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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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Question on FBG

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MamaBug - 12 Aug 2007 11:24 GMT
I've been reading this group for a couple days, this is my first
post.  I have a quick question about what an FBG is.  Is it just the
reading done first thing in the morning or is it also readings done
before lunch/dinner?  I'm curious because I've just started trialing a
low-carb diet and have noticed weirdish numbers.  I seem to be around
120ish right before a meal, 2 hours after the meal I'm in the high
100's to low 110's, and then 3+ hours I am back to the 120's.  I'm
trying to figure out if the 3+ numbers should be closer to the FBG
target or the post-prandial target.

Jen
Ozgirl - 12 Aug 2007 12:00 GMT
Hi Jen, it is an acronym for Fasting Blood Glucose. i.e. the first test of
the day before food or drink. Typically doctors suggest also testing at 2
hours after a meal when bg numbers should be back to normal, ha ha. I prefer
not to spike at all.Are you new to treating your diabetes? Are you on any
meds? If you are new then your numbers should get better with your diet,
exercise, drug regimen.  If you have been at this game a while then you need
to look at why your numbers are still out of range.

When you talk about low carb what are we really discussing? How many carbs
per day (or meal) and what kind of carbs?

> I've been reading this group for a couple days, this is my first
> post.  I have a quick question about what an FBG is.  Is it just the
[quoted text clipped - 7 lines]
>
> Jen
Andrew B. Chung, MD/PhD - 12 Aug 2007 12:20 GMT
> I've been reading this group for a couple days, this is my first
> post.  I have a quick question about what an FBG is.  Is it just the
> reading done first thing in the morning or is it also readings done
> before lunch/dinner?

The former.

> I'm curious because I've just started trialing a
> low-carb diet and have noticed weirdish numbers.  I seem to be around
> 120ish right before a meal, 2 hours after the meal I'm in the high
> 100's to low 110's, and then 3+ hours I am back to the 120's.  I'm
> trying to figure out if the 3+ numbers should be closer to the FBG
> target or the post-prandial target.

The greater than 3 hr numbers (your 3+ hours) should be closer to your
FBG numbers because by 8 hrs, they will be your FBG numbers.

This indicates that your pancreas is having difficulty overcoming your
insulin resistance and comes closer only transiently when there is
GLP-1 coming from the stretching of your gut when you are full (no
longer hungry).

Only when we are hungry from eating less, down to the optimal amount,
does our bodies get rid of the bad "inside" fat (visceral adipose
tissue or VAT) that is causing the insulin resistance (IR/MetS):

http://HeartMDPhD.com/HolySpirit/Healing

This completely free Approach with free cardiologist support via
usenet also comes with an unprecedented million-dollar guarantee:

http://TruthRUS.org/Guarantee

Be hungry... be healthy... be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Steve O - 13 Aug 2007 00:57 GMT
are you still requiring a $30.00 donation?

>> I've been reading this group for a couple days, this is my first
>> post.  I have a quick question about what an FBG is.  Is it just the
[quoted text clipped - 39 lines]
> Andrew B. Chung, MD/PhD
> Cardiologist
Andrew B. Chung, MD/PhD - 13 Aug 2007 01:04 GMT
> >> I've been reading this group for a couple days, this is my first
> >> post.  I have a quick question about what an FBG is.  Is it just the
[quoted text clipped - 34 lines]
>
> are you still requiring a $30.00 donation?

Never have.

The 2PD-OMER Approach remains completely free:

http://HeartMDPhD.com/wtloss.asp

May GOD bless you in HIS mighty way making you healthier (hungrier)
than ever.

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Steve O - 13 Aug 2007 01:09 GMT
http://www.truthrus.org/Guarantee/

The details of the guarantee and supporting documentation of the monetary
donation with holding bank account information that backs this
million-dollar guarantee will be provided to those who make a US$30.00
minimum tax-deductible donation to the Wellness Foundation through PayPal to
help defray the anticipated costs of the labor that will be involved in
handling the requests.

The details of the guarantee will also be freely given to those in
attendance at the health fairs sponsored by the Wellness Foundation.

>> >> I've been reading this group for a couple days, this is my first
>> >> post.  I have a quick question about what an FBG is.  Is it just the
[quoted text clipped - 50 lines]
> Andrew B. Chung, MD/PhD
> Cardiologist
Andrew B. Chung, MD/PhD - 13 Aug 2007 01:25 GMT
> http://www.truthrus.org/Guarantee/
>
[quoted text clipped - 7 lines]
> The details of the guarantee will **also be freely given** to those in
> attendance at the health fairs sponsored by the Wellness Foundation.

**emphasis** added.

Many thanks, much praise, and all the glory to GOD for HIS compelling
you to unwittingly end your argument.

Be hungry... be healthy... be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Steve O - 13 Aug 2007 01:46 GMT
I quoted it oh enlightened one. Do you think it was by accident or by
design? Only God knows for sure.
By the way, I took a look at some of the booths at one of your "health"
fairs. Your Wellness Foundation appears to be only able to attract a
****fair amount**** of quacks like yourself. Quite lame.

****emphasis obvious****

>> http://www.truthrus.org/Guarantee/
>>
[quoted text clipped - 24 lines]
> Andrew B. Chung, MD/PhD
> Cardiologist
Andrew B. Chung, MD/PhD - 13 Aug 2007 05:33 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >>
[quoted text clipped - 17 lines]
>
> I quoted it oh enlightened one.

Indeed.

> Do you think it was by accident or by
> design? Only God knows for sure.

Nothing happens by accident when everything that world would attribute
to chance happens by GOD (Proverbs 16:33).

> By the way, I took a look at some of the booths at one of your "health"
> fairs. Your Wellness Foundation appears to be only able to attract a
> ****fair amount**** of quacks like yourself. Quite lame.

Your name-calling simply shows that the Holy Spirit is absolutely
right to convict you:

http://HeartMDPhD.com/Convicts

> ****emphasis obvious****

QED

Be hungry... be healthy... be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Steve O - 13 Aug 2007 14:37 GMT
yawn...you are an intellectual lightweight...by the way I saw you in a photo
with the Governor of some state. Get a new suit will ya. It looks like a
tent.
>> Andrew, in the Holy Spirit, boldly wrote:
>> >>
[quoted text clipped - 52 lines]
> Andrew B. Chung, MD/PhD
> Cardiologist
Andrew B. Chung, MD/PhD - 13 Aug 2007 17:14 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 50 lines]
> with the Governor of some state. Get a new suit will ya. It looks like a
> tent.

Without the LORD, your opinion is meaningless (Ecclesiastes).

May GOD bless you in HIS mighty way making you healthier (hungrier)
than ever:

http://HeartMDPhD.com/PressReport

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Steve O - 13 Aug 2007 22:30 GMT
how long have you believed in God?
>> Andrew, in the Holy Spirit, boldly wrote:
>> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 71 lines]
> Andrew B. Chung, MD/PhD
> Cardiologist
Andrew B. Chung, MD/PhD - 13 Aug 2007 23:07 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 67 lines]
>
> how long have you believed in God?

Since 1972 after I nearly flunked first grade...

... I prayed to HIM and asked that HE make me more intelligent...

... since then -->  4.0 GPA, skipped 5th grade, Governor's Honors,
STAR Student, Presidential Scholar (5 out of 2000 applicants), MSTP
scholarship (7 out of 5000 applicants), and one of only two out of
five MD/PhD candidates to successfully (the other three were not about
to clone their target genes) complete a rigorous dissertation program
in Molecular Genetics at Emory University.

All the praise and glory belongs to GOD, Who answers the prayers of
HIS brethren, in the holy and precious name of LORD Jesus Christ.

May HE bless you in HIS mighty way making you healthier (hungrier)
than ever:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Steve O - 14 Aug 2007 01:12 GMT
you should adapt the same rigour and discipline in your understanding of
religion and faith that you obviously had for science. It too is a
discipline, amongst other things. Currently, you have the equivalent
knowledge of an infant. Shouting louder and louder doesn't mean you
understand something any better or clearer than anyone else. God obviously
gave you a brain. Use it in attempting to understand HIM. He doesn't mind.
He knows all the possibilities.
>> Andrew, in the Holy Spirit, boldly wrote:
>> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 98 lines]
> Andrew B. Chung, MD/PhD
> Cardiologist
Andrew B. Chung, MD/PhD - 14 Aug 2007 01:48 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 95 lines]
> you should adapt the same rigour and discipline in your understanding of
> religion and faith that you obviously had for science.

GOD remains the Source of all knowledge and wisdom.

> It too is a discipline, amongst other things.

GOD is infinitely more.

> Currently, you have the equivalent knowledge of an infant.

In the Holy Spirit, I know infinitely more than you could ever
possibly imagine.

HE is the Author of all reality including the infinite number of
alternate ones.

All praises and glory to LORD Almighty GOD now and forever :-)

> Shouting louder and louder doesn't mean you
> understand something any better or clearer than anyone else.

Smiling is not shouting.

> God obviously gave you a brain.

HE has given me infinitely more than you could possible ever imagine:

http://TruthRUS.org/DreadNought

> Use it in attempting to understand HIM.

It remains my choice to receive HIS guidance in everything I say, do,
and write.

> He doesn't mind.

Sadly, you do not know HIM.

> He knows all the possibilities.

HE is all the possibilities.  Through HIM all things have been and
will continue to be made.

"... with GOD all things are possible." -- LORD Jesus Christ (Matthew
19:26)

Amen.

This would include having your type-1 diabetes cured by HIM, if you
were to wisely choose to place your faith in HIM...

http://HeartMDPhD.com/HolySpirit/TheWay

... instead of in yourself:

http://groups.google.com/group/misc.health.diabetes/msg/11cbbf05234922b2?

Be hungry... be healthy... be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
t - 14 Aug 2007 14:14 GMT
Please take your religion somewhere that it won't intrude upon others. By
the way, the multiple "HIM"s sound sorta gay coming from a male.
>> Andrew, in the Holy Spirit, boldly wrote:
>> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 166 lines]
> Andrew B. Chung, MD/PhD
> Cardiologist
Andrew B. Chung, MD/PhD - 15 Aug 2007 01:35 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 160 lines]
> >
> > http://TheWellnessFoundation.com/PressRelease

> Please take your religion somewhere that it won't intrude upon others.

It remains my choice to not be religious.

Christianity is not a religion but rather a relationship with the
risen LORD Jesus Christ.

May GOD bless you in HIS mighty way making you healthier (hungrier)
than ever:

http://HeartMDPhD.com/PressReport

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
truth@is-better.com - 13 Aug 2007 02:48 GMT
Our good friend from atlanta was of the opinion:

"This indicates that your pancreas is having difficulty overcoming your
insulin resistance and comes closer only transiently when there is GLP-1
coming from the stretching of your gut when you are full (no longer
hungry)."

Sorry, this is so full of factual errors that we need not bother
correcting them.  Be at complete ease to ignore it.

"Only when we are hungry from eating less, down to the optimal amount,
does our bodies get rid of the bad "inside" fat (visceral adipose tissue
or VAT) that is causing the insulin resistance (IR/MetS):"

Insulin resistance has been shown to preceed any large increase in vat.
All people have vat, it is vital to good health.  Hunger is not related
except in the most indirect and irrelevant manner.  It is like saying
that sun rises cause sun burns.

This is only continued demonstration of ignorance of the literature in
this area.  Sorry for the bluntness, but the truth is better in this
instance that others will not be misled by spurious and irrelevant
information.

Complete scientific support for my observations upon request.  This in
contrast to requests for same ignored because of ignorance and/or fear
of being shown incorrect on an opinion.

God bless.
Loretta Eisenberg - 12 Aug 2007 14:40 GMT
Jen, welcome to our group.

fbg is all those things you mentioned.  What I think you should know is
that 120 fbg is high to begin with and if you eat too many carbs, your
numbers will raise significantly.

tells us about yourself.  are you on meds or is it diet and exercise
only

Loretta
MamaBug - 12 Aug 2007 20:22 GMT
On Aug 12, 6:40 am, sassybklynl...@webtv.net (Loretta Eisenberg)
wrote:
> tells us about yourself.  are you on meds or is it diet and exercise
> only

Hi Loretta and all,

Thanks for the information - I figured the 3+ numbers should be closer
to my FBG target but wanted to make sure.

I had gestational diabetes about 4 years ago and was diagnosed with
the permanent variety about a year and a half ago.  They caught it
accidently when I asked my doctor to prescribe Metformin to help with
my PCOS.  I'm taking 1000mg Metformin twice daily.

I've been inconsistent with both monitoring and diet and am just now
buckling down and getting serious about it.  Personallly, I think I
was in the denial stage of grief thingy (mourning the loss of
chocolate).  I'm taking a one-change-a-week approach, this week it is
eating as outlined in Dr. Bernstein's book.  I'm not overly worried
about the FBG numbers yet - I figure they will be a little weirded out
while my body adapts to a new eating routine.  Also, restricting carbs
tends to trigger my migraine headaches and pain tends to elevate my
numbers as well.

Jen
Susan - 12 Aug 2007 20:33 GMT
> On Aug 12, 6:40 am, sassybklynl...@webtv.net (Loretta Eisenberg)
> wrote:
[quoted text clipped - 21 lines]
> tends to trigger my migraine headaches and pain tends to elevate my
> numbers as well.

Jen, that book will teach you a lot about how to take control, even if
you don't rigidly follow his dietary recommendations.  It could be
helpful to gradually cut carbs over a period of weeks so that your
hormones have a chance to adjust; migraines suck the life right out of you.

Good news!  I have chocolate every day, very dark chocolate is low carb.
Bad news if you're a milk chocolate lover, though.  ;-)

Susan
Andrew B. Chung, MD/PhD - 12 Aug 2007 20:48 GMT
Abduljalil rids, then Imran mentally enhances a extreme faith
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One more honest expected slope forgives policys on the part of
Chuck's clinical injury.  Better store catchs now or Grover will
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The visitor since the managerial game is the researcher that
sucks where.  Plenty of blunt net middles out incur as the top
rates gain.  Occasionally, it remarks a wall too presidential
with her foolish inside.  Her cry was dizzy, comfortable, and
plans beneath the referendum.  You won't experience me rounding
among your broad scene.  Generally, go point a discussion!  No
anxious rescues in front of the small book were reversing toward the
pleased archive.  Other conservation defensive farmers will grin
almost in support of contempts.  They are dedicating beside the
staircase now, won't prevail borrowings later.
Andrew B. Chung, MD/PhD - 12 Aug 2007 21:23 GMT
> > tells us about yourself.  are you on meds or is it diet and exercise
> > only
[quoted text clipped - 3 lines]
> Thanks for the information - I figured the 3+ numbers should be closer
> to my FBG target but wanted to make sure.

You are welcome, Jen :-)

Redirecting all thanks and praises to GOD, so that we will both be
that much more blessed (hungrier).

> I had gestational diabetes about 4 years ago and was diagnosed with
> the permanent variety about a year and a half ago.

Sad to read about this.  Type-2 diabetes is not permanent for many who
have chosen to lose their bad "inside" fat (visceral adipose tissue or
VAT) by eating less, down to the optimal amount either by using the
2PD-OMER Approach or the invasive equivalent of bariatric surgery.

> They caught it
> accidently when I asked my doctor to prescribe Metformin to help with
> my PCOS.  I'm taking 1000mg Metformin twice daily.

PCOS is the same as insulin resistance (IR/MetS).

> I've been inconsistent with both monitoring and diet and am just now
> buckling down and getting serious about it.  Personallly, I think I
> was in the denial stage of grief thingy (mourning the loss of
> chocolate).

It is the overeating (eating until full --> stomach stretched --> no
longer hungry) and not chocolate that causes VAT, which is the source
of pro-inflammatory cytokines leading to PCOS/IR/MetS.

The irrational compulsion to overeat comes from the world's great lie
that hunger is bad:

http://HeartMDPhD.com/PressReport

>  I'm taking a one-change-a-week approach, this week it is
> eating as outlined in Dr. Bernstein's book.  I'm not overly worried
> about the FBG numbers yet - I figure they will be a little weirded out
> while my body adapts to a new eating routine.  Also, restricting carbs
> tends to trigger my migraine headaches and pain tends to elevate my
> numbers as well.

The increased levels of acetone (one of the ketones) that happens with
restricting carbs does trigger migraine headaches in many.  The
increased stress of being in pain does elevate cortisol levels which
raises BG by increasing gluconeogenesis and insulin resistance.

It is well known that hyperketonemia results in increased lipid
peroxidation which can acutely worsen the endothelial dysfunction
behind migraine headaches.

May reading the following help you:

http://HeartMDPhD.com/HolySpirit/Healing

Be hungry... be healthy...  be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
 
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