Sorry! But far better safe than sorry. Scary that an alleged nurse on 111 didn’t know what hb1ac was. It’s your blood glucose of 27 that’s potentially scary tonight more than your hb1ac though. Hope you get some sleep and this passes without incident.
I’m glad you are well and the figures are improved somewhat today. Not sure I can say what I think of this particular dr though and his knowledge of complications. Hope your dr is better informed Thursday
Cramp can however also be caused by lack of the right nutrients - I know my calves and ankles used to cramp quite often overnight when I was unknowingly suffering from malnutrition (due to undiagnosed coeliac disease)
Whether its 30 minutes or 3 hours a day, exercise is great for general health, but short of intense and sustained exercise to an athletes standard, it will only scratch at the surface in actually reducing BS levels. Its all about diet and eating frequency. It is difficult to suggest anything as no details are given as to your actual diet before and after your diabetes education group.
There is no such thing as a good carb, telling you to eat baked potatoes and (presumably) baked beans for lunch is astonishing. A medium size baked potato will have about 36 g of carbohydrates of which 3 g will be pure sugar. One serving, about 1/2 can, (and who has one serving) of baked beans will have another 26 g of carbs, of which 10.3 g will be pure sugar. Your lunch, if its limited to just that, would be amount about 15 teaspoonfuls of sugar, of which 4 teaspoonfuls will be pure sugar and immediately released into your blood stream.
I bought a Nutribullet just before diagnosis and found that even blending lettuce and a tomato made a drink which spiked me - yet I can eat a huge salad and get an increase of 1mmol/l. It is, perhaps, the breaking up or open which gives my digestion easy access - I seem to have a very efficient gut, as I did sometimes wonder if I could digest cellulose, to judge from the sarcastic comments of the dieticians I have encountered, who accused me of all sorts of errors in my unsuccessful attempts to lower weight under their direction.
I lost 15lbs in just under one month. The fact that it took you a year is the surprise on your diet. Once you move away from a carb diet, you will lose weight whatever your reasons for dieting. Your diet does sound good, the 'green smoothies' bother me because you are distinguishing them from the kale and spinach. What else are you adding to that smoothie. Although I have not converted to a keto diet, the indications are that it is very effective at lowering BS levels, but they recommend low carbs and high fat, not low fat. Your body needs both fat and salt to function properly and to process the fats within you. This very high reading, was it a proper blood test, which measures your average BS level over 2 to 3 months, or was it on a standard home glucose monitor. Eratic and insufficient sleep over a prolonged period is known to cause/contribute to insulin resistance. If you tested yourself 1st thing in the morning you may naturally have a high reading because your body will have dumped sugar into your system just before you are due to wake up to give you the energy you are going to need to start the day.
One medium tomato represents just over 6g of carbs, most of which is sugar. If you are putting in more than one tomato than that might be an issue. Tomatoes are fruit and their sugar is in the form of fractose which is managed, poorly, by your liver, not your pancreas. If you regularly juice with tomatoes the fractose prevents the body from using up its far stores and defeats the object of a low carb diet. When eating a salad, rather than a juice it would be unusual to have more than one tomato at a time. If you are looking for something to sweeten the lettuce juice, try 1 small beetroot. It's similar to a tomato in nutrients but you don't need more than one in the blender to sweeten the lettuce and the carbs are processed by your gut and pancreas in the regular way and doesn't interfere with your low-carb regime.
