Taking readings twice a day isn't really going to tell you anything. You want to check before a meal and 2 hours after. if there's a rise of more than 2.0 mmol/l, the meal was carbier than your body could handle. And practically all carbs turn to glucose when ingested. Knowing that, what has your diet been like? Carb-heavy? Because for T2's, bread, potatoes, pasta, corn, cereal/muesli, rice, and anything made with grain, will spike our bloodsugars. (And no, it doesn't matter if you switch from white bread to brown. Your pancreas will still have to deal with the carbs, whatever their colour.). So, nope, not going to tell you the 600/800 calorie diet will work, because it won't. You want to cut the carbs and load up on fat instead. It'll keep you feeling full, while not spiking your bloodsugars at all. So... If you're into 3 meals a day, go for eggs wih bacon and cheese, maybe high meat content sausages and the like in the morning. No toast, no beans. For lunch, a nice tuna, salmon or goat cheese salad? For dinner, meat with leafy greens or other above ground veggies? I rather like cauliflower and broccoli rice, they're rather versatile and I dump cheese and bacon in there to bulk it up some. Never have spuds, and don't miss them either. You don't have to go hungry on this det because it is one you'll have to be on for life, to control your bloodsugars.2nd anniversary review and bloods have gone from 54 to 62! Thought I was doing so well with diet etc so to this news was kind of a kick in the teeth. Nurse has now told me to write a 3 month food diary and now take readings 2 times a day as don’t really know what’s going on. Got to go back in 3 months for more bloods etc. Any sensible advise....don’t say the 600/800 calorie diet will work as ask my nurse today and she said No No No!!
....That "stuff" fixed my complications. Got my fasting bloodglucose down. But hey, whatever.As has been said above regarding carbs, fats etc.....personally i wouldn't read too much in to this whole "don't spike more than 2 mol/mmol" stuff - i know it's been stated in some report somewhere (can't recall where now) but its generally rubbish as most non-diabetics and diabetics with good control will spike more than that ordinarily, depending on carb./sugar intake and without overtly affecting their HbA1c when tested. In fact there are reports of study groups of individuals tested whom have definitively not got any kind of endocrine disorder whatsoever, and yet post-prandial spikes were observed of up to 9.3 mol/mmol.
As has been said above regarding carbs, fats etc.....personally i wouldn't read too much in to this whole "don't spike more than 2 mol/mmol" stuff - i know it's been stated in some report somewhere (can't recall where now) but its generally rubbish as most non-diabetics and diabetics with good control will spike more than that ordinarily, depending on carb./sugar intake and without overtly affecting their HbA1c when tested. In fact there are reports of study groups of individuals tested whom have definitively not got any kind of endocrine disorder whatsoever, and yet post-prandial spikes were observed of up to 9.3 mol/mmol.
Edit to add... TL;DR - a spike in BG will impact your hba1c. How many and how high is entirely up to you, your BGM may help
That’s a very interesting response. Please take the time to link the studies or accompanying data so that we may review?
From my own data of BG testing I can categorically say that keeping to a rule of ‘no more than 2.0 rise’ has worked wonders.
When I have my hba1c test a week on Friday, I will publish the results, along with the MySugr app which has been recording everything.
I’m on holiday at the moment, and trying a few different things, and where I have had a low number unfortunate spikes of 3+, they do impact the overall predicted hba1c. Of course they do, if you go 4, 4, 5, 4, 5, 5, 6, 5 regularly (FBG, 3 meals, final BG) and start throwing in spikes to [whatever] 8, the average will change.
Case in point. Dinner out tonight, I’m 4.4 BG according to meter, my wife is 5.0. She does not have T2D. 45 minutes after first bite, I’m 7.4, she is 5.2. Two hours post, I’m 5.4 and she is 5.0. Taking into account error margins, clearly shows the food was a challenge for me.
We split the entire dinner between us; ate and drank the same.
That for me was not ideal, and will have increased my hba1c. I suspected as much as I wanted a little rice with our Thai feast. My levels have been low to this point, so was prepared to take the hit.
This spike will increase my hba1c reading. Keep doing it and it will increase. Keep at it and watch the levels hit T2D again...
Apologies to OP that I’ve hijacked this a little, but couldn’t let that comment stand unchallenged.
As has been said above regarding carbs, fats etc.....personally i wouldn't read too much in to this whole "don't spike more than 2 mol/mmol" stuff - i know it's been stated in some report somewhere (can't recall where now) but its generally rubbish as most non-diabetics and diabetics with good control will spike more than that ordinarily, depending on carb./sugar intake and without overtly affecting their HbA1c when tested. In fact there are reports of study groups of individuals tested whom have definitively not got any kind of endocrine disorder whatsoever, and yet post-prandial spikes were observed of up to 9.3 mol/mmol.
Oh dear - with that sort of advice, I don't see you getting very far.2nd anniversary review and bloods have gone from 54 to 62! Thought I was doing so well with diet etc so to this news was kind of a kick in the teeth. Nurse has now told me to write a 3 month food diary and now take readings 2 times a day as don’t really know what’s going on. Got to go back in 3 months for more bloods etc. Any sensible advise....don’t say the 600/800 calorie diet will work as ask my nurse today and she said No No No!!
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?
We use cookies and similar technologies for the following purposes:
Do you accept cookies and these technologies?