Controlling Type II Diabetic Blood Sugar

caroldavison332
caroldavison332 Posts: 864 Member
edited November 22 in Food and Nutrition
Major health scare. Blood sugar was 455 when it should be 150. Other than avoiding "added' sugars like soda, obvious carbs like fries, chips, pastries, etc any help on controlling blood sugar? Thanks All.
«13

Replies

  • caroldavison332
    caroldavison332 Posts: 864 Member
    I am also packing hard boiled eggs, oranges and nuts so I am never so hungry I that I submit mit to "Fast food like substances."
  • yarwell
    yarwell Posts: 10,477 Member
    Major health scare. Blood sugar was 455 when it should be 150. Other than avoiding "added' sugars like soda, obvious carbs like fries, chips, pastries, etc any help on controlling blood sugar? Thanks All.

    Fasting blood sugar should ideally be <100 ?

    Carbohydrates digest into blood glucose, all of them. Limit sugars and starches to reduce blood sugar. Lose the oranges - they're 8% sugar.
  • professionalHobbyist
    professionalHobbyist Posts: 1,316 Member
    You really should have a consult with dietician and determine your exercise threshold

    Many ways to coordinate to control things.

    Seems like you would be on a medicine?

    Burning the sugar out of your system with exercise is a great tool.

    Eating a calorie deficit will help lose body fat, and the presence of that fat increases you insulin resistance

    You should have been given a recovery strategy.

  • RodaRose
    RodaRose Posts: 9,562 Member
    If you do go out for fast food, get a cheese burger and throw away the bun.
    Stay away from the oranges and fruit for a while as those have lots of sugar.
    Pack lots of veggies like precut cucumbers, broccoli, squash, cauliflower.
    Remember to include fats and oils. Bacon is good.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    I really like Dr Bernstein's Diabetes Solution. He advocates a low carb, high fat (LCHF) diet for all diabetics. I was prediabetic and within a couple of weeks me blood sugar was normal. By eating at a deficit I've also lost weight, which probably helped.

    If a LCHF diet interests you, look into it and discuss it with your doctor.

    Best wishes.
  • Teamhynes
    Teamhynes Posts: 31 Member
    Going to assume you're already working an Endo. They should give you a referral to a dietician who can walk you through diet and carb control - how many carbs max to eat at each meal and snack. That helps a lot with meal planning. Imagine how much easier it is if you know 15 carbs at breakfast and snacks and 40 to 70 for lunch and dinner. Helps drive your food choices.

    When having a snack, make sure you're pairing a protein with a carb - in other words don't just eat an apple. Combine an apple with a low fat cheese stick for example or PB2 protein powder. It slows down the impact of the sugar in the fruit to your bloodstream.

    Ask about medications like Metformin that help your body use the insulin you do make.

    Keep up whatever exercise you're doing now.

    If your doctor recommends it, get a meter like Accuchek and check fasting and post-prandial (meal) every day.
  • yarwell
    yarwell Posts: 10,477 Member
    Teamhynes wrote: »
    When having a snack, make sure you're pairing a protein with a carb - in other words don't just eat an apple. Combine an apple with a low fat cheese stick for example or PB2 protein powder. It slows down the impact of the sugar in the fruit to your bloodstream.

    Myth. Just forget the apple and there's no sugar to bother about.
  • RodaRose
    RodaRose Posts: 9,562 Member
    Teamhynes wrote: »
    Going to assume you're already working an Endo. They should give you a referral to a dietician who can walk you through diet and carb control - how many carbs max to eat at each meal and snack. That helps a lot with meal planning. Imagine how much easier it is if you know 15 carbs at breakfast and snacks and 40 to 70 for lunch and dinner. Helps drive your food choices.

    When having a snack, make sure you're pairing a protein with a carb - in other words don't just eat an apple. Combine an apple with a low fat cheese stick for example or PB2 protein powder. It slows down the impact of the sugar in the fruit to your bloodstream.

    Ask about medications like Metformin that help your body use the insulin you do make.

    Keep up whatever exercise you're doing now.

    If your doctor recommends it, get a meter like Accuchek and check fasting and post-prandial (meal) every day.

    She has diabetes II. She can stay away from the apple.
    She can eat regular fat cream cheese.

  • LKArgh
    LKArgh Posts: 5,178 Member
    Don't you have detailed instructions from your dr? If not, get an appointment ASAP. In the meantime, try diabetes.org. Read carefully, they have very detailed instructions and can help you learn how to plan meals and snacks and count carbs. It is not as simple as avoiding sugar. You need to count and balance all carbs throughout the day (not eliminate them, but eat them in small amounts at a time), make sure you are eating enough protein, limit total calories, add physical activity. In general, vegetables and protein are your friends but make sure to not overdo it in fat as calories can add up.
  • umayster
    umayster Posts: 651 Member
    edited July 2015
    Major health scare. Blood sugar was 455 when it should be 150. Other than avoiding "added' sugars like soda, obvious carbs like fries, chips, pastries, etc any help on controlling blood sugar? Thanks All.

    Focus on building a diet primarily based on fats and proteins. Fats do not increase your blood sugar and protein has a minimal effect. Bernstein's plan will give you a method for minimizing blood sugar. It involves major diet changes, but you don't want to go the direction you are now.

    The ADA diet plan is designed to be combined with drugs and testing to manage blood sugar levels. There are diet alternatives like Bernstein's that aim to lower blood sugar levels with diet to minimize or eliminate the need for drugs, but you have to take that initiative as it is not the mainstream treatment.
  • caroldavison332
    caroldavison332 Posts: 864 Member
    Thanks all. Yes I am on meds and scheduled to meet with the diabetes educator and nutritionist.

    I've been forcing oatmeal (it helps elimiate fat from your body, right?) for breakfast with tomato juice. From what I've read HERE I should include a protein such as an egg. Right? I'd read that you're not supposed to have fats with carbs. More info please.

    Thanks for telling me to eat a cheeseburger and trash the bun! Great idea.

    Scouted out good food in my train station and found eggs, soup, salad, and cut up melons. I'll avoid the melons.

    I work crazy hours and have an 90 minute commute both ways on 3 trains which cancel frequently which is exhausting and frustrating and leads to temptation to eat fast food-like products. So I bring an egg, orange and nuts with me everywhere. Some fruits like organges are supposed to be good for diabetics. I'm not ever going to not eat fruit for the rest of my life.

    How long after eating do I have to wait to get a fasting blood test?
  • LKArgh
    LKArgh Posts: 5,178 Member
    edited July 2015
    Thanks all. Yes I am on meds and scheduled to meet with the diabetes educator and nutritionist.

    I've been forcing oatmeal (it helps elimiate fat from your body, right?) for breakfast with tomato juice. From what I've read HERE I should include a protein such as an egg. Right? I'd read that you're not supposed to have fats with carbs. More info please.

    Thanks for telling me to eat a cheeseburger and trash the bun! Great idea.

    Scouted out good food in my train station and found eggs, soup, salad, and cut up melons. I'll avoid the melons.

    I work crazy hours and have an 90 minute commute both ways on 3 trains which cancel frequently which is exhausting and frustrating and leads to temptation to eat fast food-like products. So I bring an egg, orange and nuts with me everywhere. Some fruits like organges are supposed to be good for diabetics. I'm not ever going to not eat fruit for the rest of my life.

    How long after eating do I have to wait to get a fasting blood test?

    You need to measure carbs per meal, not just make random combinations. Forget foods that are going to help with diabetes, this is a myth. There are no special carbs that will lower your blood sugar and there are certainly no foods that will help you lose fat. Oatmeal for example has carbs, they need to be counted, and so do oranges. Also both have calories, and need to be counted in your daily totals. Do no confuse what is in general healthy, with what and how much you should be eating. Fruit is great, diabetic or not, but in your case, you need to count and space fruit throughout the day, one serving at a time, and not with other carbs. You might eat e.g. 4 oranges per day, but one per meal not all at once. You can eat an orange and some bread but not at the same meal and so on. If you check diabetes.org, or any other site for diabetes, there are suggested servings and carb amounts per meal. You need to focus on increasing fiber, counting carbs per meal, increasing protein, lowering total carbs. The numbers you mentioned place you to immediate risk for your life, not just slightly uncontrolled diabetes, fasting or not. It sounds like you do not fully grasp the seriousness of the situation. You are past regular dr appointments and just avoiding fast food, you are in the middle of a serious health situation, where you need to make changes ASAP. A single reading this high, fasting or not, means you need to call your dr, test for ketones, figure out what needs to be adjusted ASAP. You are not at the point of planning what you like to eat for the rest of your life, you are at the point of trying to make sure there will be a rest of your life. And when I say call your dr, I do nto mean call and schedule an appointment whenever this is possible, I mean call, explain to the nurse what has happened and ask for instructions, which will possibly include a visit to an emergency room, or an urgent appointment, since it looks like you have no emergency plan.
  • yarwell
    yarwell Posts: 10,477 Member
    I've been forcing oatmeal (it helps elimiate fat from your body, right?) for breakfast with tomato juice. From what I've read HERE I should include a protein such as an egg. Right? I'd read that you're not supposed to have fats with carbs. More info please.

    How long after eating do I have to wait to get a fasting blood test?

    Oatmeal = carbohydrate = increased blood sugar. Tomato juice = free sugars in solution. Oranges are 10% sugar.

    Until your blood sugar is at a less dangerous level I would be wary of such foods. It's the high blood sugars that affect your eyesight, heart, feet etc.

    Fasting blood sugar is when you wake up in the morning after an overnight fast eg 8hrs+ since eating.

  • Lizzy622
    Lizzy622 Posts: 3,705 Member
    Just remember everyone is an individual and certain starches and complex carbs still trigger spikes. Some people can eat whole wheat pasta (in proper portion combined with a protein) and be fine and others can have a spike. Testing is key. Follow your doctor's instructions on when to test and stick to it. You can also use the notes section of the food journal to track you blood sugar readings. It will help you see what foods are better for you.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    edited July 2015
    Thanks all. Yes I am on meds and scheduled to meet with the diabetes educator and nutritionist.

    I've been forcing oatmeal (it helps eliminate fat from your body, right?) for breakfast with tomato juice. From what I've read HERE I should include a protein such as an egg. Right? I'd read that you're not supposed to have fats with carbs. More info please.

    Thanks for telling me to eat a cheeseburger and trash the bun! Great idea.

    Scouted out good food in my train station and found eggs, soup, salad, and cut up melons. I'll avoid the melons.

    I work crazy hours and have an 90 minute commute both ways on 3 trains which cancel frequently which is exhausting and frustrating and leads to temptation to eat fast food-like products. So I bring an egg, orange and nuts with me everywhere. Some fruits like organges are supposed to be good for diabetics. I'm not ever going to not eat fruit for the rest of my life.

    How long after eating do I have to wait to get a fasting blood test?

    I would skip the oatmeal too. It's mainly carbs and not helpful to many diabetics because diabetic tend to have higher morning blood sugars anyways due to lower night time insulin levels. From what I understand, it is best to limit carbs in the morning, even more so than lunch and dinner.

    Bacon and eggs with coffee and cream (no sugar) is a good way to start the day if you like those foods. Make extra eggs and bacon to take with you to work - two meals cooked at once. :)

    Limited fruit is usually okay for diabetics but you may need to limit the amounts, and try to avoid high GI fruits (ones that tend to have more sugars that will raise your blood sugar more quickly). Fruits like raisens, figs, dates, bananas, mangos and other tropical fruits will raise your blood glucose faster and more than lower GI fruits like berries. Citrus fruits are in the middle to low of most fruits, so they may be fine in moderation.

    A fating blood glucose test is usually first thing in the morning after fasting 8,10 or so hours, longer if you have gastroparesis (slowed stomach emptying than can be caused by diabetes).

    It's helpful to test after meals too. A healthy person's blood glucose will start falling about an hour after a meal but a diabetics will often rise (higher) for two hours after a meal before there is finally enough insulin to lower the blood glucose levels. Checking 1-2 hours after a meal will tell you if you ate a meal with too many carbs (ie. it raised your blood glucose to an unhealthy level).

    It's overwhelming at first. Hang in there and educate yourself as much as possible. The more you know, the easier it is to manage.
  • caroldavison332
    caroldavison332 Posts: 864 Member
    aggelikik wrote: »
    Thanks all. Yes I am on meds and scheduled to meet with the diabetes educator and nutritionist.

    I've been forcing oatmeal (it helps elimiate fat from your body, right?) for breakfast with tomato juice. From what I've read HERE I should include a protein such as an egg. Right? I'd read that you're not supposed to have fats with carbs. More info please.

    Thanks for telling me to eat a cheeseburger and trash the bun! Great idea.

    Scouted out good food in my train station and found eggs, soup, salad, and cut up melons. I'll avoid the melons.

    I work crazy hours and have an 90 minute commute both ways on 3 trains which cancel frequently which is exhausting and frustrating and leads to temptation to eat fast food-like products. So I bring an egg, orange and nuts with me everywhere. Some fruits like organges are supposed to be good for diabetics. I'm not ever going to not eat fruit for the rest of my life.

    How long after eating do I have to wait to get a fasting blood test?

    You need to measure carbs per meal, not just make random combinations. Forget foods that are going to help with diabetes, this is a myth. There are no special carbs that will lower your blood sugar and there are certainly no foods that will help you lose fat. Oatmeal for example has carbs, they need to be counted, and so do oranges. Also both have calories, and need to be counted in your daily totals. Do no confuse what is in general healthy, with what and how much you should be eating. Fruit is great, diabetic or not, but in your case, you need to count and space fruit throughout the day, one serving at a time, and not with other carbs. You might eat e.g. 4 oranges per day, but one per meal not all at once. You can eat an orange and some bread but not at the same meal and so on. If you check diabetes.org, or any other site for diabetes, there are suggested servings and carb amounts per meal. You need to focus on increasing fiber, counting carbs per meal, increasing protein, lowering total carbs. The numbers you mentioned place you to immediate risk for your life, not just slightly uncontrolled diabetes, fasting or not. It sounds like you do not fully grasp the seriousness of the situation. You are past regular dr appointments and just avoiding fast food, you are in the middle of a serious health situation, where you need to make changes ASAP. A single reading this high, fasting or not, means you need to call your dr, test for ketones, figure out what needs to be adjusted ASAP. You are not at the point of planning what you like to eat for the rest of your life, you are at the point of trying to make sure there will be a rest of your life. And when I say call your dr, I do nto mean call and schedule an appointment whenever this is possible, I mean call, explain to the nurse what has happened and ask for instructions, which will possibly include a visit to an emergency room, or an urgent appointment, since it looks like you have no emergency plan.

    I've already been to the Dr, got blood sugar down to 159, through diet, exercise and medicaiton. She referred me to the nutritionist and diabetic educator.
  • caroldavison332
    caroldavison332 Posts: 864 Member
    nvsmomketo wrote: »
    Thanks all. Yes I am on meds and scheduled to meet with the diabetes educator and nutritionist.

    I've been forcing oatmeal (it helps eliminate fat from your body, right?) for breakfast with tomato juice. From what I've read HERE I should include a protein such as an egg. Right? I'd read that you're not supposed to have fats with carbs. More info please.

    Thanks for telling me to eat a cheeseburger and trash the bun! Great idea.

    Scouted out good food in my train station and found eggs, soup, salad, and cut up melons. I'll avoid the melons.

    I work crazy hours and have an 90 minute commute both ways on 3 trains which cancel frequently which is exhausting and frustrating and leads to temptation to eat fast food-like products. So I bring an egg, orange and nuts with me everywhere. Some fruits like organges are supposed to be good for diabetics. I'm not ever going to not eat fruit for the rest of my life.

    How long after eating do I have to wait to get a fasting blood test?

    I would skip the oatmeal too. It's mainly carbs and not helpful to many diabetics because diabetic tend to have higher morning blood sugars anyways due to lower night time insulin levels. From what I understand, it is best to limit carbs in the morning, even more so than lunch and dinner.

    Bacon and eggs with coffee and cream (no sugar) is a good way to start the day if you like those foods. Make extra eggs and bacon to take with you to work - two meals cooked at once. :)

    Limited fruit is usually okay for diabetics but you may need to limit the amounts, and try to avoid high GI fruits (ones that tend to have more sugars that will raise your blood sugar more quickly). Fruits like raisens, figs, dates, bananas, mangos and other tropical fruits will raise your blood glucose faster and more than lower GI fruits like berries. Citrus fruits are in the middle to low of most fruits, so they may be fine in moderation.

    A fating blood glucose test is usually first thing in the morning after fasting 8,10 or so hours, longer if you have gastroparesis (slowed stomach emptying than can be caused by diabetes).

    It's helpful to test after meals too. A healthy person's blood glucose will start falling about an hour after a meal but a diabetics will often rise (higher) for two hours after a meal before there is finally enough insulin to lower the blood glucose levels. Checking 1-2 hours after a meal will tell you if you ate a meal with too many carbs (ie. it raised your blood glucose to an unhealthy level).

    It's overwhelming at first. Hang in there and educate yourself as much as possible. The more you know, the easier it is to manage.

    THIS is the info I need. Thanks. I'm happy to drop the oatmeal. It takes like wallpaper paste anyway.
  • caroldavison332
    caroldavison332 Posts: 864 Member
    On Diabetes.org. (thanks for the referral). It said oatmeal (and oranges) was a diabetes super food. Conflicting information is confusing.

    What about whole vs skim milk? I frequenly put all kinds of things on my food list to compare them. There doesn't seem to be much difference in the two, and I read that we should have WHOLE milk products 3 times daily to loose weight.
  • DAM5412
    DAM5412 Posts: 660 Member
    Thanks all. Yes I am on meds and scheduled to meet with the diabetes educator and nutritionist....

    I'm not ever going to not eat fruit for the rest of my life.

    I've already been to the Dr, got blood sugar down to 159, through diet, exercise and medicaiton. She referred me to the nutritionist and diabetic educator.

    Ok, then. get ready for sore fingers where you test and injection sites which can get infected. A rotation of appointments with your PCP, Endo and diabetic specialists. Endless prescriptions, tweaking and probably multiple high blood sugar readings and trips to the ER.

    You don't want to give up the foods, fruits and other high sugar/high carb, which cause your BS to spike, so you will continue on medication. That's your choice.

    But if you want to change this, if you want to be in control of your health, and not relying on medicine (which over time your body will learn to tolerate and therefor you will need increasing amounts of), then you need to change your diet!!
  • LKArgh
    LKArgh Posts: 5,178 Member
    aggelikik wrote: »
    Thanks all. Yes I am on meds and scheduled to meet with the diabetes educator and nutritionist.

    I've been forcing oatmeal (it helps elimiate fat from your body, right?) for breakfast with tomato juice. From what I've read HERE I should include a protein such as an egg. Right? I'd read that you're not supposed to have fats with carbs. More info please.

    Thanks for telling me to eat a cheeseburger and trash the bun! Great idea.

    Scouted out good food in my train station and found eggs, soup, salad, and cut up melons. I'll avoid the melons.

    I work crazy hours and have an 90 minute commute both ways on 3 trains which cancel frequently which is exhausting and frustrating and leads to temptation to eat fast food-like products. So I bring an egg, orange and nuts with me everywhere. Some fruits like organges are supposed to be good for diabetics. I'm not ever going to not eat fruit for the rest of my life.

    How long after eating do I have to wait to get a fasting blood test?

    You need to measure carbs per meal, not just make random combinations. Forget foods that are going to help with diabetes, this is a myth. There are no special carbs that will lower your blood sugar and there are certainly no foods that will help you lose fat. Oatmeal for example has carbs, they need to be counted, and so do oranges. Also both have calories, and need to be counted in your daily totals. Do no confuse what is in general healthy, with what and how much you should be eating. Fruit is great, diabetic or not, but in your case, you need to count and space fruit throughout the day, one serving at a time, and not with other carbs. You might eat e.g. 4 oranges per day, but one per meal not all at once. You can eat an orange and some bread but not at the same meal and so on. If you check diabetes.org, or any other site for diabetes, there are suggested servings and carb amounts per meal. You need to focus on increasing fiber, counting carbs per meal, increasing protein, lowering total carbs. The numbers you mentioned place you to immediate risk for your life, not just slightly uncontrolled diabetes, fasting or not. It sounds like you do not fully grasp the seriousness of the situation. You are past regular dr appointments and just avoiding fast food, you are in the middle of a serious health situation, where you need to make changes ASAP. A single reading this high, fasting or not, means you need to call your dr, test for ketones, figure out what needs to be adjusted ASAP. You are not at the point of planning what you like to eat for the rest of your life, you are at the point of trying to make sure there will be a rest of your life. And when I say call your dr, I do nto mean call and schedule an appointment whenever this is possible, I mean call, explain to the nurse what has happened and ask for instructions, which will possibly include a visit to an emergency room, or an urgent appointment, since it looks like you have no emergency plan.

    I've already been to the Dr, got blood sugar down to 159, through diet, exercise and medicaiton. She referred me to the nutritionist and diabetic educator.

    Do you record your levels throughout the day? If 159 is a fasting number, it is nowhere close to acceptable. If it is an after meals level, it is great. But still spikes should not happen as high as 400, this is a crazy high number. Are you keeping a diary? Do you have instructions on how to eat, when to take meds, when to test blood sugar, when to test ketones, how to react in an emergency? If not, you need answers to these ASAP. Take a look here, to get an idea on what are average testing procedures and levels, and when you need to talk to a dr immediately: http://diabetesnpo.im.wustl.edu/resources/tools/documents/4-GALV-HighBloodSugarLowBloodSugarStudentRevised1104_web.pdf
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    See an endocrinologist. Visit the CDE... s/he will be very helpful.

    Cut carbs... especially the oatmeal. Oatmeal skyrockets BG's. If you are going to eat carbs, make sure you pair it with protein and/or fat to slow down absorption. Carbs will go into your system more slowly when encased in fat.
  • caroldavison332
    caroldavison332 Posts: 864 Member
    DAM5412 i got oatmeal and oranges off of the diabetes 10 super foods page. I also read that I"m supposed to limit myself to 180 carbs per day. I'm averaging 136. My blood sugar was 159 at noon, five hours after eating. Your assumptions are condescending and offensive.

    Aggekik-no the Dr said twice a day. She also said to aim for blood sugar 126. Am I keeping a dairy recording what? I'm reading diabetics.org about what to eat. yes I know when to take meds, test, and no one said anything about ketones. What constitutes an emergency?
  • umayster
    umayster Posts: 651 Member
    The essence of what DAM is saying is that carbohydrates are the food that raises blood sugar. You can continue to eat them and fix the blood sugar with drugs or you can minimize carbs and minimize blood sugar through dietary changes.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    On Diabetes.org. (thanks for the referral). It said oatmeal (and oranges) was a diabetes super food. Conflicting information is confusing.

    What about whole vs skim milk? I frequenly put all kinds of things on my food list to compare them. There doesn't seem to be much difference in the two, and I read that we should have WHOLE milk products 3 times daily to loose weight.

    There is a LOT of conflicting theories out there.

    For a few decades the ADA was recommending a diet low in fats which meant it was high in carbs. Many doctors still follow this model, and many diabetics have success with weight loss and blood sugar control on it.

    The newer thoughts is that controlling your carb intake will better control your blood glucose levels. This makes sense to me since fats won't raise your blood glucose but carbs do. A low carb high fat diet (LCHF) will lower your blood glucose and not cause large BG spikes. BG levels will drop further as your body adapts to the LCHF diet AND as weight is lost.

    If you follow the older theory, you would want skim milk. If you follow the more recent theories, you would use heavy (whipping) cream and only dilute it with water if it was too thick for you to use - cream has fewer milk sugars (lactose) than skim milk. I don't drink milk, but I definitely prefer cream in my coffee to skim. ;)

    Dr Bernstein's Diabetes Solution spells a LCHF diet out very clearly. He is a diabetic (T1) doctor who believes most diabetics should be able to normalize their blood glucose as much as possible by diet... That's normalized compared to an average person and not just "good for a diabetic".

    Get the book and see it it makes sense for you. Not everyone likes the idea of LCHF but I love it.

    Here is an example of my day on a (very) LCHF diet: yesterday I ate coffee with coconut cream, 3 bacons, 1 egg, 1 burger patty with artichoke and asiago dip, celery, cucs, and yellow pepper (not in large amounts), 2 pepperello sticks, salmon covered in a primevera sauce with mushroom, shrimp, red pepper, and cheese.

    It took me about 2 weeks to get used to eating this way, and I was tired and headachy during that time, but now I feel better than before I started, my appetite is greatly diminished, I've lost 15 pounds in the first 40 odd days (a lot since I only need to lose 20-30 more), and my blood sugar is at the low end of normal ( I was prediabetic though so my BG probably improved faster than yours may).

    LCHF worked well for me, but it isn't for everyone. :) Best wishes.
  • umayster
    umayster Posts: 651 Member
    aggelikik wrote: »
    Don't you have detailed instructions from your dr? If not, get an appointment ASAP. In the meantime, try diabetes.org. Read carefully, they have very detailed instructions and can help you learn how to plan meals and snacks and count carbs. It is not as simple as avoiding sugar. You need to count and balance all carbs throughout the day (not eliminate them, but eat them in small amounts at a time), make sure you are eating enough protein, limit total calories, add physical activity. In general, vegetables and protein are your friends but make sure to not overdo it in fat as calories can add up.

    Please correct me if I'm wrong, but don't you need to do these eating gymnastics to eat just enough carbs to match the dosage of drugs given to address the high blood sugar caused by the level of carbs you are eating?

  • gothchiq
    gothchiq Posts: 4,590 Member
    Here's what my doctor tells me to do: Be very moderate with carbs, AND never eat a carb without also eating a protein. Don't eat a whole banana at once, just half at a time, due to the high glycemic index. I am controlling my blood sugar without meds which seems to be a thing doctors like nowadays especially if the person is prediabetic rather than full on diabetic. So in cases like this the "gymnastics" really are necessary. But they become a habit and so you don't feel overburdened by these things for long. Lean meats and nonstarchy veggies are your friends. I had to learn to limit fruit, which really makes me sad, but... it is what it is. I now treat fruits as a dessert item consumed after I've eaten my protein rather than as a standalone snack option. Snacks have become things like a boiled egg or string cheese. The doctor I see also advocates the MyPlate method of portioning: 1/4 of your plate is lean protein, 1/4 is carbs, and 1/2 is various nonstarchy vegetables. Maybe salad, maybe spinach, whatever you like veggie wise. Then a piece of fruit is dessert. Like say half a banana, a clementine, a cup worth of grapes.
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    edited July 2015
    DAM5412 i got oatmeal and oranges off of the diabetes 10 super foods page. I also read that I"m supposed to limit myself to 180 carbs per day. I'm averaging 136. My blood sugar was 159 at noon, five hours after eating. Your assumptions are condescending and offensive.

    Aggekik-no the Dr said twice a day. She also said to aim for blood sugar 126. Am I keeping a dairy recording what? I'm reading diabetics.org about what to eat. yes I know when to take meds, test, and no one said anything about ketones. What constitutes an emergency?

    Ketones are not generally a concern for type 2's. It's possible to be an issue, but uncommon. If you are staying in the 150's all day every day, you are putting yourself at risk of long-term complications, but have no need to worry about ketones (a short-term issue primarily concerning type 1's).

    Edited to clarify: In other words, 150's is high enough to cause long-term issues, but not high enough to create short-term emergency problems like DKA.
  • Patttience
    Patttience Posts: 975 Member
    You are getting conflicting advice because not everyone agrees on what is best for diabetics. The low carbers think all carbs are bad except vegetables. This is not the traditional or mainstream view. I think low carb is alright but I don't think you need to be as radical as many suggest.

    Oatmeal should be ok because it is a slow digest and if you are not overeating it should be ok. But include protein in the meal you eat it. Milk (whole milk) is good but i find an egg as well is better.

    I would not recommend for breakfast eggs and bacon. I do not think bacon is good on any level for anyone. And certainly the pigs live lives of hell in order to you to have a bit of pleasure.

    I would recommend oatmeal + milk
    and wholegrain toast and a boiled egg with some butter.
    and some fresh fruit.

    I would also avoid completely fruit juice. It is liquid sugar. If you don't like the oatmeal, is it because you have not added any salt to it. But you do'nt have to eat oatmeal.

    You can have fried tomatos,onions and mushrooms on wholegrain toast.

    Anyway include lots of fresh vegetables in your diet. These the best thing and also legumes. Get into the habit of eating legumes often - every day, more than once if you can. These are brilliant foods but unfortunately not many in the west living on junk food diets learnt how prepare them into delicious recipes. So the quick and easy way is to make salads with bean mixes, or hummus. A serving size of beans for me is about half a cup. Its probably the same for most people really.
  • nvmomketo
    nvmomketo Posts: 12,019 Member
    edited July 2015
    DAM5412 i got oatmeal and oranges off of the diabetes 10 super foods page. I also read that I"m supposed to limit myself to 180 carbs per day. I'm averaging 136. My blood sugar was 159 at noon, five hours after eating. Your assumptions are condescending and offensive.

    Aggekik-no the Dr said twice a day. She also said to aim for blood sugar 126. Am I keeping a dairy recording what? I'm reading diabetics.org about what to eat. yes I know when to take meds, test, and no one said anything about ketones. What constitutes an emergency?

    There are two forms of ketosis:
    1. Benign dietary ketosis, which has quite low levels of ketones, and occurs when the body is burning fats instead of glucose as its primary fuel. People eating a very LCHF diet, and some on a LHCF diet, will live in a constant state of ketosis. I eat less than 50g of carbs per day, on a very LCHF diet, and I have been in mild to moderate ketosis for over a month - this type of ketosis is perfectly safe.
    2. Ketoacidosis, which is a life threatening condition that could happen to T1 diabetics and some T2 diabetics who have lost the ability to make insulin. Ketoacidosis occurs when the diabetic does not have enough insulin in their body (from missing an insulin shot, or possibly an illness) so blood sugars get out of control, and the body makes a huge amount of ketones to try and get some fuel for the body. If you are making insulin, his is a very remote possibility.

    I agree that you are getting much conflicting info. We low carbers do believe a LCHF diet works best because it does work for us. The traditional diet that other diabetics follow is thought by them to be the best. Finding a treatment that rings true for you, and that you can follow at all times is probably the main thing though.

    Look into all treatments and then decide which one makes sense to you, and which one you will be willing follow.

    Best wishes.
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    @nvsmomketo DKA (diabetic ketoacidosis) is not a form of ketosis. It is different than ketosis.

    Yes, blood ketones are elevated in both ketosis and DKA (much more elevated in DKA), but that is basically where the similarities end. DKA will kill someone very painfully, it will lead to vomiting, dehydration, multiple organ failure, and perhaps even heart attack (due to pH imbalances). DKA is deadly, and is a medical emergency... if someone is in DKA, they need to get to the nearest emergency room.

    Having said that, I will agree and repeat that it is extremely unlikely that a type 2 with BG's in the 150's would be in DKA.
This discussion has been closed.