what is too high

billyelle
By billyelle Latest Reply 2010-11-12 05:55:18 -0600
Started 2010-10-27 08:48:07 -0500

I have been diagnosed for four months and my doctor feels that it's ok to spike as long as you come back to normal by your next meal. What I'd like to know is: after you eat is it OK to go to 250 or 300 as long as you come back down in a relatively short time, like 3 hours. I'm like a roller coaster, probably because I'm thin and very active. I started with an A1c of 11.7 and was 7.8 at my first retest. My doctor said this was phenomenal and the most I could have come down in a three month period. I rarely go too low, because I use a continuous glucose monitor (the best thing in the world), so I know that's not what's giving me a good A1c. Could someone give me their opinion on this? Thanks so much.


121 replies

busath7424
busath7424 2010-11-12 05:55:18 -0600 Report

I used to have the same problem as you. I have been Type 1 for 43 years now. My endo put me on another hormone called Symlin. I have pasted the information below from the website www.symlin.com:

Important Information About SYMLIN®
SYMLIN is an injectable medicine used to control blood sugar after meals in adults with type 2 or type 1 diabetes who take mealtime insulin. SYMLIN works with mealtime insulin to smooth out the peaks in your blood glucose (sugar) levels to give you more stable levels after meals.

What is the most important information I should know about SYMLIN?

SYMLIN is used with insulin to lower blood sugar, especially high blood sugar that happens after meals.
SYMLIN is given at mealtimes. The use of SYMLIN does not replace your daily insulin but may lower the amount of insulin you need, especially before meals.
Even when SYMLIN is carefully added to your mealtime insulin therapy, your blood sugar may drop too low, especially if you have type 1 diabetes. If this low blood sugar (severe hypoglycemia) happens, it is seen within 3 hours after a SYMLIN injection. Severe low blood sugar makes it hard to think clearly, drive a car, use heavy machinery or do other risky activities where you could hurt yourself or others.
SYMLIN should only be used by people with type 2 and type 1 diabetes who:
already use their insulin as prescribed, but still need better blood sugar control.
will follow their doctor's instructions exactly.
will follow up with their doctor often.
will test their blood sugar levels before and after every meal, and at bedtime.
understand how to adjust SYMLIN and insulin doses.
Nausea is the most common side effect with SYMLIN. Mild nausea is more likely during the first weeks after starting SYMLIN and usually does not last long.

Tell your doctor if you have any side effects that bother you or that do not go away.

Please see the SYMLIN Medication Guide and Important Patient Safety Information, including information about the risk for severe low blood sugar.

I have been using Symlin successfully now with the 45 dosage before meals. Then, with my pump, I use the dual wave and calculate my dosage as 30% immediate and 70% 1-2 hours square wave, depending on what type of carbs, protein, fat, etc. that I eat at the meal. If I eat a meal with high protein or fat, it delays the absorption of the carbs and can cause high blood sugars 4-5 hours later lasting for up to 24 hours (especially if I eat pizza).

Talk to your endo or find a doctor that knows something about Symlin. It has been a life-saver for me in lowering my after-meal highs. I rarely go above 200 now (only when I eat more that 60 carbs at mealtime). I am hypoglycemic unaware, so I must use the CGM. Aren't they the best thing ever invented? Let me know what your doc says about Symlin

candie1996
candie1996 2010-11-09 11:34:03 -0600 Report

Hi billyelle, i've been a diabetic 27yrs. and i have had my insulin adjusted so many times. now this last time my doctor told me take my shot when i'm about to eat. now i take four shots a day so i wake up around 7am and my sugar is 120 i'll take 4units of novolog and eat breakfast. it depends on what u eat for breakfast. i don't think it's good for your sugar to shot up to 200 300 after u eat. what r u eating? if u walk for 30mins. after u eat then come back and check your sugar and its not up that's great. exercise, eating right and taking your meds. work together.

billyelle
billyelle 2010-11-09 15:01:25 -0600 Report

There is almost never a time that my glucose level does not rise above 200 after eating. For breakfast I will eat a piece of whole wheat bread (home made) which I weigh and multiply by its carb factor and top with a piece of cheese. Sometimes I will have eggs in addition to this. If I have cereal (only whole grain sugar free), then I spike way up real fast. I also take my insulin 30 minutes before eating breakfast so that it will be on board when the carbs hit my system. This helps me to keep my glucose from shooting right up.

I have experimented and taken even 1/2 unit more with breakfast and then I am crashing at least one hour prior to lunch. I have tried eating yogurt with fruit as my CDE advised, but yogurt always upsets my stomach.

BTW, I am very thin and very active. I walk the dogs every morning and go to the gym at night at least four days a week. I also hike or bike ride on the weekends. My CDE says I have the hardest body type to control my insulin levels.

figment84
figment84 2010-11-11 13:35:34 -0600 Report

Hi Billyelle

I'm a skinny 26 y/o type 1 as well and for almost 6 years Ive had this same problem (I have the Dexcom CGM and YES it's the best thing in the world!). My doctor then told me to try to take (if you can) my insulin about 15 minutes before my meal and low and behold, I never EVER rise above 200. Ever. Granted, I go low a lot more but my CGM helps me a lot with this. Hope this helps!

chopi
chopi 2010-11-02 21:55:03 -0500 Report

My diabetes specialist told me that If I'm between 140-180 2 hrs after a meal that is an acceptable range. Only knowing I've had diabetes for a month I need to get a handle on what makes me spike. I only take in 120 to 130 carbs a day.The strange thing is my BS can be between 103 to 195 2 hrs after meals.I also walk 2 miles a day or ride a stationary bike to get exercise. Just as a note I only take oral meds.

billyelle
billyelle 2010-11-02 22:13:05 -0500 Report

I am assuming that you are Type II. Is that correct?

chopi
chopi 2010-11-02 22:17:33 -0500 Report

Yes, I just noticed this was a type 1 discussion sorry

billyelle
billyelle 2010-11-02 22:49:41 -0500 Report

That's OK. Just to let you know, I read an article today that said that it's OK to be a bit over two hundred after two hours. Of course, you should try to stay below, but I'm having a very difficult time doing it. If I'm below 200, I'm crashing by my next meal. Then I have to be careful not to go too low.

candie1996
candie1996 2010-11-10 21:04:35 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:30 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:28 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:29 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:25 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:23 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:20 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:21 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:14 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:13 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:12 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:11 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:07 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:06 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:06 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:06 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:04:01 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:55 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:56 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:56 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:55 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:50 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:49 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:47 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:48 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:45 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:44 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:42 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:41 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:39 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:37 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:35 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:35 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:34 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:31 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:28 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:28 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:28 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:25 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:21 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:18 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:18 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:18 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:12 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:10 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:10 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:10 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:06 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:05 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:04 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:03:04 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:02:52 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:02:53 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:02:54 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:02:54 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:02:45 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:02:39 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

candie1996
candie1996 2010-11-10 21:02:37 -0600 Report

maybe u should check your sugar 1hr after u eat 2 c what it is. if it's going down eat a banana r a half of a peanut butter sandwich. check it again n 15mins 2 c where it is.

jetten2
jetten2 2010-11-02 00:34:42 -0500 Report

No I have had the same problem in the past but I control it better now. After eating you really want to go up only to about 180 or so not 250 and definitely not 300. Congratulations on bringing your A1C down. That was a great improvement.If you have to eat smaller portions but more often if you have to. Try to make your body alkaline instead of acidic & you will see dramatic results. Good job & Good Luck. Stay Focused!

Truckers home
Truckers home 2010-10-31 12:09:20 -0500 Report

I was just told I was borderline but my mother was type 2. With me I find that even 3.5 hours after having 2 swallows of juice to take my Diamox for my vision Im running 132 and after having pizza all day yesturday with sweet tea made with splenda I was 113 woke this morning tested and Im at 120 so I bounce too it seams. But my DR said 150 and I have to see her for medication and that isn't good Im a Truckdriver and Needles don't work for us

david cee
david cee 2010-10-31 22:02:22 -0500 Report

But did the doctor actually say they were going to put you on insulin? When she said medication maybe she meant pills.
When you say Needles don't work for truck drivers I'm not sure what you mean.
When my diabetes Dr. told me that I might have to go on insulin I remembered that big long needles and syringes. Now I can understand if that's what you were using that would be a problem. But when I was on insulin there's a little cylinder and there's little tiny short needles that come and a little plastic cylinder that you screw on to the insulin cylinder. And you inject the measured amount. Unscrew the needle piece and throw away. There is no way that anybody could confuse the insulins needles for a drug needle.
Hope things work out well with you
David

Blessed617
Blessed617 2010-11-06 23:41:50 -0500 Report

Those are the insulin pens and yes, they are far different from the syringes and cannot be confused. The insulin is in what looks like a pen and needs to be refrigerated. At least the Levemir and Novolog do. The needle part is like a plastic cap that screws on to the pen. Mine has an outer covering that covers the whole piece and then an inner covering that protects just the needle part. The whole piece is maybe an inch long. All you do is twist up to the number of units needed and inject. The local hospital here has a demo on the hospital diabetes channel and they showed that you don't even need to be able to see to measure the insulin because you can count the clicks. I'm a needle phobe and the pens work for me. Not sure if I could handle the syringes. So if your only concern is the syringes could be mistaken as drug paraphernalia, that would not be the case with insulin pens. The needles also need a prescription so you would also be covered by having legit pharmacy labeling on all of your supplies. If your insurance does not cover the pens and you get to where you need syringes, contact your company as to what documentation is required from your doctor to be carried with you to prove that the syringes are for medical necessity. I'm sure they would not want to hear from an attorney for firing an employee over a legitimate medical issue.

Lakeland
Lakeland 2010-10-30 07:43:40 -0500 Report

I don't take insulin, but my mom does, she has 2 types one is a fast acting & one is a slow release, maybe they should consider changing the type of insulin.

after I eat my sugar seems to go from 95 to 190, I do take my pill but I do go for a short walk & it seems to drop nicely.

Did they give you the liquid to test your test strips?? maybe your meter is off. I think I'd check that too.

It took a while to find out what works for me.

Best wishes

david cee
david cee 2010-10-31 22:06:20 -0500 Report

I concur with using the test solution on your meter. At one time I had 2 meters, same brand same model. Just for grins, I would use them both at the same time and there could be 20, maybe 30 points difference. I talked to the manufacture and they told me that the meters that a tolerance of ± 10 points or maybe it was 15. Don't remember. But if you had one meter reading below and one reading high even though they were in tolerance it could be sort of a shock.
I surplus 1 meter to save myself confusion and panic. LOL

whitetigress
whitetigress 2010-10-29 09:42:50 -0500 Report

If you want to test your blood first thing in the morning before breakfast: check it 15 minutes after you get up and before food.

It should be within healthy range. If it is too high, have a breakfast that includes protein and fibre. I love flaxmeal because it is an added source of fibre and it tastes good. So, if I am having eggs (soft boiled, never fried), I will put flaxmeal on my eggs. Then the carb.

Make a note of the time you finish eating breakfast (or any meal) and then check your blood after 2 hours of eating. This can be higher … it should be 180 OR LOWER. 180 is the maximum healthy number after 2 hours. If it is higher than that, I would include more fibre and protein to tomorrow's breakfast (or any meal).

Here is a big "SECRET" to avoiding wild swings in your blood sugar: at any meal you have, always start with the protein: this should be your first few bites.

If you start with your carb, your body will release more insulin than it will if you start with protein. This is very important in preventing BS being too high, or spiking…

The reason starch is included as a carb is because it is a slow releasing carb so it does not spike your blood as easily.

billyelle
billyelle 2010-10-29 10:03:11 -0500 Report

I agree with everything you said, but here's my problem, I eat a very high fiber breakfast and I do start off with a piece of cheese first. I take my insulin about 1/2 hour before I eat so that it is already on board when the carbs strike, but I'm still over 180 after two hours. If I take more insulin, then I crash about the third hour. I don't want to lower my carbs, because I'm already too skinny. I think I need to go to a nutritionist to see how I can eat less carbs and still not lose weight. Keep in mind that my CDE doesn't think this is a problem. As I stated previously, she feels that as long as you are under 140 at your next meal, then you're doing fine. Tell me what you think of this.

whitetigress
whitetigress 2010-10-29 16:36:31 -0500 Report

Yes, I agree about seeing a nutritionist because he/she will be able to see your whole picture. Also, I am unfamiliar with insulin users and how diabetes differs for them, or you. I am on medication not insulin and I believe that changes everything as far as how our bodies will respond to food.

Do you keep a diary of what you eat? I would do it to bring to the nutritionist.

I have found personally, that if I do not eat enough food (primarily carbs) then my numbers will go up.

billyelle
billyelle 2010-10-29 16:57:44 -0500 Report

Yes, I keep a detailed diary and the hard part about being a Type I is that you can do the exact same thing two days in a row and get different results. Maybe when I have it for awhile things will settle down, but right now it's very frustrating. I am finding that when I eat white carbs, such as rolls or pizza crust, I major spike. I have always eaten whole grains at home and now I guess I'll have to limit myself to them when I eat out. Or maybe someday I'll learn how to handle them, also. Thanks for writing and good luck with everything.

whitetigress
whitetigress 2010-10-29 17:40:38 -0500 Report

Yup, me too … and white pasta! It is history. Anything white has absolutely no nutritional value, it is just filler … and filler that will add the pounds for most people. They breakdown so fast that it actually begins in your mouth - you haven't even swallowed yet!

You almost have to become a nutritionist yourself to be successful at managing this condition (I don't like the word "control").

david cee
david cee 2010-10-31 22:14:11 -0500 Report

Whitetigress, sorry but I have to disagree with your statement “ Anything white has ABSOLUTELY no nutritional value, it is just filler ".
While “white foods” may have less nutrient value as the “same” "non-white food", this is not 100% true in my opinion. I base thison looking at some foods and seeing the values for both “white” and “ non-white” foods.

kdroberts
kdroberts 2010-10-29 10:19:10 -0500 Report

I don't really agree with that advice, but you have to research and make your own mind up. The only thing I will say is that a non-diabetic will never see a number over 140 and will rarely see numbers close to 140, most will be 100 or less.

If you want to lower carbs and not lose weight it's a case of replacing calories. Carb and protein are 4 calories per gram, fat is 9. If you remove 5g of carb for instance you can replace it with 5g of protein or 2-3g of fat. Fat gets a bad rap but it's not the big bad that people make out.

billyelle
billyelle 2010-10-29 13:49:31 -0500 Report

So, give me an idea of what to eat for breakfast that will fill me up and get me through to lunch without eating carbs. Thanks

Ginny in CO
Ginny in CO 2010-11-03 14:58:10 -0500 Report

First, you probably need to plan on a mid morning snack. Low fat cheese sticks, roasted nuts, low carb hi protein yoghurt are the ones I use.

Find a way to calculate what your protein needs are. Nutritionists do this but often don't take into account enough factors. It should include your height. weight, gender, age. bone mass and amount of physical activity you do daily. (http://lowcarbdiets.about.com/od/zonediet/a/z...) Any additional issues like infection, recovery from surgery or injuries requires more protein.

Good general info on protein: http://lowcarbdiets.about.com/od/nutrition/a/...
"The National Academy of Sciences reported that the only known danger from high protein diets is for individuals WITH kidney disease. After careful study, they recommend that 10 percent to 35 percent of daily calories come from protein." My experience is don't undervalue the importance of protein to your health.

Once you have an idea of how much protein you need daily, break it down in meals AND snacks. If you are still getting hungry, try increasing 5 to 10% until you find what works. You may need to 'front load' with a higher % in the am and less from lunch on.

Use protein powder to amp up the content of your oatmeal, omelet, yoghurt or smoothie. (You can use it for soups and other meals or snacks too. It can be the cheapest in cost per serving for protein) If making your own smoothies you can keep the carbs down with flavorings and no carb sweetners, add fiber with bran or psyllium.

DO use enough fat. 30% of your calories should be from good fat sources. Unsaturated, NON homogenized. Fat is insulin neutral, it does not affect secretion of glycogen or glucagon either. It offers satiety value at the taste buds and the brain sensor that trips the 'I feel full' switch. Essential fatty acids are complex chemicals the body cannot make. It must have dietary sources and they play a huge role in the healthy function of all cells. One thing that does the fatty acids and fiber is flax seed meal.

You do need some carbs. Again, this is usually something you have to experiment with. For me it breaks down to 35/35/30 - the % of protein, carb and fat grams per day and meal. The Zone and Protein Power diets use 30/40/30 and I think Adkins and the South Beach diet also. The kind of carbs are very important. There are several discussions of that on other threads. High fiber, low processing during production (whole grains, legumes, etc) are digested slowly enough to decrease blood sugar spikes.

The whole point of 5-6 smaller meals is to cut down the amount of carb the body has to deal with at any one time. This keeps the spikes down also.

In looking for some information links, I just found another good site with lots of info and resources. http://www.dlife.com/