10.9 2 hours after dinner

[jomar_uk]

I’ve been told cranks bread is good for diabetes due to its low carbs and ingredients as well as being organic, can anyone confirm this please or recommend any other bread (confession time, I love sourdough bread but stopped eating it as cannot find anything about it with T2).

Someone helpfully pointed out that cereals were my downfall even when I used no sugar almond milk.

Now 2 eggs and a slice or two of toast for breakfast would be a luxury *if* it is suitable as a diet for me.

Thank you in advance, JoMar

 

[jomar_uk]

I also have to have 5 of these everyday to make up my weight loss (for various reasons just over 7 stone) and so a further bit of the puzzle to be put in place. (Gastro Consultants instructions)

Really appreciate all the advice & encouragement in here so far, thank you.

Kind regards JoMar

 

[HSSS]

I’ve been told cranks bread is good for diabetes due to its low carbs and ingredients as well as being organic, can anyone confirm this please or recommend any other bread (confession time, I love sourdough bread but stopped eating it as cannot find anything about it with T2).

Someone helpfully pointed out that cereals were my downfall even when I used no sugar almond milk.

Now 2 eggs and a slice or two of toast for breakfast would be a luxury *if* it is suitable as a diet for me.

Thank you in advance, JoMar

Cranks bread is 37.5% carbs. Much the same as ANY other bread. It’s not low carb. Again this is a grain based product so likely to raise glucose levels a fair amount. How well you personally cope would need to be tested against a meter. I suspect as rice crispies aren’t good for you neither will this be but test it and see.

There are a couple of lower (not low) carb br3ads about. Waitrose do Livlife which is about the lowest supermarket available option but the slices are tiny. It tastes ok. Sainsbury’s do hi-lo. Not quite as low and not so good tasting as livlife but more easily found, again tiny slices.

Why not have bit of bacon, or some avocado or a high meat content sausage with the eggs instead?

sorry just remember your Crohns so obviously those needs should come first.

 

[Margarettt]

Hi @jomar_uk People seem to have differing opinions about low carb "substitute" products and that okay. I would tend to just have the eggs and bacon or salmon or whatever without the bread but sometimes I really crave toast. When that happens I have a sliced loaf from "The low-carb food co" in the freezer (I also use their wraps and cakes) Its not cheap at £4.99 for a 400g (small 14 slice loaf) but as I said it lives in the freezer and I only use it now and then so very worth it. There are 0.4 carbs and 53 Kcals in one slice. https://lowcarbfood.co/shop/low-carb-bread-sliced-loaf-400g/ It hits the spot for me
Edited to say personally my monitor numbers are the same 2hrs after

 

[HSSS]

I also have to have 5 of these everyday to make up my weight loss (for various reasons just over 7 stone) and so a further bit of the puzzle to be put in place. (Gastro Consultants instructions)

Really appreciate all the advice & encouragement in here so far, thank you.

Kind regards JoMar

View attachment 63529View attachment 63530

Wow. That’s 200g of carbs a day just in those. That might well help you gain weight but it will also be pushing up blood glucose. I’d definitely be keeping other carbs to a minimum and focusing on fats and proteins that will also help with the weight, maybe meaning you could reduce those drinks at some point in the future.

 

[jomar_uk]

Need a bit of advice.
Since my breakfast after reading I’ve had just a cup of tea with almond milk & sweetner.

As you suggested reading before lunch of tuna Salad and my reading is 4.2 !
How on earth can it drop in such a short time with just a cup of tea pls!

A very confused JoMar

 

[jomar_uk]

Wow. That’s 200g of carbs a day just in those. That might well help you gain weight but it will also be pushing up blood glucose. I’d definitely be keeping other carbs to a minimum and focusing on fats and proteins that will also help with the weight, maybe meaning you could reduce those drinks at some point in the future.

I’ve reduced from 8 a day.

I was on a liquid only diet for months. Without going into too much detail apart losing my beloved wife had a swirlies of Crohn’s flares and I have multiple structures in my small bowel so most of the diabetes foods I cannot eat ie seeds or nuts so the drinks are vital asi lost over 7 stone total and it affect other parts of my health.

The Crohns *must* take priority, it’s a balancing act that’s a nightmare to be honest.

I would never go against my consultants advice (he’s saved my life twice )

Kind regards, JoMar

I’ve had 2 of those drinks about 2 and 4 hours before the 4,2 not so long ago !

 

[jomar_uk]

A strange day for my readings!

 

[JoKalsbeek]

I’ve reduced from 8 a day.

I was on a liquid only diet for months. Without going into too much detail apart losing my beloved wife had a swirlies of Crohn’s flares and I have multiple structures in my small bowel so most of the diabetes foods I cannot eat ie seeds or nuts so the drinks are vital asi lost over 7 stone total and it affect other parts of my health.

The Crohns *must* take priority, it’s a balancing act that’s a nightmare to be honest.

I would never go against my consultants advice (he’s saved my life twice )

Kind regards, JoMar

I’ve had 2 of those drinks about 2 and 4 hours before the 4,2 not so long ago !

Get in touch with your consultant. There's more than one way to skin a cat, and maybe, just maybe, a different brand with fewer carbs and maybe more protein, would do the trick just as well. Not my area of expertise though, but, you know.... Sometimes, diabetes is the least of our worries. If it can be switched to one that works better to suit the T2 also, wonderful, but if not, just reduce other carbs as much as you can. (So no more rice crispies, if at all possible...).

If you have a consultant who knows what they're doing, they're practically worth their weight in gold, as you've already found out. Maybe they can help here, as well.
Good luck!
Jo

 

[HSSS]

I’ve reduced from 8 a day.

I was on a liquid only diet for months. Without going into too much detail apart losing my beloved wife had a swirlies of Crohn’s flares and I have multiple structures in my small bowel so most of the diabetes foods I cannot eat ie seeds or nuts so the drinks are vital asi lost over 7 stone total and it affect other parts of my health.

The Crohns *must* take priority, it’s a balancing act that’s a nightmare to be honest.

I would never go against my consultants advice (he’s saved my life twice )

Kind regards, JoMar

I’ve had 2 of those drinks about 2 and 4 hours before the 4,2 not so long ago !

I really wasn’t suggesting you do. Just pointing out there’s a lot of carbs in them so other carbs need to be reduced and replaced with fats and proteins. Nuts and seeds are not a requirement.

can I suggest whenever you count up your carbs or food intake you include theses drinks though as they WILL have an influence on your overall levels.

 

[Paul_]

I have a sliced loaf from "The low-carb food co" in the freezer (I also use their wraps and cakes) Its not cheap at £4.99 for a 400g (small 14 slice loaf) but as I said it lives in the freezer and I only use it now and then so very worth it. There are 0.4 carbs and 53 Kcals in one slice. https://lowcarbfood.co/shop/low-carb-bread-sliced-loaf-400g/ It hits the spot for me
Edited to say personally my monitor numbers are the same 2hrs after

There are a couple of lower (not low) carb br3ads about. Waitrose do Livlife which is about the lowest supermarket available option but the slices are tiny. It tastes ok.

I'll second the recommendations of Livlife and Lo Carb Food Co bread. Everyone's different, but neither of these affect my blood glucose readings 2 hours later. Don't have them often, but they're good for fixing that cheese on toast craving!

 

[HSSS]

Need a bit of advice.
Since my breakfast after reading I’ve had just a cup of tea with almond milk & sweetner.

As you suggested reading before lunch of tuna Salad and my reading is 4.2 !
How on earth can it drop in such a short time with just a cup of tea pls!

A very confused JoMar

Because morning readings are often higher even before food due to something often called dawn phenomenon. Basically the liver dumps stored glucose int9 the blood to get you up and going in the morning (or after a longish period without food). It’s normal, but sometimes in type 2 it goes a bit over the top. Also glucose changes constantly. A non diabetic would return to that sort of level in a few hours. Considering you’ve not only had the breakfast but also those higher carb drinks that’s an amazing pre lunch reading

 

[jomar_uk]

Ok hopefully a resolution

The community diabetes specialist nurse has just phoned me back after reading my medical notes on my Crohns and my steroid induced diabetes.

All they want till the reducing steroids have stopped are:

Reading when I first wake up
Reading before my last big meal (ie dinner)

This is to gauge how my body (liver) is reacting to the Gliclazide?

If the first days readings go from 5 down to 4.1 or 4.2 to stop the Gli….. and contact them to let them know straight away,

Similarly if they go up towards 6or7 to contact them immediately where they may possibly suggest increasing from 40mg to 80mg

Under no circumstances must I stop the ensure plus drink, the Crohns is the priority and is written at the top of my notes for both teams (Crohns & diabetes).

They say, at the stage I am at not to worry about taking readings 2 hours after food, just be sensible and follow the daily readings. Obviously high carbs are out, the unfair thing is steroids give you quite an appetite after 9 weeks on them, just 3 more weeks to endure till I’m instructed to do something else )

So sorry for all the confusion I may have caused. Apparently Crohns, diabetes with the other health problems are not common so creating a few headaches,

I’ll stay in here if ok as your advice & encouragement has meant a great deal during a trying time, thank you.

Kind regards, JoMar

 

[jomar_uk]

I'll second the recommendations of Livlife and Lo Carb Food Co bread. Everyone's different, but neither of these affect my blood glucose readings 2 hours later. Don't have them often, but they're good for fixing that cheese on toast craving!

On my “Crohns diet sheet” it says hard cheese but *not* melted lol.
I love cheese on toast. I’ll just try to be sensible but a decent hard cheese and sourdough bread is spot on for me )
I will definitely look up those bread companies thank you.

Ps I’m a huge fan of cranks bread but I’ll take it one step at a time as I’ve just been told on the phone. Cheers

 

[HSSS]

All they want till the reducing steroids have stopped are:

Reading when I first wake up
Reading before my last big meal (ie dinner)

That is all THEY want and no one is suggesting you don’t do them as requested. Definitely do them.
However that is not to say other extra reading‘s will not be useful to YOU, as we have all suggested.

They say, at the stage I am at not to worry about taking readings 2 hours after food, just be sensible and follow the daily readings. Obviously high carbs are out, the unfair thing is steroids give you quite an appetite after 9 weeks on them, just 3 more weeks to endure till I’m instructed to do something else )

Why do they so often assume we “worry” about additional readings rather than find them useful to guide our choices? Just because too many diabetes nurses still haven’t been educated about the use of paired readings (though there is plenty of medical documentation I can provide if you’d like it about exactly this so they should know about it). Eg here - https://www.diabetes.co.uk/features/pre-and-post-meal-testing.html. How else are you to know what is sensible for your diabetes? As you’ve seen today levels can vary enormously quite quickly and throughout the day and relying on a single reading is hardly seeing the whole picture. That’s why cgm’s are so popular and useful. To see the whole picture not just an isolated snapshot.

So sorry for all the confusion I may have caused. Apparently Crohns, diabetes with the other health problems are not common so creating a few headaches,

I’ll stay in here if ok as your advice & encouragement has meant a great deal during a trying time, thank you.

Kind regards, JoMar

You haven’t caused confusion. You are navigating two serious issues and asking questions and being educated is a good thing.

Under no circumstances must I stop the ensure plus drink, the Crohns is the priority and is written at the top of my notes for both teams (Crohns & diabetes).

Again no one has suggested you drop them. Just be aware that they, along with the steroids will be negat. I merely said if you can bring weight up by focusing on eat more energy dense foods that don’t mess up your diabetes it may be in time the consultant agrees they become less necessary. Or Jo suggested asking the consultant if there are alternatives with fewer carbs but still achieving the same goal.

 

[JoKalsbeek]

Ok hopefully a resolution

The community diabetes specialist nurse has just phoned me back after reading my medical notes on my Crohns and my steroid induced diabetes.

All they want till the reducing steroids have stopped are:

Reading when I first wake up
Reading before my last big meal (ie dinner)

This is to gauge how my body (liver) is reacting to the Gliclazide?

If the first days readings go from 5 down to 4.1 or 4.2 to stop the Gli….. and contact them to let them know straight away,

Similarly if they go up towards 6or7 to contact them immediately where they may possibly suggest increasing from 40mg to 80mg

Under no circumstances must I stop the ensure plus drink, the Crohns is the priority and is written at the top of my notes for both teams (Crohns & diabetes).

They say, at the stage I am at not to worry about taking readings 2 hours after food, just be sensible and follow the daily readings. Obviously high carbs are out, the unfair thing is steroids give you quite an appetite after 9 weeks on them, just 3 more weeks to endure till I’m instructed to do something else )

So sorry for all the confusion I may have caused. Apparently Crohns, diabetes with the other health problems are not common so creating a few headaches,

I’ll stay in here if ok as your advice & encouragement has meant a great deal during a trying time, thank you.

Kind regards, JoMar

You have no idea how much time I spend in a state of total confusion. I'm navigating a whole new condition now, and how it and possible treatment affects diabetes, migraines, my gut and wreched kidneys, rheumatism, mental health (or lack thereof!), everything. So I know it's not always as clear cut as we'd hope it could be... You hang in there. And no, do not stop the bottles... Just be aware that a liquid carb hits the system harder and makes you go high for a bit, and if there's another one that can help you in the same way without making you spike, yay... But if there isn't, then that's that. No harm in asking your consultant, though. I mean, it's very similar to what my mom was on after radiation, and there were quite a few brands and flavors to choose from in the Netherlands... Same may be true there. Maybe you can have some fats to go along with it, or mix it with some fibres so it doesn't hit the system as hard, and you don't spike as much? Just an idea. Might not work, but best I can come up with for the mo.

 

[jomar_uk]

I’m pretty pleased but not complacent. Last few days very encouraging, thanks to your encouragement in here playing a large part.

Thank you JoMar

 

[KennyA]

Not fixed my diet yet obviously…

Took reading before breakfast and was 5.3
2 hours later was at 7.9

I cup of rice crispies with almond milk (no sugars variety) xylitol sweetener
1 cup of tea with same almond milk and a sweetener.

Any suggestions please and are readings acceptable pls!

Oh I took 1 500mg metfirmin and 1 40mg gliz…. Immediately after breakfast.

Many thanks, JoMar

It's the rice crispies. They will be at least 60% carbs (maybe more) and the results from your tests show you can't handle them. Your BGs will have been much higher in the intervening two hours and your insulin system cannot bring them down, so you will be spending longer periods of time with elevated levels. And it's elevated levels over periods of time that causes damage.

 

[jomar_uk]

It's the rice crispies. They will be at least 60% carbs (maybe more) and the results from your tests show you can't handle them. Your BGs will have been much higher in the intervening two hours and your insulin system cannot bring them down, so you will be spending longer periods of time with elevated levels. And it's elevated levels over periods of time that causes damage.

Thanks someone pointed the crispies problem after I first posted some days back this so staying well away.

Readings far better now as per msg above.

Kind regards JoMar

 

[jomar_uk]

Strange one today.

6.2 at waking up (no idea why)

Before lunch today (260g baked salmon fillets & I sliced red pepper in same) 5.3

Exactly 2 hours 11 minutes after 4.7

Can anyone enlighten me please?

Ps every night I have 2 small plain oat cakes with 2 small squares of cheese. Readings vary every morning, very similar but always in the low 5.x