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<blockquote data-quote="Dr Snoddy" data-source="post: 2477238" data-attributes="member: 112460"><p>If I had had your evening meal I would be absolutely starving! The starch in the baked potato would be rapidly digested into glucose which would set off a rapid insulin response. If the insulin was not able to allow the glucose to enter cells then the glucose would remain in the blood. Meanwhile the exercise would signal the need for more glucose in the muscles which would in turn increase the insulin released from the pancreas. Stress hormones would also activate the pathway that breaks down glycogen in the liver and muscle to release even more glucose into the blood stream. Result: high blood glucose, hunger, needing to eat preventing sleep, ongoing vicious circle.</p><p>Although it is counterintuitive I would ditch the potato and replace it with a healthy source of protein and fat.</p><p>Your nurse, imho, is ill- informed at best. You should insist on further tests as well. Good luck going forward.</p></blockquote><p></p>
[QUOTE="Dr Snoddy, post: 2477238, member: 112460"] If I had had your evening meal I would be absolutely starving! The starch in the baked potato would be rapidly digested into glucose which would set off a rapid insulin response. If the insulin was not able to allow the glucose to enter cells then the glucose would remain in the blood. Meanwhile the exercise would signal the need for more glucose in the muscles which would in turn increase the insulin released from the pancreas. Stress hormones would also activate the pathway that breaks down glycogen in the liver and muscle to release even more glucose into the blood stream. Result: high blood glucose, hunger, needing to eat preventing sleep, ongoing vicious circle. Although it is counterintuitive I would ditch the potato and replace it with a healthy source of protein and fat. Your nurse, imho, is ill- informed at best. You should insist on further tests as well. Good luck going forward. [/QUOTE]
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