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Prediabetes Where am I going wrong please

"Birdwoman, post: 1723006, member: 451471"]It's not much good though if I then don't know what it means?[/QUOTE]
Forewarned is forearmed. The wealth of experience of members will point you to possible clues as to the reasons.
 
Birdwoman said:
My last HbA1c was just over a week ago and was 34.
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In that case, I would ride this out and see what happens. Your recent increases aren't very significant. You are well and truly in the non-diabetic range with your numbers, so in my opinion no need to stress..
 
Thanks for all your help. I will see what happens in the next week or two.
Thanks
jan
 
Well done on getting your HBA1C down, sometimes we see changes on our meter that just can't be explained.

Please remember that changes in health, stress, sleep and exercise (even a different batch of test strips) can make a difference to our readings.
 
Guzzler said:
This PIR has me baffled. The brain runs quite happily on ketones so does PIR happen when glucose is low as well as ketones? What am I missing?
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From my understanding the brain still needs some glucose as well as ketones so the PIR happens when glucose is scarce (ketogenic diet) and the PIR is the body's attempt to spare the glucose for the brain only rather than the muscles which can use ketones. I think.
 
NicoleC1971 said:
From my understanding the brain still needs some glucose as well as ketones so the PIR happens when glucose is scarce (ketogenic diet) and the PIR is the body's attempt to spare the glucose for the brain only rather than the muscles which can use ketones. I think.
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Thank you. So that is when there would be some serious gluconeogenesis in the case of a starvation diet re proteins.
Edited to add. This is like belt and braces for the brain re fuel.
 
Alison Campbell said:
Well done on getting your HBA1C down, sometimes we see changes on our meter that just can't be explained.

Please remember that changes in health, stress, sleep and exercise (even a different batch of test strips) can make a difference to our readings.
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Thanks for your help!
This sudden change happened when I started a new box of strips, so I started blaming them. I went round all the chemists to buy another batch number and after a week + was able to find some, however, this did not change a thing, so it was not them.
It was suggested that perhaps I had a few more carbs for a couple of days but cannot work out if this would send my BG higher or whether this would put things right or what?

I have tried a couple of short fasts i.e. 4pm till 11am next morning and although the morning reading went down slightly, it was straight back to 120 the following morning. I have wondered if I am having too much protein?

Thanks
Jan
 
Guzzler said:
Thank you. So that is when there would be some serious gluconeogenesis in the case of a starvation diet re proteins.
Edited to add. This is like belt and braces for the brain re fuel.
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I recently read something claiming that whilst most of the brain can function on ketones, some parts of the brain can only run on glucose.

Don't know if I can find it again (or even why I was reading it !) but I'll post a link if it turns up.
 
Birdwoman said:
It was suggested that perhaps I had a few more carbs for a couple of days but cannot work out if this would send my BG higher or whether this would put things right or what?

I have tried a couple of short fasts i.e. 4pm till 11am next morning and although the morning reading went down slightly, it was straight back to 120 the following morning. I have wondered if I am having too much protein?
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If it is PIR then cutting the carbs even further is likely to make it worse as there will be less glucose available for the bits that need it, so there will be more resistance in order to spare it for those bits. Increasing carbs slightly may increase levels but only during the period of increase, and thereafter they may return to your expected normal. Or that is how I understand it.
 
Fasting isn't a good idea for my metabolism - it caused my BG to rise higher than I'd seen, and also drop lower, and that was just not eating in the morning but waiting until midday.
That the brain requires glucose might be true - but it is not an argument for eating carbs - the liver can release glucose as needed for preventing hypos, though its capability is reduced by taking Metformin - why that should be a good thing I cannot yet understand.
 
Resurgam said:
Fasting isn't a good idea for my metabolism - it caused my BG to rise higher than I'd seen, and also drop lower, and that was just not eating in the morning but waiting until midday.
That the brain requires glucose might be true - but it is not an argument for eating carbs - the liver can release glucose as needed for preventing hypos, though its capability is reduced by taking Metformin - why that should be a good thing I cannot yet understand.
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I agree with you, I would not up my carbs for good! I am quite happy on the LCHF and have no probs with it at all. Thanks for you help.
 
Resurgam said:
Fasting isn't a good idea for my metabolism - it caused my BG to rise higher than I'd seen, and also drop lower, and that was just not eating in the morning but waiting until midday.
That the brain requires glucose might be true - but it is not an argument for eating carbs - the liver can release glucose as needed for preventing hypos, though its capability is reduced by taking Metformin - why that should be a good thing I cannot yet understand.
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I agree with you, I would not up my carbs for good! I am quite happy on the LCHF and have no probs with it at all. Thanks for you help.
Bluetit1802 said:
If it is PIR then cutting the carbs even further is likely to make it worse as there will be less glucose available for the bits that need it, so there will be more resistance in order to spare it for those bits. Increasing carbs slightly may increase levels but only during the period of increase, and thereafter they may return to your expected normal. Or that is how I understand it.
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Thanks Bluetit. I think I might try having a little carb lunch time and see what happens. Really, I suppose I have to do it to see what happens, if, only to eliminate it.

When I started LCHF it felt very wrong and hard to do because of all the "Low fat" nonsense we had drummed into us, now it feels very wrong to eat carbs. I will post my results!

Thanks
Jan
 
urbanracer said:
I recently read something claiming that whilst most of the brain can function on ketones, some parts of the brain can only run on glucose.

Don't know if I can find it again (or even why I was reading it !) but I'll post a link if it turns up.
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Was it synapses by any chance or neuronal cells, can't remember which ones.
 
Alison Campbell said:
Hi do you keep a record of the amount of carbs you are eating? I could not find it in your earlier posts.

I would be careful about restricting protein, it is so important for the body repair process.

https://optimisingnutrition.com/2018/02/03/is-too-much-protein-on-keto-a-thing/
http://www.tuitnutrition.com/2017/07/gluconeogenesis.html
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Hi Alison. Thanks for your help. I am not very good at keeping records apart from in my head! I aim at 20g of carbs per day or under and have worked it out from charts of vegies and other things. All my meals are done from scratch with fresh ingredients, so no processed food, except for cheese etc.

Edit. Thanks for your links, I have been reading them and can see I don't need to worry about Protein, so can leave that out of the equation. Thanks very much it has help me a lot.
 
Guzzler said:
This PIR has me baffled. The brain runs quite happily on ketones so does PIR happen when glucose is low as well as ketones? What am I missing?
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Perhaps I can save you some reading on this one.:bookworm:

I went through a lot of those articles recently and my understanding was the body it set up to run of a dual fuel source while in Keto.
The muscles become PIR to conserve glucose for the brain etc.. As soon as you start exercising they immediately convert over to burning keto/fat for fuel and its the PIR stage that makes this energy conversion more efficient. (Not tapping in to the limited glucose stores in the blood stream.)

Muscles continue to burn fuel up to 24 hours after you use them so the PIR effect is beneficial to you.
Keeping the glucose where it's needed most and the body continues to burn keto/fat for fuel.
IF nothing else this stops you gaining weight as there is no excess fuel to store as fat.:joyful:

For every action there is an equal and opposite reaction.
  • IF your not exercising you are therefore contributing to you overall muscles IR by adding PIR to it. :banghead:
  • BUT the argument is that for anyone in keto there bs levels will be naturally lowered/controlled by there diet so the accumulative effect of IR+PIR is not significantly noticeable. ;)
:bag:
 
Morning all.
Well, I had 2 small slices of toast with lots of butter for lunch yesterday. My BG was 105 (just under 6.) before I had it.
1Hr - 176 (9.7).
2Hrs - 205 (11.3).
3Hrs - 156 (8.3)
6Hrs later and before I had dinner - 100 (5.5)
2Hrs after dinner - 100 (5.5).
7:45am today - 116 (6.4) lower than I have had for about a month.
See what happens now
Thanks
Jan
 
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