your diet. Some of the most serious complications start with
blood sugars of 7.0. I am not blaming you, you have clearly
been misinformed, but it is never too late to start
learning. That above link would help both newly diagnosed
AND longer term diabetics who have been misinformed.

At breakfast we are at our most insulin resistant (carb
sensitive), the juice is a big no no. Juice is used to get
someone out of hypo territory, fast! At breakfast a lot of
us can't eat more than just protein. A rise to 9.2 (which
could even have gone higher if you had kept testing) is just
plain and simply way too high.  What are your lab numbers.
for cholesterol, triglycerides etc?

[tough love "on"] You are "controlling" your diet AND YOU DRINK OJ?  go
back to the dietician and get retrained!  You can't drink OJ and not
expect your bg's to go UP!  [Tough love off]

Dave

Hi Alfred

"10 years now, just newly on drugs." What are your lipid
numbers like? What is your BP?

It's your life mate. I accept that I may be a totally wrong
alarmist. If I am, at worst I will prick myself a few times
more than I really needed to for tests, and restrict my diet
and lifestyle a little. If I'm not, I'm going to live a lot
more complication free-years than I would have. That's the
choice I've made.

When you say "I am not about to eat things I don't like or
avoid foods I do like" you have made a personal choice.
That's fair enough - we all have to make such choices in
life.

But everything has a price. When we make choices, it's wise
to have all the facts first, if you can.

Try adding this information to your knowledge base:
http://www.phlaunt.com/diabetes/14045678.php
I notice you don't actually read links, so I'll presume
Jenny's permission and repeat a little bit from that:
"These studies, some of which are not cited in the AACE
guidelines, make a cogent case that post-meal blood sugars
of 140 mg/dl (7.8 mmol/L) and higher and fasting blood
sugars over 100 mg/dl (5.6 mmol/L) cause permanent organ
damage and cause diabetes to progress."

For example, if it was me, I wouldn't be complacently saying
"1 hour after breakfast it was 9.2.  It tells me I had a
good breakfast".

What it tells me is that you ate a bloody terrible breakfast
which spiked you to 9.2 mmol/L or 166 mg/dl. A number that
was totally unnecessary and you've probably been getting
similar numbers for ten years. I will absolutely guarantee
you that simply by dropping the "small" orange juice you'll
drop that by at least a mmol(18), probably more, for
starters. However, I do accept that if you have no
complications, no cardio-vascular problems and are in fine
health - then you've proved in a scientific experiment on
yourself that you, personally, can do that for ten years
without harm.

The bacon and egg were fine - but the toast may not be. You
could test to find out.

As I said, it's your choice to continue in the "ostrich"
method of management or not. If you do, I have to wonder why
you test at all if you aren't going to change anything when
you see a bad result, or even accept that it WAS a bad
result.

Again, I'll suggest that you read Jennifer's advice at
http://jennifer.flyingrat.net/

I'll leave it at that, and honestly wish you the very best
of health.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg

Good grief! It tells me you need to drop the OJ altogether (you do know it's
pretty well the fastest way to treat a hypo? - your 15 min reading would
probably have been even higher) and possibly throw the toast away too. You
may get away with a lower carb bread?

My 1hr pp after a 2-egg and cheese omelette this morning was 5.6.

You start to damage yourself around the 7.8 mark. An occasional foray is
probably OK - but you've likely been up that way for years.

If your doctor is telling you a 6+ A1c is OK, btw, he's behind the times.
The American college of endocrinologists - AACE - moved the goalposts to 6-
a couple of years ago.

Nicky.

True.

  What would taking these

It would tell you how well you're controlling your diabetes, whether
you're spiking into the ranges that are known to cause cellular damage,
and exactly which foods or meals are interfering with the kind of
control that prevents diabetic complications.

Susan

It would tell you EXACTLY what you're saying.

Did what you ate, how much you ate, and what sort of activity you had
keep your BG in line after your meal.

Or do you have to adjust that meal next time to acheive your goals.

It's like driving a car without looking at the speedometer.  Sure you
can look out the window and guess how quickly you're passing the
trees... and you can assume that the headwinds you're traveling into are
affecting your speed... but you can't really know unless you look at the
numbers on your dash.  Just as you can't REALLY know how the food you
eat and the exercise you do is affecting your blood glucose unless you
look at the numbers on your meter.  After the meal.

If you really want to know if your new med is doing anything, you'll
need to test a lot more often to see if it's having the affect your
doctor is after.

Here's the advice I give those that want to see how their current
treatment is working for them.  Which, after reading your posts you seem
to want to do.

You might want to try some  experiments.

First:  Eat whatever you've been
currently eating... but write it all down.
Test yourself at the following times:

Upon waking (fasting)
1 hour after each meal
2 hours after each meal
At bedtime

That means 8 x each day.  What you will discover by this is how long
after a meal your highest reading comes... and how fast you return to
"normal".  Also, you may see that a meal that included bread, fruit or
other carbs gives you a higher reading.

Then for the next few days, try to curb your carbs.  Eliminate breads,
cereals, rices, beans, any wheat products, potato, corn, fruit... get all
your carbs from veggies.  Test at the same schedule above.

If you try this for a few days, you may find some pretty damn good
readings.  It's worth a few days to discover.

Eventually you can slowly add back carbs until you see them affecting your
meter.

The thing about this disease... though we share much in common and we
need to
follow certain guidelines... in the end, each of our bodies dictate our
treatment and our success.

The closer we get to non-diabetic numbers, the greater chance we have of
avoiding horrible complications.  The key here is AIM... I know that
everyone is at a different point in their disease... and it is progressive.
But, if we aim for the best numbers and do our best, we give ourselves the
best shot at heath we've got.
That's all we can do.

Here's my opinion on what numbers to aim for, they are non-diabetic numbers.

FBG                          under 100
One hour after meals       under 140
Two hours after meals     under 120

or for those in the mmol parts of the world:

Fasting                              Under 6
One hour after meals         Under 8
Two hours after meals       Under 6.5

And an A1c of under 6.

Recent studies have indicated that the most important numbers are your
"after meal" numbers. They may be the most indicative of future
complications, especially heart problems.

Listen to your doctor, but you are the leader of your diabetic
care team.  While his /her advice is learned, it is not absolute.   You
will end up knowing much more about your body and how it's handling
diabetes than your doctor will.   Your meter is your best weapon.

Just remember, we're not in a race or a competition with anyone but
ourselves... Play around with your food plan... TEST TEST TEST.  Learn what
foods cause spikes, what foods cause cravings... Use your body as a science
experiment.

Best of luck!

Jennifer

Thanks! The Phlaunt.com gallery is so much easier to maintain and pretty
up than the geocities site was, and the annoying ads are gone.

But the geocities site has such good Google search placement on relevant
searches like "blood sugar targets", that I hope the move doesn't mess
that up.  The geocities site still has all it's content but people who
visit the old site get wafted to the new one  as soon as they click on
anything.

Any topics you'd like to see discussed there in future pages?

--Jenny

http:www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control