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2 hour readings after dinner - questions
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<blockquote data-quote="Dougie22" data-source="post: 234625" data-attributes="member: 34509"><p>Hi East Man,</p><p></p><p>I've not had a good look round the web site yet but will do.</p><p></p><p>I have, however, bought and read the book and I'll re -read it over the next couple of weeks.</p><p></p><p>At the moment, these targets are too strict for me and would be wholly impossible to reach without a dramatic change to my diet and, indeed, life. It may be that I eventuually come to the conclusion that these changes need to be made but I'm not there yet.</p><p></p><p>I'm lucky that I seem to be able to get my HbA1c down with less drastic changes and at the moment I'm concentrating in gradually losing weight and reducing my carb intake while learning more.</p><p></p><p>But regardless of how tight a target you set, the questions remain the same, namely:</p><p></p><p>* Why are some foods ok for an individual and some aren't - it's more than just carbs (see below) - has anyone done any studies to determine whether there's any consistency across the T2 population?</p><p></p><p>* How can one timeline cover high GI and low GI foodstuffs when we know they supply their energy at different rates.</p><p></p><p>* What science/studies lie behind the two hour recommendations (Nice at 8.5 for example)? I'm not aware that there have been any detailed studies that would indicate that, say, 8.5 after two hours gives better long term control than a higher number after 2 hours or another number after 3 hours. I will re-read Jenny's book to see if I missed this first time through (quite possible).</p><p></p><p>I'm currently measuring very carefully over dinner and will post some results here when I get them.</p><p></p><p>As an example, I had a large dinner tonight, 1022 cals and 113g of carbs. This on a big full day of 2005 cals and 251g carb (a bit more than normal). My readings were 8.2 after 2 hours and 7.4 after 2.5 hours (within the range I'm currently aiming for - unexpected!). </p><p></p><p>By comparison, last night's dinner was 834 cals and 85g carb, on a day totalling 1777 cals and 182g carbs, yet my readings were 8.9 after 2 hours, 9.9 after 2.5 hours, 8.2 after 3 hours and 7.0 at 3.5 hours (well over the range I'm currently aiming for).</p><p></p><p>As it turned out, the dessert was the same both days and I had chocolate with my coffeee today so it looks like the rice I had yesterday was much worse for me than the potatoes I had today. </p><p></p><p>More worryingly, the numbers are so different that it doesn't seem that I can even predict what will happen using any of my measures - meal cals and carbs or total day cals and carbs. </p><p></p><p>What's special about rice and why would it raise my BG so far? What other foods are special in this same way?</p><p></p><p>This was wholemeal rice. Do I now try other types? Could be testing a long time!</p></blockquote><p></p>
[QUOTE="Dougie22, post: 234625, member: 34509"] Hi East Man, I've not had a good look round the web site yet but will do. I have, however, bought and read the book and I'll re -read it over the next couple of weeks. At the moment, these targets are too strict for me and would be wholly impossible to reach without a dramatic change to my diet and, indeed, life. It may be that I eventuually come to the conclusion that these changes need to be made but I'm not there yet. I'm lucky that I seem to be able to get my HbA1c down with less drastic changes and at the moment I'm concentrating in gradually losing weight and reducing my carb intake while learning more. But regardless of how tight a target you set, the questions remain the same, namely: * Why are some foods ok for an individual and some aren't - it's more than just carbs (see below) - has anyone done any studies to determine whether there's any consistency across the T2 population? * How can one timeline cover high GI and low GI foodstuffs when we know they supply their energy at different rates. * What science/studies lie behind the two hour recommendations (Nice at 8.5 for example)? I'm not aware that there have been any detailed studies that would indicate that, say, 8.5 after two hours gives better long term control than a higher number after 2 hours or another number after 3 hours. I will re-read Jenny's book to see if I missed this first time through (quite possible). I'm currently measuring very carefully over dinner and will post some results here when I get them. As an example, I had a large dinner tonight, 1022 cals and 113g of carbs. This on a big full day of 2005 cals and 251g carb (a bit more than normal). My readings were 8.2 after 2 hours and 7.4 after 2.5 hours (within the range I'm currently aiming for - unexpected!). By comparison, last night's dinner was 834 cals and 85g carb, on a day totalling 1777 cals and 182g carbs, yet my readings were 8.9 after 2 hours, 9.9 after 2.5 hours, 8.2 after 3 hours and 7.0 at 3.5 hours (well over the range I'm currently aiming for). As it turned out, the dessert was the same both days and I had chocolate with my coffeee today so it looks like the rice I had yesterday was much worse for me than the potatoes I had today. More worryingly, the numbers are so different that it doesn't seem that I can even predict what will happen using any of my measures - meal cals and carbs or total day cals and carbs. What's special about rice and why would it raise my BG so far? What other foods are special in this same way? This was wholemeal rice. Do I now try other types? Could be testing a long time! [/QUOTE]
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