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Medical Forum / Diseases and Disorders / Diabetes / January 2004how does the insulin work?
In regards to hypoglycemia, I tested before a meal today and it was 72. I ate fettuccine alfredo with broccoli and chicken which has 37g carbs, 14g protein, 11g fat. At one hour I tested at 98. I was still hungry so I had another one at that time. In one hour I tested at 100 (so this is 2 hours since the first meal). I wanted something sweet then so I ate 2 mini muffins which together had 24g carbs, 2g protein, 5g fat. At one hour it was 123 (3 hours since the first meal) and 20 minutes later it was 115. So maybe half a muffin would have worked. My question is did the 123 come mostly from the muffins or was it also from the fettuccine? If its from the muffins, it seems like the fettuccine is an okay meal for me, is that right? Also, I assume there were no spikes before the 123, since the fettuccine had protein and fat and took longer to become BG? Fawnhawk Fawnhawk The 123 is from a combination of all the foods and all the fats from all 3 meals, I cannot imagine any way to discern the difference. You should notice that the pasta and muffins all had a reasonable amount of fat, and fat usually serves to delay the absorbing of the carbohydrates. As an example, you'd get a different 1 hour reading from the same amount of plain pasta without the sauce, and you would with the sauce, since the sauce would slow things down. It might be that you can handle this meal, which would be great, but the best idea would be to try to test again - but without all the extra meals, to get an accurate reading of the impact of the one meal. Bill So far I've been testing meals invidually most of the time. I was hungry and thought I'd test to understand what happens. Thanks for the info. > Fawnhawk > The 123 is from a combination of all the foods and all the fats from [quoted text clipped - 10 lines] > > Bill yawn. 115...123. you're meter could be off more than the 8 points. QUIT OBSESSING!!! You aren't gonna be able to successfully micro-manage DM like you are expecting. dave > In regards to hypoglycemia, > [quoted text clipped - 16 lines] > > Fawnhawk You are blunt but I agree with you. The variation in the meters, different foods and other things will introduce variations. There is a limit on the ability to measure. Some of us are happy to stay between 60 and 150. The first thing is to get a realistic idea of managing YOUR diabetes and go ahead and live. Diabetes is not a football game but managing it is to allow you to live. Live is the main thing. Some of us have a rough time but much later. I think most of the newbies will never get there if they are reasonably prudent. Guy >yawn. 115...123. you're meter could be off more than the 8 points. >QUIT OBSESSING!!! You aren't gonna be able to successfully micro-manage [quoted text clipped - 22 lines] >> >> Fawnhawk no disagreeing with you regarding me being blunt. that I am. let's get to the point, is my motto! :) some of the folks on these DM newsgroups think they are gonna maintain their bg's within a few points of 100. All they are going to accomplish is that they will drive themselves nuts trying. dave > You are blunt but I agree with you. The variation in the meters, > different foods and other things will introduce variations. There [quoted text clipped - 33 lines] >>> >>>Fawnhawk Hmm, I wasn't even posting about the 123-115 difference. I know my meter has variation, that wasn't the focus of the post. > yawn. 115...123. you're meter could be off more than the 8 points. > QUIT OBSESSING!!! You aren't gonna be able to successfully micro-manage [quoted text clipped - 22 lines] > > > > Fawnhawk the point is you shouldn't be worrying if you are 123 or 98 or anything else near 100. if you get up to 200+ regularly, then be concerned... dave > Hmm, I wasn't even posting about the 123-115 difference. I know my meter > has variation, that wasn't the focus of the post. [quoted text clipped - 49 lines] >>> >>>Fawnhawk In my opinion we should use the glucose tolerance test for diabetes. I first was aware of it in 1949. My girl friends problem was identified with it. It tells the story on your ability to handle glucose. .I guess with all of the added protocols it has become too expensive. I think we are too quick to add pills without finding out what is really happening. Guy >the point is you shouldn't be worrying if you are 123 or 98 or anything >else near 100. if you get up to 200+ regularly, then be concerned... [quoted text clipped - 54 lines] >>>> >>>>Fawnhawk Oh, okay. I thought the objective was to prevent getting to that point though? I know certain meals have made me go high.. found out simple raisin bran and 2% milk gave me 187 at 1 hour and 65 at 2 hours. And rice gave me a 209 at 1 hour and 116 at 2 hours. I will modify those if I eat them again. So what should be my focus? Is anything below 140 at 1 hour good, if I don't end up with hypoglycemia later? Fawnhawk > the point is you shouldn't be worrying if you are 123 or 98 or anything > else near 100. if you get up to 200+ regularly, then be concerned... > > dave : Oh, okay. I thought the objective was to prevent getting to that point : though? I know certain meals have made me go high.. found out simple : raisin bran and 2% milk gave me 187 at 1 hour and 65 at 2 hours. And rice : gave me a 209 at 1 hour and 116 at 2 hours. I will modify those if I eat : them again. So what should be my focus? Is anything below 140 at 1 hour : good, if I don't end up with hypoglycemia later? : Fawnhawk Sounds good to me. I aim for under140 at one hour and under 120 at 2 hours. I don't have your sharp drops that must be caused by the hypoglycemia. I think you can avoid someof the drops if you avoid goin gtoo high, like that 187 from the raisin bran. Ths only wy you will know is to keep testing regularly and finding out what keeps you on a more even keel. Wendy > yawn. 115...123. you're meter could be off more than the 8 points. > QUIT OBSESSING!!! You aren't gonna be able to successfully micro-manage > DM like you are expecting. > dave You missed the whole point, Dave. FawnHack doesn't even have DM. She's NOT a diabetic ! interesting. I STILL think she is obsessing. if you don't like my personal opinion, sue me! :) dave >>yawn. 115...123. you're meter could be off more than the 8 points. >>QUIT OBSESSING!!! You aren't gonna be able to successfully micro-manage [quoted text clipped - 3 lines] > You missed the whole point, Dave. > FawnHack doesn't even have DM. She's NOT a diabetic ! I forgot to mention. Just substitute "your blood sugar" for "DM" in my previous post. Make you happy? dave >>yawn. 115...123. you're meter could be off more than the 8 points. >>QUIT OBSESSING!!! You aren't gonna be able to successfully micro-manage [quoted text clipped - 3 lines] > You missed the whole point, Dave. > FawnHack doesn't even have DM. She's NOT a diabetic ! Fawnhawk wrote in message ... >In regards to hypoglycemia, . . .(snip). . .. >My question is did the 123 come mostly from the muffins or was it also from >the fettuccine? If its from the muffins, it seems like the fettuccine is an [quoted text clipped - 3 lines] > >Fawnhawk Meals like that will affect me for up to 5 hours** after eating. . .i.e. I can spike at 5 hours. We T1 insulin shooters are like lab rats in cases like this. No self-generated insulin to confuse the issue, what we shoot is what we get. Guess wrong and it spikes. On a meal like this (slow carb + fat + slow carb + fat +muffin-carb??), the digestion can still be pushing sugar into my blood when the before-meal shot is wearing off. Thus, there would be little I could do to pick out the separate effects of any of those foods unless the muffin happened to be loaded with sugar. It gives us a **interesting** insight on how these things work. Hmmm. . .Chinese curse: "May you live in interesting times" (** My sister's holiday meals tend to be like that. Vegetarian to satisfy some of the kids and thus heavy on veggies and hi-carb-but-slow-to-digest dishes which all taste so good I eat too much) Regards Old Al Thanks for the information. Last night I had a fettuccine dinner (37g carb, 14g protein, 11g fat) at 1150pm and then a bologna and cheese sandwich (33g carb, 11g protein, 15g fat) at 215am and got 146 at 1 hour and 97 a half hour later (checking for where spikes happen and also how fast I drop). The 146 was surprising considering it has less carbs and more fat than the fettuccine. However, it is pasta vs flour, I guess. And the fettuccine must have influenced the spike at 3 and a half hours from 1150pm. Need to test the bologna sandwich alone. Since optimally I am supposed to eat meals every 2 hours or so, it's hard to test meals alone very often.. gotta learn the cumulative effect sometime, heh. Fawnhawk > Meals like that will affect me for up to 5 hours** after eating. . .i.e. > I can spike at 5 hours. [quoted text clipped - 17 lines] > Regards > Old Al |
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