New here, have questions!

By Shedayz Latest Reply 2014-09-20 08:34:08 -0500
Started 2014-09-18 10:49:39 -0500

So, DX as Type II in June (on my birthday). I have a complicated medical history (Primary Auto-Immune Disorder, and Arthritis) and I was put on a Ketogenic diet with calorie restrictions. So far I have lost 30 lbs, so no complaints there. But the other night I got so annoyed with making separate meals for my family (being grain and grain by-product free is hard!) I ended up eating spaghetti with them. I ate about 1 ounce of noddles and decided to test my BG every 30 mins to see what the pasta did to me (for science!). Sugars were 96, 103, 108, 112, then back down to 105 and finally 100. Yay! But FOUR hours later I test before bed it spiked to 170! I didn't have anything else to eat/drink after dinner. Why did I spike like that? I was so bummed and confused. I don't intend to start eating carbs again, but that experiment left me very confused. Can anyone shed some light?

12 replies

Pegsy 2014-09-19 14:43:30 -0500 Report

I find I cannot eat pasta at all. I will spike and it will not come down with exercise. I also have to be very careful with pasta sauce. They can contain a lot of sugar. The only pasta dish I really missed was Lasagna. I got creative one day and beat 6 eggs together and poured them into a cookie sheet. Baked them in the oven until firm and then cut them into wide strips. Using this in place of Lasagna noodles I made my usual recipe. It was delicious! Even my pasta loving husband liked it and said he would be happy to eat it this way any time.

Type1Lou 2014-09-19 12:19:13 -0500 Report

This doesn't directly answer your question but, when I make spaghetti for my husband (who loves his pasta), I put the sauce on french style green beans instead of pasta on my plate. Since most of the flavor is in the sauce, I never miss the pasta and have much fewer carbs in my meals.

Here what Gary Scheiner also says: "Dietary fat's impact on blood sugar is usually of little significance. However, consumption of large amounts of fat can cause a prolonged rise in the blood sugar level." Was there more fat in your meal that might have had this effect?

Shedayz 2014-09-19 12:34:42 -0500 Report

I usually make zucchini noodles but I will try green beans next time. the meal was 1 ounce beef, 1/2 cup sauce, 1 ounce pasta and 20 ounces of water. Sauce says 2g of fat per 1/2 cup serving.

Type1Lou 2014-09-19 12:38:01 -0500 Report

…so it doesn't appear that high fat was a factor…I'm stumped too…

Shedayz 2014-09-19 15:44:28 -0500 Report

I hate this disease! Even my doctor is stumped. Although, I am getting a new Endo because I don't think the one I have is *listening* to me

Type1Lou 2014-09-20 08:34:08 -0500 Report

I found that "hating" diabetes was wasted energy and emotion. Instead, I learned as much as I could about what I could do to control my diabetes and then altered my diet and activity level so that I could "master" my disease with the help of a good, knowledgeable diabetes medical team. Finding the right doctor is critical but there is also a large self-management component to diabetes. I'm eating healthier than I ever did, feel great, even after 38 years with my diabetes. Knowledge is power.

Shedayz 2014-09-18 22:22:07 -0500 Report

I think the "Spaghetti Effect" explains it. I used 98% lean ground beef and sauce with 9g carbs 6g sugar measured exactly to serving size. I usually make zucchini noodles but forgot to get one that day and decided just to see what would happen. I also only drink water so my meal was literally 1 ounce beef, 1/2 cup sauce, 1 ounce pasta and 20 ounces of water.

Graylin Bee
Graylin Bee 2014-09-18 19:42:29 -0500 Report

Your sauce might have been a contributing factor. Was it a tomato based sauce? Seems the sugars from tomatoes are pretty concentrated when it gets cooked down to tomato paste, Add that to the carbs of the pasta and it could mess with your BG.
Besides the effect James posted about earlier, I have found a few sneaky foods that make my BG stay high for way too many hours. Certain types of Salad Dressings mess with me, Blue cheese is very safe, ranch types OK, but if I even try a little of Russian or French on a salad I will be 170 at my morning fasting test, even when 2 hours after and at bed I am 110 or so. Maybe grain products in general do that to you.
I understand the frustration of going grainless. I am most likely not nearly as strict as you when it comes to avoiding grains. But do try to be on a very low grain consumption meal plan.

Glucerna 2014-09-18 17:53:10 -0500 Report

You probably didn't just eat the spaghetti, and had other foods with that meal, right? You have to look at the total meal content, since protein and fat in meals will slow down digestion. Testing your blood sugar to find out how different meals affect you is excellent! ~Lynn @Glucerna

jayabee52 2014-09-18 15:11:11 -0500 Report

Howdy Shedayz

I queried Google re "late rise in Blood glucose when eating spaghetti" and found this discussion board from (which would explain the use of mmol/l instead of mg/dl our common BG measurement. A converter tool may be found at ~ )

I found the discussion there interesting and you may find the answer you seek here ~

I cannot eat spaghetti or pizza without doing damage to my body, especially now due to my need for dialysis

I pray this has been of help to you.


Graylin Bee
Graylin Bee 2014-09-18 19:31:57 -0500 Report

Thanks, James. I found I had 4 hour spike when trying Dreamfields pasta. That experience taught me to test beyond the suggested 2 hour mark with foods. Regular wheat based pastas gave me spikes during the 2 hour test that lasted for several hours. Dreamfields waited until the 3rd or 4th hour after eating to cause a rise.
Believe me I tried with no added ingredients, to cheese, butter, tomato sauces, etc. Timing of spikes varied but all resulted in spikes.
Shedayz, have you tried some of the oriental noodles? I have had good results with mung bean based oriental noodles. They do contain starches but so far the blend of the beans with the starches has had minimal BG rises.

Next Discussion: Newest step in CGM? »