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Medical Forum / Diseases and Disorders / Diabetes / March 2008Hi!
I'm Barry and have been lurking for about 4 months since I was diagnosed with T2. I'm just now starting to get serious about behaving responsibly. My FBG's are pretty good but my post prandials are high. I had a banana with fat free sour cream for breakfast and was at 186. I admit to not testing enough after eating. I'm on 32 units of Lantus at bedtime and my last A1c was 6.9, down from 13 at diagnosis. I admit I don't understand this insulin thing very well. What should I be doing? Thanks to all of you in this wonderful group!!! I appreciate your help. > I'm Barry and have been lurking for about 4 months since I was diagnosed > with T2. [quoted text clipped - 7 lines] > What should I be doing? > Thanks to all of you in this wonderful group!!! I appreciate your help. A banana and fat free sour cream is pretty much all carbs and no protein. Most of us find we can't eat bananas at all or at least in the morning when the body is the most insulin resistant. Are you only on insulin and no diabetes meds? If so, this seems strange for a type 2. I don't use insulin myself so I can't help with that. Next time try something like an egg or two, some bacon, ham, a steak or some other form of protein like cheese or cottage cheese along with a small amount of carbs and some fat. Like a slice of whole grain toast with a little butter. > "The Only" <ope1@webtv.net> wrote in message > > I'm Barry and have been lurking for about 4 months since I was [quoted text clipped - 20 lines] > small amount of carbs and some fat. Like a slice of whole grain toast > with a little butter. Agreed, Julie. I've settled on three rashers of bacon, two eggs and a slice of fried tomato. I could have that for breakfast every day! And I do! Today FBG was 103. One hour post prandial 103. If I had a slice of toast with it, it'd be like 157 (yesterday, but no more). Banana? I'll have like one inch of a banana in the afternoon, once or twice a week.  SignatureNick. Support severely wounded and disabled Veterans and their families! I've known US vets who served as far back as the Spanish American War. They are all my heroes! Thank a Veteran and Support Our Troops. You are not forgotten. Thanks ! ! ~Semper Fi~ > Banana? I'll have like one > inch of a banana in the afternoon, once or twice a week. Something I learned from my grandparents is that you can cut off a piece from a banana and just put it back in the fruit bowl. Sure the end will turn brown, but you can just slice that off the next piece. My grandfather ate 2/3 of a banana every morning on his cereal, so that meant that 2 days out of three there was a cut banana in the fruit bowl. Priscilla > I'm Barry and have been lurking for about 4 months since I was diagnosed > with T2. [quoted text clipped - 7 lines] > What should I be doing? > Thanks to all of you in this wonderful group!!! I appreciate your help. Hi Barry, it's almost a year now (April 18th) since I had my heart attack and was diagnosed T2. Reading this group, testing almost obsessively, exercising and changing my diet have brought me to the point where I'm off all diabetic meds with a 5.5 A1c. Please start with the following advice: http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm Stick with this NG and you will learn from caring people who live with this disease 24/7. FWIW, the worst time for me to eat carbs, especially bananas, is breakfast time. From reading here, it seems that most T2s experience this also. I typically eat an omelette with a little cheese or turkey or spinach and then have a cup of coffeee when I get to work. Lunch is almost invariably a salad (about 16 oz.) with fresh greens, onions, olives, tomatoes and chicken or turkey or fish. Dinner is where I have my variety and, I've found, can eat the most carbs. The only way I found out what I could eat was by repeatedly testing every meal. John C. > I'm Barry and have been lurking for about 4 months since I was diagnosed > with T2. [quoted text clipped - 7 lines] > What should I be doing? > Thanks to all of you in this wonderful group!!! I appreciate your help. Hi! I see you've already received the usual starting advice from other diabetics here. You guys are just great!! I'm on insulin due to liver disease. My Endo says oral meds would do further damage to what's left of my liver so he went right to insulin. Can't believe how much i've learned from my first question. I guess one of the complications of having this condition is being smart. Thank you again for the help and the welcome. It is truly appreciated. I'm giving the bananas to the squirrels so they appreciate it too. Barry Are you only on Lantus? No bolus for meals? > You guys are just great!! > I'm on insulin due to liver disease. Yup, Lantus only. Both my PCP and my Endo agreed. I'm not even sure what bolus is... Barry The Only wrote in message <1102-47E86613-43@storefull-3331.bay.webtv.net>... Yup, Lantus only. Both my PCP and my Endo agreed. I'm not even sure what bolus is... Barry Welcome to the group Barry. I am not on insulin so I can't suggest anything there, but just wanted to say hi. There will be good insulin info forthcoming I'm sure. Take care. Cheri > Yup, Lantus only. Both my PCP and my Endo agreed. > I'm not even sure what bolus is... > Barry The pancreas normally lets out a trickle of insulin all the time, this is your basal, (for you it is your Lantus). when bg's start to rise after eating the pancreas lets out more insulin to cover the food we ate. A bolus is what diabetics take to cover food. So basically you are emulating the human pancreas by the injections you take. That was a very basic explanation by the way. The pancreas is smarter than is, we have to experiment to get everything right :) Too much insulin with a meal we hypo, too little we go high. Type 2's have insulin resistance as well so we need to fight that resistance to get the bg's down. Certain oral meds are great for that but in your case it is down to insulin. If you are not able to take orals and you are not taking bolus shots (meal shots) then you are going to have to rely on diet and exercise. Curbing carb intake and upping the exercise are two ways to fight bg reactions to carb. Ask us how :) Sounds like a Herbalife ad eh? :) As you noticed, a banana at breakfast wasn't a good idea. For a lot of us bananas are never a good idea let alone at brekky. In the a.m. we are most carb sensitive (insulin resistant). Protein meals with a little or no carb are better choices then, later in the day things are usually a lot easier. > Yup, Lantus only. Both my PCP and my Endo agreed. > I'm not even sure what bolus is... Well, I know what it is and I don't even use it. It's insulin just to cover your meals. You figure out how many carbs you are going to eat and inject the amount accordingly. >You guys are just great!! >I'm on insulin due to liver disease. My Endo says oral meds would do [quoted text clipped - 4 lines] >It is truly appreciated. I'm giving the bananas to the squirrels so they >appreciate it too. Hey - I never thought of us as benefiting wildlife before :D Goodonya for finding a cool solution to the banana over-supply problem : ) My liver numbers were trending upwards but still normal by dx. A low-spike diet and building up the exercise, slow but steady, has brought them back to looking good. The liver is a great organ - did you know they do partial transplants, because it can regenerate? One of the nasty things diabetes does is stuff fat cells in and amongst your liver cells, mucking up the way it works and hugely increasing your insulin resistance. Losing weight and exercising - getting rid of that fat, and stopping the insulin that can't be used because of the resistance from packing away more fat - will really help. You haven't said what, if any, exercise you do? If you're sedentary atm, you'll be amazed how much a gentle stroll about an hour after eating will help your bg : ) Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 Hi and welcome! Best advice i can give is learn what does what to you numbers and adjust diet/mealplans acordingly. I dont know much about insulin so cant help ya there..best of luck and congrats on starting control. KROM > I'm Barry and have been lurking for about 4 months since I was diagnosed > with T2. [quoted text clipped - 7 lines] > What should I be doing? > Thanks to all of you in this wonderful group!!! I appreciate your help. > I'm Barry and have been lurking for about 4 months since I was diagnosed > with T2. [quoted text clipped - 7 lines] > What should I be doing? > Thanks to all of you in this wonderful group!!! I appreciate your help. Hey Barry, Sorry you had to join us, but welcome! I see that John already gave you the link for newbies explaining how to use your glucometer to determine what your food is doing to your blood glucose. Follow the procedure for a couple of days, carefully recording the foods you eat and the 1 and 2 hour BG results. You'll start to get some picture about what you can eat. If you need help, come back and share your data with us. Best regards, Michelle C., T2 diet & exercise |
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