Is there any point?

[Grazer]

[mod edit: referring to earlier tangent]

The answer to your question is very simple; the advice from your nurse was rubbish, and as Pneu said probably aimed at keeping you quiet because your readings would look much better after four hours and stop you asking difficult questions. As a diet only T2, you probably buy your own strips or have a limited supply, so can't test every 5 minutes. The advice is easy; test at two hours because if you test at four you'll miss identifying the food you can't tolerate.

 

[Defren]

The only time I could see a 4 hour reading being useful is if we are trying a new food. Then I would test post meal +1 hour, +2 hours, if I were still high +3 hours and so on. Any T2 with some knowledge, even quite basic wouldn't touch a meal high in bread, pasta or rice surely? I have not had any rice, pasta or potato's since diagnosis, and don't even tolerate a single slice of Burgen bread very well. This high carb meal malarky is just silly!

 

[lucylocket61]

I do that too with new food. I test an 1 hour intervals until my blood sugar level return to normal.

I am a type 2 controlled by diet only - so far. I have been prescribe Metformin, but have not used it yet apart from a trial for 2 weeks when first diagnosed, before getting and following advice here.

 

[Defren]

T2's especially those of us on Metformin, are not likely to get hypo's. Even those not on Met. Even if we had a meal packed to the gunnels in carbs, or absolutely none at all, we don't hypo usually. I am not sure of the relevance of hypo's when dealing with T2's, can any one help?

 

[dawnmc]

Thankyou all, I actually thought she the DN was talking absolute garbage. I haven't eaten any nasty carbs since being diagnosed. And get this 2 hours after brekkie I was 5.2 WOOOOOPP.
I really think she had no idea, I mean she even told me to only count the sugar from carbs and not the whole carb content.

 

[Grazer]

T2's especially those of us on Metformin, are not likely to get hypo's. Even those not on Met. Even if we had a meal packed to the gunnels in carbs, or absolutely none at all, we don't hypo usually. I am not sure of the relevance of hypo's when dealing with T2's, can any one help?

I agree Defren, on diet only or even on metformin, you are unlikely to get hypos any more than a non diabetic would, so it's not really relevant to this topic. As Benedict points out, it probably wasn't really necessary for it to be raised in the first place.

 

[Defren]

T2's especially those of us on Metformin, are not likely to get hypo's. Even those not on Met. Even if we had a meal packed to the gunnels in carbs, or absolutely none at all, we don't hypo usually. I am not sure of the relevance of hypo's when dealing with T2's, can any one help?

I agree Defren, on diet only or even on metformin, you are unlikely to get hypos any more than a non diabetic would, so it's not really relevant to this topic. As Benedict points out, it probably wasn't really necessary for it to be raised in the first place.

Perhaps not sheepy, but as it was, I responded, and am told not too. I'm going to shut up now!

 

[Defren]

T2's especially those of us on Metformin, are not likely to get hypo's. Even those not on Met. Even if we had a meal packed to the gunnels in carbs, or absolutely none at all, we don't hypo usually. I am not sure of the relevance of hypo's when dealing with T2's, can any one help?

I agree Defren, on diet only or even on metformin, you are unlikely to get hypos any more than a non diabetic would, so it's not really relevant to this topic. As Benedict points out, it probably wasn't really necessary for it to be raised in the first place.

Perhaps not sheepy, but as it was, I responded, and am told not too. I'm going to shut up now!

[edit to add] Sheep you say I am right, Benedict says no, so who is right? :roll:

 

[phoenix]

To paraphrase from another forum (as I better not link)
A T2
wow I had pizza tonight and 2 hours after the meal my glucose was 100 (5.5mmol/l)
reply from a long term T2 (and there were several similar)
"You might see a rise much later than 2 hours. Some people have reported spikes out as far as 4 or more hours. However, I find that the fat keeps my BG from spiking too high, just stays elevated longer"
The Mayo clinic says much the same thing

High fat foods such as pizza can cause a delay in the absorption of the carbohydrates for 2-3 hours after eating and can elevate the blood sugar for up to 8 hours

of pasta Jenny Ruhl says

Hard Pasta (the kind that comes in dry form in boxes) takes several hours to digest and often will cause no rise in blood sugars at one or two hours. If you eat pasta you should test it at three and four hours to find a blood sugar peak

http://diabetesupdate.blogspot.fr/2011/ ... meals.html
Quite honestly I can find a lot of T2 sources saying similar things about various foods.

I can't see why you might do all your tests at four hours but I can certainly see an argument for some testing at later times.

 

[Grazer]

Phoenix, And I'll show you far more T2s that will tell you that rice, pizza pastry etc give you bad spikes at two hours. Which is the point In hand. We all accept that fat slows down absorption BUT you WILL be high, and not "fine" at two hours after pastry and rice etc as a normal T2

 

[jopar]

High fats slow down adsorption of carbs that have been eating (as any level) most T2's will lower carb intake and increase Protein breaks down, both to replenish and repair the body, but the excess from this breaks down into carbs to fuel the body... Now due to the slowness T2's hope to be able to burn this of naturally with physical activity..

I don't think any informed T2 would have much of a problem with that statement BUT it's the QUANTITY of carbs you assume we can eat safely which is the issue. Without an adequate insulin response to cover the carbs, effectively the same kind of response you get from injecting insulin, then the same thing will happen as if you miscalculated and didn't inject enough insulin. You would spike horribly as would a T2.

But I'm not making assumption to what amount a T2 is eating apart from, the carb content is being dropped and the protein/fat content is being increased! The assumption is on your part not mine..

As you would agree with me, avoiding a starchy carb is pretty easy, but avoiding a carb is extremely difficult to impossible if you consider that protein can turn into a carb...

I would agree with you, that yes if I miscalculate my insulin to carb, just like a T2 I would get an horrible spike, but at what point I experience that spike would be dependant on the carb/protein/fat ratio of what I'm injecting for..

Take for exapmple, 2 egg cheese omelette with a dash of milk, would be considered negotiable for a carb count, so theoretically I shouldn't need an insulin injection to cover it, but in fact I do need to inject to cover this, purely because of the ratio of protein/fat I'm having and interestingly the calculation of insulin needed works out even more than if I eaten 20g's of carbs!

If I had a countable carb to the omelette, then adsorption changes and so does my tactic's

And we can make an assumption that if we take out, insulin response/blood glucose... And just consider food adsorption doesn't matter if you'll are T1, T2 or non-diabetic our digestion and adsorption of the food we eat will be very similar, and our adsorption of particular foods/meals be be effected by the Carb/Protein/fat ratio's of it...

 

[Grazer]

Jopar, I think we all agreed that insulin is not pertinent to this thread. [mod edit: telling other members not to post is not permitted]