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Medical Forum / Diseases and Disorders / Diabetes / March 2006I'm Cured !!!!!!!
Now that I have your attention haha, I have a question. Have you accepted Jesus Christ as your personal savior? Just kidding. I am not a Chung-head My question/observation is: I have noticed that if I go for about 3 or 4 hours without eating anything, then eat a meal, even if it is low carb ,30 carbs, about an hour later I shoot up to about 180 or so. But if I eat small snacks before a meal, even a half hour before and eat a lot of carbs. my BG stays below 120 after one hour and goes lower after 2 hours. Is my body processing the small snack before a meal and raising my BG with a liver dump and the low carb snack and then when I have the meal with a lot more carbs my body doesn't have to freak and send my BG high because it have already gotten a carb fix a half hour before the meal? And in contrast when I do not eat for several hours and eat a low carb meal (ex. chicken, veggies slice, of bread) About 30 carbs. Is my body saying" this guy needs some carbs, so I'll use the ones he just gave me and get some from the liver." In turn sending it high and fast? Just trying to figure this disease out. I have no real biology or medical training so forgive me if my questions seem simple. What I do know come from all you guys and reading books. ~Nirvana~ Metformin - 500mg (4X a day) Glyburide - 2.5mg (2x a day) Starlix - 20mg (sometimes with dinner) Starlix does not seem to work at breakfast or lunch. > Now that I have your attention haha, > [quoted text clipped - 9 lines] > half hour before and eat a lot of carbs. my BG stays below 120 after one > hour and goes lower after 2 hours. You may be confused about what a low carb meal actually is. Especially with the combination of meds you're on, 30 grams is clearly about twice as much as you can handle. Eating more earlier in order to eat more of what's not good for you later may not be your best gambit. Perhaps leave off the bread, or cut it in half, or switch to a lower carb, higher fiber bread? Susan I'm not anything close to an expert but I wonder if the snack "primes" your pancreas to start making insulin so when the meal hits it doesn't send you as high. As I understand it insulin is secreted in 2 phases. During the first one, right after the meal, the pancreas jettisons what it has stored in order to cope with the influx of glucose. In the second one, it starts making more new insulin. The snack may be enough to kick off Phase 2 so that when you eat the meal you're already making new insulin and don't get the big spike. As I've also read the first phase of insulin release is what gets screwed up first in T2 diabetics. Just a hypothesis, LQ I've suggested this idea before (after I got a similar result) and been roundly hooted at & criticized for it. Maybe if others say it, it won't get greeted with howls of laughter & derision. :) bj > I'm not anything close to an expert but I wonder if the snack "primes" > your pancreas to start making insulin so when the meal hits it doesn't [quoted text clipped - 13 lines] > Just a hypothesis, > LQ > Is my body processing the small snack before a meal and raising my BG with a > liver dump and the low carb snack and then when I have the meal with a lot [quoted text clipped - 4 lines] > carbs, so I'll use the ones he just gave me and get some from the liver." In > turn sending it high and fast? My guess is that the small amounts of food are turning on the Starlix-mediated insulin production which is in full force by the time the carbs come in. But I agree with Susan that 30 grams of carb is a LOT of carb at one time for someone with damaged beta cells. You're currently maxed out on drugs that push the pancreas to secrete insulin (glyburide and Starlix) and there's some thought that this may lead to beta cell burn out over time. So you might want to go easier on dumping large loads of carb into the system all at once. If the betas burn out completely, the next step could be insulin injection at meals. --Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control If the betas >burn out completely, the next step could be insulin injection at meals. > [quoted text clipped - 4 lines] >http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood >Sugar Under Control If the betas burn out completely, the next step "WILL BE" insulin injections.  SignatureMâck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o ô) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." ....Bilbo Baggins Jesus never hated anyone. DISCLAIMER If you find a posting or message from me offensive, inappropriate, or disruptive, please ignore it. If you don't know how to ignore a posting, complain to me and I will be only too happy to demonstrate... . >> Is my body processing the small snack before a meal and raising my BG >> with a [quoted text clipped - 14 lines] > Starlix-mediated insulin production which is in full force by the time the > carbs come in. Yeah, I'd go along with that thought too Jenny. > But I agree with Susan that 30 grams of carb is a LOT of carb at one time > for someone with damaged beta cells. It wouldn't do me any good and I'm T1. > You're currently maxed out on drugs that push the pancreas to secrete > insulin (glyburide and Starlix) and there's some thought that this may > lead to beta cell burn out over time. So you might want to go easier on > dumping large loads of carb into the system all at once. If the betas burn > out completely, the next step could be insulin injection at meals. No "could be" about it. Once the beta cells are gone, the only way is insulin. SignatureBeav OMF#19 VN 750 Zed Thou mail is beavis dot original at ntlworld dot com (with the obvious changes) > Now that I have your attention haha, > > I have a question. Have you accepted Jesus Christ as your personal savior? > > Just kidding. I am not a Chung-head Well that's 300 people already slammed you into their kill files :-) > My question/observation is: > [quoted text clipped - 9 lines] > a > liver dump Not with a liver dump, hat's for sure, but maybe your body is working as well as it can to deal with the "load" and it "kick starts" things so everything is running more sweetly for when you give it the beans later on. Just a thought mind. SignatureBeav OMF#19 VN 750 Zed Thou mail is beavis dot original at ntlworld dot com (with the obvious changes) > Now that I have your attention haha, > [quoted text clipped - 28 lines] > Starlix - 20mg (sometimes with dinner) Starlix does not seem to work at > breakfast or lunch. I cannot attest to the biological mechanism responsible. But this happens to me all the time. It seems if I "prime" the insulin response a bit, a full meal following causes a greatly reduced spike than if I did not snack. I've had a high protein snack, like cheese, about 2 hours before dinner, had a good size meal and 2 hours later my BG is around 130 - and by 4 hours down to 100. Just recently I had a late low-carb dinner of fish soup and Cuban roast pork after a day long fast due to my schedule and by 11pm I was up to 280!!! So I try to work in snacks between meals. I find a few peanut butter filled pretzels work for me, some cheese and a banana seem OK. If I bake a chicken or something I'll munch on a piece between meals the next day. It makes a very significant difference in the overall balance during the day. Paul >I cannot attest to the biological mechanism responsible. But this happens >to me all the time. It seems if I "prime" the insulin response a bit, a [quoted text clipped - 11 lines] > >Paul Hi Paul Some time back I discussed a researcher named Wayne Lautt and the HISS concept. Frank explained to me why it had been superceded by more recent research, but even if the concept is flawed the effect was similar. You may find it worth reading: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1 5153645&dopt=Citation http://ajpgi.physiology.org/cgi/reprint/281/1/G29 Cheers, Alan, T2, Australia. d&e, metformin 2x500mg SignatureEverything in Moderation - Except Laughter. |
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