I think it's wonderful that many of you strive for levels in the 4s at all times, and I generally try to do the same myself.
However, let's make sure we're clear that for the most part that isn't necessary. Of course, we want our blood sugar to be as low as possible (without being hypoglycemic), but there becomes a point when it has diminishing returns.
Sure, the chances of developing complications are lower with an a1c of 4.5 compared to 5.5 but how much lower? Are we talking about reducing our risk from .5% down to .2%? Unfortunately, it's impossible to know exactly what our individual risk is. However, we do know that roughly 75% of diabetics have an a1c greater than 6.0 (based on statistics from the USA CDC). That doesn't necessarily make it okay to have an a1c of 5.9, but all things considered, it puts you at a lower risk compared to 75% of the diabetic population. I wonder what percent have an a1c below 5.5? Below 5? Are we talking about 5%? 1%? Even less?
My point is, at what point do you draw the line and realize that it's negatively affecting your life just in a different way?
Those spikes would be normal for me if I ate carbs. But I don't, because I'm diabetic. My body has a problem dealing with sugar, so I don't worry about what's "normal", I just avoid the stuff - including the sugar in milk, bread and porridge. Why take the risk of spikes, no matter how normal they may be, when I can easily avoid them?
Kate
Liver dumps, stress, exercise, dawn phenomenon... I also got a very pretty pattern of cyclical spikes from food poisoning.
I spike too. No breakfast then exercise takes me to 9-10 no problem. I may has well had a cream cake for breakfast!how is this possible?
Isn't this partly about when you test as well? I've never tested within an hour of eating but usually try and test two hours after. I'm pretty sure that if I was testing one hour after eating I'd be seeing more spikes but as it is most of my two hour readings are under 8.5 and recently have been down in the 6s.
Spot on!
Most normal peaks occur before the 2 hour mark. Depending on the food eaten, they happen either within an hour or about 90 minutes. Some happen within half an hour if there are very quick release carbs. Anyone wanting to catch their peaks need to test half hourly until satisfied things are back to normal. By the 2 hour mark we should be well on our way down. There are one or two foods, like pizza, that can fool us by sometimes peaking later. It's not an exact science.
Isn't this partly about when you test as well? I've never tested within an hour of eating but usually try and test two hours after. I'm pretty sure that if I was testing one hour after eating I'd be seeing more spikes but as it is most of my two hour readings are under 8.5 and recently have been down in the 6s.
I second every word, especially of your first paragraph.
More than a few moments over 7.5 is *not* okay.
It is important not to become too focused on simple carbs For me some complex starchy carbohydrates are the main danger -- as all ready mentioned by other posters Pizza and Weetabix can cause delayed long lasting elevsated readings. What effects on our blood glucose levels of various foods and combinations of foods have on us as individuals varies greatly.
my last test there was no difference from 1 to 2 hrs. but it may depend on the food
For me to does not appear to be so straight forward. There are times when I will have eaten nothing for 7 hours before dinner and when I test I can get anything from 3.8 to 5.6 and I have often seen a late afternoon dip, which will then rise before dinner. Liver dump or a response to preparing food... I've given up trying to guess what my pre-dinner test will be.
@Kristin251 I would be interested to know what you eat and how often you test to ensure your numbers are in the normal range.Excuse the question, where are you on the weight item. For myself, I've lost all I need and am struggling to maintain my current weight with what I eat and feel I don't need to eat more but might need to investigate what else I could/can eat without undoing my progress.
Hi @Kristin251 thanks for taking the time to respond to my note in such detail. I didn't write earlier as my screen at work does odd things to the forum pages... cuts most posts down to 3 lines and it is tricky to get the full message.It is normal to have some fluctuations throughout the day based on activity, stress etc. It used to bug me too. But usually food will actually bring it down. When I was T2 if I was a little high after activity or before bed I would have a SMALL fat snack like 4 or 5 nuts or a celry stick ( not stalk) and it would be enough to elicit an insulin response and lower me.
As far as how often I test and what j eat :
Wake up 7 or7:30. Test BF. Piece of Boston lettuce, 1 slice deli turkey mustard and mayo and 2 or 3 pieces celery. I also make guacamole for the day so I have a little bowl scrapings. I can't eat much for BF or I will spike no matter what it is. I take 1/2 unit insulin with BF
Occasionally i test between BF and lunch but unused to everyday and I was always in good range.
3 test. Lunch . Usually 2 oz guac, 1-1.5 ounces protein on a lettuce wrap. Celery radish ( protein is usually turkey chicken or salmon)
5 test. Before dinner wine or cocktail. I test because if I am on the low side I need a snack
6:30 test. Dinner. 2-3 oz protein and either wrap or salad or steamed veg but not both. More guac
Bed 10:30 test.
I take 1/2 unit insulin with all 3 meals and 1 lantus before bed. Occasionally none.
Last night I was 70 before bed and took no insulin and this mornings fasting was 80.
I am 5'8 and 126. I don't need to lose weight but wouldn't mind losing 2 pounds. Haha.
I am not sure what you are eating of course but I struggled terribly to maintain weight pre DX and failed. Hence T1 DX. If I wanted to gain weight now I would up fat and / or protein. Avocados are a great diabetic food. They don't effect my bs at all except in a positive way. I don't like to over eat protein because I had kidney stones last year and excess protein is no good anyway.
Macadamia nuts are another great fat. Personally I like to keep saturated fats low but not all do.
I used to be a chronic OCD tester and I found my 3 meals and insulin doses that consistently work for me so I don't test a lot in between anymore unless I feel weird. I found meals that keep me steady with no post meal spikes or drops. For me guacamole is magical for this. Occasionally I have a bit of a spike after BF and there is no food combo that stops this but it is only occasionally. I eat the same macros at every meal. Some would say tedious and boring but it's not for me. I love my food and it suites me, weight, bs, energy etc. Takes a lot of stress out of my day.
Hope this helps
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