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Medical Forum / Diseases and Disorders / Diabetes / May 2006

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Cool Ridge - 30 May 2006 16:13 GMT
I was told I was a type 2 diabetic seven years ago. I have keep it
controlled with diet and excercise. I checked my blood two or three
times a week. Sometimes fasting sometimes two hours after meals. Had no
set pattern. Had a avg. reading of 85. About two weeks back I checked
and had a fasting reading of 113 and 1 1/2 hours after a bowl of
cheerios with skim milk and two packs of sweet and low it was 149. The
readings have stayed up for the last two weeks. Fasting avg. is 109 and
after breakfast avg is 140. I check after supper and my avg. is 100.
Don't know why the readings are lower after supper? I guess my question
is when I checked after breakfast this morning I had a reading of 194
and soon after I went for my morning walk. I walked 2 1/2 miles and
checked as soon as I got back and had a reading of 109. If you are
taking meds to keep your sugar under control what keeps you from going
to low after exercise? I have an appointment to see my doctor [MD]
Thursday morning. Thanks for any help you can give me.

Denis
Hans-Jürgen Tilsner - 30 May 2006 17:16 GMT
Hi Denis,

most sugar meds are pretty stupid. They lower your bg to your personal
degree regardless of its actally being high or low. That's where your
head comes in, those grey cells you're supposed to make use of in
handling all sorts of challenges. Sugar meds will just add another of
the more sophisticated kind to your collection ;-)

So with a walk after the meal you would either leave out or lower the
meds before or take enough bites with you to eat against your pill or
insulin.

Hans, T2 since 1990, Germany
Apidra & Lantus
Roger Zoul - 30 May 2006 18:02 GMT
:: I was told I was a type 2 diabetic seven years ago. I have keep it
:: controlled with diet and excercise. I checked my blood two or three
[quoted text clipped - 12 lines]
:: appointment to see my doctor [MD] Thursday morning. Thanks for any
:: help you can give me.

I'm curious as to why you're asking this questoin....You don't seem to be in
any danger of your BG levels going too low.  Eating cheerios for breakfast
ain't exactly the best idea, if you ask me. When your numbers get up to 194
you're doing damage, no matter if you go exercise to bring it back down.
It's best not to ever let it get up that high.  Testing in a proper set
pattern should tell you best what foods to eat and what foods to not eat.
You won't learn that by testing with no set pattern.

Meds can result in BG going too low if you're controling diet and
exercising.  That's when you know it's time to get off meds.  But you seem
to be going in the other direction at the moment -- from not needing meds to
needing them.

You don't say how long after meals you test, BTW.  1 hr, 2hr, or 30 minutes?
Priscilla H. Ballou - 30 May 2006 18:53 GMT
> Meds can result in BG going too low if you're controling diet and
> exercising.

Well, some can, like the sulphs.  Metformin generally doesn't.

> That's when you know it's time to get off meds.  But you seem
> to be going in the other direction at the moment -- from not needing meds to
> needing them.

Setting aside the school of thought that says that metformin is
necessary for anyone who is insulin resistant, in order to protect the
heart.

Priscilla
Roger Zoul - 30 May 2006 19:06 GMT
:: In article <127ouhv18aaiia0@news.supernews.com>,
:: "Roger Zoul" <rogerzoul2@hotmail.com> wrote:
[quoted text clipped - 13 lines]
::
:: Priscilla

Yeah, there always some damn exception!  In my own case, I'm don't think I'm
insulin resistant much at all anymore, though I was very much so back in
October of 2001, before I started LCing, etc.
Nicky - 30 May 2006 18:40 GMT
> About two weeks back I checked
> and had a fasting reading of 113 and 1 1/2 hours after a bowl of
[quoted text clipped - 4 lines]
> is when I checked after breakfast this morning I had a reading of 194
> and soon after I went for my morning walk.

Denis, that is not good control. Try this link:
http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

Your readings are higher in the morning because most diabetics are
carb-sensitive then. You need to eat a lower-carb breakfast.

Nicky.

Signature

A1c 10.5/5.4/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/73/72Kg

Julie Bove - 30 May 2006 20:13 GMT
> I was told I was a type 2 diabetic seven years ago. I have keep it
> controlled with diet and excercise. I checked my blood two or three
[quoted text clipped - 11 lines]
> to low after exercise? I have an appointment to see my doctor [MD]
> Thursday morning. Thanks for any help you can give me.

For one thing you are not checking your BG often enough.  And averages mean
nothing.  The body is the most insulin resistant in the morning.  This is
why you are likely seeing lower numbers then.

As for the meds, they must be used in conjunction with diet and exercise or
they won't work.  Used to be I had to do my exercise right after a meal or
I'd go low.  But that's not the case any more.  I'm also not a typical
diabetic since I have other medical problems.

Signature

See my webpage:
http://mysite.verizon.net/juliebove/index.htm

oldal4865 - 30 May 2006 20:18 GMT
Cool Ridge wrote in message
<25162-447C612E-425@storefull-3151.bay.webtv.net>...
I was told I was a type 2 diabetic seven years ago. I have keep it
controlled with diet and excercise. I checked my blood two or three
times a week. Sometimes fasting sometimes two hours after meals. Had no
set pattern. Had a avg. reading of 85. About two weeks back I checked
and had a fasting reading of 113 and 1 1/2 hours after a bowl of
cheerios with skim milk and two packs of sweet and low it was 149. The
readings have stayed up for the last two weeks. Fasting avg. is 109 and
after breakfast avg is 140. I check after supper and my avg. is 100.
Don't know why the readings are lower after supper? I guess my question
is when I checked after breakfast this morning I had a reading of 194
and soon after I went for my morning walk. I walked 2 1/2 miles and
checked as soon as I got back and had a reading of 109. If you are
taking meds to keep your sugar under control what keeps you from going
to low after exercise? I have an appointment to see my doctor [MD]
Thursday morning. Thanks for any help you can give me.

Denis

  If you are taking meds which somehow increase your natural supply of
insulin,  you can go low.

Those meds would be beta stimulators (secretalogues)  such as Glyburide,
Starlix,  Glicizide, etc, etc;  or actual insulin injections.

If you are taking diabetes meds which work by reducing your Insulin
Resistance   (metformin,  Actos,  Avandia),   then your normal glucose
control mechanism will "slow down" the production of insulin as your sugar
drops into normal ranges and you will rarely go any lower than the normal
range.

There is also a mechanism by which the liver releases glucose into the blood
when the blood sugars drop.   This mechanism does not work well, if at all,
when you use beta stimulators or insulin.    Folks using these classes of
diabetes meds are the most likely to go low.

Regards
 Old Al
Andrew B. Chung, MD/PhD - 30 May 2006 20:29 GMT
> I was told I was a type 2 diabetic seven years ago. I have keep it
> controlled with diet and excercise. I checked my blood two or three
[quoted text clipped - 10 lines]
> taking meds to keep your sugar under control what keeps you from going
> to low after exercise?

Glycogen stores in your muscle and liver are available for the purpose
of preventing hypoglycemia.  When these are depleted, the liver can
make glucose by a process called gluconeogenesis by using amino acids
from the break down of proteins.

> I have an appointment to see my doctor [MD]
> Thursday morning. Thanks for any help you can give me.

You are welcome, Denis.

All thanks and praise belong to the LORD, Whom I love with all my
heart, soul, mind, and strength.

Prayerfully in Christ's amazing love,

Andrew
http://tinyurl.com/jjl29
Cool Ridge - 31 May 2006 03:23 GMT
I wanted to thank everyone for there help. I guess I will have to wait
and see what the doctor says. Thanks again for your help.  

Denis
W. Baker - 31 May 2006 15:20 GMT
: I was told I was a type 2 diabetic seven years ago. I have keep it
: controlled with diet and excercise. I checked my blood two or three
[quoted text clipped - 11 lines]
: to low after exercise? I have an appointment to see my doctor [MD]
: Thursday morning. Thanks for any help you can give me.

: Denis

Sounds like you cannot hadle many carbs in teh morning, as is the case
with many of us.  Change your breakfas to something lower carb.  Try eggs,
left over meat or fish from dinner, or try my favorite that works for me
(you wll have to find out by testing if it works for you).

I eat 1/3-1/2 Cup of low fat cottage cheese, small amounts of 3-4 fruits
like 3 modest strwatberries,  a alf a peac, 6 bherries, a half a small
clementine orange, 1/5 of a medim apple, a1/5 of a mango, a smile slice of
melon, blueberries, or other berries.  choose what is in season and what
you like.  top this with 1/4-1/3 Cup of low fat plain yogurt. and that's
it.  No uie, no cereal, just some black coffee with it.  Works for me.

Wendy
 
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