Fasting sugar levels remain high no matter what I try

ppdes
ppdes Posts: 83 Member
edited November 2024 in Social Groups
Hi Everyone!


I have been recently diagnosed with gestational diabetes and am in my T2.
I have been asked to monitor my sugar levels 4 times a day. I am currently in Jakarta, where they are not giving me any medication and have asked me to manage my diabetes with just diet and exercise. This is not easy at all, given the fact that I am a vegetarian.

Anyhow, ever since I got glucometer, I have observed that no matter how much I try, my fasting levels seem to be quite high. Initially I was able to control them to less than 95 (which is the target set by my doctor) but now they have crept up, to read 107 today. I was surprised because:
-I just had 2 bread slices with butter and bowl of tomato soup. Total amounting to less than 45 carbs. (45-60 carbs is my target for dinner set by doctor).
-I also had my dinner last night between 8.30-9.00 yesterday, followed by a tablespoon of ACV+ water at 11.30 when I went off to sleep.
-Calculated my fasting sugar at 7.30 am today.
-I noticed that last week when I ate pasta once, my sugar levels were 83 in the morning, which seems unbelievable.

Do not understand why fasting sugar levels are all over the place. More recently - over last 4-5 days, I have begun monitoring sugar and counting my carbs quite a bit. Despite this, my fasting levels have been ranging between 100-115 all those days.

For gestational diabetes, the target sugar levels are stringent from what I understand.
For me these are < 95 fasting, <140 1 hour post meal (which I rarely achieve) and <120 for 2 hours post meal (which I mostly achieve).


Sorry for this long rant but can anyone guide me if they have experienced this and what was done to lower fasting levels?


Thanks

Replies

  • Mick1127
    Mick1127 Posts: 451 Member
    I don't know if this will be of any help; but, maybe it will be. When I went on an insulin pump years ago, I learned that the pump can be programed to provide different basal rates at different times during the day. One of the things that was done by the pump clinic educator was to increase the amount of insulin being delivered from 3 a.m. to 8 a.m. by almost double what is delivered at any other time during the day. When I asked why, the answer I received is that the liver puts out more carbs/sugars into our bodies at approximately 3 a.m. so under normal circumstances our pancreas would produce extra insulin at that time to handle it. My suspicion is that even though you may stay well within your carb count, if it is a higher percentage in the evening you may well simply be releasing more carbs/sugars into your system during those early morning hours resulting in the higher fasting BG levels. Please don't accept this as fact; but, you may want to question your doctor if eating most of your carbs before your evening meal might be of help.
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