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Type 2 If carb, the staple ones (pasta, potato etc) spike late how can our 2hrs after reading be accurate?

Kristin251 said:
Could it be the carb spike 1st and then the protein is coming in?
I think that's where avocado helps me. Bridges the gap. Before avocado I would go low first and then high. It's probably the rate the different macros are getting there. I could be totally wrong....
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I think so but shouldnt my insulin be able to cope with that? Since it's a mixed insulin?
 
I have always tested at an hour and 2 hours, and often carried on after that. My peaks are always around 90 minutes. My Libre confirms this. I have no rises after that. I eat VLC/high fat/ and as much protein as I want. I do eat potatoes as part of my carb allowance but no other major carbs . Depending on the combination of foods eaten it may take longer than 2 hours to return to base, but is always heading downwards. No meds.
 
ickihun said:
I think so but shouldnt my insulin be able to cope with that? Since it's a mixed insulin?
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Theoretically yes but reality is another story. We get our insulin before we eat rather than as our bs rises. I find wherever I am after 2 hours is where I stay. So I think my insulin is gone by then. Different macros digest at different speeds. Some people double bolus by splitting their typical bolus in half and taking half at the beginning and maybe an hour later the other half. I don't want to deal with it so I found meals that work with one injection. The avocado slows the insulin so I don't go low and the fat slows the spike so I don't go high. This is why I eat the same macros every meal. Nothing to figure or count anymore. I'm on autopilot. Easier and less stressful for me. BF is the one I need to get right or I'm off all day. Guac and celery. Lol
 
From what I can see from just 2hr testing is lc spikes without insulin inj then raises until inj and meal which if lc comes down to good bg level. If I don't inj before bed with a lc nibble my fbg is 8+. A supper inj gives me excellent fbg.
I've tried moving inj as only doing 2 per day as I don't want weight gain. 8hrs cover doesn't cover my long days.
Lately I've had a buttleproof coffee only breakfast and no inj so I can have my inj for late lunch and then supper (lc nibble).
I find waking on a good fbg much more moral boosting than thrush suffering high bg night and waking on 8+.
 
It's not the actual numbers that I was getting as they didn't seem so bad . But that they went 5.6 before eating to 6.5 then down to 5.7 then after 2 hours up to 7.2 then at 3 hours back down to 5.3 that I still don't get, it Maybe I 'm just being a bit dense today.
 
JohnEGreen said:
It's not the actual numbers that I was getting as they didn't seem so bad . But that they went 5.6 before eating to 6.5 then down to 5.7 then after 2 hours up to 7.2 then at 3 hours back down to 5.3 that I still don't get, it Maybe I 'm just being a bit dense today.
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Not dense, just complicated. This is what I'm saying,, the carbs raised you to 6.5 but the protein wasn't there yet so you came down to 5.7. Then the protein was digesting and raised you to 7.2 and then your phase two response picked up the bs from the protein. Do you recall what the meal was?
As a type 2 you probably lack the phase one response and need the phase two to pick additional bs up
I think this would be especially true if there wasn't enough fat in the meal as fat will slow the carbs and bring the spike closer to when I protein comes in. Fat will also make the spike lower and slower.

ickihun said:
From what I can see from just 2hr testing is lc spikes without insulin inj then raises until inj and meal which if lc comes down to good bg level. If I don't inj before bed with a lc nibble my fbg is 8+. A supper inj gives me excellent fbg.
I've tried moving inj as only doing 2 per day as I don't want weight gain. 8hrs cover doesn't cover my long days.
Lately I've had a buttleproof coffee only breakfast and no inj so I can have my inj for late lunch and then supper (lc nibble).
I find waking on a good fbg much more moral boosting than thrush suffering high bg night and waking on 8+.
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I understand not wanting the weight gain. I eat very small meals that are very few carbs and small amounts of protein with some fat. These small VLC low protein meals allow me to take very little insulin and I'm actually more insulin sensative than when I take higher doses. Taking higher doses of insulin can actually make you insulin resistant, just like type 2's have high circulating insulin therefore insulin resistant. Same can happen to T1's with higher doses of insulin. When I cut back to smaller meals I reduced insulin in half.
 
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Ok good. So the beef burger and cheese are saturated fat and will raise bs much later than lean protein. Just eating in general and the lettuce will raise bs.
I can see where the salad without dressing will raise bs and much later the protein comes in. I am actually amazed how much lettuce will raise me. The fat probably slowed the lettuce but also slowed the protein. Cheese ( dairy ) is very insulinogenic so it will require more insulin and if you are low on a phase one response you will spike first then as your phase two comes in it will lower you. So to simplify, lettuce and cheese raised you and you are lacking a phase one response, then protein and saturated fat made it drag out awhile until your phase two came in. So there was a gap between the foods ( lettuce and cheese) and your insulin response. Make sense? I can see where you would move around a bit. I just don't know if I explained it right.

How are you feeling these days ? And your daughter?
 
Kristin251 said:
I just don't know if I explained it right.
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Yes makes sense to me now.

I am still healing and recuperating from my surgery and as was given an antibiotic during the operation and then a dose of oramorph right after the op my MG got somewhat worse for a while but am getting back to normal now.

Daughter got result of HbA1c was 39 don't Know what that is in Amercan. doctor told her that could be approaching pre-diabetic levels but as he doesn't believe there is such a thing it's not possible so now she is not being as careful about what she eats, but as I am low carb and we all eat the same meals roughly things are not too bad. I have a feeling that as she was eating lowish carbs for a while that may of affected her HbA1c.
 
evelygtc said:
Good morning all
Can any tell me what is LIBRE?
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The Freestyle Libre is a continuous glucose monitoring system where you attach a little sensor to your arm and use a reader to check your levels instead of using finger pricks and test strips. It gives you information 24 hours a day instead of just spot checks. See: http://www.freestylelibre.co.uk/products.html
Robbity
 
JohnEGreen said:
Daughter got result of HbA1c was 39 don't Know what that is in Amercan. doctor told her that could be approaching pre-diabetic levels but as he doesn't believe there is such a thing it's not possible so now she is not being as careful about what she eats, but as I am low carb and we all eat the same meals roughly things are not too bad. I have a feeling that as she was eating lowish carbs for a while that may of affected her HbA1c.
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Tell her from me that I'm a type 2 and have got my levels down to between 43 and 40 (low pre-diabetic) but I'm still diabetic (though a fairly well controlled one) and could go right back up if I don't watch it! So she does definitely need to take her result seriously, as she's right on the edge of the "potentially heading for diabetes" danger zone. I wish I'd had that wakeup call...

Robbity
 
Glad you're recovering John. I do hope your daughter takes it seriously but we can only manage our adult kids to a certain extent. They have minds of their own. The best you can do is teach by example
Hope you fully recover soon
 
Kristin251 said:
The best you can do is teach by example
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So true trouble is trying to keep on the straight and narrow myself at times but when I do at times stray the raised blood sugars bring me back to reality very quickly some times you think I've got this beat and I can do what I want and that is a fallacy.
 
JohnEGreen said:
So true trouble is trying to keep on the straight and narrow myself at times but when I do at times stray the raised blood sugars bring me back to reality very quickly some times you think I've got this beat and I can do what I want and that is a fallacy.
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I learned that lesson over and over again. I think I got it now haha. I learned diabetes never sleeps or takes vacations. Haha
 
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