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Does the first hour reading matter ?

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fendertele

Well-Known Member
Messages
221
Hey just wanted to know if the first hour reading matters if it returns to within normal by the second hour ?

This morning I was 5.1 waking, had my breakfast with a treat and when I tested at the 1 hour mark was at 8.6 but by the second hour was back down to 6.3.

Or should we still be aiming for as little a jump as possible from pre-meal to within an hour, think i read keeping it below 2.

Thanks.
 
Take a look at Jessie Inchauspé's book or instagram/website (@glucosegoddess) - basically spikes are no good for anyone, diabetic or not
 
I suppose on the face of it a short lived spike seems pretty harmless, after all nothing bad happened, you feel fine and you enjoyed your breakfast treat.
But our real problem is insulin resistance, the high blood sugars are just a symptom of our resistance to insulin.
Your breakfast will have needed a large amount of insulin to be released in order to deal with the spike. The more insulin we have sloshing around, the more resistant we become to it and the worse out T2 gets.
Only you can decided if your "treat" is worth it
 

What would be the ideal spike at 1 hour/2 hour marks... I think I read somewhere you want the initial spike at the 1 hour mark to be no more than 2 ? so if I'm 5.3 pre meal then no more than 7.3 if possible then by the second hour coming back down to meet the 5.3 ?.
 
How do you define the spike is an important question?.

Is it when your reading goes above 10?.

People seem to have different definitions for the spike, some may say i do not mind the rise if i still within the 3 to 9 limit.

Some take the soike as the rise of the premeal readings by lets say two marks.
It is difficult question, i read here that non-diabetics do get spikes!!!

Sorry i do not have an answer to your question.


P.s
Thanks for the question
 
When I was pregnant last year, I had to test after 1 hour and my target was 7.8 so I would say yes it matters to a certain extent. However I know lots of non-diabetics have raised levels at 1 hour, my 7 year old daughter included, depends on what they eat. But non-diabetics will bring it down to normal within 2 hours. Out of habit, I still test at 1 hour and I try and keep it below 7.8. Though some foods eg pizza are likely to be lower at 1 hour than 2 hours
 
fendertele said:
What would be the ideal spike at 1 hour/2 hour marks...
Click to expand...

Because we are all so very different and your experience with T2 is unique to you. I honestly believe that what levels people are comfortable with, or should aim for, is something that they need to decide.
A good starting point would be to try and get similar levels to people who don't have diabetes, although of course that's going to be difficult for some.

I've copied this from here


Here are what doctors currently believe to be non-diabetic readings:

  • Fasting blood sugar: under 100 mg/dl (5.5 mmol/L)

  • One hour after meals under 140 mg/dl (7.8 mmol/L

  • Two hours after meals under 120 mg/dl (6.6 mmol/L)
If you can do better than this, go for it. At a minimum, The American College of Clinical Endocrinologists recommends that people with diabetes keep their blood sugars under 140 mg/dl (7.8 mmol/L) two hours after eating.
 


I like this and tbh I very rarely see my levels going above 8.2 mmol and that's usually when I've gave in to some form of ice cream etc... but I will keep this in mind and aim for lower than 7.8 for initial reaction and then I should be safe knowing my 2 hour result will most likely then be lower.

Wlll only need to check on the 2 hour mark if it's something I've eaten that could be causing a delayed bs spike.
 
fendertele said:
Wlll only need to check on the 2 hour mark if it's something I've eaten that could be causing a delayed bs spike.
Click to expand...

You would need to be aware of how different combinations of food affect you. A meal containing carbs and fat can really mess with your numbers. Something to do with the fats slowing down the digestion of carbs and causing a much later rise in levels.
With my one and only experiment with pizza, I was surprised and delighted that at the 2hr mark my levels had reached just over 7, well within my 2mmol rise limit.
Unfortunately at 3hrs they were over 9 and just before bed at around 4hrs they were approaching 10.
 
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