newly diagnosed-questions

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shellseekr52
New Member


Date Joined Jul 2008
Total Posts : 15
   Posted 7/24/2008 6:26 PM (GMT -7)   
I have recently been diagnosed with type II, and have attended a diabetes education class, but some questions have come up since then,  I am hoping someone can give me some answers.

 

I have noticed that the last 2 mornings, when I put 1/2 srv of blueberries on my cereal, my blood sugar was way down from the fasting blood sugar. (Tues.- fasting was 125, 2hrs post brkfst 99; today fasting 126, 2 hrs. post brkfst 103).  When I had the same brkfst, but with peaches,  my sugar went up, but was still under 140.  Is it the blueberries that are making the difference?  I didn't do anything else differently on any of those days.

 

Also, if I am to eat a 15-30 gr carb snack a couple hours after a meal (if not eating within 4 hrs) to keep my sugars level, at what range am I  trying to keep them?  The range of under 140 (since that is the same amount I am allowed at a meal), or closer to the fasting range? Kind of confused.

 

Also, I seem to have a liver "dump" every night.  I thought it was because I was having a glass of wine, but it seems to happen whether or not I have the wine.  Is there any way to prevent this?

 

Last question...if I eat too many carbs at one meal, but my levels are around 113  2 hrs. after, can those extra carbs affect my blood sugar after my next meal?

I know I am asking alot of questions, but I hope someone can give me some info on these.  Thanks 

 

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 7/24/2008 7:45 PM (GMT -7)   
shellseekr52 said, "I have recently been diagnosed with type II but I was told in my diabetes education class that  under 140  2 hrs. after a meal is ok.  I have also read that same number on the internet from endorcrinologists, and 180 from ADA."
 
Welcome to the Forum shellseekr52.  I consolidated some of your posts because they were scattered in several threads.  It's better to keep all these together.
 
Are you on any medication?  You wrote in another post that your fasting was usually between 111 and 126 which is too high.  Normal readings would be under 100.  If you've read some of our most recent posts, you'll realize that most of us here do not follow the ADA guidelines for blood sugar readings because they are too high.  Following the ADA diet will also keep your blood sugar too high and that will most likely lead you to medication if you aren't already on them.  It's possible to lower your blood sugar, especially in your case if you're not on meds, by changing some of what you're eating and adding some daily exercise.  Blood sugar levels that stay at 150 or above for lengths of time may lead to organ damage.  This figure varies from person to person.  This is why we try to keep a much lower average and much lower fasting and postprandial than the ADA suggests.  Since this is at odds with your diabetes class, it's up to you to follow what you feel most comfortable with.  However, you need to learn as much as you can about how blood sugar levels affect our body.
 
If the peaches were canned, they probably had added sugar, so your blood sugar would have risen.  Also, you have to consider the glycemic value of food.  I believe that blueberries have a lower glycemic value than peaches, meaning they don't have as much fructose to drive your blood sugar up.
 
Eating a 15 - 30 gr carb snack a couple of hours after a meal will guarantee that your blood sugar will be high.  This is ridiculous.  A 'normal' person's blood sugar doesn't vary too much except after a particularly heavy carb meal but it will always go back down to normal after an hour or two.  If a diabetic or someone "borderline", eats the same thing, his blood sugar will spike way too high and remain there for too long.  This will eventually harm the body.
 
Plain red or white wine may help keep blood sugar lower - but of course doesn't replace meds!  Some people may need a snack at night before bed to prevent higher fasting levels in the morning.  That snack could be half an apple with cheese or peanut butter, some yogurt or whatever works for you.
 
If you eat too many carbs at a meal and have 113 afterwards and if the blood sugar stays there and then you eat again, then naturally the blood sugar will rise from that point at the next meal.  That would result in even higher levels after the second meal.
 
Please look through the recent posts here about diet plans, you'll learn a lot.  I know there's a lot to digest here eyes  but you'll get it, honest!
 
 
Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


shellseekr52
New Member


Date Joined Jul 2008
Total Posts : 15
   Posted 7/24/2008 8:12 PM (GMT -7)   
Lanie...sorry for the scattering of posts.  I have been going through the posts and answering as I come to them.  I am not on any meds, but my doctor said if my levels are not down by my next visit (3 wks from now), she will probably put me on oral meds.  I really would like to stay off them if I can.  I do exercise...swim 30-35 laps/day, as well as other daily activity (cleaning, gardening).  I work in the schools, and I walk the halls every half hour to get my kids.  I have noticed a big difference in the past 3 days with my daily levels, EXCEPT for my fasting.  I am about 35 lbs overweight (lost 16lbs before diagnosis) and have lost 4 lbs in the past week, since I really started watching my carbs.  The hardest thing for me is fruits.  I have been on and off Weight Watchers for 26 yrs. and have always used fruits as a GOOD substitute for sweets.  Now I find I should have been regulating them!!!  I was told in my class that if I was exercising at least 4x/wk that i could eat 1-2 carb srvgs (15-30 grams) at meals,thoughts were exactly as you said....if my blood sugar is at 113 
2 hrs. after a meal, and then I eat a snack, it will only increase from there.  That is why I am confused.
 
I will admit I love my starches, but I have significantly cut down, and have changed most my starches to whole grains.  But can you continue to have a cumulative effect even if your monitoring shows decent levels for several post-meal sticks?  Thanks!

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 7/24/2008 8:22 PM (GMT -7)   
Hi shellseekr, I just wanted to keep everything together because it's easier to answer that way.  I was in the same place you are now about a year and a half ago.  (Ok, all you regular members who are reading this, you already have heard this before.....).  After several years of rising fasting levels, being overweight by about 40lbs, and high cholesterol levels, my doctor said she was going to put me on meds.  I told her to give me 6 months to see if I could get control of this myself.  I did.  My blood sugar came down as well as my cholesterol.  To make a very long story short, it's because of the way I eat - which I described in another post.  I did cut out all the obvious carbs because every time I tested my blood sugar in the morning or 2 hours after a meal, it was high.  You are already getting some exercise so that's great.  Cut down on the carbs.  If you have to eat some, make it a very small portion (I mean small) and eat your protein and veggies.  Make sure you're not eating too much, too.  See how adjusting your food affects your blood sugar.  If you don't eat the bread, potatoes, etc., your blood sugar will have to be lower.



Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds

Post Edited (LanieG) : 7/24/2008 9:30:21 PM (GMT-6)


shellseekr52
New Member


Date Joined Jul 2008
Total Posts : 15
   Posted 7/24/2008 8:29 PM (GMT -7)   
I am going to ask my doctor to give me 6 mos. also. Even though I was diagnosed 1 1/2 mos. ago, I just went to the class 10 days ago. So I am fairly new at applying what I learned. Luckily for me, my cholesterol is ok, and my BP is actually on the low side. I will keep you posted, and will check the forum for help. Thanks for some great info.

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 7/24/2008 8:36 PM (GMT -7)   
Good for you.  Just read through our posts here.  I brought some old ones up back up front so you can read them easily without looking all over.  I know you can have better numbers just by changing some of what you're eating.  One last piece of advice:  keep a food journal.  Date, time, morning fasting, what you eat at a meal and then your blood sugar reading 2 hours later.  Do this every day for awhile and see what meals/food have what kind of effect on your blood sugar.  In this way, you'll know what you can eat.  Don't be afraid of butter, olive oil or whatever.  Butter doesn't give us blood cholesterol because our bodies make it from the carbs we eat.  Good luck.

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


shellseekr52
New Member


Date Joined Jul 2008
Total Posts : 15
   Posted 7/24/2008 8:56 PM (GMT -7)   
Thanks for the words of encouragement, Lanie!
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