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Type 2 Diabetes
Metformin - should I or shouldn't I?
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<blockquote data-quote="Oldvatr" data-source="post: 1123338" data-attributes="member: 196898"><p>Unable to send you a pm. Think you need to have more messages posted in the forum before that can happen</p><p></p><p>I have heard of using fibre to reduce cholesterol. It also has an effect in reducing bgl in two ways</p><p>1) Lowering the GI of a food to flatten out a bgl spike post prandial. In fact it lowers the height of the spike by stretching it out for longer, but actually the total glucose is much the same. Thus by testing at 2 hr pp, then fibre may delay the spike beond the 2 hr sample (which reads low) but pops up, say, at the 2.5 hr time as a high This is not quite as good as a Metformin replacement which actually reduces the glucose going into the blood, and it explains why many monitoring their diet (e.g. Atkins) have apparent low bgl averages, but a higher than expected HbA1c by not recording the delayed spikes, There are examples on the forum of this where CGM monitors are used to continuously record all levels and these show the bumps still occur,</p><p></p><p>Fibre is not good news for T1D or T2D insulin controlled because the delayed digestion is difficult to adjust their insulin dosage for a meal. This can possibly lead to hypo's. </p><p></p><p>2) faster digestive transit time, which interrupts the metabolism such that our bodies miss the proteins, which are the last to be converted into glucose. It also binds to dietary fat in the gut, reducing cholesterol and excreting it instead of using it. I am on a ketogenic (fat burning) diet, so dropping cholesterol is actually potentially harmful to me, as are statins which I have dropped.</p><p></p><p>There are many on this forum for whom fibre is harmful due to other medical conditions, so they would not be safe to use fibre as a replacement for Metformin.</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 1123338, member: 196898"] Unable to send you a pm. Think you need to have more messages posted in the forum before that can happen I have heard of using fibre to reduce cholesterol. It also has an effect in reducing bgl in two ways 1) Lowering the GI of a food to flatten out a bgl spike post prandial. In fact it lowers the height of the spike by stretching it out for longer, but actually the total glucose is much the same. Thus by testing at 2 hr pp, then fibre may delay the spike beond the 2 hr sample (which reads low) but pops up, say, at the 2.5 hr time as a high This is not quite as good as a Metformin replacement which actually reduces the glucose going into the blood, and it explains why many monitoring their diet (e.g. Atkins) have apparent low bgl averages, but a higher than expected HbA1c by not recording the delayed spikes, There are examples on the forum of this where CGM monitors are used to continuously record all levels and these show the bumps still occur, Fibre is not good news for T1D or T2D insulin controlled because the delayed digestion is difficult to adjust their insulin dosage for a meal. This can possibly lead to hypo's. 2) faster digestive transit time, which interrupts the metabolism such that our bodies miss the proteins, which are the last to be converted into glucose. It also binds to dietary fat in the gut, reducing cholesterol and excreting it instead of using it. I am on a ketogenic (fat burning) diet, so dropping cholesterol is actually potentially harmful to me, as are statins which I have dropped. There are many on this forum for whom fibre is harmful due to other medical conditions, so they would not be safe to use fibre as a replacement for Metformin. [/QUOTE]
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