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Glucose too high

andreahicki

andreahicki

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Hi
I have had type 2 diabetes for about 12 months and currently take 1 metformin and 200mg clicazide (140 am 80 pm) Ive just checked my glucose and it’s 16.1 which I know is high but when I get up in the morn I know it will be higher yesterday it was 19.6 morn before 22.1 The thing is I thought my vegetarian diet was healthy but after speaking to gp I have to cut out more carbohydrate I only have Two rounds whole meal bread either toasted or as a sandwich Quorn or Linda Mac meal at night with rice, pasta or chips and fruit What on earth can I cut out I’m not exactly stuffing my face all day ! I have things that are easy to cook in air fryer or microwave due to my disability Can someone tell me where I can cut more carbohydrate out please and how many grams of carbohydrate are necessary in a diet
Thank you everybody
 
??? I’m not native eng. speaker, so maybe I dont understand: Is it true that you got rice, pasta or chips? And bread? And fruit? And you are asking where to cut carbs?

How many grams? Depends on configuration of your dm: I can accept max 5g in one meal to not go over 7,7 in one hour (sitting) after meal starting on 5,6. You have to make OGTT (at home with 10g of sugar) to catch the top and compute number of carbs in one meal for your max target. I can accept 10g with 30m walk after meal to not go over 7,7.
 
Welcome to the forum.

Most of us T2D would fail the Oral Glucose Tolerance Test which is typically 75g glucose.

This basically means that in order to manage post meal glucose spikes, meals at half that amount of glucose/carbs is a good starting point. That means 20-40g per meal. You would have to adjust the amount base on your post meal glucose response.

Generally non-starchy carbs and leafy veg are recommended, for more fanciful options you may want to explore the recipes here to see if they are suitable for you:-
https://www.dietdoctor.com/low-carb/recipes/vegetarian
 
Bread, rice, pasta, chips and fruit?

There's clear signals just in that
 
As I said, start with 14 days of absolutely no carbs (it will be hard, I know) to clean up the body. Target is 5,6-6 3hours after meal. Than make home made OGTT with 10g of sugar (I use 20g of 50% chocolate), measure each 15m to make a graph. Catch the spike and compute max grams of carbs you are able to eat in one meal to not cross your target (my is 7,7. - but the number is your decision). Remember 30m walk after meal can help to eat mor carbs :-)
 
andreahicki said:
Hi
I have had type 2 diabetes for about 12 months and currently take 1 metformin and 200mg clicazide (140 am 80 pm) Ive just checked my glucose and it’s 16.1 which I know is high but when I get up in the morn I know it will be higher yesterday it was 19.6 morn before 22.1 The thing is I thought my vegetarian diet was healthy but after speaking to gp I have to cut out more carbohydrate I only have Two rounds whole meal bread either toasted or as a sandwich Quorn or Linda Mac meal at night with rice, pasta or chips and fruit What on earth can I cut out I’m not exactly stuffing my face all day ! I have things that are easy to cook in air fryer or microwave due to my disability Can someone tell me where I can cut more carbohydrate out please and how many grams of carbohydrate are necessary in a diet
Thank you everybody
Click to expand...

I would suggest you take a look here and maybe post something in case your original post hasn't been seen.
https://www.diabetes.co.uk/forum/category/vegetarian-diet-forum.71/
 
I prefer not to experiment on myself.

But I know one thing, 10g of one carb will have a completely different affect to 10g of another.
 
Hi @andreahicki and welcome

As a vegetarian you are probably used to basing your meals around carbs - so if you want to reduce all that bread, rice, potato and sweet fruit, you need to replace them with other stuff. The good news is that finding more nutritious options will be easy, since those carbs have very little nutrition in them.

How about increasing your vegetable intake with salads and a range of above ground veg, focusing on a range of colours and textures. And substitute some of those carbs with protein sources. Pulses are too high carb for me, but if you are on medication then you may well be able to add in hummus, dahl, edame salads, and so on. I once made a very acceptable alternative to mashed potato by mashing a tin of black eyed beans. Delicious. Especially with plenty of garlic olive oil drizzled over the top! I have a hand blender to do the mashing, because my hands are not up to manually mashing stuff any more.

Adding in mayonnaise and butter (if you are a lacto vegetarian) will also fill you up for longer.

Protein is also filling, so cheese is an amazing food for getting the satisfaction of protein and fat together in one hit. We have about 5 different types of cheese in the fridge at the mo, since Mr B is going through a Cheese Phase, and frankly I could make a meal out of each one...

I second what all the others are saying about avoiding those processed pre-packaged foods. I used to eat quite a lot of Linda McCartney sausages and so on during my vegetarian phase (before discovering that I was soy and whey intolerant), and do not cherish those memories! :D
 
britishpub said:
But I know one thing, 10g of one carb will have a completely different affect to 10g of another.
Click to expand...
Yes, sugar in chocolate is "quick" glucose, so best for OGTT. Experimenting? 10g of sugar with starting point of 5-6 means no harm and you got very useful info about your insulin resistance and how the body accepts the carbs. At any time you can end the experiment and go for a walk to get it down. To have the T2D under control means a lot of experimenting, a lot of measurement. Function of liver, pancreas and muscles are three variables defining you insulin resistency - chemical laboratory. And you have to catch the information, how it works, to contorl it.
 
rom35 said:
Yes, sugar in chocolate is "quick" glucose, so best for OGTT.
Click to expand...

I wouldn't advise anyone to use chocolate for an oral glucose tolerance test (or to treat a hypo).
Chocolate contains fats which will slow down absorption and will affect the results of an OGTT

The instructions to conduct an OGTT are very specific, and only certain liquids are recommended. Glucose dissolved in water, lucozade and a few others.

Here is a typical instruction leaflet, used by a hospital.
http://www.gloshospitals.nhs.uk/en/...hemical-Pathology/Glucose-tolerance-test-GTT/
 
The amount of carbs per day that one chooses is a personal one. Lower carb is less than 130/150g per day so your diet of breads, pasta, rice etc will far exceed this. I suggest you get the Carbs and Cals app or book which will show you the values in a lot of everyday foods.
 
Brunneria said:
I wouldn't advise anyone to use chocolate for an oral glucose tolerance test (or to treat a hypo).
Chocolate contains fats which will slow down absorption and will affect the results of an OGTT
Click to expand...

So best for real life by my opinion. Normally you dont drink clean glucose as meal.
Home made OGTT with chocolate is much more relevant for getting info for next diet preparation than hospital clean glucose test.

But ok, let´s stop call this test OGTT. It is not by definition, I used it inapproprietaly. Sorry.
 
rom35 said:
As I said, start with 14 days of absolutely no carbs (it will be hard, I know) to clean up the body. Target is 5,6-6 3hours after meal. Than make home made OGTT with 10g of sugar (I use 20g of 50% chocolate), measure each 15m to make a graph. Catch the spike and compute max grams of carbs you are able to eat in one meal to not cross your target (my is 7,7. - but the number is your decision). Remember 30m walk after meal can help to eat mor carbs :)
Click to expand...
Please please, do not do this - you are on glicazide, you could have hypos - and there is absolutely no need to do a OGTT - and as you need to have been eating carbs before the test is done it would have absolutely no relevance - not that it would tell you anything you don't know to start with.
 
Resurgam said:
Please please, do not do this - you are on glicazide, you could have hypos - and there is absolutely no need to do a OGTT - and as you need to have been eating carbs before the test is done it would have absolutely no relevance - not that it would tell you anything you don't know to start with.
Click to expand...

I see. With medicaments of this type just limit the carbs and wait.
 
rom35 said:
As I said, start with 14 days of absolutely no carbs (it will be hard, I know) to clean up the body. Target is 5,6-6 3hours after meal. Than make home made OGTT with 10g of sugar (I use 20g of 50% chocolate), measure each 15m to make a graph. Catch the spike and compute max grams of carbs you are able to eat in one meal to not cross your target (my is 7,7. - but the number is your decision). Remember 30m walk after meal can help to eat mor carbs :)
Click to expand...
This is seriously bad advice for the OP who is taking gliclacide
CAROL
 
Brunneria said:
Hi @andreahicki and welcome

As a vegetarian you are probably used to basing your meals around carbs - so if you want to reduce all that bread, rice, potato and sweet fruit, you need to replace them with other stuff. The good news is that finding more nutritious options will be easy, since those carbs have very little nutrition in them.

How about increasing your vegetable intake with salads and a range of above ground veg, focusing on a range of colours and textures. And substitute some of those carbs with protein sources. Pulses are too high carb for me, but if you are on medication then you may well be able to add in hummus, dahl, edame salads, and so on. I once made a very acceptable alternative to mashed potato by mashing a tin of black eyed beans. Delicious. Especially with plenty of garlic olive oil drizzled over the top! I have a hand blender to do the mashing, because my hands are not up to manually mashing stuff any more.

Adding in mayonnaise and butter (if you are a lacto vegetarian) will also fill you up for longer.

Protein is also filling, so cheese is an amazing food for getting the satisfaction of protein and fat together in one hit. We have about 5 different types of cheese in the fridge at the mo, since Mr B is going through a Cheese Phase, and frankly I could make a meal out of each one...

I second what all the others are saying about avoiding those processed pre-packaged foods. I used to eat quite a lot of Linda McCartney sausages and so on during my vegetarian phase (before discovering that I was soy and whey intolerant), and do not cherish those memories! :D
Click to expand...
T
 
carty said:
This is seriously bad advice for the OP who is taking gliclacide
CAROL
Click to expand...
Yes sorry. Dont follow my advice - may be later. Now just try to count the carbs and do logging one hour and two hours after meal to get the info how your body responds. You will see yourself.
 
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