My BS shoots up after every meal. WHY?

[Mud Island Dweller]

If sensible exercise (within your ability) you can not do to much.
Reducing carbs is sensible yes do 100
Nothing wrong with walking after each meal
Cut out rice pasta starch bread
Keep a food diary

 

[CoolGuy]

@ Avocado Of course I have read every response that I have got here.

As far as diet is considered, I am not using any of the following - bread, grain, potatoes, rice, pasta.

I am using Green Leaves, less starch/carb vegetables, Diabetic Friendly Multi Grain Powder for Roti (Indian Bread). This is advised by Indian Doctors and institute for Diabetology.

However, how to control "shooting up after every meal up to 200+ mg/dl", as it makes me TIRED, for first 30-45 minutes immediate after meal.
What are the methods to control such Spikes?

 

[DonnaC-T]

This is just my experience but I have to inject at least 15 minutes prior to eating. That helps my spikes x

 

[CoolGuy]

What are you eating? If you give us a typical daily menu we may be able to help.

My Current Diet (Indian Meal). Approximate.

1. 250 ml of Tea with normal milk - 24 Calories, 2.12 gm Carbs, 1.18 gm Fat, 1.33 gm Protein

2. Marie Biscuits - 1 biscuit has - 18.5 Calories, 3.16 gm Carbs, 0.48 gm Fat, 0.33 gn Protein
(6 biscuits = 111 Calories, 19 gm Carbs, 2.9 gm Fat, 2 gm Protein)

3. Chapaties (Multi Grain Diabetic Friendly) - 1 Chapaties = 80 Calories, 16 gm Carbs, 3 gm Protein
(3 Chapaties = 240 Calories, 50 gm Carbs, 9 gm Protein)

4. Total Consumption Per Day - Approximate Calculations:

• Breakfast - between 8.30am to 9.30am
  • 2 Multi Grain Diabetic Friendly Roti's / Semolina based preparation - = 160 Calories, 32 Carbs, 6 gm Protein
  • One cup appx. 250 ml Tea = 24 Calories, 2.12 gm Carbs, 1.18 gm Fat, 1.33 gm Protein

• Lunch - between 1.30pm to 2.30pm
  • 3 Chapaties + Vegetables = 240+50 Calories, 50+10 gm Carb, 9+5 gm Proteins

• Snacks - between 4.30pm to 5.30pm
  • Tea = 24 Calories, 2.12 gm Carbs, 1.18 gm Fat, 1.33 gm Protein
  • 4 biscuits = 55.5 Calories, 12.64 Carbs, 1.32 gm Protein

• Dinner - between 8.45pm to 9.45pm
  • 3 Chapaties + Vegetables = 240+50 Calories, 50+10 gm Carb, 9+5 gm Proteins

• Total Consumption Range Per-day:
  • Calories = 844 - 1050 per day.
  • Carbs = 167 - 200 gm per day - I guess this needs to be reduced to 100 gm per day?
  • Proteins = 38 - 45 gm per day

 

[andcol]

Well I would get rid of the biscuits and chapaties and find something with a lower gi

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[andcol]

And yes go for a walk after every meal. Only needs 20 mins to help lots

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[CoolGuy]

oh...ok!
To do away biscuits is possible.

Multi Grain Diabetic Friendly Roti (indian Bread). This is an issue, as this is a constant staple food.
I need to find now!

 

[andcol]

Yes like in england we have to give up bread potatoes rice. It is a pain but it is possibly. Replace it with more vegetables coconut nuts

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[Mud Island Dweller]

As you test can l suggest you try eat 3 chapaties no veg at lunch and check your bloods

Have a Roti/s of the size you normally eat say at lunch nothing else and test

Semolina l have a feeling may also be kicking your backside so.. eat on own and test.

The above are not foolproof as other foods can slow them down but you can get an idea of if and how they affect you.

Ignore calories they are becoming discredited they are set by methods over 100yrs old, but are such a major mental part of our lives people are unable to think without them

Concentrate on carbs

Ignore fat

Protein have 1g/kg body weight daily be careful and don't over do it.

Drink a lot more water than usual on low carb if you get constipated.... you aint drinking enough water

test just before you put the first mouthful of food in and 2hrs after that

Eggs are very good is Vivs Modified Atmiks diet any good for you in the Low Carb forum scroll down the main forum page.

 

[CoolGuy]

This is just for information.

Karnataka State Institute For Diabetology, India.... has published the following on their website. Strangely, this is completely different from what I have found in Forum here. Quite debatable, but am an infant even dare to....however, let me share.

TARGETS FOR BLOOD GLUCOSE CONTROL

• Fasting Plasma Glucose 70 – 130 mg/dl
• 2 hrs Post food Plasma Glucose 135 - 180 mg/dl
• 1 hr Pre food Plasma Glucose 90 - 130 mg/dl
• HbA1c <6.5 %
• 30-45 minutes brisk but moderate intensity walk per day, for 5 days a week

MYTHS AND MISCONCEPTIONS - there are quite a few, but have picked up w.r.t food/eating

1. Food - A healthy meal plan for people with diabetes is generally the same as a healthy diet for anyone – low in fat (especially saturated and trans fat), moderate in salt and sugar, with meals based on whole grain foods, vegetables and fruit. Diabetic and "dietetic" foods generally offer no special benefit. Most of them still raise blood glucose levels and are usually more expensive, may also have a laxative effect if they contain sugar alcohols.
2. Starchy Food - Starchy foods are part of a healthy meal plan. What is important is the portion size. Whole grain breads, cereals, pasta, rice and starchy vegetables like potatoes, yams, peas and corn can be included in your meals and snacks. The key is portions. For most people with diabetes, having 3-4 servings of carbohydrate-containing foods is about right. Whole grain starchy foods are also a good source of fiber, which helps keep your gut healthy.
   
3. Sweets - If eaten as part of a healthy meal plan and combined with exercise, sweets and desserts can be eaten by people with diabetes. They are no more “off limits” to people with diabetes than they are to people without diabetes.
4. Bitter Melon - A Scientific study done at Jawaharlal Institute of Postgraduate Medical Education and Research, India has proved that bitter melon increases insulin sensitivity.
   
5. Fenugreek - Director of the National Institute of Nutrition in Hyderabad recommends 50-100 grams of methi seeds daily as an effective supportive therapy for diabetics which reduces blood sugars.
   
6. Protein & Carb - High protein intake helps to increase insulin production and promotes satiety. Whole wheat is preferred to rice because it contains “Ascarbose” which allow carbohydrate to be absorbed slowly.
7. Seeds- Water soluble fiber has greatest hypoglycemic and hypocholesteromic effect. Hence include legumes, whole grain and fenugreek seeds.
   
8. Vegi & Fruits - You can consume vegetables rich in fiber such as green leafy vegetables cucumber, knol-khol, raddish etc and fruits like sweet lime orange, papaya, guava, apple and pears.
   
9. Carbs - Carbohydrate foods are spread evenly throughout the day or may be varied according to the type of insulin used and the activity level of the individual (especially in TYPE 1) These should provide about 55% of the total energy intake of which simple carbohydrates must be about 20% and complex carbohydrate should fulfill the remaining requirement. Dietary fiber may be enhanced to an intake of about 25-30gm/day. Fat level is limited to 30% of the total calories, which varies from individual to individual.Protein to 15% of total calorie.Management of hypoglycemia

 

[Mud Island Dweller]

l think l said before... ignore all that you were pointed by possibly Avacardo to go to dietdoctor if you want to sort yourself out also lot good advice from members here.
If you want complications follow the institute which you already have doubts on as lack of control lead you here to ask questions

 

[phoenix]

Have a look at replacing the roti with dahl , particularly using chana dahl. Roti can also be made with chickpea flour (besan) and has a lower glycemic index.
Here's a diet that was used successfully in India, it is relatively high carbohydrate (no roti or chappatis, though)It is extremely high fibre which is probably very important. It is actually higher in calories than your calculated calorie intake but maybe it could give you some ideas (though you seem to have left fat out of your calculations which could make a difference)

http://nutritionfoundationofindia.res.in/pdfs/BulletinArticle/Pages_from_nfi_04_91_1.pdf

 

[paul-1976]

This is just for information.

Karnataka State Institute For Diabetology, India.... has published the following on their website. Strangely, this is completely different from what I have found in Forum here. Quite debatable, but am an infant even dare to....however, let me share.

TARGETS FOR BLOOD GLUCOSE CONTROL

• Fasting Plasma Glucose 70 – 130 mg/dl
• 2 hrs Post food Plasma Glucose 135 - 180 mg/dl
• 1 hr Pre food Plasma Glucose 90 - 130 mg/dl
• HbA1c <6.5 %
• 30-45 minutes brisk but moderate intensity walk per day, for 5 days a week

MYTHS AND MISCONCEPTIONS - there are quite a few, but have picked up w.r.t food/eating

1. Food - A healthy meal plan for people with diabetes is generally the same as a healthy diet for anyone – low in fat (especially saturated and trans fat), moderate in salt and sugar, with meals based on whole grain foods, vegetables and fruit. Diabetic and "dietetic" foods generally offer no special benefit. Most of them still raise blood glucose levels and are usually more expensive, may also have a laxative effect if they contain sugar alcohols.
2. Starchy Food - Starchy foods are part of a healthy meal plan. What is important is the portion size. Whole grain breads, cereals, pasta, rice and starchy vegetables like potatoes, yams, peas and corn can be included in your meals and snacks. The key is portions. For most people with diabetes, having 3-4 servings of carbohydrate-containing foods is about right. Whole grain starchy foods are also a good source of fiber, which helps keep your gut healthy.
   
3. Sweets - If eaten as part of a healthy meal plan and combined with exercise, sweets and desserts can be eaten by people with diabetes. They are no more “off limits” to people with diabetes than they are to people without diabetes.
4. Bitter Melon - A Scientific study done at Jawaharlal Institute of Postgraduate Medical Education and Research, India has proved that bitter melon increases insulin sensitivity.
   
5. Fenugreek - Director of the National Institute of Nutrition in Hyderabad recommends 50-100 grams of methi seeds daily as an effective supportive therapy for diabetics which reduces blood sugars.
   
6. Protein & Carb - High protein intake helps to increase insulin production and promotes satiety. Whole wheat is preferred to rice because it contains “Ascarbose” which allow carbohydrate to be absorbed slowly.
7. Seeds- Water soluble fiber has greatest hypoglycemic and hypocholesteromic effect. Hence include legumes, whole grain and fenugreek seeds.
   
8. Vegi & Fruits - You can consume vegetables rich in fiber such as green leafy vegetables cucumber, knol-khol, raddish etc and fruits like sweet lime orange, papaya, guava, apple and pears.
   
9. Carbs - Carbohydrate foods are spread evenly throughout the day or may be varied according to the type of insulin used and the activity level of the individual (especially in TYPE 1) These should provide about 55% of the total energy intake of which simple carbohydrates must be about 20% and complex carbohydrate should fulfill the remaining requirement. Dietary fiber may be enhanced to an intake of about 25-30gm/day. Fat level is limited to 30% of the total calories, which varies from individual to individual.Protein to 15% of total calorie.Management of hypoglycemia

Good luck!!!!

 

[jack412]

oh...ok!
To do away biscuits is possible.

Multi Grain Diabetic Friendly Roti (indian Bread). This is an issue, as this is a constant staple food.
I need to find now!

Chickpea, desicated coconut equal amounts and an egg. Make batter like pancake and spice. Rising agent if you want it more fluffy Try it, I use it for roti like flat
Also, I would have 60 to 70 gm of protein

 

[CoolGuy]

This is what is also told....

"Diabetes diet for Indians should have the ratio of 60:20:20 for carbs, fats and proteins, the doctor explains, "Per day calorie intake should be between 1,500-1,800 calories with a proportion of 60:20:20 between carbohydrates, fats and proteins, respectively." He adds that a diabetes diet should "have at least two seasonal fruits and three vegetables in a diet plan"

 

[Mud Island Dweller]

Look you asked for advice you want complications fine follow what's said same rubbish lines nhs spout and don't ask us Indians Americans Africans black white asian and all the rest all basically the same apart from colour and the odd inherited disease nothing special about each one you still human you still got diabetes

l wont waste time replying l have spent enough time .... good luck

 

[donnellysdogs]

Cut the carbs...do the 75g-whats stopping you?
And carry on walking.

That's the advice from here from many experienced diabetics.. You got the answers of advice you were seeking...


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[Indy51]

I guess the decision you'll have to make is - to keep on trusting the sources of dietary advice that are clearly not working to control your BG levels; or take a chance and follow the advice you've received here from people who are successfully controlling their BG by eating a lower carb diet. The choice is yours.

You might find the book "The South Asian Health Solution" useful:

 

[peacetrain]

It's my understanding that chapatis are used as a way to eat prepared dishes, instead of knives and forks. May I suggest reducing to one chapatti and/or use some type of leaf such as lettuce with the meal.

3 chapatis seems excessive.

There's no easy way to bring your bg levels down. It's hard work and it doesn't stop when you achieve your goal because then you have to keep it there.

Good luck.


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[CoolGuy]

Guys,

My sincere thanks for each one of you, who were quite serious, passionate & emotional in response, for taking time out & sharing your experience.
I further understand that, all these wisdom has flown down from your own experience in successfully controlling the BG.
I appreciate, its quite helpful and once again, I thank you all!

My Action Plan for next 15-30 day.

1. Revamp my food habits and intake methods.
2. Ensure to considerable reduce Carbohydrate intake - less than 100 gm per day.
3. Marginal/slight increase in Protein intake.
4. Find various other supplements to keep body nourished.
5. Drink lots of water.
6. Herbal Medicines that claims to help Vascular Endothelial Dysfunction in long run.
7. Targeted Exercise.

I shall get back to with my results in the second week of June 2014.

last but not the least, I still did not find an answer &/or method to manage the instant steep SPIKE that I am experiencing within 30/45 minutes after every meal, which is making me feel weak every time. After 60+ minutes of every meal, BG declines and I feel back to normal.

Hence I wanted to know, is there any specific method to manage this instant steep SPIKE other than getting on to synthetic medicine?

BR