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Fruit and Hypers

Mikey1209

Member
Messages
7
Type of diabetes
Type 2
Treatment type
Insulin
I am type 2 on novomix 30 48/38 units morning/teatime.
I was on metformin and that was controlling my diabetes but was taken off when I developed CKD and that is 33%.
I am fine on the insulin and eat 3 small meals and no in between snacks.
However if I eat a piece of fruit apple, Banana or Pear My readings 2 hours later are still in the mid 20's.
Normal readings before meals are between 5-7 but shoot up into the mid teens still after 2 hours.
They have even been in the teens before bed and thats sometimes 7 hours after tea
Mike
 
If your having fruit I'd stick with berries, I can have a small banana but apples n pears etc are a no go for me
 
Fruit contains fructose which is just sugar with another name, put simplisticly. Most of us can't handle fruit other than a small portion of berries. Have you considered basal/bolus rather than mixed insulin? Far better control and flexibility.

Ali
 
Hi I'm a type 2 just gone in insulin , 6 units after breakfast and after tea . Was wondering plse why my blood sugars jump from 6.2 before eating up to 21.2 two hours later plse , does anyone know and could it be what I'm eating ?
 
I am type 2 on novomix 30 48/38 units morning/teatime.
I was on metformin and that was controlling my diabetes but was taken off when I developed CKD and that is 33%.
I am fine on the insulin and eat 3 small meals and no in between snacks.
However if I eat a piece of fruit apple, Banana or Pear My readings 2 hours later are still in the mid 20's.
Normal readings before meals are between 5-7 but shoot up into the mid teens still after 2 hours.
They have even been in the teens before bed and thats sometimes 7 hours after tea
Mike
Welcome. @daisy1 Will be along shortly with some interesting information. Personally I can't eat fruit without suffering a massive spike. Yes I could use insulin to compensate however you then can get into a weight gain situation. I prefer to keep sugar/carb and insulin intake to a minimum. Berries are ok for me.
 
@Mikey1209

Hello Mikey and welcome to the forum :) Some good advice from members from their own experiences. Here is the information we give to new members which I hope will help you, especially concerning diet and carbs. Ask more questions and someone will be able to answer.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 140,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
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