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Medical Forum / Diseases and Disorders / Diabetes / August 2005

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First Post-Diagnosis Blood-work approaching my 3-month mark

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Michael - 09 Aug 2005 08:34 GMT
By the time I finish writing this post, it will be 3 months since I was
diagnosed with Diabetes.  I don't remember exactly what my labs looked
like back then, but I do remember:

BG tested 309 at 5:30, 2 1/2 hours after eating 2 "Grandmas Cookies."
A1C, next morning:  10.1
Triglicerides quite high
Cholesterol marginal (just under 200, IIRC), but VLDL also high
BP and other factors normal
5'9", 175 pounds.

At first, the Doc prescribed that I take 500MG Metformin twice a day.
when my numbers didn't come down, a week later he re-prescribed me for
1000MG Metformin.

Doc concludes that becuase I respond well to Metformin, that I must be
Type 2.

Taking diet more seriously, starting to bicycle to work, and the
Metformin did the trick.  Instead of pre-meal BG above 200, and Coffee
and two slices raisin toast (17 g carb each) causing my 1.5 hr post-meal
BG to be 391 (gak!), I'm now much better.  The highest my pre-meal BG
has been since 1000mg twice a day was 169, and the higest post-meal was
227.

Three months later, I'm eating healthier, but I'm still confused.
Tomorrow (well now later today), I go for my 4th diabetes education
class, taught by two CDE's, one who is an RN, the other who's a
registered Dietician.  Just this weekend, I experimented again with
coffee and raisin toast -- this time I started at 122, was 218 one hour
after, and 157 two hours after.  218 is too high, but better than 391.

THEY want me to live a relatively normal life, but eating more healthy.

The Doc first told me to eat as low carb as I could, but when I actually
showed up for an appointment wearing my bicycling shorts, he told me I
had to eat SOME carbs.

The low points:
  1.  The weekend after being diagnosed, I had to sit sunday morning at
the soundboard at Church for 6 hours.  I had a hard time running the
board I was getting so emotional over the DM stuff.  I didn't expect
THAT strong of a reaction THEN.
  2.  Giving up Raisin Bran.
  3.  A week ago, my wife made my favorite childhood meal: Baked
Macaroni and Cheese.  It was SOOO hard and SOOO upsetting to have to eat
just a reasonable portion.

The highlights:
  1.  I'm finally eating like an adult  :-)
  2.  I like low-carb special K.  The CDE/Dietician has dissed it, but
I'm going to keep eating it.  And...if my morning numbers are below 100,
I'll even put some raisins on!
  3.  I'm feeling much more normal physically.  I'm not getting up to
use the bathroom at night...  or that often at work anymore.
  4.  My 9 year old and 7 year old are reading labels and telling me
how many carbs things have.

I'm not all super-low-carb like some of y'all.  I eat ice cream a lot
for my nighttime snack...but not if my pre-dinner numbers were too high.
 I figure some carbs are okay.  But I eat salad for lunch 4x/week, and
I'm doing low-carb breakfasts too.  Carb control at dinner is mostly
eating smaller portions of potatos, rice, and pasta.  It's hard for my
wife to change the diet for all 5 of us.  I should've bicycled to work
TODAY, but I couldn't deal with it (for several reasons, some of which
were legit)...so I cut myself some slack.  As a few of you have said, DM
won't kill me overnight, so I have time to work out how DM is going to
change my lifestyle.

Well, I have to get up in 6 hours, and I'm not ready for bed yet
(sleep-time is something about my lifestyle I have not fixed yet).

I'll post a synopsys of my bloodwork and what the Doc has to say next week.

Thanks for letting me vent... maybe one or two of you will even read
this far!

mt
Pete - 09 Aug 2005 10:10 GMT
Michael,

Allow me to (unfortunately) welcome you to our club, of which I'm also
a recent member.

Do you test after eating your late-nite ice cream? I wouldn't be able
to sleep without knowing what that was doing to my blood sugar.

I'm 8 months into my diagnosed Type 2 and didn't try ice cream until
last week. The 100+ summer days here in the Southwest led me to try
some of those low carb ice creams. The Dryers/Edy's Carb Benefit is
excellent and doesn't move my glucose level a whit. It's smooth and
creamy without a hint of aftertaste (at least I can't detect one.) Even
my wife (non-diabetic) is eating it--she can't tell a difference. I
tried the Breyer's first and it was fine, but had a stronger after
taste and a much stronger after-effect. (It was like eating a bowl of
ex-lax.)

As always YMMV, but it's something to consider if you find the regular
ice cream is spiking you. I've not been brave enough to even try
regualr ice cream to see what it'd do.

Here's a link you'll find posted all over this board, and if you
haven't read it, you really should. It was probably the best, most
useful and most helpful thing I've read since being diagnosed.

http://www.alt-support-diabetes.org/NewlyDiagnosed.htm

Pete
Michael - 12 Aug 2005 04:52 GMT
Just got back from a business trip (for some reason I couldn't reach my
news server while away).  I can't bear to reply to all the encouraging
messages, so I'll consolidate my responses into this one.

Pete,

thanks for your concern.  I just double checked my records, and since
becoming "controlled", I've tested once 1.5 hours after and once two
hours after ice cream.  Both times I was under 110.  I too "enjoy" the
heat of the desert southwest; the people I work with can't believe I've
bicycled 6 miles in 120 heat (that was an experience).  BTW, I've found
that 110 is a magic number...  if the temperature is above 110, then I
have to prepare a water bottle before hopping on my bike.  If below 110,
I can just go.  The CDE/Dietician warned against low-carb ice cream; the
first one I saw spiked the fat pretty high.  However I saw another, and
I think it was the Dryers, that has low fat AND low carb.

OldAl,

I remember your warning to me when I first posted on 30 June.  That was
just after I had gotten over my denial  :-)
I am concerned that I might be T1, and in fact the CDE/RN I referred to
also speculates that I am.  On the other hand, while I'm not and have
never been obese, I can't say definitively that my family history is
nil; both my grandfathers died before retirement age, one of heart
disease, the other of cancer.  Both my grandmothers have surpassed 85,
and nobody knows nothin' 'bout no diabetes.

I continue to test twice-daily, per my doctors orders, on occasion I do
extra testing just to experiment.  Doc promised that maybe at Monday's
appointment, or perhaps in another 3 months, that he'd order me to test
say 3 times a week.  I'm not sure how I feel about that.

Ms. None :-)

I eat plenty of colorful veggies at lunch.  I don't like tomato, so I
prefer none over one.  That's when I hit the work cafeteria salad bar,
which is pretty good.  The higest carb thing I put in is either the
carrots, the cottage cheese, or the fat free salad dressing.  I even
asked them for carb counts for their fat-free dressings, so I know that
they range between 4-10 g/carbs for 2 tablespoons.  I wish they had
sprouts or radishes.  Basically my approach is *generally* to eat as low
carb as I can at breakfast and lunch so I can "splurge" at dinner.  I
don't really splurge, but I eat what my wife serves, and if she serves
something higher-carb, I just eat less.

Henry,

yes, I've noticed that the regulars here (and at alt.support.diabetes,
where I first posted but can't manage to get the number of posts in my
inbox under control) are fanatical about low-blood sugars and low-carb.
 I gave the names of both groups to the CDE/Dietician, and exaggerated
by saying something like "most of the regulars there think an A1C of 4
is too high".

The good news is I've never had much use for starchy foods anyway.  I'd
eat my plate of fries, but only because they were given to me and they
were unobjectionable, not because I liked them.  After class on Tuesday
night, my spousal unit and I went to TGIFridays for dinner.  I ordered
the bacon cheeseburger...and decided not to order other than the fries.
   (normally, now, I ask for an alternative).  However, when my plate
arrived, I took half my fries and set them aside.  I'd guess I ate 4
servings of carbs that night.  One extra serving once in a while isn't
going to kill me.

Anyway, thanks for your support, advise, and wisdom.  I'll be praying
for y'all, and I'll be sure to post with my results...probably late on
Monday the 15th.

mt

> Michael,
>
[quoted text clipped - 25 lines]
>
> Pete
Graeme McGrath - 15 Aug 2005 07:45 GMT
> Just got back from a business trip (for some reason I couldn't reach my
> news server while away).  I can't bear to reply to all the encouraging
[quoted text clipped - 96 lines]
>>
>> Pete

IntInteresting, a thought though,I find that carrots increase my
glucoselevels greatly.. They are like beet, very high in sugar.
Nicky - 15 Aug 2005 12:33 GMT
> IntInteresting, a thought though,I find that carrots increase my
> glucoselevels greatly.. They are like beet, very high in sugar.

Raw carrots do nothing to me - I can eat quite a lot. Cooked ones are dire!
Pickled beets (home-made) are also not a problem - I can eat an apple-sized
one with no ill effect other than some very strange-coloured urine...

YMMV!

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/76/72Kg

oldal4865 - 09 Aug 2005 13:21 GMT
Michael wrote in message ...
>BG tested 309 at 5:30, 2 1/2 hours after eating 2 "Grandmas Cookies."
>A1C, next morning:  10.1
[quoted text clipped - 10 lines]
>Type 2.
>. . .(snip). . .

.  Just this weekend, I experimented again with
>coffee and raisin toast -- this time I started at 122, was 218 one hour
>after, and 157 two hours after.  218 is too high, but better than 391.
>
>mt

". . . .Doc concludes that because I respond well to Metformin, that I must
be Type 2. . . ."

Your doc is using some rules-of-thumb which apply very well to over 95% of
his diabetic patients.    However,  there is that other 3-5% to think about.
Your experiences to date do not yet rule out adult-onset Type 1

   If you are adult-onset T1,  the metformin will ultimately lose its power
and your sugars will go sky-high no matter what  you do  (Umm. . .like mine
did).     In other words,  IF  (big if)  you are adult-onset T1,   your
honeymoon will draw to a close and you will need insulin injections.

(I am bringing up the subject because your experiences sound a bit more like
my early experiences and a bit less like those of many of our
newly-diagnosed posters. . . .but just a bit)

The danger you face right now is apathy and timidity.   IF you are
adult-onset T1,   you must continue to work your new program,  keep on
testing and otherwise stay on top of the disease.   IF everything goes to
H*ll,  you have to be in a position to notice (sounds sort of obvious but
you would be surprised)   and be ready to ask for insulin.    Could come in
3 months,  or 6 months,  even a year or two.

You have a sensible approach to the disease.   There are quite a few posters
who regret not getting the type of start you are getting.   Keep it up and
keep coming back.

Good luck.

Regards
 Old Al
None Given - 09 Aug 2005 17:35 GMT
> I'm not all super-low-carb like some of y'all.  I eat ice cream a lot
> for my nighttime snack...but not if my pre-dinner numbers were too high.
[quoted text clipped - 6 lines]
> won't kill me overnight, so I have time to work out how DM is going to
> change my lifestyle.

Eat way more of the colorful veggies, cabbage, lettuce, tomato (only 1),
cucumber, zucchini, marrow, cauliflower, celery, rhubarb,
yellow or green beans, bean sprouts, spinach, greens (beet
greens, swiss chard), radishes, red or green peppers,
broccoli, brussel sprouts, asparagus, mushrooms, parsley,
onions (1/2 cup). Basically the non starchy vegetables.

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No Husband Has Ever Been Shot While Doing The Dishes

hemyd - 10 Aug 2005 10:28 GMT
> By the time I finish writing this post, it will be 3 months since I was
> diagnosed with Diabetes.  I don't remember exactly what my labs looked
> like back then, but I do remember:

Michael,

First of all, I congratulate you on taking such an interest in your
diabetes. This is what will make the difference in how your life progresses.
You seem to have a good doctor. Reading and posting on this and mhd
newsgroup is a very good start. get as much information about diabetes as
you can. You have probably already learnt to recognise and avoid the
crackpots and scammers. There are some very good and knowledgeable people
here, those who have helped me so much over the ten years since I was myself
diagnosed Type 2. As OldAl says, apathy is your enemy - apathy and denial.
It's often tempting to think "stuff it all, I will indulge and not worry
about all this diabetes crap..." You may not feel any worse then, but the
effects of the disease will ultimately catch up with you.

As far as the few endos I have seen in the past ten years, I am a model
diabetic. As far as this newsgroup is concerned, I am not. My most recent
HbA1c of 6.4, drifting down from 6.7, could be better; my fasting sugar of
between 120 - 160 could be better; my cholesterol and trigs could also
improve. I eat some carbs - whole grain bread in small amounds (a tiny thin
half slice of bread and white cheese for breakfast, and a couple of such
half slices with chicken loaf at lunch), and I could probably reduce my
carbs.  I take one tablet of Diamicron (a sulph) and three 500mg tablets of
Metformin daily. Since last Christmas I have undertaken a severe excercise
routine by, like you, cycling to work. I do a round trip of 17 miles (27
kilometres) daily. Blood sugar wise, I am not sure if it's made any
significant difference, but in other ways, such as blood circulation, blood
pressure and general fitness, I am sure it has - I hope it has.

At 57 I am certainly older than you are, and I feel I have a bit more living
to do - in your case, you have a LOT more living - healthy living! Keep on
learning and keep on practising what you have learnt.

Henry.
Alan S - 13 Aug 2005 12:21 GMT
>By the time I finish writing this post, it will be 3 months since I was
>diagnosed with Diabetes.

Hi Michael

I read the responses, and your reply.

I believe that you've missed the full implications of
Jennifer's advice. I strongly urge you to read it again with
a critical mind, armed with the knowledge you've gained
since diagnosis.

http://www.alt-support-diabetes.org/NewlyDiagnosed.htm

Cheers Alan, T2, Australia.
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Everything in Moderation - Except Laughter.

Michael - 14 Aug 2005 03:52 GMT
>>By the time I finish writing this post, it will be 3 months since I was
>>diagnosed with Diabetes.
[quoted text clipped - 11 lines]
>
> Cheers Alan, T2, Australia.

Thanks, Alan.

Much to my embarrassment, I just discovered I'd never read it.  I'd
filed it away to be read later, but never did.

Now I have, but I'm not quite sure what you think I'm missing.  I've
been at this for 3 months now, and I've got some detailed excel
spreadsheets with what I've eaten for the past 3 months and all the BG
readings I've taken.  I tested every two waking hours at first, and the
doctor had me back off.  I occasionally test after meal as well as
before, and I'm starting to realize that I *still* don't have the
complete picture.

Actually, I'll bring up some details I just discovered.

For most of my life, breakfast has consisted of a bowl of cereal...until
3 months ago, it was Post Raisin Bran.  I learned quickly, before Doc
got me up to my target Meds, that I couldn't handle Raisin Bran any more.

So I dumped it, and replaced it with low-carb special K.  That cereal
has 9 net carbs per 3/4 cup serving.

But, for grins now that I think I'm well controlled, I've started
experimenting with breakfast more.

date    meal        pre-meal BG    post-meal BG    time after
8/6    2 raisin toast     122        218        1 hr
8/12    1/2 spK, 1/2 PRB  110        212        1.5 hr
8/13    spK         117        207        1.5 hr

So, obviously, the difference between Raisin Bran (PRB) (at 47g
carb/serving) and low-carb Special K (spK) (at 9g carb/serving) isn't
the issue.  Maybe its the milk?  I just check my records, and I
apparently never ate just Raisin Bran after Doc put me at 2000mg
Metformin per day.  However, when I was on only 1000mg/day, I got almost
identical results to 2 pieces of raisin toast as I did to raisin bran
back then, so I infer...  hmm...

mt
Alan S - 14 Aug 2005 04:41 GMT
>>>By the time I finish writing this post, it will be 3 months since I was
>>>diagnosed with Diabetes.
[quoted text clipped - 18 lines]
>
>Now I have, but I'm not quite sure what you think I'm missing.

Hi Michael

If you go to the numbers you just posted about breakfast, I
think you answered yourself. You may have tested a lot, but
you need to test with a purpose and utilise the results
correctly. Read it again - it's a little deeper than you
first think. it's not just testing, its test, review,
adjust, test, review, adjust..

I'll comment on the breakfast seperately. Be systematic,
find your peak spike timing, and be ruthless in modifying
your diet to minimise those spikes. Then review what you're
diet becomes to ensure that you haven't cut anything
essential (particularly fibre and vitamins), and start
adding back some foods (testing as you do) to find the
portion size limits and diurnal variations of what you can
eat safely.

> I've
>been at this for 3 months now, and I've got some detailed excel
[quoted text clipped - 28 lines]
>identical results to 2 pieces of raisin toast as I did to raisin bran
>back then, so I infer...  hmm...

To me, that's just the first stage.
Now, keep modifying your breakfast until that 60-90 minute
number is under 140.

Forget "traditional" breakfasts. You may be like me - I
cannot handle ANY significant carbs before midday. That
includes not only milk in cereal - but even milk in my
coffee. But I may be extreme; use your meter to work out
what your limits are.

My breakfast this morning was a half-rasher of back bacon
and an omelette made with one egg, two spears of asparagus,
some slices of capsicum (bell peppers), a couple of tomato
slices and a tiny slice of cheddar. Black coffee infused
with cinnamon.

No cereal, no toast, no milk, no jams, no juice, no fruit.

Pre-meal (fasting) 6mmol/L(108)
Post-prandial(80 minutes) 6.5(117)

I do still eat carbs - but not for breakfast.

Labels are a guide only. "Net" carbs, GI, GL - they are all
only guides to help you select in the supermarket. The
actual test that matters is your own meter. Believe the
results your meter gives you before you believe the labels a
manufacturer places on a product.

I think you'll find a few more ideas if you take the time to
review your spreadsheets with a critical and analytic eye.

Enjoy your ham and eggs tomorrow:-)

If you want a few more ideas for breakfast, do a google
groups search on my name and "Breakfasts".

Cheers Alan, T2, Australia.
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Everything in Moderation - Except Laughter.

Michael - 14 Aug 2005 06:20 GMT
> No cereal, no toast, no milk, no jams, no juice, no fruit.
>
[quoted text clipped - 4 lines]
>
> Cheers Alan, T2, Australia.

I was afraid of that...

my problem:  I'm allergic to eggs.

The CDE/Dietician has recommended a spoonful of peanut butter (or some
other "meat").  I'll try that tommorow...and test afterwards.

BTW, I did test tonight after dinner.  Dinner was a breaded chicken
pattie, spaghetti (probably 3 carb servings of it), green beans, and a
small piece of garlic bread with cheese.

15 minutes before dinner:  103
1 hour after:  142
90 minutes after:  137

I'll take 142.
Nicky - 14 Aug 2005 09:19 GMT
> my problem:  I'm allergic to eggs.

Cheese & meats. Leftovers. Flaxseed porridge. If you can handle a few carbs,
almond flour muffins.

> BTW, I did test tonight after dinner.  Dinner was a breaded chicken
> pattie, spaghetti (probably 3 carb servings of it), green beans, and a
[quoted text clipped - 5 lines]
>
> I'll take 142.

The 142's not bad - but why did you stop testing then? The difference
between 142 and 137 is well within the meter's error limits, and no-where
near your starting point. That pasta/bread/fat combo could have kept you
high for hours.

Nicky.

Signature

A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/76/72Kg

Michael - 14 Aug 2005 20:45 GMT
>>my problem:  I'm allergic to eggs.
>
[quoted text clipped - 17 lines]
>
> Nicky.

I debated another test... but my AccuChek Advantage seems to be very
good, so I took 137 to mean that I was dropping.

As it is, I feel like a pincushion, and I think I want to get my
breakfast better under control before I tackle dinner.

I'm least worried about lunch because the highest carbs I get at lunch
is my cottage cheese.  Or maybe the carrots.
Alan S - 15 Aug 2005 02:26 GMT
>As it is, I feel like a pincushion, and I think I want to get my
>breakfast better under control before I tackle dinner.

No reason you can't do both.

Have I posted this to you already? It doesn't matter here it
is again:-)

Painless testing:

Wash your hands in warm water first, and shake them to get
the circulation going. Check your lancet - it should be
adjustable. Mine is Soft-clix, made by Roche and is usually
painless. I get an occasional tiny sting, and it lets me
know if it's getting blunt sometimes, but I've tested close
to 4000 times in the past 3 years without any trauma. That's
from a guy who was, and is, needle-phobic.

Start with the second lowest setting (1 or 1.5), hold it
firmly against your skin on the side of a finger near the
tip. Don't flinch when you release the button. The button
releases a spring-loaded tiny needle which makes a tiny hole
in your skin and instantly retracts. Incidentally, using the
sides has two advantages - there are less nerve-ends than on
the pads, and it doubles the number of test-points so you
can rotate through the positions.

Massage gently (milking a cow) until a drop of blood forms
sufficient to put on the test strip. If this setting doesn't
provide an adequate quantity, move the lancet setting up one
notch for the next one. If you got a large sample and it
hurt a little, go to the lower setting.

And that's all there is to it. Sometimes it helps to shake
your hands a little more, or warm them up if it's cold. The
manufacturers advise changing the lancet needle every time;
I change mine when I remember or if it gets a bit blunt -
that's about once a month or every 150 tests :-) You do what
you are comfortable with.

Cheers Alan, T2, Australia.
Signature

Diet and not enough exercise.
I have no medical qualifications beyond my own experience.
Choose your advisers carefully, because experience can be
an expensive teacher.

Everything in Moderation - Except Laughter.

Alan S - 14 Aug 2005 12:51 GMT
>> Enjoy your ham and eggs tomorrow:-)
>>
[quoted text clipped - 19 lines]
>
>I'll take 142.

OK.

Here's that thing I wrote a while ago, but with all
references to eggs removed:-)

Breakfasts With Minimal Carbs

1. Egg. Delete:-)

2. Meat. Bacon, Ham, small steak, hamburger patty (watch the
fat), chicken, prosciutto, hot dogs and so on. Can be fried,
grilled/broiled, or as cold cuts. For bacon or other fatty
meats, drain on absorbent paper before serving.

3. Fish. Smoked, canned or fresh. Can be poached, fried, as
a mornay (easy on the thickener), mixed in a stir-fry etc.
Same for seafood.

4. Mushrooms. Small ones can be sliced and cooked with
onions, herbs , garlic etc and a little oil and a smidgin of
flour for a gravy. Large ones can be filled with bolognaise
or napoli sauce (or whatever you like), topped with grated
cheese and baked in the oven.

5. Casseroles and stews - beef, lamb, chicken, mince (ground
beef) etc can be pre-prepared and divided into individual
breakfast sized serves. Put them in small plastic containers
in the freezer and zap one in the microwave for breakfast.
Check the carbs in the recipe to check suitability. Beef
bourgignon, Irish Stew (watch the spuds), chicken fricassee,
whatever your favourite is. Always test at 1 hr the first
time with casseroles - thickeners are usually the carb
culprits for high BGs.

6. Leftovers - slices of roast meat, re-heated or cold,
re-heated chops etc

7. Low-carb veges - as a salad or as an accompaniment to any
of the above.

8. Yogurt; sweetened with Splenda or your favourite non-carb
sweetener. Flavoured with seasonal or frozen berries,
vanilla, or any low carb addition. Careful with portion
size.

That's just some ideas. Use your imagination - just don't
use carbs for breakfast unless your meter gives the 60-90
minute seal of approval.

Cheers Alan, T2, Australia.
Signature

Everything in Moderation - Except Laughter.

Michael - 14 Aug 2005 20:53 GMT
(yeah, top-posting...)

So basically, your recommendation is to be creative.  My wife teases me
over my lack of breakfast-creativity -- I don't want to give her a
conniption fit.

BTW, T2 runs in HER family.  And not in mine.  So, I've come to the
conclusion that Diabetes is a sexually-transmitted disease.

:-)

So, this morning, I experimented a little more with breakfast.  Same as
yesterday, except I had to have my coffee before my second test...but I
added two low-fat turkey sausages.
pre: 115.  post-1hr:  171  post-90min: 204
BTW, I measured my portions.  2 cups of low-carb special K (at 9 net
carbs per 3/4 cup gives me 24), plus a cup and a half of milk (2%)

Tomorrow I should (better) be getting my lab results.  If I'm under 7,
then I'm pretty good but need to tweak.  If I'm over 7, then its back to
the drawing board.  Either way, 117 -> 200+ after breakfast is way too high.

hmm...  another factor:  sometimes (3 days a week, theoretically), I
bicycle 20 minutes in the first hour after breakfast.  I will have to
see how that plays in, as well.

mt

>>>Enjoy your ham and eggs tomorrow:-)
>>>
[quoted text clipped - 70 lines]
>
> Cheers Alan, T2, Australia.
Priscilla Ballou - 14 Aug 2005 21:35 GMT
> (yeah, top-posting...)
>
[quoted text clipped - 21 lines]
> bicycle 20 minutes in the first hour after breakfast.  I will have to
> see how that plays in, as well.

I just don't understand why you continue to eat that kind of breakfast
if it spikes you so high.  Do you not get that you need to dump the
cereal and eat protein and some vegies in the AM?  

Priscilla
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"Inside every older person is a younger person -- wondering what
the hell happened."  -- Cora Harvey Armstrong

Michael - 15 Aug 2005 00:14 GMT
> I just don't understand why you continue to eat that kind of breakfast
> if it spikes you so high.  Do you not get that you need to dump the
> cereal and eat protein and some vegies in the AM?  
>
> Priscilla

Because
1. old habits die hard
2. I love cereal for breakfast (esp post raisin bran)
3. getting up is hard enough without having to figure out what to eat.

It was only 3 or 4 days ago that I started testing my bg reaction to
breakfast.  I had lulled myself into the false belief that my
pre-prandial numbers indicated I was doing just fine.

mt
Pete - 15 Aug 2005 06:47 GMT
Can't ya switch your cottage cheese to breakfast?

I love cereal too, but not so much I'll let it lead to further damage
to my body. Before I found this group, I was having oatmeal for
breakfast (on the suggestion of my doctor because of my cholesterol),
then I read the "test test test" info and was shocked to see what it
was doing to my BGs. Now I just eat a simple protein breakfast.

Fan of sushi? I found a place that sells sushi-grade fish, which I buy
and freeze. I have raw salmon for breakfast quite frequently.
Priscilla H. Ballou - 15 Aug 2005 17:11 GMT
> > I just don't understand why you continue to eat that kind of breakfast
> > if it spikes you so high.  Do you not get that you need to dump the
[quoted text clipped - 10 lines]
> breakfast.  I had lulled myself into the false belief that my
> pre-prandial numbers indicated I was doing just fine.

Oh, OK.  I didn't realize you were such a newbie.  Sorry I jumped on you!

Priscilla
Alan S - 15 Aug 2005 02:24 GMT
>So, this morning, I experimented a little more with breakfast.  Same as
>yesterday, except I had to have my coffee before my second test...but I
>added two low-fat turkey sausages.
>pre: 115.  post-1hr:  171  post-90min: 204
>BTW, I measured my portions.  2 cups of low-carb special K (at 9 net
>carbs per 3/4 cup gives me 24), plus a cup and a half of milk (2%)

No surprises - the fat in the sausages extended the period
of the spike. But the cereal and milk is what caused it in
the first place. The coffee should have had a minimal
affect, unless it was heavy on the milk.

Tomorrow, add another sausage or two or some cheese and
totally cut the Special K and the associated milk. You'll
get quite a surprise at the low post-prandial.

>Tomorrow I should (better) be getting my lab results.  If I'm under 7,
>then I'm pretty good but need to tweak.  If I'm over 7, then its back to
>the drawing board.  

Err, if you're talking A1c, change that to <6.5%, not <7%.
And most here don't even accept 6.5% as "pretty good".
You'll get that comment when you join the 5% club, which is
<6%.  To quote OldAl:

1.  AACE:   An HbA1c of 6.5% means that the doctor must
intensify the prescribed therapy

2.  ADA:   Otherwise healthy Type 2 diabetics should aim for
an HbA1c of 6.0%

>Either way, 117 -> 200+ after breakfast is way too high.

Yep.

>hmm...  another factor:  sometimes (3 days a week, theoretically), I
>bicycle 20 minutes in the first hour after breakfast.  I will have to
>see how that plays in, as well.

It should play in very well. If you must have a cereal in
the morning, try selecting those days to eat it. I eat my
cereals in the evening.

Cheers Alan, T2, Australia.
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Everything in Moderation - Except Laughter.

Nicky - 15 Aug 2005 12:34 GMT
> BTW, T2 runs in HER family.  And not in mine.  So, I've come to the
> conclusion that Diabetes is a sexually-transmitted disease.
>
> :-)

Interesting theory : )

> So, this morning, I experimented a little more with breakfast.  Same as
> yesterday, except I had to have my coffee before my second test...but I
> added two low-fat turkey sausages.
> pre: 115.  post-1hr:  171  post-90min: 204

OW! Dump everything except the sausages!!

Nicky.

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A1c 10.5/5.6/<6  T2 DX 05/2004
1g Metformin, 100ug Thyroxine
95/76/72Kg

 
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