The only time of day I have trouble is in the morning.
My FBG was 6.8 and I started using Apple Cider Vinegar Tablets at
night and it made a big difference. It' now about 5.5-5.8. This is
pretty good, and others may wish to try. It's been a week now of
consistent results. I will post on the progess. This will be my
contribution for now, I hope it helps others. I do one glass of dry
red whine, 2 tablets and a piece of cheese before bed.
Now for the help requested
I seem to be very insulin resistant in the morning (all the way up to
noon) and almost normal late afternoon/night.
For example, if I do a 75mg glucose load at 10:30 AM, after 2 hours,
I'll be 13 or 14. If I do the same thing at 4PM, I'll be at 8
At 11AM, my level was 5.5. I ate a granola bar and one hour later it
was at 10.
Same, granola bar, I ate at 5PM, with a level of 5. I went to 6 in an
hour.
I suspect the vinegar tablets are helping my morning liver dumps. But
I think I am still very insulin resistant in the morning. If I can
figure this out, I think I can control this thing even more. Right
now, I avoid all carbs in the morning and do my excercise then to get
my levels down. If I'm at 6.8 I go for a run and it drops to 6.1
I would prefer to eat my correct ratios of carbs/proteins all day.
Could it be cortisol levels, GH ...any ideas ?
PS : Although my 1ac was 5.3 and FBG 6.8 at the time, the dr put me on
met. It did nothing. Didn't help my 1ac, FBG or OGTT. I told him I was
getting of it and dropped down t to 5.1 without meds.
Higher insulin resistance in the morning is not uncommon by any
means. Consequently, many on ASD must tailor each meal to what the
body can handle--usually fewer carbs in the morning and more in the
afternoon/evening.
You've got an excellent handle on managing your BG. Your A1c is
great, and you know what foods to avoid in the AM, in order to keep
your BG under control. Excellent! I am envious of the fact that you
can eat that granola bar in the evening. I can't do that at any
time. Sometimes we just have to put up with the quirks of our body.
Best regards,
Michelle C., T2
diet & exercise
to counter act this, we eat less carbs for breakfast
the idea is to eat well thru the day, not specifically in one meal
heavens, even day to day variations are allowed, as long as the overall
week looks good (my son's pediatrician told me to look at the kidlet's
diet over a week to ensure it has the components it needs)
good luck
(oh, and yes, the vinegar trick does work to lower bg levels)
More likely your insulin resistance is happening because of your
having visceral adipose tissue (VAT) especially if you have been
overeating.
It remains smarter to eat less, down to the right amount:
Hunger is wonderful:
Be hungry... be healthy... be hungrier... be euglycemic... be blessed:
http://TheWellnessFoundation.com/BeHealthy
Prayerfully in the infinite power and might of the Holy Spirit,
Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
Swordbearer for the KING of kings and LORD of lords.
http://HeartMDPhD.com/Sword
Hallelujah
Essentially don't eat as any carbs at the time your resistance is high.
For most of us that is breakfast and the morning, so we eat very low carb
at that time of day. Later, say at dinner, we can eat more carbs wihut
spiking, ust like you do with teh granola bars-big spike in eh AM and
little rise in the late afterneen. Adjusting your eating patterns will
help here.
Wendy
>For example, if I do a 75mg glucose load at 10:30 AM, after 2 hours,
>I'll be 13 or 14. If I do the same thing at 4PM, I'll be at 8
My simple suggestion is - don't do a 75mg glucose load at
10:30 AM. Or even a 15gm load at breakfast. My mornings were
like yours.
I limit myself to <10gms at breakfast and <15gms at lunch;
snacks mid-morning are <5gms. I can add much larger carb
portions from mid-afternoon into the evening, but not
mornings.
Try this for some alternative breakfast ideas:
http://loraldiabetes.blogspot.com/2006/10/breakfasts.html
Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest: The Quality of ADA Dietary Advice
>I would prefer to eat my correct ratios of carbs/proteins all day.
Missed this.
My correct ratios are the ones that lead to acceptable BG's.
Not the ones some dietician was mistakenly taught and then
tried to mistakenly teach me.
That ratio can be different at different times of day and in
different meals.
I want to thank everyone that responded. I had no idea that others had
the same issue.
That is what I have been doing. I love eggs so eat those alot. I use 1
egg, some egg white and a bit of cheese. That way the cholesterol
isn't too bad.
At lunch I do more the salad thing and then more carbs at night.
The other thing I do is run in the morning, which allows me to take on
a bit more carbs. By doing so, I can have very high fiber cereal for
breakfast some time.
Does anyone understand why the time of day makes a difference ? Is it
cortisol levels ? One day had them tested and sure enough they were
very high and followed the periods I struggle the most. Has anyone
tried cortisol blocking supplements ?
Someone probably already posted this link, but it's worth
reading twice: http://www.diabetic-talk.org/dp.htm
Also: http://www.faqs.org/faqs/diabetes/faq/part2/
scroll down to "Why is my morning bg high? What are dawn
phenomenon, rebound, and Somogyi effect?"
> I want to thank everyone that responded. I had no idea that others had
> the same issue.
> That is what I have been doing. I love eggs so eat those alot. I use 1
> egg, some egg white and a bit of cheese. That way the cholesterol
> isn't too bad.
> At lunch I do more the salad thing and then more carbs at night.
> The other thing I do is run in the morning, which allows me to take on
> a bit more carbs. By doing so, I can have very high fiber cereal for
> breakfast some time.
> Does anyone understand why the time of day makes a difference ? Is it
> cortisol levels ? One day had them tested and sure enough they were
> very high and followed the periods I struggle the most. Has anyone
> tried cortisol blocking supplements ?
Your body has natural rhythms. Why not follow them instead of trying
to iron them out with medication? Go with the flow, man! :-)
--
Chris Malcolm c...@infirmatics.ed.ac.uk DoD #205
IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]
Hunger is wonderful:
http://HeartMDPhD.com/BeHungry
It would still be smarter to pursue a cure for the insulin resistance
by eating less, down to the right amount:
Be hungry... be healthy... be hungrer... be euglycemic:
First of all I read some of the stuff you posted and tend to believe in
getting rid of the VAT.
Where I struggle a little more is the way to get there. I excercise a lot
and am getting leaner and leaner. I am less than 15% body fat, and want to
make my way down to 10. 10% BF for a male is quite low I am trying to find
the right diet/excercise program to keep the muscle and burn the fat.
I may not agree with your way to get there in terms of mmasuring weight of
what we intake. I want to make sure I am getting the right ratios of carbs,
proteins, fats, fiber, vitamins, Omega 3....all of course remembering I am
not 'normal', I am diabetic
Is it safe to say that if I continue to lose weight and improve my % body
fat, the VAT will go ? Is it likely to be a 10% BF and still have excess VAT
?
Can other people comment on your approach and if it has worked for them ?
> Can other people comment on your approach and if it has worked for them ?
Google has a scholar search engine where you can search through
medical journals and other journals and do a search.
>> Andrew B. Chung, MD/PhD
>> Lawful steward of http://EmoryCardiology.com
>> Swordbearer for the KING of kings and LORD of lords.
>> http://HeartMDPhD.com/Sword
>
>First of all I read some of the stuff you posted and tend to believe in
>getting rid of the VAT.
First of all, you are corresponding with a fruitcake.
Don't just go on my advice, do a little searching of his
past posts.
Then ignore him.
Cheers, Alan, T2, Australia.
> First of all I read some of the stuff you posted and tend to believe in
> getting rid of the VAT.
>
> Where I struggle a little more is the way to get there. I excercise a lot
> and am getting leaner and leaner. I am less than 15% body fat, and want to
> make my way down to 10. 10% BF for a male is quite low I am trying to find
> the right diet/excercise program to keep the muscle and burn the fat.
>
(snipped)
> I want to make sure I am getting the right ratios of carbs,
> proteins, fats, fiber, vitamins, Omega 3....all of course remembering I am
> not 'normal', I am diabetic
>
> Is it safe to say that if I continue to lose weight and improve my % body
> fat, the VAT will go ? Is it likely to be a 10% BF and still have excess VAT
> ?
>
> Can other people comment on your approach and if it has worked for them ?
>
>
Based on your comments it is obvious that you are not obese in general.
Some ethnic grooups tend to be obese in the mid-section and can still
have low BMI.
The following shows a means of reducing VAT with symtoms other than
diabetes and it is not necessarily applicable to you.
"VFA and SFA decreased significantly after 6 months of NCPAP treatment.
[...] Obesity can be defined as an accumulation of excess body fat and
is the most common nutritional disorder in humans. It is a major cause
of mortality and morbidity through the development of metabolic
disorders and cardiovascular disease. Extensive research into obesity
has shown that the location of body fat deposits rather than their size
is more important in determining the risk of developing of
obesity-linked disorders.8 In fact, the accumulation of intra-abdominal
visceral fat in the mesentery and omentum is a better predictor of
coronary heart disease than the body mass index (BMI).9 Visceral fat
accumulation (VFA) and fat around the neck11 12 are also risk factors
for OSAS (Obstructive sleep apnea syndrome) in obese patients.10"
Changes in Intra-Abdominal Visceral Fat and Serum Leptin Levels in
Patients With Obstructive Sleep Apnea Syndrome Following Nasal
Continuous Positive Airway Pressure Therapy -
http://circ.ahajournals.org/cgi/content/full/100/7/706
DHEA is known to decrease with age.
"Participants Fifty-six elderly persons (28 women and 28 men aged 71
[range, 65-78] years) with age-related decrease in DHEA level.
Intervention Participants were randomly assigned to receive 50 mg/d of
DHEA or matching placebo for 6 months.
Main Outcome Measures The primary outcome measures were 6-month change
in visceral and subcutaneous abdominal fat measured by magnetic
resonance imaging and glucose and insulin responses to an oral glucose
tolerance test (OGTT).
Results Of the 56 men and women enrolled, 52 underwent follow-up
evaluations. Compliance with the intervention was 97% in the DHEA group
and 95% in the placebo group. Based on intention-to-treat analyses, DHEA
therapy compared with placebo induced significant decreases in visceral
fat area ... and subcutaneous fat... . The insulin area under the curve
(AUC) during the OGTT was significantly reduced after 6 months of DHEA
therapy compared with placebo ... . Despite the lower insulin levels,
the glucose AUC was unchanged, resulting in a significant increase in an
insulin sensitivity index in response to DHEA compared with placebo... .
Conclusion DHEA replacement could play a role in prevention and
treatment of the metabolic syndrome associated with abdominal
obesity.Effect of DHEA on Abdominal Fat and Insulin Action in Elderly
Women and Men - http://jama.ama-assn.org/cgi/content/full/292/18/2243
See the linked articles citing this article listed at it's end.
"Serum DHEA-S was inversely and specifically associated with visceral
fat area (VA) as assessed by CT in men and with waist-to-hip ratio in
women. In vitro, DHEA-S increased lipolysis in women's subcutaneous
adipose tissue at 2 h, while in men, the effect was evident in visceral
tissue and after 24 h of treatment. In conclusion, DHEA-S contributes to
gender-related differences in body fat distribution probably by a
differential lipolytic action." Source: Role of DHEA-S on body fat
distribution: Gender- and depot-specific stimulation of adipose tissue
lipolysis - http://tinyurl.com/2b5p2q
"A logical approach to preventing or correcting visceral obesity is to
down-regulate the lipoprotein lipase (LPL) activity of visceral
adipocytes relative to that expressed in subcutaneous adipocytes and
skeletal muscle. IGF-I activity appears to be a primary determinant of
visceral LPL activity in humans; systemic IGF-I activity is decreased
when diurnal insulin secretion is low, when hepatocytes detect a
relative paucity of certain essential amino acids, and when estrogens
are administered orally. The ability of alpha-glucosidase inhibitor
therapy to selectively reduce visceral adiposity suggests that
down-regulation of diurnal insulin secretion and/or IGF-I activity may
indeed have a greater impact on LPL activity in visceral fat than in
subcutaneous fat. Thus, low-glycemic-index, vegan, high-protein, or
hypocaloric diets can be expected to decrease visceral LPL activity, as
can postmenopausal estrogen therapy. Furthermore, estrogen enhances the
LPL activity of non-pathogenic gluteofemoral fat cells, whereas
testosterone decreases visceral LPL activity in men; this may explain
why sex hormone replacement in middle-aged people of both sexes has a
favorable impact on visceral fat and insulin sensitivity.
Beta-adrenergic activity suppresses transcription of LPL in adipocytes;
this phenomenon may contribute to the favorable impact of exercise
training on visceral obesity..." PMID: 11461172
Also see PMID: 15386813, PMID: 15823385
Frank
That would be the exercise your stomach does when it sings and laughs
out loud.
> I may not agree with your way to get there in terms of mmasuring weight of
> what we intake. I want to make sure I am getting the right ratios of carbs,
> proteins, fats, fiber, vitamins, Omega 3....all of course remembering I am
> not 'normal', I am diabetic
Your GI tract is designed to function optimally to address all
nutritional needs when it is allowed to receive and process an optimal
amount of food.
> Is it safe to say that if I continue to lose weight and improve my % body
> fat, the VAT will go ?
No.
> Is it likely to be a 10% BF and still have excess VAT ?
Even one ounce of VAT is excessive and pathological.
VAT persists while there is overeating.
> Can other people comment on your approach and if it has worked for them ?
Yes, and they have. Visit the unsolicited testimonials via links
here:
http://HeartMDPhD.com/HolySpirit/2PD-OMER
Be hungry... be healthy... be hungrier... be euglycemic:
http://groups.google.com/group/sci.med.cardiology/msg/c2c9ecdc8dd39c0b?
> <...crickets...>
Sad to note that you remain afflicted with tinnitus.
May we, who are Jesus' brethren, continue to pray for your perishing
soul:
http://HeartMDPhD.com/Convicts/PrayForCary
> > Can other people comment on your approach and if it has worked for them ?
>
> Yes, and they have. Visit the unsolicited testimonials via links
> here:
>
> http://HeartMDPhD.com/HolySpirit/2PD-OMER
>
Once again Dr. Chung present part of the truth.
Here are other parts of 5 of the positive "Unsolicited Testimonials"
from Dr. Chung's site.
All of them are from group posts - none sent to Dr. Chung - so most of
these folks may have no idea they are "testifying" about the 2PD
whatever. Dr. Chung has pulled quotes out of context to give the
appearance of widespread support.
"The simplest diet isn't really a diet at all - just a lifestyle
change opting to move more, eat less. The rest will balance itself out
in reasonably short order."
Geoff Sample August 7, 2002 http://groups.yahoo.com/group/Hitdigest/message/12572
"Dr. Chung did make one strategic mistake in basing his two pounds on
the food weight rations of mountain climbers. The two pounds there is
concentrated and dehydrated. When properly hydrated before
consumption it ends up to be more like 5 or 6 pounds. When I spent two
weeks of 25 mile per day rocky mountain hiking I dropped from 185 to
175 on such a diet, but could probably gain on that same diet at
today's activity level."
Jerome R. Long May 29, 2002 http://groups.google.com/group/sci.med.cardiology/msg/6cceb5e573041021
"I cannot imagine eating the 2 pound diet--at least not for any
length of time. If I continued to eat my present well balanced diet
and reduced the amount of food to 2 pounds I would be eating 800
calories
a day. I would guess that anyone could lose weight on 800 calories a
day. For me to do this, I would need to be in a hospital with an
armed guard at the door. "
Dolores Santos May 7, 2002 http://groups.google.com/group/sci.med.nutrition/msg/42aa7f9bc58fb783
"What a**holes Dr. Chung and Michael Loser are--they don't take into
consideration the emotional issues that overweight people need to deal
with. They don't believe that people's bodies are cabable of telling
them how to eat?? Notice I said ___bodies_____, not minds. Go out
and buy yourself a two pound scale because you body must be broken.
It has no way of telling you if it is hungry or full!!!! How, then,
do they explain how babies and children know when to stop? What a
joke!!!!! Things aren't always so black and white as those morons
want to believe"
Sharon "Happycat" July 26, 2002
http://groups.google.com/group/alt.support.diet.low-carb/msg/5e3cb607fe996d88
"Andrew has stated that the 2PD figure is arbitrary and can be fine
tuned by people of different build as needs but finding a suitable
volume of food remains the mission."
Carol Frilegh August 5, 2003 http://groups.google.com/group/sci.med.cardiology/msg/a81148d89b5f17da
Name-calling simply shows that the Holy Spirit is absolutely right to
convict you:
http://HeartMDPhD.com/Convicts
You really do not have much longer, dear Alan:
http://HeartMDPhD.com/HolySpirit/Prophecy
May you wisely choose to repent soon by publicly declaring with your
mouth that "Jesus is LORD:"
http://HeartMDPhD.com/HolySpirit/TheWay
Prayerfully in the infinite power and might of the Holy Spirit,
Andrew <><
--
> > First of all, you are corresponding with a fruitcake.
>
> Name-calling simply shows that the Holy Spirit is absolutely right to
> convict you:
Not name calling, but calling "a fruitcake a fruitcake"
Thanks. Fruitcake's GI is way to high for me. Will avoid :-)
What's worse, calling an obviously delusional person a fruitcake or
calling one's rational critics Satan?
; )
Very interesting post Frank. Thank you.
Best regards,
Michelle C., T2
diet & exercise
Well, you beat me to it; I was halfway into posting essentially what
you just did.
Only three of the "testimonials" reported having actually
Tried the "approach", the other seventeen were merely
commentary -- a number of them, as you point out, quite derisive.
The three who tried it in fact reported losing weight -- and I've said
here more than once that this would be expected -- but you
will lose weight on any one of dozens diets; I myself lost
35 pounds in 9 weeks simply by keeping caloric intake
under 1200 a day. There's nothing out of the ordinary here.
More to the point, not one of the 15 percent of testifiers who
actually report trying the thing mention being cured of diabetes.
-- cary
>
>I seem to be very insulin resistant in the morning (all the way up to
>noon) and almost normal late afternoon/night.
>
>For example, if I do a 75mg glucose load at 10:30 AM, after 2 hours,
>I'll be 13 or 14. If I do the same thing at 4PM, I'll be at 8
>
>At 11AM, my level was 5.5. I ate a granola bar and one hour later it
>was at 10.
>Same, granola bar, I ate at 5PM, with a level of 5. I went to 6 in an
>hour.
"Doctor, doctor, it hurts when I do this"
"Well don't do it then!"
This is actually pretty common, with few exceptions most of the Type
2s here tend to eat fewer carbs in the morning and correspondingly
more in the evening. My factor is about 2:1, others can be double
that.
I also used to have trouble exerting myself in the morning which would
set off a liver dump, whereas this stopped happening later in the day
unless I *really* overdid it.
I understand and agree.
But the difference between morning and night is crazy for me. At night, I
can eat almost any amount of carbs and come back to a lower than 7.8 within
2 hours. I'll peak at 9 at the most. I had sushi and a big piece of
cheesecake the other night. Spiked to 9, back under 7 two hours later.( I
don't do this very often. I do eat low carb most of the time.)
In the morning, 1 slice of bread and I'm at 9.
If I could soften the DP effect, I am sure I could further reduce my 1ac.
I'm a stubborn SOB and want to go below 5%.
I have always been an early morning person. I cannot sleep past 6AM. I
wonder if I taught my system to set off the whole hormone HGH, cortisol
thing. I spent years training at 6AM.
My A1c's are under 5 but I have DP every day. My A1c wouldn't be that low if
my daytime numbers were as high as yours, i.e. under 7.8 at 2 hours. After
my DP corrects itself the rest of my day is spent in the 4's and low 5's. I
rarely go higher than that even after meals.
After my DP, after lunch and about 2PM my pre meal level is usually mid 4s,
I usually am a 6 max after a meal and back to a low 5 soon after. I tried
testing at midnight and 2AM and I am 4ish.
What are your morning levels like ?
"Ozgirl" <are_we_t...@maccas.com> wrote in message
news:13sqlqs...@news.supernews.com...
Name-calling simply shows that the Holy Spirit is absolutely right to
convict dear neighbor Alan:
http://HeartMDPhD.com/Convicts
> > Don't just go on my advice, do a little searching of his
> > past posts.
> >
> > Then ignore him.
>
> Thanks. Fruitcake's GI is way to high for me. Will avoid :-)
Alan leading you around would be a classic example of a blind diabetic
leading another diabetic to blindness. This saddens me.
Be hungry... be healthy... be hungrier... be euglycemic:
http://TheWellnessFoundation.com/BeHealthy
Prayerfully in the infinite power and might of the Holy Spirit,
Andrew <><
--
>
>I understand and agree.
>
>But the difference between morning and night is crazy for me.
> At night, I
>can eat almost any amount of carbs and come back to a lower than 7.8 within
>2 hours. I'll peak at 9 at the most. I had sushi and a big piece of
>cheesecake the other night. Spiked to 9, back under 7 two hours later.( I
>don't do this very often. I do eat low carb most of the time.)
>
That's not crazy. That's exactly where I was when I first
started testing.
>In the morning, 1 slice of bread and I'm at 9.
>
Yep. And I still reach 8(144) these days if I do the same.
>If I could soften the DP effect, I am sure I could further reduce my 1ac.
>I'm a stubborn SOB and want to go below 5%.
>
>I have always been an early morning person. I cannot sleep past 6AM. I
>wonder if I taught my system to set off the whole hormone HGH, cortisol
>thing. I spent years training at 6AM.
>
I've learnt to just accept that is the way I am in the
morning. Oddly, my DP is now much less than it was; I wake
with numbers between 5.5(100) and 6(108); but I still have
DP because on days when I fast for a doctor's appointment I
will be between 6.5(117) and 8(144) for the blood draw.
Bedtime snacks seemed to help me.
Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest: The Quality of ADA Dietary Advice
Anything up to 8.0. On a good day it could be low 6's, mostly between 7.0
and 8.0 though.
But I take most of my carbs after 3 and about 125 or more a day. But only
good carbs.
I need to find the right amount of carbs and excercise to 'break' the DP
morning cycle. If I eat 0 carbs for breakfast, my DP goes up to 6.8 and
sticks there, drops to 6.2 by 9, 5.9 by 11....and then I have a low carb
lunch and it goes to 7 and drops down to high 4 soon afterwards. Then I am
ok for the rest of the day.
"Ozgirl" <are_we_t...@maccas.com> wrote in message
news:13srgbj...@news.supernews.com...
What do you call "good" carbs? Good carbs to me are of a type and amount
that don't cause my bg rise. Of course just about everything that goes in my
mouth is as nutritious as I can make it. Lots of nutrition for the least
amount of carbs. A plate of highly coloured, fibrousy raw vegetables with a
bit of hommus, guacamole or salsa is more nutritional than a small serve of
brown rice and way less carbs and virtually no appreciative rise in bg. Also
more filling
>But the difference between morning and night is crazy for me. At night, I
>can eat almost any amount of carbs and come back to a lower than 7.8 within
>2 hours.
Well, I don't know about my recovery because I try to be below 7.8
always - if I was anywhere close to 7.8 at 2 hours I'd be on my
exercise machines.
But I can cope with 6g CHO in the morning, 25-30g at lunch, and 40-45g
at supper to achieve those numbers. I think that kind of diurnal
tolerance pattern is pretty common.
Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6% BMI 25
When most people quote carbs, do they subtract fiber ?
Last night I had 83g carbs with 36 fiber, so 47 net. I went from 5.3 to
6.7 (1hr) back to 5.9 (2hr)
I should be clearer. I call good carbs anything low GI or lots of fiber.
So last night I got them from lentils (high fiber), yogurt (low GI) and
spinach (low GI).
I'm starting to think I need to rely less on what the label said 'it
should do' and what it actually does. I always assumed GI and Fiber
would be my indicators if OK to eat or not
soooooo much to learn
I think the GI is a great tool but it still needs personal experimentation.
>
>I should be clearer. I call good carbs anything low GI or lots of fiber.
>So last night I got them from lentils (high fiber), yogurt (low GI) and
>spinach (low GI).
>
>I'm starting to think I need to rely less on what the label said 'it
>should do' and what it actually does. I always assumed GI and Fiber
>would be my indicators if OK to eat or not
>
>soooooo much to learn
I call good carbs the carbs in any meal that led to a peak
post-prandial meter reading under 6.5mmol/l(117).
I call fibre a separate food item which may, or may not, be
eaten together with my carbs.
Depends on the country you are in. Here they are listed on
packets as separate ingredients; no subtraction required. In
the USA the fibre is part of the carb count and should be
subtracted - but not necessarily for insulin calculations.
I'll let the T1's and insulin users expand on that.
Good numbers BTW for a 47gm load.
i'm a type 1 who subtracts the fibre content to find the carb content
that i shoot for at meals
i've heard of some type 1's who don't subtract the fibre, but i don't
see how they can do that and not go hypo 3 hours later as the insulin
lasts about 4 hours and the food is digested at 1 hour.......
kate
>When most people quote carbs, do they subtract fiber ?
>
>Last night I had 83g carbs with 36 fiber, so 47 net. I went from 5.3 to
>6.7 (1hr) back to 5.9 (2hr)
Depends :P If I'm eating slow carbs, then yes. Some things that
doesn't work with, though - parsnips and oats should be fine, but are
absolutely guaranteed to send my bg soaring in surprisingly small
quantities.
That's nice numbers from that meal.
I don't suffer from DP as such, my fastings are almost always in the
fours these days. Usual suggestions for those that do are varying
types of snack at night, including some carbs, some protein, possibly
some red wine.
Not necessary in my case, and the carb control during the day works
OK. However I can easily do postprandials like ItoTito's by munching
on "recommended" levels of carbs.
Using alpha-lipoic acid has reduced my numbers overall, and reduced
the swings and the liver dumps.
The "official" drug for obtaining these benefits is Metformin, or
other meds which work on the insulin resistance.
Other things which help the insulin resistance: exercise, losing
midriff fat, reading posts by Old Al
Thanks for your response Trinkwasser
Excercise, Lots of it. I run 50km and lifts weights 3x a week
Metformin, tried it, it did nothing for me. 1ac didn't improve, fasting
stayed the same and OGTT was identical
Fat : I am at about 15% body fat, which is good for a male. But I would love
to be low teens
Red wine : every night, jury is still out if it makes a difference, but
heck, it's enjoyable
Posts by Al....just learned about them and plan to read many more
I need to try alpha-lipoic acid. Any recommendations ?
Is that your weekly mileage or do you really run more-than-a-marathon
several times a week regularly?
:-)
bj
(I do ~15miles (25k) in a week in ~3 runs, it's all my body will put up with
regularly)
Oops, that 50k for the week and weights 3x. I do it in 5 or 6 morning runs a
week and one night of track. We both seem to like those 8kish runs.
I hear that over 50k of running can cause drop in sex drive and you can
never have enough of that, so I stop when i hit 50 ;-)
Thing is, are we really suffering by having DP? It is a built in function to
get us through a period of time when we have not eaten. I just don't worry
about DP anymore. It turns itself off when I eat. my A1c's are low and all
other regular tests come back in normal range.
: I should be clearer. I call good carbs anything low GI or lots of fiber.
: So last night I got them from lentils (high fiber), yogurt (low GI) and
: spinach (low GI).
: I'm starting to think I need to rely less on what the label said 'it
: should do' and what it actually does. I always assumed GI and Fiber
: would be my indicators if OK to eat or not
: soooooo much to learn
Your best measure is your meter which will let you know how various foods
react on YOUR body, not some average. Pos prandial testing at 1 and 2
hours intensively until you learn what you can and can't eat and in what
quantities is your best bet.
Wendy
My nutritionist explained that if the dietary fiber is 5 or above, then you
can subtract. That is what I do.
--
T2 - Oct. '96 - Lantus, oral meds, diet
http://www.lockergnome.com/darksentinel
Undo the munge to reply by email
That's what my dietician said too. But some people measure their carbs &
fiber practically down to the decimal point so for them a gram or two
matters.
I just count loosely.
bj
Since the Metformin didn't help much I don't know whether the ALA
will.
There was some good information posted by Gys et al. last October
Thread title
Alpha Lipoic Acid. Beneficial effects for Diabetic Patients
message ID 470b45da$0$25493$ba62...@text.nova.planet.n
I trialled it for the neuropathy and discovered for myself that it was
helping lower my BG overall, reduce the post-meal spikes and also
reduce the liver dumps I tended to get in the mornings not as DP per
se but if I overexerted myself with too low BG. Even 200 - 300 mg/day
had a measurable effect.
You sound like me only worse <G> skinny and comparatively fit and
active, does the same thing tend to run in your family as in mine?
The other major anti-IR meds were Actos and Avandia, which have gotten
something of a bad press of late, I suspect like a lot of things they
are good drugs IF prescribed only to people without contraindications.
You seem to be doing all the "right things" yet not finding a
solution, maybe the best way is just to be aware of the phenomenon and
avoid the carb levels that cause the spikes.
I had an enlightening moment when I twigged that what is mainly wrong
with me is that I can't handle carbs *over time* - Mr/Ms Average can
stuff their face with a high carb load then somehow ration the glucose
produced throughout the day: I need to treat carbs as "instant food"
and not dose with any more than I can use immediately - but on the
other hand not take so few that I trigger a liver dump. If I'm doing
stuff in the morning I make use of the "pizza effect" using slow carbs
plus fat to allow the slow release of glucose over the time that I'm
active. This can be a nightmare for Type 1s except pumpers because the
insulin works a lot faster than the carbs, but for some of us Type 2s
the slow steady input of glucose pretty much matches the slow steady
input of insulin from a pancreas which can churn out Phase 2 without
the Phase 1 "boluses".
What are your lipids like? The ratio of trigs/HDL is indicative of
your general level of insulin resistance - but though I hammered mine
right down thanks to the dietary advice from here, I still have a
changing ratio through the day, mainly I suspect due to the muscle
receptors.
Hmmm, just checked my postprandial + 1 hour at 4.8 (86) and I didn't
do much today beyond a long drive and taking mother for a short gentle
walk, think I'll just do a power walk round the block and treat myself
to some 85% chocolate, BRB . . .
The only reason I am 'skinny' is because of the excercise. I used to weigh
232lbs at 5'10". Not pretty. I think my FBG was 13 back then. I lost a lot
of the weight and everything went to 'normal'. 5.1 FBG and 5.1% 1ac, but a
few years later it started creaping up again.
I am now between 165 and 170. My family is very athletic and I used to be,
but let myself go late 20s and paid the price for it. Now I am back in good
shape and plan to stay this way.
I have a certain amount of determination and will power which I think will
eventaully help me even better control this thing. If it weren't for my DP I
am sure I could do quite well. At night I can take quite a big carb load and
have respectable 1 hour measure.
It doesn't sound like I have much to lose in trying ALA. Is there a
brand/dosage you would recommend ?
Same here. Fortunately, I'm not at the point where I have to measure like
that.
Actually my runs vary from ~3 miles to 5 or more -- I'm currently working up
to 10+ & hope to feel like doing enough summer training for a fall 1/2M, so
my long run right now is about 8-9 miles, with my other runs in the 3-4mile
range. But 7-8k is a good "regular distance" for me -- comfortable, doesn't
take *too* long, & doesn't usually wipe me out -- and feels like "a good
run"; besides, it takes me the first 1-1/2 mi just to get warmed & loosened
up so I like to have a decent amount of comfy-running after I've done the
hard part!
But I don't do weights unless I'm rehabbing something. I also don't do
enough stretching, though the more I run the better I have to do on that or
I'll be *very* stiff.
bj
>
>"Trinkwasser" <sp...@devnull.com.invalid> wrote in message
>news:7623t3tdur5avbjct...@4ax.com...
>> Hmmm, just checked my postprandial + 1 hour at 4.8 (86) and I didn't
>> do much today beyond a long drive and taking mother for a short gentle
>> walk, think I'll just do a power walk round the block and treat myself
>> to some 85% chocolate, BRB . . .
Which was good, I only dropped to 4.6, the same walk can drop me 2
whole points if I get up to 6 or so.
>The only reason I am 'skinny' is because of the excercise. I used to weigh
>232lbs at 5'10". Not pretty. I think my FBG was 13 back then. I lost a lot
>of the weight and everything went to 'normal'. 5.1 FBG and 5.1% 1ac, but a
>few years later it started creaping up again.
>
>I am now between 165 and 170. My family is very athletic and I used to be,
>but let myself go late 20s and paid the price for it. Now I am back in good
>shape and plan to stay this way.
Yes sounds like you got rid of the environmental effects but are still
left with those pesky genes.
>I have a certain amount of determination and will power which I think will
>eventaully help me even better control this thing. If it weren't for my DP I
>am sure I could do quite well. At night I can take quite a big carb load and
>have respectable 1 hour measure.
Diabetes is very logical but sometimes the logic isn't immediately
apparent. For example I have much more energy with low BG. Sometimes
eating more carbs *drops* my BG. If I take a small hit (5 - 10g) of
fast carbs it frightens my pancreas into action so by the time I eat
the meal about 1/2 hour later I have sufficient insulin to deal with
more carbs than usual - a mini-spike is better than a larger longer
spike later.
Sometimes not eating enough carbs at breakfast fails to shut down the
liver, I'm wondering if you might trial a similar small dose of
glucose or similar as soon as you wake up, or otherwise tinker with
your morning carb levels, see if you can't find a dose which will turn
your liver off without causing an unacceptable spike in its own right,
this may require testing every 15minutes or so.
As you say, otherwise you're doing all the right things and your
numbers look excellent.
>It doesn't sound like I have much to lose in trying ALA. Is there a
>brand/dosage you would recommend ?
>
I'm in the UK so suppliers and brand names won't be the same. First I
tried some 200mg tabs from the local store, which were horse pills,
currently I'm taking 2x150mg which are much easier to swallow,
recommended doses seem to go up to 600 mg/day and recommended
suppliers include Jarow and IHerb. Some recommend the sustained
release type as the stuff has a very short half life but it doesn't
seem to make much difference to me, the effect lasts all day and takes
a few days to wear off (from my experiments starting and stopping it)
Thanks Trinkwasser,
I am going to experiment with something like 10g of carbs for breakfast
to try and turn off the liver dump. I get a small amount from things
like cottage cheese, but I doubt the 6g from there is enough. I have a
funny feeling that my actual glucose dump isn't that high, but it's the
extreme insulin resistance in the morning that makes it much worst.
How quickly would I see results with ALA if it does decide to help ?
Days, weeks, months ?
Thanks
Yes that would be the one.
Strangely I've discovered a new phenomenon, I've been crashing out
briefly in the evening after my meal (roughly the equivalent of a
siesta for people with more normal hours) and getting higher than
expected numbers after my late night meal, where normally I can handle
more carbs.
Now I'm not sure if the insulin resistance is returning due to lying
still for a while, or if it's a result of this pesky hospital-acquired
cough and sinus infection (I splattered blood out of my left nostril
yesterday).
Now the evenings are getting lighter I'm returning to my evening
walks, see if that resolves things.
Strange how the patterns can sometimes change without you knowing what
caused it.
>How quickly would I see results with ALA if it does decide to help ?
>Days, weeks, months ?
In my case, days, I wasn't expecting it but the effect is
reproducible. Run a full day testing fasting and postprandials, then
try the same with the same meals after say a week, see if you can spot
the difference.
Interesting. I started taking ALA Saturday morning.
Last night 4PM I was at 4.9. Ate a 45g carb load of lentils, some meat, a
salad and a yogurt. 1 hour later 4.9, 2 hours later 5.2...I couldn't believe
it. I wonder if it's the ALA. Only thing I did was for a 20 minute walk
before my 1 hour measurement.