- Messages
- 5
i am really confused about exercise if I follow the low carb plan and do 8k-10k steps 3 days a week why is my blood sugar going so low an hour or so after. I have tried carb breakfast but this spikes my blood. I am really confused
Yes I take metformin and glitzacide should I eat carbs before exercise or after or not at allHow low is your blood sugar going? Presumably you are Type 2 ? are you taking any medications?
HYes I take metformin and glitzacide should I eat carbs before exercise or after or not at all
Normally if you reduce your carb intake you need to reduce your meds (Gliclazide) to prevent hypos. You shouldn't have to eat extra carbs to counteract the meds, even after moderate exercise.i am really confused about exercise if I follow the low carb plan and do 8k-10k steps 3 days a week why is my blood sugar going so low an hour or so after. I have tried carb breakfast but this spikes my blood. I am really confused
If glic is part of a treatment package ( ie meds, diet, exercise) that is keeping sugars in the normal range for say 23 hours a day but the effect of exercise is to drop them low for the other 1 hour a day, then it would be ludicrous to stop the meds in order to bring sugars up for that 1 hour - the very obvious risk is that you raise them for the other 23 as wellNormally if you reduce your carb intake you need to reduce your meds (Gliclazide) to prevent hypos. You shouldn't have to eat extra carbs to counteract the meds, even after moderate exercise.
I am on both low carb and Gliclizide and have been for 21 years. I take 60mg Glic mr and keps carbs in the 35-50g per day range, I do not get hypos. The combination of diet, meds and exercise is all a very individual balancing act and extremely dangerous for anyone to assume that the balance point is the same for everyoneI was put on gliclazide to being with, then I discovered low carb and started to get Hypos. At that point, the nurse said I must eat carbs at every meal and between meals. So I stopped taking the gliclazide (maybe I should have taken half tablets) and monitored my BG, as my BG were at reasonable levels, I never took gliclazide again. (I still take Metformin as I don't get the side effects.)
As I am not a doctor I can't advise you what to do, I can only tell you what I did. However, remember it is not possible to get the gliclazide dose right unless you have the amount the same amount of carbs at each meal and each day. Some people do need gliclazide, but lots of other people find that with low carb, they can keep their BG reasonable without it, I don't know of a way of finding out without trying.
incorrect comment re keeping level of carbs per meal / per day stable. That is more relevant to fixed dose insulin not to Glic where the blood concentration varies across the day and where the effects on both first and second phase insulin response is variable, both by time since drug ingestion and by individualI was put on gliclazide to being with, then I discovered low carb and started to get Hypos. At that point, the nurse said I must eat carbs at every meal and between meals. So I stopped taking the gliclazide (maybe I should have taken half tablets) and monitored my BG, as my BG were at reasonable levels, I never took gliclazide again. (I still take Metformin as I don't get the side effects.)
As I am not a doctor I can't advise you what to do, I can only tell you what I did. However, remember it is not possible to get the gliclazide dose right unless you have the amount the same amount of carbs at each meal and each day. Some people do need gliclazide, but lots of other people find that with low carb, they can keep their BG reasonable without it, I don't know of a way of finding out without trying.
incorrect comment re keeping level of carbs per meal / per day stable.
No approach to diabetes be it meds or diet would survive such wild swings in carbs
I do low carb everyday and Gliclizide every day. Carb target is 35-50g daily but happily varies between 20 and 70g with no hypos and, 96% of readings within my personally set target range of 4-7.8 mmol and a projected hba1c of 36.2No, but that is what we get when someone tires out "low carb" without committing to it, only doing "low carbs" on the days they feel like it. With Gliclizide the result is not good! Just on Metformin then on the "low carb" days, the BG is better, and the other days are no worse than before they discovered low carb.