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Medical Forum / Diseases and Disorders / Diabetes / December 2007That's a first.
That's a first. My premeal BG was 111. After 8oz. buffalo filet mignon, 1 hour test my BG is 103. Since testing, it's always been higher after eating, never less. I wonder what the 2nd hour test will look like. Now I'm kinda/sorta anxious. Andy Andy <q> said... > That's a first. > [quoted text clipped - 5 lines] > I wonder what the 2nd hour test will look like. Now I'm kinda/sorta > anxious. And the 2 hour test was 130 mg/dl. That's what you call a spike? Andy <q> wrote in message news:Xns9A045A092A89Ccotd@216.196.97.136... > Andy <q> said... > [quoted text clipped - 11 lines] > > Andy Did you have anything in the way of carbs to go with the meat? If not, it's possible your body went into "starvation mode" and your liver dumped a little glycogen to combat it. I've found that extremely low-carb meals will spike me terribly. If I had just a filet mignon for dinner with nothing else to go with it, I'd be at 200+ in two hours, assuming I started with my usual premeal BG of <100. If I have, say, 30g of carbs to go with my meal, my BGs are usually within acceptable limits (for me, that's <140 at 1 hour PP, <120 at 2 hours PP). If I don't take in enough carbs, my body goes into "starvation mode" even though I feel full after a meal. My Type 2 family members - husband, mother, sister, brother - have all discovered the same thing, so this is not unique to me. If we get high readings for which there is no logical explanation, we eat a small (15g carb) snack. Within 30 minutes after that snack, our BGs can drop as much as 100 points! With the diabetes medications I'm taking (metformin, glipizide, Byetta), low-carbing is also not an option because of the risk of hypos. If you're on any medication, you might want to check with your doctor before you try extreme low-carbing. Karen Type 2 Karen in NC said... > Did you have anything in the way of carbs to go with the meat? No. Just meat. I was suspecting my Milton's whole grain bread to be keeping my BG up there so I skipped it. Would it be a good idea to have a slice of toast so after the 2nd hour test? Or just wait until lunch. I'm still very confused with numbers and foods and their relationship. My Doc said to see him in six weeks. I think I should see an endocrinologist? Andy Andy <q> said... > Karen in NC said... > [quoted text clipped - 5 lines] > Would it be a good idea to have a slice of toast so after the 2nd hour > test? Just before I sat down to a piece of bread a few moments after the last reply I decided to test (1hr/20mins after test 2) and it read 81 mg/dl. An all time low. I'm totally confused. Andy <q> wrote in message news:Xns9A0466CFCEE3Fcotd@216.196.97.136... > Andy <q> said... > [quoted text clipped - 5 lines] > > Andy 81 is a fabulous number! Evidently either your medication or your insulin response kicked in and lowered your BG. The more you test at odd times, the more confused you can become because blood sugar naturally fluctuates all the time. Try to test on the same schedule every day (1 or 2 hrs. PP, fasting). The only time I really test "off schedule" is if I'm not feeling right and suspect I'm having a hypo or a liver dump. Karen Type 2 Karen in NC said... > 81 is a fabulous number! Evidently either your medication or your insulin > response kicked in and lowered your BG. > > The more you test at odd times, the more confused you can become because > blood sugar naturally fluctuates all the time. Try to test on the same > schedule every day (1 or 2 hrs. PP, fasting). Karen, Well I had a bowl of Annie Chen's Miso soup for lunch and tested 2-1/4 hours later at 97 mg/dl. I'm beginning to think this 1 hour after eating test is a waste of a test strip. A wakeup FBG, pre-meal and 2 hours after meal test will be a new strategy for a trial. A more accurate monitor would also be nice. Someone recommended one brand that was +/- 5% accurate but I forgot which it is. I'm not on medicine other than for high blood pressure. So I guess my pancreas is working. Is that safe to say? Curiously is it better to fbg test before or after your "morning constitution?" Or does it matter? Thanks, Andy <q> wrote in message news:Xns9A0490F0B65B7cotd@216.196.97.136... > Karen in NC said... > [quoted text clipped - 17 lines] > for a trial. A more accurate monitor would also be nice. Someone > recommended one brand that was +/- 5% accurate but I forgot which it is. Andy ... that is a personal decision you will have to make. There is a school of thought that suggests testing at 1 hour is nearest most folks peak bg reaction to a meal and will identify your peak with the concept in mind that high blood sugar causes cumulative damage even it is a relatively short spike. The testing at 2 hour school of thought is one that reflects more of an attitude that "I will do my best but I still want to live my life as near as normal as possible." Like I say, it's your decision ... but I would suggest 1 hour testing until you get a feel for what foods do to your bg at the peaks. I think a majority of us pay more attention to the 1 hour numbers but make no mistake ... the sampling of the T2 diabetics on this group are much more anal than the general T2 population. cheers Paul > I'm not on medicine other than for high blood pressure. So I guess my > pancreas is working. Is that safe to say? [quoted text clipped - 5 lines] > > Andy Paul L said... > <q> wrote in message news:Xns9A0490F0B65B7cotd@216.196.97.136... >> Karen in NC said... [quoted text clipped - 39 lines] > > Paul Paul, The Contour monitor I use currently has an alarm feature that will only sound 2-1/2 hours post-meal for a test. I wonder what they know that we don't. Something to do with digestion duration?? Andy <q> wrote in message news:Xns9A04B14DC4CA1cotd@216.196.97.136... > Paul L said... > [quoted text clipped - 53 lines] > I wonder what they know that we don't. Something to do with digestion > duration?? Well Andy, my personal answer to the question of what do they know that we don't is ... absolutely nothing. Seriously. For me and how I've chosen to deal with this diabetes thing, a 2 1/2 hour test very rarely would give me information that is valuable. Others might disagree....but any test that tells me it's ok to eat a two scoop ice cream cone is flawed IMO... and I'm sure a 2 1/2 hour test would indicate that all is well even though I would be testing in the 200's at one hour. cheers Paul <q> wrote in message news:Xns9A046533580F7cotd@216.196.97.136... > Karen in NC said... > [quoted text clipped - 15 lines] > > Andy I feel your pain - it's all so confusing in the beginning! I was diagnosed 5 years ago, and this stupid disease still springs some unpleasant surprises on me every so often. Stick with it (pun intended!) and you'll get a handle on your diabetes. It took me several months before I really understood how *my* diabetes affected *me*. I know, I know - it doesn't help that there are different answers for everybody. :-) My husband, who was diagnosed about 2 months ago, is still in the learning process, and he gets pretty frustrated at times. He's been following the diet-and-exercise routine faithfully, but his fasting numbers are waaaaay too high no matter what he does. He went to the doc this morning; I'm hoping he gets some kind of medication to help with the dawn phenomenon. Andy, when you say the bread was keeping your BG "up there", how high is "up there"? How many slices of bread are we talking about? One slice would be enough for me, but then I'm not very active. The trick is to keep experimenting with portion sizes to find out what works for you. I can remember trying a half-slice of bread, then a whole slice, etc. until I found what worked best for me. I follow the guidelines set by the American Association of Clinical Endocrinologists: <110 fasting <140 1 hr. after a meal <120 2 hrs. after a meal Try eating a slice of toast *with* the steak and see what happens at your 1- and 2-hour marks. Since bread has fast-acting carbs, I wouldn't eat it as a snack at the 2-hour mark unless I had some cheese or butter to slow the BG rise. An endocrinologist may be better able to help you sort through all this confusing stuff than your primary care physician can. Good luck! Karen : found what worked best for me. I follow the guidelines set by the American : Association of Clinical Endocrinologists: : <110 fasting : <140 1 hr. after a meal : <120 2 hrs. after a meal The numbers recommended by the AACE is <160 1 hr pp <140 2 hr pp The numbers you list are those from jennifer's test test test advice post. They are the numbers I also aim for. Wendy > : found what worked best for me. I follow the guidelines set by the > American [quoted text clipped - 12 lines] > > Wendy Thanks for the correction, Wendy. Actually, the target postprandial goals Jennifer cites in her post are recommended for women with gestational diabetes: http://patients.uptodate.com/topic.asp?file=pregnan/5061 Like you, I think these are good Type 2 goals. Karen >: found what worked best for me. I follow the guidelines set by the American >: Association of Clinical Endocrinologists: [quoted text clipped - 6 lines] ><160 1 hr pp ><140 2 hr pp I'm not sure about that, Wendy - they may be due a downward swing again; I saw the numbers Karen mentions in a Medscape article attributed to the AACE just yesterday. Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 Nicky said... >>: found what worked best for me. I follow the guidelines set by the >>: American Association of Clinical Endocrinologists: [quoted text clipped - 15 lines] > D&E, 100ug thyroxine > Last A1c 5.6% BMI 25 Yesterday: Morning Fasting BG: 105 mg/dl 1 hour after breakfast: 138 mg/dl 2 hours after breakfast: 120 mg/dl Before dinner 95 mg/dl 1 hour after: 141 mg/dl 2 hours after: 115 mg/dl I go to the Doc for a full Lipid Panel on Thursday. It's only been 3 years since my last one. Best, Andy  SignatureAll Posts Blocked From: @yahoo|@gmail|@hotmail >> : found what worked best for me. I follow the guidelines set by the American >> : Association of Clinical Endocrinologists: [quoted text clipped - 10 lines] > again; I saw the numbers Karen mentions in a Medscape article > attributed to the AACE just yesterday. I have the 2007 guidelines here in front of me. Anyone can download a PDF of the recommendations from the AACE's website here: http://www.aace.com/pub/pdf/guidelines/DMGuidelines2007.pdf In the section on glycemic control, which precedes recommendations for each type of diabetes, it says the same goals are used for all diabetics. The recommendations are HbA1c < 6.5%, fbg < 110 mg/dL, 2 hr postprandial < 140 mg/dL. There's no 1 hour recommendation that I can see on a quick glance, but I didn't reread the whole article just now. It's darned clear at *least* 4 strips per day are needed to ascertain if you're hitting goals or not; seems to me this is good ammo to argue with out-of-date doctors who don't want to prescribe strips. Signaturehttp://www.ornery-geeks.org/consulting/ > I feel your pain - it's all so confusing in the beginning! I was diagnosed > 5 years ago, and this stupid disease still springs some unpleasant surprises [quoted text clipped - 4 lines] > about 2 months ago, is still in the learning process, and he gets pretty > frustrated at times. It takes time. I figured it out for myself as a T2 initially, and frankly that took a couple *years* to find what worked (*mostly* worked, I never got my fastings into goal range). When I started on insulin, it took me a few months to get consistently into goal range. Now I'm on Symlin and everything is all confusing again. The *only* reason I'm not furstrated is cause I *know* I shall figure it out. Right now, I'm just gathering data, knowing it'll take a few weeks of tests to get a feel for what is going on. Signaturehttp://www.ornery-geeks.org/consulting/ > Karen in NC said... > [quoted text clipped - 12 lines] > > Andy I think you may be confusing 'reducing carbs' with 'eliminating carbs'. Even Dr. Berstein (who is more draconian about carbs than most folks) in limiting to 30 carbs per day, suggests some at each meal. Specifically, his recommendation is breakfast 6; lunch 12; dinner 12. If you look, you should be able to find some low carb substitutes - for example, Oroweat makes a double fibre bread which is significantly lower in carbs; I'm also seeing low carb, high fibre tortillas now; I routinely have a sandwich for lunch which consists of margarine and extra sharp cheddar cheese on two WASA fibre wafers. <q> wrote in message news:Xns9A046533580F7cotd@216.196.97.136... > Karen in NC said... > [quoted text clipped - 13 lines] > My Doc said to see him in six weeks. I think I should see an > endocrinologist? Do not eat the toast at the 2nd hour if your BG is too high. Eat it with the meat. <q> wrote in message news:Xns9A046533580F7cotd@216.196.97.136... > Karen in NC said... > [quoted text clipped - 6 lines] > Would it be a good idea to have a slice of toast so after the 2nd hour > test? I would have had some low GI vegetables with the meal. Enough to stop a potential liver dump because of a protein only meal. Right i have to balance my meals with fats and low spiking carbs ..so my meal would be the steak and broccoli with a little metled cheese on top. The more balanced for me the meal is the more even my bg is. KROM > <q> wrote in message news:Xns9A045A092A89Ccotd@216.196.97.136... >> Andy <q> said... [quoted text clipped - 36 lines] > Karen > Type 2 > Andy <q> said... > [quoted text clipped - 11 lines] > > Andy that's where YOU spiked to after that meal............ it's well withing the tolerance of under 140 2 hours after a meal......... i'd say this was a good choice for you kate <q> wrote in message news:Xns9A045A092A89Ccotd@216.196.97.136... > Andy <q> said... > [quoted text clipped - 9 lines] > > And the 2 hour test was 130 mg/dl. That's what you call a spike? What did you have with the steak? : That's a first. : My premeal BG was 111. After 8oz. buffalo filet mignon, 1 hour test my BG is : 103. : Since testing, it's always been higher after eating, never less. : I wonder what the 2nd hour test will look like. Now I'm kinda/sorta anxious. : Andy Did you have anythig besides the buffalo steak? If not, there was nothing to raise your bg's rapidly and little fat to make for a delay, so yu may not see much rise form the slow use , by the body , of soem of the energy in the protein. Wendy > That's a first. > > My premeal BG was 111. After 8oz. buffalo filet mignon, 1 hour test my BG is > 103. Those are probably identical readings; meters aren't giving you exact numbers. > Since testing, it's always been higher after eating, never less. That is what makes most sense. > I wonder what the 2nd hour test will look like. Now I'm kinda/sorta anxious. If you're not on insulin, not on any pancreas-stimulating meds and don't have a history of reactive hypoglycemia, it's very unlikely you'll go low. Protein and fat can convert to glucose to a minor degree, but it takes a lot longer than it does for carbs to, so you're much less likely to see a spike just eating a steak even if you test way out. Signaturehttp://www.ornery-geeks.org/consulting/ <q> wrote in message news:Xns9A0450641F606cotd@216.196.97.136... > That's a first. > [quoted text clipped - 8 lines] > > Andy Sorry you are having such a hard time. to keep energy levels steady and to avoid the up and downs I try to include carbs from simple (fruit), middle ( Veggies) and complex carbs ( whole grains) with each meal. of course the 3 main meals will include protein and fats. this is a very simple way of looking at it but it worked for me and was rather very easy to get things working. also included was increased activity levels. I hope you get some help at with the Endo. SignatureTom www.TomsDiabeticDiary.com Chat in peace with other diabetes at the American Diabetes Associations Web Site. http://community.diabetes.org/n/pfx/forum.aspx?nav=index&webtag=amdiabetesz&redi rCnt=1 Information You Can "Trust" From Your American Diabetes Association www.diabetes.org Information on Specific Types of Fat. http://www.diabetes.org/nutrition-and-recipes/nutrition/foodlabel/specific-fats.jsp wrote: > Sorry you are having such a hard time. > to keep energy levels steady and to avoid the up and downs I try to > include carbs from simple (fruit), middle ( Veggies) and complex carbs ( > whole grains) with each meal. Huh????? Susan >x-no-archive: yes > [quoted text clipped - 8 lines] > >Susan you noticed that too. SignatureMåck©® Deltec CoZmore Pumper Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org http://diabetes.niddk.nih.gov/dm/pubs/type1and2/ http://www.pandora.com enter "Jason & Demarco" http://www.ratbags.com/dechunging/ "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 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... . On Dec 12, 12:09 pm, "Gantlet" > I try to > include carbs from simple (fruit), middle ( Veggies) and complex carbs ( [quoted text clipped - 8 lines] > -- > Tom Hi Tom. Can you define "middle" carbs? Thanks, John C. |
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