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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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Wow, liver dump R me!

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Nicky - 25 Aug 2007 21:52 GMT
Today, the kids and I have been at a karate festival. 6 hours'
training - and we get to do it again tomorrow <whimper>...

I have been liver dumping all over the place, and I'd appreciate some
advice on how to handle tomorrow, or Monday's morning session. This is
what I ate, and readings:

Breakfast, my summer cereal with full cream milk, about 6g carbs; lots
of protein.
Pre karate 5.1
1 1/2 hours in - 8.3. Merde! Ate an apple to try and turn it off.
1 hours later - 9.6. Eeek! Decided to train some more but not eat, and
try and wear it off!
1 hour later - 10.3. Highest reading for a long, long time! Lunchtime
now.
Lunch - 4 small slices home-made bread, tot 12 carbs, Brie, medium
tomato. Lots and lots of water and a can of diet Coke - I should say
that summer turned on today, it was very, very hot, we trained
outside, and I am sunburned despite several applications of factor 40!
End of lunch - 6.3.
End of first session, 5.1; ate half a Kit-kat, I think the whole is
17g
End of second session, 5.6
Supper, chili con carne with black soy beans, 1/2 slice plastic bread
- 1 hour, 6.1

So, I'm back to morning exercise causing dumps - extreme morning
exercise, anyway. At least I never hit a low, which I used to rebound
to do. Tomorrow I'm going to train wearing a hat, and I have bottles
and bottles of water cooling in the fridge. I have also asked Elder
Daughter to make sure I eat a little nut/raisin mixture at every
opportunity, because I'd once again lost the ability to make sensible
decisions about this. What else can I do?

TIA,

Nicky.
Alan S - 25 Aug 2007 22:30 GMT
>Today, the kids and I have been at a karate festival. 6 hours'
>training - and we get to do it again tomorrow <whimper>...
[quoted text clipped - 33 lines]
>
>Nicky.

Have you considered bumping brekky up over 6g on days when
you know your about to do karate?

And having a snack - fruit, bar, similar - about an hour
into it?

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Nicky - 25 Aug 2007 22:44 GMT
>Have you considered bumping brekky up over 6g on days when
>you know your about to do karate?

Yeah, I hear what you're saying - I'm a little scared to because I
KNOW that much over 6g will send me high - but I think I'd rather be
food-high and use it up, than liver high, which just keeps coming...
tomorrow I'll have the usual breakfast, then try a handful of nuts /
raisins just beforehand.

>And having a snack - fruit, bar, similar - about an hour
>into it?

Unfortunately, the way the thing is structured, I'd look like a green
monkey - breaks are at 1 1/2 hours, leaving the training early is of
course possible but highly embarrassing. I guess I'll just try and eat
when I can - a very strange thing to have to say : )

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
John - 25 Aug 2007 23:20 GMT
>>Have you considered bumping brekky up over 6g on days when
>>you know your about to do karate?
[quoted text clipped - 17 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25

Possibly a larger breakfast than normal consisting of more proteins and fats
than normal would help? And then a little carby snack right before the
activity?

John C.
Ozgirl - 26 Aug 2007 01:06 GMT
Sipping orange juice works for me.  A few sips every 15 minutes or however
your breaks between training occur.

I watched a little girl at a water park once. She was a type 1 and she would
do maybe 3 climbs up the steps and 3 slides down and come and get a few
crackers then repeat it, before coming and testing, shooting and eating a
sandwich and apple.
Andrew B. Chung, MD/PhD - 26 Aug 2007 01:20 GMT
> Today, the kids and I have been at a karate festival. 6 hours'
> training - and we get to do it again tomorrow <whimper>...
[quoted text clipped - 29 lines]
> opportunity, because I'd once again lost the ability to make sensible
> decisions about this. What else can I do?

Lose all your VAT by eating less, down to the optimal amount (32
ounces) to become healthier (hungrier) so that you will cure the
insulin resistance (IR/MetS) that is behind your glycemic
dysregulation.

With a BMI of 25, it is very likely that your WHR (Waist to Hip Ratio)
is greater than 0.75, which would indicate that you indeed have VAT
causing your IR/MetS.

It is only when we are hungry (stomachs laughing and singing) that our
bodies get rid of the VAT.

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

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Beav - 26 Aug 2007 23:39 GMT
> Be hungry... be healthy... be hungrier... be blessed:

Be Chumped, be f.cked.

Signature

Beav

VN 750
Zed 1000
OMF# 19

Andrew B. Chung, MD/PhD - 27 Aug 2007 00:58 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >
> > http://groups.google.com/group/sci.med.cardiology/msg/b656aad132d5f88a?
>
> Be Chumped, be f.cked.

http://HeartMDPhD.com/HolySpirit/Proof

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

http://HeartMDPhD.com/HolySpirit/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Beav - 29 Aug 2007 23:31 GMT
>> Andrew, in the Holy Spirit, boldly wrote:
>> >
[quoted text clipped - 3 lines]
>
> http://HeartMDPhD.com/HolySpirit/Proof

Well at least you know who I was talking about.

As for whatever it was you posted, I didn't read it and I wouldn't click on
ANY link *you* posted.

Signature

Beav

VN 750
Zed 1000
OMF# 19

Andrew B. Chung, MD/PhD - 30 Aug 2007 09:33 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 6 lines]
>
> Well at least you know who I was talking about.

There has been no reason to believe you were writing about anyone but
yourself.

> As for whatever it was you posted, I didn't read it and I wouldn't click on
> ANY link *you* posted.

Your choice.

You have the free will that GOD has generously given all souls per HIS
infinite free will.

You remain in my prayers, that GOD 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
Beav - 30 Aug 2007 23:01 GMT
>> Andrew, in the Holy Spirit, boldly wrote:
>> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 9 lines]
> There has been no reason to believe you were writing about anyone but
> yourself.

Wouldn't you just love for people to think that. (Not a question)

c.nt.

Signature

Beav

VN 750
Zed 1000
OMF# 19

Andrew B. Chung, MD/PhD - 30 Aug 2007 23:23 GMT
>Andrew, in the Holy Spirit, boldly wrote:
> >> Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 14 lines]
>
> c.nt.

Your language simply shows that the Holy Spirit is absolutely right to
convict you:

http://HeartMDPhD.com/Convicts

... and that we should work harder to keep children from being exposed
to obscenities:

http://www.afa.net/emails/p_1700.html

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

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Phil Launchbury - 31 Aug 2007 11:26 GMT
> Wouldn't you just love for people to think that. (Not a question)

For goodness sake Beav - stop feeding the poor deluded troll!

Phil.

Signature

            Phil Launchbury, IT PHB
   'I'm training the bats that live in my cube
             to juggle mushrooms'

Andrew B. Chung, MD/PhD - 31 Aug 2007 12:27 GMT
> > Wouldn't you just love for people to think that. (Not a question)
>
> For goodness sake Beav - stop feeding the poor deluded troll!

Name-calling simply shows that you are lost:

http://HeartMDPhD.com/HolySpirit/dream.asp

The brethren of LORD Jesus Christ are neither perfect nor more
special...

we are simply forgiven by GOD:

http://www.interviewwithgod.com/forgiven/

May you wisely choose to be forgiven too by publicly declaring with
your mouth that "Jesus is LORD:"

http://HeartMDPhD.com/HolySpirit/TheWay

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Frank t2 - 26 Aug 2007 01:28 GMT
Dear Nicky,
Have you considered including as much vinegar as
you can stand in your morning diet ?
On many, it seems to have a good effect on BG ...

<hugs>

"Nicky" <ukc802466929@btconnect.com> a écrit  ...
> Today, the kids and I have been at a karate festival. 6 hours'
> training - and we get to do it again tomorrow <whimper>...
[quoted text clipped - 33 lines]
>
> Nicky.
Chris Malcolm - 26 Aug 2007 10:11 GMT
> Dear Nicky,
> Have you considered including as much vinegar as
> you can stand in your morning diet ?
> On many, it seems to have a good effect on BG ...

Vinegar + protein = yummy pickled herring for breakfast!

> "Nicky" <ukc802466929@btconnect.com> a ecrit  ...
>> Today, the kids and I have been at a karate festival. 6 hours'
[quoted text clipped - 34 lines]
>>
>> Nicky.

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Ozgirl - 26 Aug 2007 11:01 GMT
>> Dear Nicky,
>> Have you considered including as much vinegar as
>> you can stand in your morning diet ?
>> On many, it seems to have a good effect on BG ...
>
> Vinegar + protein = yummy pickled herring for breakfast!

<gag> Not my cuppa tea.
Alan S - 26 Aug 2007 13:18 GMT
>Vinegar + protein = yummy pickled herring for breakfast!

Never tried it; might be worth a shot but I wouldn't know
where to buy it out here.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Frank t2 - 27 Aug 2007 03:40 GMT
Over here, the banks made a deal with the supermarkets;
banks would not sell food and supermarkets would not
peddle house loans. (I know it's not the case everywhere).

So, the pickled herring would be found in France in
supermarkets, fish shops and "delicatessen".

Give it a go, mate !

"Alan S" <loralgtweightandcarbs@gmail.com> a écrit  ...

>>Vinegar + protein = yummy pickled herring for breakfast!
>
[quoted text clipped - 6 lines]
> --
> http://loraldiabetes.blogspot.com
Alan S - 27 Aug 2007 03:51 GMT
>Over here, the banks made a deal with the supermarkets;
>banks would not sell food and supermarkets would not
[quoted text clipped - 4 lines]
>
>Give it a go, mate !

I obviously patronise the wrong supermarkets, fish shops and
"delicatessens":-)

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Nicky - 26 Aug 2007 21:42 GMT
>Dear Nicky,
>Have you considered including as much vinegar as
>you can stand in your morning diet ?
>On many, it seems to have a good effect on BG ...

I wish I knew the mechanism of vinegar... it seems to be a gut
reaction, rather than a liver one, so might not work here. Thanks for
the thought, though, Frank! I'll bear it in mind for Tuesday, when
I've stopped kicking people but still might be eating too much!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Frank t2 - 27 Aug 2007 03:42 GMT
I hope it works for you, precious one !

"Nicky" <ukc802466929@btconnect.com> a écrit  ...

>>Dear Nicky,
>>Have you considered including as much vinegar as
[quoted text clipped - 10 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25
Frank t2 - 27 Aug 2007 05:12 GMT
Just one thing - beware of the addition of sugar into balsamic.

Taken from another forum.

   Vinegar is high in acetic acid
   Acetic acid, can increase the body's absorption of important
   minerals from the foods we eat.
   It can increase calcium absorption.
   It slows the absorption of sugar.
   It increases insulin sensitivity.
   It increases the feeling of satiety.

   It can be used as a flavoring agent in place of unhealthy fats and salt.
   When making a dish that contains beans, add a little vinegar near the
end of
   cooking--it will dramatically decrease the amount of salt you'll need.
   Vinegar can turn ordinary vegetables into a marinated-vegetable salad
that's
   ready to grab out of the refrigerator whenever hunger strikes.
   A splash of balsamic vinegar can bring out the sweetness and flavor of
   strawberries without any added sugar.
   I know it sounds gross but some people like balsamic vinegar on vanilla
   ice cream.

   It has a long history of helping with all kinds of health problems.
   Some of the uses may be wishful thinking but it does appear to help with
a
   large number of things.

I have not verified any of the claims contained in here.
It does, IME, help to clean windows without leaving streaks on the panes
though.

" Frank t2" <a@b.c> a écrit  ...
>I hope it works for you, precious one !
>
[quoted text clipped - 14 lines]
>> D&E, 100ug thyroxine
>> Last A1c 5.6%  BMI 25
Nicky - 27 Aug 2007 13:14 GMT
>Just one thing - beware of the addition of sugar into balsamic.
>
[quoted text clipped - 28 lines]
>It does, IME, help to clean windows without leaving streaks on the panes
>though.

Hmmm. Interesting ideas to start researching, though. Thanks!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
BlueBrooke - 26 Aug 2007 01:43 GMT
>Today, the kids and I have been at a karate festival. 6 hours'
>training - and we get to do it again tomorrow. . .

Hi, Nicky!  

I have absolutely nothing of value to contribute re your liver dump --
Just wanted to say kick butt!  Have fun!  And don't forget to report
all deets!  :-)  

Signature

BlueBrooke  
T2/D&E/June 2005
May 2007 A1c 5.5
Oct 2006 A1c 5.8
Jun 2005 A1c 6.8

Nicky - 26 Aug 2007 21:39 GMT
>>Today, the kids and I have been at a karate festival. 6 hours'
>>training - and we get to do it again tomorrow. . .
[quoted text clipped - 4 lines]
>Just wanted to say kick butt!  Have fun!  And don't forget to report
>all deets!  :-)  

Heh - Blue, you cut out the sounds of people who have over trained :D
At lunchtime today, we were trying not to giggle because it hurt so
much... then that struck us as amusing, so we were giggling and
moaning at the same time... which was hysterically funny... and it
went down hill from there : )

We are having a ball, and learning tons - not least of which is how to
manage my bg. Thanks for everyone's suggestions; the highest I got
today was 7.1. Eating dried banana slices at 9:30 in the morning felt
distinctly weird, but worked fine. I also munched trail mix and
apricots at every opportunity.

To my great delight, I am doing at least as well as my grade group.
This morning, I out-ran both my teenagers :D during some sadist's idea
of a short warm up - running round 3 soccer pitches - and I managed my
only perfect kata of the day when the senior instructor was watching.
I'm one of the oldest and fattest people there - and it's amusing me
that this feels strange, my body image has obviously shifted quite a
long way. Karate is doing me a lot of good... <ow...>

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Alan S - 26 Aug 2007 23:16 GMT
>>>Today, the kids and I have been at a karate festival. 6 hours'
>>>training - and we get to do it again tomorrow. . .
[quoted text clipped - 29 lines]
>D&E, 100ug thyroxine
>Last A1c 5.6%  BMI 25

Fat? You? The rest must be bloody skinny!

Remind me not to upset you next time we meet. I'll make a
particular point of not calling you Babe or luv. You're
starting to sound positively dangerous.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Nicky - 27 Aug 2007 13:17 GMT
>Fat? You? The rest must be bloody skinny!
>
>Remind me not to upset you next time we meet. I'll make a
>particular point of not calling you Babe or luv. You're
>starting to sound positively dangerous.

Heh - you can call me anything you like, after that first comment :D

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
hemyd - 26 Aug 2007 05:25 GMT
> Today, the kids and I have been at a karate festival. 6 hours'
> training - and we get to do it again tomorrow <whimper>...
[quoted text clipped - 33 lines]
>
> Nicky.

Here is my formula for getting an almighty liver dump, Nicky -

Have my breakfast of a single solitary piece of low carb multigrain toast
with a bit of cheese, then, immediately after, go on my 12 kilometre bike
ride to work. Now, if I didn't go on the ride at all, after about 50 minutes
my bg would be around 8 or below. But if I ride immediately after the
breakfast - bang! At the end of the ride, my bg has gone up to over 9! An
hour after that, it's gone to more than 10! Something in my body sends a
message to my liver that my bg needs boosting, and my bg gets very boosted!

I get around the major dump by waiting 50 minutes after eating before going
on my bike ride. Even so, at the end of the ride my bg is only marginally
lower than it would be if I had not exercised at all. Despite the liver
dumps, it is thanks to the exercise my bg is lower generally, so I persevere
with it. Interestingly enough, I can decrease my use of insulin such as
Lantus when exercising, and when not exercising, the Lantus has a reduced
effect on my bgs. (Naturally I never take insulin before exercising).

Henry Mydlarz.
Nicky - 26 Aug 2007 21:44 GMT
>I get around the major dump by waiting 50 minutes after eating before going
>on my bike ride. Even so, at the end of the ride my bg is only marginally
[quoted text clipped - 3 lines]
>Lantus when exercising, and when not exercising, the Lantus has a reduced
>effect on my bgs. (Naturally I never take insulin before exercising).

Is it possible to zap the high bg with a bolus, Henry, or is that too
risky? I guess your decreased need is insulin resistance. Damned
powerful thing, when it's still a factor after all the cycling you put
in!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
hemyd - 27 Aug 2007 07:58 GMT
>>I get around the major dump by waiting 50 minutes after eating before
>>going
[quoted text clipped - 15 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25

It is too risky, Nicky. I like to use the bolus only before my main meal,
when all of the bike riding is over and done with, and when I know exactly
when and what I'm going to eat.

I've always had high fbg, in the vicinity of 7.5 to as high as 9 - often
more, and the Lantus basal killed that. Now I'm getting a respectable 4 - 5.
Even so, I can guarrantee a dump if I start riding straight after eating, no
matter what I eat. Here's a puzzler, though - if I have a breakfast at the
weekend, then I can ride even half an hour after eating, and my bg will go
down, as it should. This means that there is or are other triggers for a
liver dump than purely exercising with a low bg. I figure it's also the
adrenalin rush, which is certainly present every time I hop on my bike and
risk killing myself on the highway.

Henry Mydlarz
Nicky - 27 Aug 2007 13:19 GMT
>This means that there is or are other triggers for a
>liver dump than purely exercising with a low bg. I figure it's also the
>adrenalin rush, which is certainly present every time I hop on my bike and
>risk killing myself on the highway.

I completely emphasise with your liver :D

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Michelle C. - 26 Aug 2007 19:51 GMT
> Today, the kids and I have been at a karate festival. 6 hours'
> training - and we get to do it again tomorrow <whimper>...
[quoted text clipped - 33 lines]
>
> Nicky.

Nicky,

Have you considered having beans (like pintos, navy beans and the
like) at breakfast?  They are pretty carby, but for me, they seem to
digest pretty slowly.  Maybe they could be the carby gift that keeps
on giving?

Best regards,
Michelle C., T2
diet & exercise
Nicky - 26 Aug 2007 22:41 GMT
>Have you considered having beans (like pintos, navy beans and the
>like) at breakfast?  They are pretty carby, but for me, they seem to
>digest pretty slowly.  Maybe they could be the carby gift that keeps
>on giving?

Michelle, the theory sounds perfect - but I'm afraid to try that in a
group activity, the side effects might be a big problem : )

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Michelle C. - 27 Aug 2007 02:31 GMT
> On Sun, 26 Aug 2007 11:51:44 -0700, "Michelle C."
>
[quoted text clipped - 11 lines]
> D&E, 100ug thyroxine
> Last A1c 5.6%  BMI 25

LOL!  I hadn't thought of that.  That particular symptom...ahem...is
hit or miss with me.  The unpredictability is so much fun!  ;-)
Definitely another type of gift that keeps on giving once it gets
started.  ;-)

Best regards,
Michelle C., T2
diet & exercise
Jimmie D - 30 Aug 2007 06:49 GMT
> Today, the kids and I have been at a karate festival. 6 hours'
> training - and we get to do it again tomorrow <whimper>...
[quoted text clipped - 33 lines]
>
> Nicky.

I started noticing liver dumps after a heavy workout and it really scared
me. What I was doing was going to the gym and doing 45 min to an hour on the
treadmill, some weight training and then go home and flop on the couch. Bg
would go up to about 150 sometimes. I found I had to stay moderatly active
after my workout to prevent this, It didnt take much, just anything beside
vegging out infront of the TV. as ususual YMMV

Jimmie
Nicky - 30 Aug 2007 21:44 GMT
>I started noticing liver dumps after a heavy workout and it really scared
>me. What I was doing was going to the gym and doing 45 min to an hour on the
>treadmill, some weight training and then go home and flop on the couch. Bg
>would go up to about 150 sometimes. I found I had to stay moderatly active
>after my workout to prevent this, It didnt take much, just anything beside
>vegging out infront of the TV. as ususual YMMV

Didn't work for me over the weekend - which was a distinctly intense
training experience, 6 hours of karate per day. On day 1, I
under-carbed it, and bg just kept going up - and up - no matter what I
did. Control was better on the second day, but I still had to drop out
of a fighting session because I didn't think I would be safe - I LOVE
sparring, but I get an adrenalin surge from it anyway; I didn't want
to start one from 150!

I'm now going back to my normal routine of only exercising after lunch
- but next time I do something in the morning, I'm going to carb up a
bit first. A handful of dried banana chips worked reasonably this
time.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
 
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