4 mmol drop within 4 hours

[millenium]

For a diabetes type 2 patient. Any comments based on the below information.

Meal taken: 46g cooked basmati rice, 150g fried tofu, one pan fried egg, 150g stirred fried cabbage/carrot/bean sprout, 60g fish cake (made from fish paste, coconut milk, spices), blended tomato 200g, 80mL sweeten soy milk with 10g psyllium powder and 10g flaxseed powder.

2 hours after first bite: 10.2 mmol immediately followed by 9.8mmol (same finger)
Reaction: quite surprised. Was expecting something like 8.5mmol.

4 hours 10mins after first bite, lying on sofa all the time post meal: 6.1mmol.

 

[kokhongw]

That means you still have a pretty robust 2nd phase insulin response.

You might want to consider conserving/preserving it... reduced the basmati rice and sweeten soy milk...and see the difference.

 

[Brunneria]

What were you before the meal?
(basically I am asking if you ended up significantly lower at 4hrs than you started at 0hrs?)

I don't touch rice at all now, because of the readings I get afterwards. Fortunately I don't miss it. But I appreciate that for some people, giving up rice is like giving up a foundation stone to their diet. Probably comparable to me giving up chocolate

 

[millenium]

That means you still have a pretty robust 2nd phase insulin response.

You might want to consider conserving/preserving it... reduced the basmati rice and sweeten soy milk...and see the difference.

Thank you for your guidance. The patient is my 80 year old father. Actually i suspect there are hidden carb in the fish cake (otak) bought ready made. Usually, a meal like this if there is no carb in the fish cake, the post two hours reading is 8.3-5. I plan to test the same meal again and take a 3 hours post meal reading. By the way, the soy milk is 100% unsweetened, if need to sweeten sometimes i use stevia extract.

 

[millenium]

What were you before the meal?
(basically I am asking if you ended up significantly lower at 4hrs than you started at 0hrs?)

I don't touch rice at all now, because of the readings I get afterwards. Fortunately I don't miss it. But I appreciate that for some people, giving up rice is like giving up a foundation stone to their diet. Probably comparable to me giving up chocolate

I did not take a reading before lunch for my dad today as i am pretty confident it will be 6.3-6.5. I have tested it to be like this many times and he ate a very consistent breakfast menu at 6am. I want to add that he has done 35 mins brisk walk with some compound exercises from 7-7:35am.

 

[ringi]

You also need a reading just before the meal, as what you should most care about is the increase from a meal.

 

[Brunneria]

Thanks. So it was a rise of approx 3.5 at 2 hours, but you don't know if that 2 hours was the high point.

I wouldn't draw any firm conclusions from one meal and one set of measurements. There are other factors in play, including stress, tiredness, emotions, and so on.

So if you want to repeat the meal, and repeat the blood glucose testing, it will give you an idea whether this bg reaction is consistent. PErsonally, I think I used to use 3 repeat meals before I made a final decision on it, and then started tweaking with portions or eliminating certain foods (like the rice).

Hope that helps.

 

[kokhongw]

Thank you for your guidance. The patient is my 80 year old father. Actually i suspect there are hidden carb in the fish cake (otak) bought ready made. Usually, a meal like this if there is no carb in the fish cake, the post two hours reading is 8.3-5. I plan to test the same meal again and take a 3 hours post meal reading. By the way, the soy milk is 100% unsweetened, if need to sweeten sometimes i use stevia extract.

If that is for your 80 yr old father...then I won't be too concern with the readings. As long as he is able to return to ~6 mmols. A carbs lite dinner will help him maintain the level thru the night...

 

[millenium]

If that is for your 80 yr old father...then I won't be too concern with the readings. As long as he is able to return to ~6 mmols. A carbs lite dinner will help him maintain the level thru the night...

His morning readings lately were quite good ever since i cut 25% of his carb intake.
6 +-0.5.

 

[millenium]

Thanks. So it was a rise of approx 3.5 at 2 hours, but you don't know if that 2 hours was the high point.

I wouldn't draw any firm conclusions from one meal and one set of measurements. There are other factors in play, including stress, tiredness, emotions, and so on.

So if you want to repeat the meal, and repeat the blood glucose testing, it will give you an idea whether this bg reaction is consistent. PErsonally, I think I used to use 3 repeat meals before I made a final decision on it, and then started tweaking with portions or eliminating certain foods (like the rice).

Hope that helps.

Noted and thank you.

 

[millenium]

I just tested him again for dinner with the fish cake (otak) but less basmati rice, eggplant, payaya and no tomato blend, no psyllium/flax/soy drink. Again no pre meal reading.

Meal taken: 30g cooked basmati rice, 150g fried tofu, one pan fried omellet with onion, 150g stirred fried egg plant, 50g fish cake (made from fish paste, coconut milk, spices), 100g payaya.

2 hours after first bite: 7.0 mmol immediately followed by 7.0mmol exactly the same reading (blood from another finger)
Reaction: again very surprised. Was expecting something like 8.5mmol.

 

[Resurgam]

You reduced the rice - that is a significant change as rice simply becomes sugar when digested.

 

[ringi]

Remember that with a 80 year old "good enough BG" is all that is needed as unlike most of us he does not have 40 years left to be damaged by BG that is a little high.

 

[millenium]

I just did a testing after a similar meal from the post 2 hours mark, every 30mins for 4 hours to catch the u-turn. The bgl reaches its bottom at 5.5, u-turn and maintain at 6.1-6.2 for an hour and it was dinner time.

My dad is as happy as i am to see that his liver has demostrated rather good control of bgl.