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Advice please

sue512

Well-Known Member
Messages
233
Location
Wales
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Rude people
Lunchtime I ate 2 sausages and a small portion of cauliflower cheese with bottle water. My blood sugars prior hadn’t been good so I’d stayed fasting from 6 pm night before. Blood sugars this morning were around 7. I’d taken metformin and had weekly injection of trulicity this morning. Between 1-3pm my sugars shot up to 12 back to baseline below 6 after 2 hours. In retrospect meal was probably far carb heavier than I’d anticipated, was from canteen so I was winging it. Do you think this means that medication may be for good and my intolerance of carb heavy meal is also for good? I’ve been keeping carbs down to 20-30;per day and think this one meal could have been as much as 30 g carbs given the spike following it. What has been your experiences? I’m currently using libre to monitor
 
Cheap and nasty sausages such as a canteen is likely to serve can be as much as 15g carb each. A good one as low as 0.8g. So a huge variation. Cauliflower cheese can be made with just a few carbs using nothing but real cheese and cauliflower. In a canteen its likely a faked cheese flavouring with carbs and also flour. Again a huge variation. Who knows where the food you ate fell.

So your preprandial was 6, you spiked to 12 and returned to 6 within 2 hrs? Many people unless on a libre would have missed the 12 and assumed this was fine, in fact quite good. Everyone diabetic or not sees a rise after a meal. The height does vary though. This to me suggests a carb heavy meal that you actually coped well with By returning to baseline.

I don’t think it says anything bad about your prospects for the future, especially if you almost always are sticking to 20-30g a day. Actually I think it bodes quite well. I know you’re on medication and I’m not but mine would have stayed higher for longer.
 
I do not use a Libre myself, but I hear they are not considered as being particularly accurate, especially when the sensor is new and bedding in. They also have a tendancy to read high I believe, They do advise that decisions on treatment etc should be done by fingertest rather than rely on the Libre.

That said, I have in the past fallen foul of sausages. Depends on who made them, and what fillings and flavourings they contain. Beware of flavoured sausages or BBQ sausages as these sometimes have hidden sugars added, and some stores do this to enable them to sell products that apeal to children. Also, Cauli cheese premade can be doctored for the same reason, and is not like home made,

The timing of your spike would indicate a carb rush rather than protein.
 
If your works canteen is a contract company which 99% of the time they now are then they will have nutritional info for all dishes, make a nuisance of yourself and ask to see the nutritional info of food on that day, pre packed food by them will should have info labels on them. they will most certainly run a 3-4 week menu cycle so will know what they will have on the menu any given day - you can check in advance and once you learn a few dishes you like/can eat it will become easier.

Sausages even mid range will have carbs, the cauliflower cheese if made from scratch will probably made with a flour based roux, or perhaps a cheese sauce made up from powder. Speak to the catering manager or the chef I’m sure they will be happy to help you
 
Thank you that makes me feel more positive
 
Hospital canteen, which doesn’t bode well!!!
 
I think in future I’ll stick to something I can identify like their salads which don’t show much imagination but are easily calculated! Thank you all
 
sue512 said:
I think in future I’ll stick to something I can identify like their salads which don’t show much imagination but are easily calculated! Thank you all
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Watch out for such things as sweetcorn being added or not - it is a grain and so can make a considerable difference to the carb content, particularly if it is the super sweet stuff.
 
Yes - though a patient rather than a staff member, the salads when I was in hospital last year were full of carrots, sweetcorn, peas, beans..........sigh.
 
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