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Type 2 Spikes in B/S

rodder69

Member
Messages
5
Hello all this is my first question, I've been on Metformin for three or four years and my type 2 diabetis has been under control so says my nurse, just recently my doctor took me off metformin because of repeated severe bouts of sickness and dihoria these were so severe i was admitted to ED twice. I'm now on Glimiparide and Bidureon injection once a week, my B/S sugars seem high to me, i regularly get readings of 10.00 11.00 12.00 first thing in the morning and 16.00 17.00 18.00 after eating, I have changed my diet so much , I don't take sugar at all but take sweeteners instead, i eat fresh fruit and veg and try to keep foods i eat low in sugar, should i be worried
 
You mention not eating sugar, yet in the same sentence you mention eating fruit.

Are you simply avoiding processed sugar, or are you being conscious of ALL types of carbohydrates?

Fruit has vitamins in it which is largely why it's considered "Healthy." However, that's commonly misunderstood to mean that you can eat as much as you want. To put it into perspective, many fruit juices can have as much sugar in them as a soda.
 
I would personally like lower numbers than that. I will tag @daisy1 for some very useful reading. Well done on the sugar deletion, remember fruit is natures candy store, they contain fructose which is sugar by any other name. Have a good read of daisys post, and feel free to ask as many questions as you need
 
there is a Slow Release(SR) version of metformin which doesn't cause so many tummy problems, has that been offered?

If the meds are the only thing that's changed and your numbers are going up it would point to the new meds aren't working as well as the old stuff, but then again it could just be your bodies progression to further insulin resistance and just coincidence.
 
Hello and welcome,

You are right to think those numbers are too high. It is best to be in single figures at all times. The target ranges set by the NHS are in this link.

http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

It is correct to eliminate refined sugar, but it is also necessary to consider carbohydrates as all these foods convert to sugar once inside the system. If you tell us a little about your normal daily diet maybe we can spot something that is keeping your levels high.
 
I am aware of the sugar in fruit and i have cut down to 1or 2 peices of fruit a day, and i have cut out completely sugary drinks and i don't drink alcahol
 
What about potato, rice, bread and pasta? to name just a few 'healthy' carb rich foods!
 
Do you eat many nuts? Almonds or Walnuts? I find those foods suppress ones appetite (otherwise I'd be eating all day) and it also takes a while to metabolize (because of the fat). This has less impact BG levels and in the right quantity is a healthy option..
 
Try weighing all carb containing foods and calculating your actual intake - two pieces of fruit could be more than enough to spike your blood sugar, and reducing to a minimum is not removing them entirely, 'almost' no bread could be a whole day's low carb eating on its own. You really have to work out what is going on, and going in, to be in control.
 
I think i will have to see my doctor, Today my B/S before eating or drinking anything at on awakening was 13.2 i had 1 cup of coffee with 2 sweeteners, and a bowl of muesli for breakfast 3 hrs later my B/S was 18.6 i've just had a chicken breast portion 2 sticks of celery 3 leaves of lettuce 5 cherry tomatoes 2 slices of red onion 2 very small french bread crackers and a dairylee triangle first reading 30mins after 15.9 , 30min later 16.9 so it looks like its raising. i will make an appointment with my docs thanks for all the replies
 
@rodder69

Hello Rodder69 and welcome to the forum Here is the information we give to new members and I hope you will find it useful. Amongst other topics, this contains advice on carbs and levels and a link to the Low Carb Program which you could join. Ask as many questions as you like and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 220,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Muesli? It is probably about 70percent carbs, so no wonder you set yourself up for high numbers. Bread? That is just sugar waiting to happen. There are carbs in Dairylea - I think only one per triangle, but from lactose - a sugar.
The results you are getting are exactly what happens after eating carbs, I have already seen that in the three weeks since I was diagnosed, but I did low carb for decades - it is possibly why I'm still here. less than two years on a cholesterol lowering diet put me in a very bad place.
 
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