A few little questions

[Ross.Walker]

So new to all of this, lots of info and looking hard enough I can find the answers I want, possibly not the correct answers

2 weeks ago 17.5mmol/l at fast which is I believe quite high, told I was type 2. Very happy with doc and nurse. Started metformin and build up dose to 2000mg per day. Following days show progress,
18.1, 13.7, 12.3, 12.3, 13.3, 9.7, 11.8, 10.7, 9.7, 7.7, 8.1, 7.0 (early stats missing due to errant test kit)

43 years old,174cm, 70kg, was 84kg in january 2015

Typical calories used at gym/cycling/walking per day are between 300 and 800

So the questions


How do I eat enough to put in 2000+sports without sugar spiking horrifically? My stats look like a childs drawing of the alps, I am concerned the doc will look at it and say "thats not good" rather than, "what did you do that day" and it will look like I am not managing this, I am **** it, or I am trying to.

I am verging on removing all carbs except what is in things like chickpeas etc. Is this the best way to work out what's what?



What are your experiences of coffee causing spikes or is it the milk? I have stopped all booze with no impact to my life what so ever but taking my coffee will mean war! or a small change on my part.

Adrenaline and peaks/troughs in blood sugar. I am a skydiver, I have 340+ jumps so enough to be committed to this wonderful lifestyle. I am grounded until I can prove to my doc I have this under control, no issues with this decision/rules from the BPA, it is a safe sport and wish it to remain so.
Does anyone have any experience what the interaction is with adrenaline and your mmol/l standards, what your starting setting should be, how much you can drop and then the best thing to bring you back to normal levels.
Typically the hit will not happen till you have landed, your sugars drop then you do. I will be on the ground safe and sound but it looks wrong and any hypo will probably at best stop me for the day or worst ground me again

Kind regards

Ross 43 1/2

 

[MellitusTrap]

I don't have all the answers to your post!
I remember scratching my head in the early days with Alpine results.

Some tips I wish someone had told me then if your only treatment is metformin

1) your body is still making insulin (yay!)

2) you are incredibly unlikely to get a hypo (too low sugars) - although you may wish to check with your doctor - this info may stop one panic eating (which will give you spikes) whilst calming you to know this will not affect safety in-regards to your sport.

(I on the other hand have to test my sugar every time I get behind the wheel of a car).

3) everybody's sugar goes up when they eat.

Point 3 may seem obvious, but what it really points out is that the best tests are at times just before eating or two hours after (ideally it goes back down to the same as before your meal).

Good times to keep records are:
Out of bed or before breakfast
Before lunch
2 hours after
Before dinner
Two hours after

In the early days you measure more often as you keep track of what works and doesn't work for you and how 1hour of exercise affects you etc

It's quite different for everybody and people can't really promise what will work for you.

The one thing I can say, is your going to learn a lot about your body and how it reacts to different things!

 

[Brunneria]

It comes down to a fairly simple equation, I am afraid.

Of the three macronutrients (carbs, fats, proteins) if you want to keep calories up, and carbs down, then you have to eat more of the fats and proteins.

Low Carbers (of which there are many) tend to stick with normalish amounts of protein, and play with the other two. Reducing the carbs to a level that keeps blood glucose under control, and upping the fats to replace it.

Don't know where you stand on the fat/cholesterol debate, but the new evidence is that good (unprocessed, non-'vegetable oils') are not as bad for us as they used to say, and many low carbers are finding that their blood cholesterol actually improves with a well designed low carb diet.

There is also growing evidence that very low carbing (a ketogenic diet) can produce incredible stamina for endurance sports. Not so great for sprints and power lifts, but you can't have everything...

 

[4ratbags]

If you havnt already looked at LCHF it might pay to as a lot of members find it very good for keeping BS level.

 

[Klangley]

Personally I cannot understand why anyone would ever jump out of a serviceable aircraft

Loads of good advice on the pages of the forum. Definitely worth looking at the LCHF. In my case its primarily for weight loss but the effect it has had on my blood sugar has been dramatic. My next HbA1c is January but I rarely have readings above 6mmol/mol even 90 minutes after meals.