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Finding the ideal amount of carbs: BG stability or average more important?
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<blockquote data-quote="Glink" data-source="post: 1420501" data-attributes="member: 254742"><p>Hm. Sounds like there's no real consensus on this, except that ideally you achieve both. </p><p></p><p>I have a "normal" HbA1C also. But I do have symptoms when my BG goes high. </p><p></p><p>There is very little if anything I can do to get my fasting #'s to look non-diabetic, and I have mostly accepted that at this point. My postprandial go highish, but since low GI/low carbing they don't go super duper high (generally not over 8 unless I eat something stupid like rice, which I just...don't. I mean I did once since diagnosis and it was horrific enough to deter me for a long while!). It's a weird middle ground of not being "normal" but not being anything anyone is that clinically worried about--hence all my attempts to self manage by tweaking my diet etc. I am lucky in that exercise and weight are not a concern here (except in that exercise raises my BG a bit; thanks liver you big dumper you!). </p><p></p><p>I guess since I can't get fasting below 6.1 at all times, I might be wise to try to cut back on the carbs again and try to get the postprandials consistently lower. My suspicion is that eating some carbs again has stimulated more insulin release, which has then lowered my averages (lows, which are never "bad" low for me, are lower/longer?). But if my HbA1c goes up a bit in order to minimize my highs, that might be worth it. </p><p></p><p>Blah. Why can't this be more straightforward!? I see my GP for my check-in soon and assuming my quarterly HbA1c loooks good he'll just be totally happy even though I'm having symptoms again. Feeling like it's time to once again take things into my own hands!</p></blockquote><p></p>
[QUOTE="Glink, post: 1420501, member: 254742"] Hm. Sounds like there's no real consensus on this, except that ideally you achieve both. I have a "normal" HbA1C also. But I do have symptoms when my BG goes high. There is very little if anything I can do to get my fasting #'s to look non-diabetic, and I have mostly accepted that at this point. My postprandial go highish, but since low GI/low carbing they don't go super duper high (generally not over 8 unless I eat something stupid like rice, which I just...don't. I mean I did once since diagnosis and it was horrific enough to deter me for a long while!). It's a weird middle ground of not being "normal" but not being anything anyone is that clinically worried about--hence all my attempts to self manage by tweaking my diet etc. I am lucky in that exercise and weight are not a concern here (except in that exercise raises my BG a bit; thanks liver you big dumper you!). I guess since I can't get fasting below 6.1 at all times, I might be wise to try to cut back on the carbs again and try to get the postprandials consistently lower. My suspicion is that eating some carbs again has stimulated more insulin release, which has then lowered my averages (lows, which are never "bad" low for me, are lower/longer?). But if my HbA1c goes up a bit in order to minimize my highs, that might be worth it. Blah. Why can't this be more straightforward!? I see my GP for my check-in soon and assuming my quarterly HbA1c loooks good he'll just be totally happy even though I'm having symptoms again. Feeling like it's time to once again take things into my own hands! [/QUOTE]
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