Just for discussion and sharing - diabetes mellitus (Type 1, Type 2, Gestational, etc) , the Hallmark or medical definition is high blood sugar.
A non-diabetic person has a blood glucose level of 4.7mmol/l, the medical doctors are aware of this fact. Based on this fact for an average person of about 70kg will have about 5 to 5.5 litres of blood. 5mmol/l converted to mg/dl will be 90mg/decilitre. 90mg x 5.5/0.1 = 4950mg which is approximately 5grams with a little wiggle room will be 4.5 to 5.5grams of glucose.
For a non-diabetic person, where the blood glucose has increased due to ingestion of glucose/ starch or table sugar will trigger release of insulin from pancreas to bring blood glucose down to the 5grams state. However if you are diabetic you do not have the phase one insulin to neutralise the excess glucose going into the blood, phase two insulin will take hours to come in and remember blood glucose higher than the baseline will cause damage to the body in the long run.
So if you are a diabetic like me who is on low carb diet, the bolus regular insulin which I injected for protein meal is only about 7 units, which will work for 5 hours and neutralised the protein meal which also takes about 5 hours to completely digest. The may be some inbalance either slightly more insulin or slightly more protein. If protein is slightly more the blood glucose will be slightly elevated to 6.5mmol/l. If the insulin is slightly more, the blood glucose will be 3.5 to 4mmol/l, so in this case, the remedy is one gram of glucose which will rapidly bring the blood glucose to 4.5mmol/l. THat is how I get to maintain my HBa1c at around 5%.
The advice of taking 10grams of glucose in my case will rapidly raise my blood glucose to 13mmol which is very bad for me. However for those taking 15 units of Novorapid for starchy food, there is always a chance of having too much insulin due the variability of starches in food (officially 10% difference is allowed as stated in the nutrition facts). Mismatch in insulin and food is therefore very common, hypos are bad, so the 'safe' advice is to take 10 to 15grams of quick acting sugar to relieve the hypo. Just check the blood glucose one hour after ingesting the 10 or 15grams of sugar, also check how long the high blood glucose persist!
All long term complications, neuropathy (due to high blood glucose attacking the nerves), nephropathy (due to high blood glucose damaging the nephrons in the kidneys), retinopathy (due to high blood glucose damaging the retina), glycation of protein collagen leading to frozen shoulders, etc can be avoided where blood glucose can be maintained at non-diabetic level which is between 4mmol/l to 6mmol/l but should be at or just below 5mmol/l.
I am not selling anything for Dr Berstein - the manwho lives and breathes diabetes since age 12 and is about 90 years old now. Just read and mastered the Complete Diabetes Solution to master the blood glucose issue.
A non-diabetic person has a blood glucose level of 4.7mmol/l, the medical doctors are aware of this fact. Based on this fact for an average person of about 70kg will have about 5 to 5.5 litres of blood. 5mmol/l converted to mg/dl will be 90mg/decilitre. 90mg x 5.5/0.1 = 4950mg which is approximately 5grams with a little wiggle room will be 4.5 to 5.5grams of glucose.
For a non-diabetic person, where the blood glucose has increased due to ingestion of glucose/ starch or table sugar will trigger release of insulin from pancreas to bring blood glucose down to the 5grams state. However if you are diabetic you do not have the phase one insulin to neutralise the excess glucose going into the blood, phase two insulin will take hours to come in and remember blood glucose higher than the baseline will cause damage to the body in the long run.
So if you are a diabetic like me who is on low carb diet, the bolus regular insulin which I injected for protein meal is only about 7 units, which will work for 5 hours and neutralised the protein meal which also takes about 5 hours to completely digest. The may be some inbalance either slightly more insulin or slightly more protein. If protein is slightly more the blood glucose will be slightly elevated to 6.5mmol/l. If the insulin is slightly more, the blood glucose will be 3.5 to 4mmol/l, so in this case, the remedy is one gram of glucose which will rapidly bring the blood glucose to 4.5mmol/l. THat is how I get to maintain my HBa1c at around 5%.
The advice of taking 10grams of glucose in my case will rapidly raise my blood glucose to 13mmol which is very bad for me. However for those taking 15 units of Novorapid for starchy food, there is always a chance of having too much insulin due the variability of starches in food (officially 10% difference is allowed as stated in the nutrition facts). Mismatch in insulin and food is therefore very common, hypos are bad, so the 'safe' advice is to take 10 to 15grams of quick acting sugar to relieve the hypo. Just check the blood glucose one hour after ingesting the 10 or 15grams of sugar, also check how long the high blood glucose persist!
All long term complications, neuropathy (due to high blood glucose attacking the nerves), nephropathy (due to high blood glucose damaging the nephrons in the kidneys), retinopathy (due to high blood glucose damaging the retina), glycation of protein collagen leading to frozen shoulders, etc can be avoided where blood glucose can be maintained at non-diabetic level which is between 4mmol/l to 6mmol/l but should be at or just below 5mmol/l.
I am not selling anything for Dr Berstein - the manwho lives and breathes diabetes since age 12 and is about 90 years old now. Just read and mastered the Complete Diabetes Solution to master the blood glucose issue.