Normal morning/high post meal

[billiz]

Diagnosed on 21 nov 2016
started on 2 × 40mg gliclazide
from same day on low carb
In 3 weeks after consulting GP taking only one tab a day
Yesterday morning 5.5 but after 2 of evening meal 10.2
This morning 5.3 then before dinner 4.2 and after 2 hours of dinner 9.2 and after 3 hours 6.3

Not sure if thats normal ?

 

[Resurgam]

well - it is outside the recommended range for type 2 diabetics, but if you ate a meal which contained quite a few carbs then it would be a normal response. I usually see an increase of about a quarter of that, but I am eating low carb without medication.
If you measure the amount of carbs you are eating and note the BG levels before and after the meal then you can see how the various things you eat change your levels, and if, by cutting back you can get them below the recommended limit, which I believe is 8.5 mmol/l after meals then you should see your Hba1c levels falling.

 

[pleinster]

Can you be a little more specific about what you are eating? My level on diagnosis was over 20mmols. I was placed on Gliclazide, which made a little difference but no much...so it was doubled...with no real difference. It wasn't until I started recording what I was eating and what my meter said before and a couple of hours later, along with a reading at the same time every day in the morning and the late evening that I realised what a dramatic difference it made avoiding specific foods altogether. I also noted what meds I took and when.

It became very clear that : a] the very low cab diet was effective where the Gliclazide was not. I notified my GP that I was coming off the Gliclazide (that way I could be sure what the diet alone was doing); b] my blood sugar was spiking due to a particular steroid I was taking as part of post-transplant treatment. I presented my doctors with my findings and the steroid was greatly reduced. I have not been on meds for diabetes for about or so 18 months now and through diet alone my levels are seldom above 7.5mmols (and if they are it is due to too many carbs as I treat myself now and then).

I also found that where 2 hours post eating is where levels should be dropping again for most, my system takes closer to 3 hours (it is not a hard and fast number).

It takes time for the body to adapt and we all vary, but low carbing and awareness of your own personal response to food and meds will reduce the levels. On a scale of 1 to 10 (1 being lowest), I worry about diabetes now somewhere around 1.5. I have an approach I adhere to (with a little less strictness that I did initially) but it does not in any way dominate my life. You will get your readings down and that will feel good and reassure you that you can secure control. Good luck.

ps. my transplant was due to an inherited condition and was not a complication of diabetes. Ironically, it was the steroid I spoke of above that triggered/caused my diabetes! Evidently a common consequence of long term steroid treatment. Still - I knew the risk but decided a functioning kidney was more important to me than a "perfect" blood sugar level.

 

[Bluetit1802]

Diagnosed on 21 nov 2016
started on 2 × 40mg gliclazide
from same day on low carb
In 3 weeks after consulting GP taking only one tab a day
Yesterday morning 5.5 but after 2 of evening meal 10.2
This morning 5.3 then before dinner 4.2 and after 2 hours of dinner 9.2 and after 3 hours 6.3

Not sure if thats normal ?

I have always had normal morning fasting levels (and pre-meal) and never had the problems many folk on here do, but I did used to spike high post meal just like you have reported. I kept a food diary including portion sizes, recorded my levels alongside, and looked for patterns. It was obvious I was eating too many carbs with certain meals so I tried the same meals again with smaller portions of the carbs, and kept doing this until the spikes reduced to where I wanted them to be. It was all trial and error, but eventually I arrived at a daily carb intake of 30g and now rarely see 7's post meal. It is best all round to keep rises under 2mmol/l from before to after eating..

The NHS guidelines for blood sugar levels are here:
http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

so you can see that your post meal levels are higher than recommended.

 

[billiz]

I have always had normal morning fasting levels (and pre-meal) and never had the problems many folk on here do, but I did used to spike high post meal just like you have reported. I kept a food diary including portion sizes, recorded my levels alongside, and looked for patterns. It was obvious I was eating too many carbs with certain meals so I tried the same meals again with smaller portions of the carbs, and kept doing this until the spikes reduced to where I wanted them to be. It was all trial and error, but eventually I arrived at a daily carb intake of 30g and now rarely see 7's post meal. It is best all round to keep rises under 2mmol/l from before to after eating..

The NHS guidelines for blood sugar levels are here:
http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

so you can see that your post meal levels are higher than recommended.

Thanks I will try this

 

[billiz]

Can you be a little more specific about what you are eating? My level on diagnosis was over 20mmols. I was placed on Gliclazide, which made a little difference but no much...so it was doubled...with no real difference. It wasn't until I started recording what I was eating and what my meter said before and a couple of hours later, along with a reading at the same time every day in the morning and the late evening that I realised what a dramatic difference it made avoiding specific foods altogether. I also noted what meds I took and when.

It became very clear that : a] the very low cab diet was effective where the Gliclazide was not. I notified my GP that I was coming off the Gliclazide (that way I could be sure what the diet alone was doing); b] my blood sugar was spiking due to a particular steroid I was taking as part of post-transplant treatment. I presented my doctors with my findings and the steroid was greatly reduced. I have not been on meds for diabetes for about or so 18 months now and through diet alone my levels are seldom above 7.5mmols (and if they are it is due to too many carbs as I treat myself now and then).

I also found that where 2 hours post eating is where levels should be dropping again for most, my system takes closer to 3 hours (it is not a hard and fast number).

It takes time for the body to adapt and we all vary, but low carbing and awareness of your own personal response to food and meds will reduce the levels. On a scale of 1 to 10 (1 being lowest), I worry about diabetes now somewhere around 1.5. I have an approach I adhere to (with a little less strictness that I did initially) but it does not in any way dominate my life. You will get your readings down and that will feel good and reassure you that you can secure control. Good luck.

ps. my transplant was due to an inherited condition and was not a complication of diabetes. Ironically, it was the steroid I spoke of above that triggered/caused my diabetes! Evidently a common consequence of long term steroid treatment. Still - I knew the risk but decided a functioning kidney was more important to me than a "perfect" blood sugar level.

 

[billiz]

Can you be a little more specific about what you are eating? My level on diagnosis was over 20mmols. I was placed on Gliclazide, which made a little difference but no much...so it was doubled...with no real difference. It wasn't until I started recording what I was eating and what my meter said before and a couple of hours later, along with a reading at the same time every day in the morning and the late evening that I realised what a dramatic difference it made avoiding specific foods altogether. I also noted what meds I took and when.

It became very clear that : a] the very low cab diet was effective where the Gliclazide was not. I notified my GP that I was coming off the Gliclazide (that way I could be sure what the diet alone was doing); b] my blood sugar was spiking due to a particular steroid I was taking as part of post-transplant treatment. I presented my doctors with my findings and the steroid was greatly reduced. I have not been on meds for diabetes for about or so 18 months now and through diet alone my levels are seldom above 7.5mmols (and if they are it is due to too many carbs as I treat myself now and then).

I also found that where 2 hours post eating is where levels should be dropping again for most, my system takes closer to 3 hours (it is not a hard and fast number).

It takes time for the body to adapt and we all vary, but low carbing and awareness of your own personal response to food and meds will reduce the levels. On a scale of 1 to 10 (1 being lowest), I worry about diabetes now somewhere around 1.5. I have an approach I adhere to (with a little less strictness that I did initially) but it does not in any way dominate my life. You will get your readings down and that will feel good and reassure you that you can secure control. Good luck.

ps. my transplant was due to an inherited condition and was not a complication of diabetes. Ironically, it was the steroid I spoke of above that triggered/caused my diabetes! Evidently a common consequence of long term steroid treatment. Still - I knew the risk but decided a functioning kidney was more important to me than a "perfect" blood sugar level.

Thanks pleinster in last 2 days had some rice, cucus and salad and second day salad and grill chicken. I will try cutting down portion size

 

[billiz]

well - it is outside the recommended range for type 2 diabetics, but if you ate a meal which contained quite a few carbs then it would be a normal response. I usually see an increase of about a quarter of that, but I am eating low carb without medication.
If you measure the amount of carbs you are eating and note the BG levels before and after the meal then you can see how the various things you eat change your levels, and if, by cutting back you can get them below the recommended limit, which I believe is 8.5 mmol/l after meals then you should see your Hba1c levels falling.

Thanks Resurgam the portion size seems to be reason worth experimenting portion size

 

[billiz]

Thanks again for all for their advise Today checked before meal 4.9 after 1 hour dinner (chicken kababs, green salad, Chinese veg rice) 6.2 after 2 hours 5.8 .