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Spikes

In my experience, it is the fluctuating blood glucose levels, not the spikes themselves that need to be avoided. In itself the spike is the highest point of a rise, which has to drop again! The body just doesn't like them!
The constant over fuelling which causes these spikes are the carbs and sugars that T2 diabetics should reduce to their tolerance levels.
The excess glucose and insulin which causes insulin resistance has to be addressed, the best way is to reduce the amount of glucose/insulin producing foods. Carbs!
Dietary needs dictate how healthy you are and how controlled you are.
That will depend on how healthy you are and the control you have.
The less fluctuating levels, the more your body likes it!

But I agree with @bulkbiker, the lower the better chance you have of achieving the best results!
 
Thanks guys I'm going to test after an hr, 90 and 2 hrs on different days to see how I get on, definitely going to ditch the cereal as I know deep down that is no good, love my cereal but will have to get used to it. I can tolerate brown bread tried it today well one slice after 1 hr 90 and 2 all fine hardly moved from 5.3-6, I suppose it all depends on each person, thanks for your advice, I would love a between 4-7 range too that would be perfect and I'm sure it would mean a lower hb1ac to normal levels also, that's my target. I would also like to stay off the medication for as long as possible, I am only 42 with 2 children I will do everything I can to stay fit as possible for them as well as myself. The one thing that worries me about too low carbs is having hypos? I had one before at 3.3 and it was scary as hell!! Maybe some people need a few carbs to prevent this??
Have a great evening x
 
Ps since I've Up'd my fat intact my cholesterol has now gone up? Have I I increased too much or is this because I am still have small amounts of carbs too? X
 
In my experience, it is the fluctuating blood glucose levels, not the spikes themselves that need to be avoided. In itself the spike is the highest point of a rise, which has to drop again! The body just doesn't like them!
The constant over fuelling which causes these spikes are the carbs and sugars that T2 diabetics should reduce to their tolerance levels.
The excess glucose and insulin which causes insulin resistance has to be addressed, the best way is to reduce the amount of glucose/insulin producing foods. Carbs!
Dietary needs dictate how healthy you are and how controlled you are.
That will depend on how healthy you are and the control you have.
The less fluctuating levels, the more your body likes it!

But I agree with @bulkbiker, the lower the better chance you have of achieving the best results!
I agree. I fully support a moderate carb intake (it's how I best manage my diabetes) - but for me, and many, moderation tends to be better than complete elimination.

It allows for the best balance between overall food choice/selection and a relaxed diet. Certainly, that's how I see it.
 
I agree. I fully support a moderate carb intake (it's how I best manage my diabetes) - but for me, and many, moderation tends to be better than complete elimination.

It allows for the best balance between overall food choice/selection and a relaxed diet. Certainly, that's how I see it.

That's ok for you!
But not for some of us who are wholly carb intolerant.
That just doesn't wash, mate!

For a lot of T2s, the distinction between moderate and control is wide.
It is similar to a slow burning fuse, the more you let it run, the shorter it gets!
If you don't reduce your carbs and sugar enough, then the time to reduce the time for meds shortens.
The less carbs, the more time you get, if you go low enough, you can stop the progression completely.
Finding the right balance to what you can tolerate, is the hard part!
The difficulty is maintaining those levels!

I have successfully since diagnosis and very low carbing.
The difference is unbelievable!
I couldn't be healthier!
I couldn't improve my balance.
I wouldn't change it!
It works, for me!
A dietary choice is the only way for me! That is below 20gms a day in a ketogenic lifestyle!
 
That's ok for you!
But not for some of us who are wholly carb intolerant.
That just doesn't wash, mate!

For a lot of T2s, the distinction between moderate and control is wide.
It is similar to a slow burning fuse, the more you let it run, the shorter it gets!
If you don't reduce your carbs and sugar enough, then the time to reduce the time for meds shortens.
The less carbs, the more time you get, if you go low enough, you can stop the progression completely.
Finding the right balance to what you can tolerate, is the hard part!
The difficulty is maintaining those levels!

I have successfully since diagnosis and very low carbing.
The difference is unbelievable!
I couldn't be healthier!
I couldn't improve my balance.
I wouldn't change it!
It works, for me!
A dietary choice is the only way for me! That is below 20gms a day in a ketogenic lifestyle!
Point taken. No need to shout... though!:)
 
Please can someone answer a question for me, my latest Hb1ac is 45 so pre-diabetes doing ok but I am still eating bread pasta carbs etc but in small amounts measuring them and testing etc, 2 hrs after eating them my numbers are under 8 so ok according to my diabetic nurse however my numbers do spike after an hour to over 8 is this ok? She said everyone's spikes after that time and as long as it goes down after 2 hrs it's ok and your body is dealing with it but I am reading differently on this forum????

As you can read, it's a very emotive subject for some.

The actual recommended figures are here.
http://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html

Some choose to have a much tighter control, but really, it's down to choice, and how much of your lifestyle you devote to diabetes, or controlling diabetes.

I would say you need to achieve a 'normal' hba1c, as per think link though, before relaxing too much.
http://www.diabetes.co.uk/what-is-hba1c.html

I'm not LCHF, or ketogenic, but every blood test, for everything, has been 'normal' for several years since I took control of my diabetes by losing weight, and exercise.
 
Ps since I've Up'd my fat intact my cholesterol has now gone up? Have I I increased too much or is this because I am still have small amounts of carbs too? X

Which bits of your cholesterol have gone up? Are you talking about your total cholesterol? If this has gone up it may be simply because your HDL has increased, and that is your good cholesterol. Before you start to worry, you need the full breakdown to compare. (HDL/LDL/Triglycerides.)
 
I'm not sure at the moment I have a phone consultation on Tuesday so will find out more then. I done a testing frenzy this morning, so I had 2 slices of small thin brown loaf with bacon, I thought 2 slices be too much but wanted to see how my body reacted, very similar to cereal, 1hr after jumped from 5.6 fasting to 11.2, 90mins 9.1 and 2 hrs at 5.5. So do I now text after an hour?? When I spoke or does this mean by body has dealt with the rise or having to work too hard so should avoid or reduce to one slice?? Different breakfast? Thanks xx
 
I'm not sure at the moment I have a phone consultation on Tuesday so will find out more then. I done a testing frenzy this morning, so I had 2 slices of small thin brown loaf with bacon, I thought 2 slices be too much but wanted to see how my body reacted, very similar to cereal, 1hr after jumped from 5.6 fasting to 11.2, 90mins 9.1 and 2 hrs at 5.5. So do I now text after an hour?? When I spoke or does this mean by body has dealt with the rise or having to work too hard so should avoid or reduce to one slice?? Different breakfast? Thanks xx

When you have your phone consultation ask your doctor for a print out of your results, then you can pop down and pick them up. You can then read these at leisure and work out where you need to improve. You need to know your glucose, full cholesterol and lipids breakdown, liver and kidney functions, and anything else you were tested for. You will be having a lot of blood tests in the future, and it is good to compare and see if you are improving or otherwise.

As for the breakfast test, you came down remarkably quickly from 90 minutes to 2 hours. Perhaps too quickly. I would have continued to check half hourly because you may have crashed. This is important.

Those rises wouldn't be acceptable to me, and certainly not double figures.
 
Too quickly? What would that mean? I did test an further 40mins later as felt bit funny and it was 4 so had to eat between breakfast and lunch?
 
This is what happens every day is that because they are spiking too much???
So I had a banana and it went from 4.3-4.8 in an hour?? Can u see why I'm confused??
 
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I am no expert on reactive hypoglycaemia, but would like to point you in the direction of this forum

http://www.diabetes.co.uk/forum/category/reactive-hypoglycemia.70/

Have a read through and see if any bells are ringing. Very basically, it is a condition where you produce too much insulin. Carbs cause spikes and your insulin then brings these spikes down with a crash. No carbs, no insulin produced, no crashes. Do read it.

Tagging @Lamont D and @Brunneria as they know all about it.
 
I'm not sure at the moment I have a phone consultation on Tuesday so will find out more then. I done a testing frenzy this morning, so I had 2 slices of small thin brown loaf with bacon, I thought 2 slices be too much but wanted to see how my body reacted, very similar to cereal, 1hr after jumped from 5.6 fasting to 11.2, 90mins 9.1 and 2 hrs at 5.5. So do I now text after an hour?? When I spoke or does this mean by body has dealt with the rise or having to work too hard so should avoid or reduce to one slice?? Different breakfast? Thanks xx

It would have been interesting to see your three hours readings and even between and after , just to see how your body deals with the volatile fluctuating blood glucose levels.
 
Hi I tested at 2 hrs 40mins and it goes down to 4 by that time I eat as I am worried it will crash even more and if he goes below 4, I really don't feel at all well. X
 
I got down to 3.8 this afternoon, for no good reason.

I feel awful at that level as well, so I know it's time to eat.
 
Hi I tested at 2 hrs 40mins and it goes down to 4 by that time I eat as I am worried it will crash even more and if he goes below 4, I really don't feel at all well. X

That's indicative of a hypo or false hypo.
The reason is that both are symptoms that your blood glucose levels are dropping too fast. And your body is sending a message for you to eat! It is horrible and if I had those symptoms I would have something to eat as well!
If you have an prolonged OGTT, which is a glucose test to see how your body reacts to pure glucose, the important hours are after the normal OGTT which is two hours.
It's important because of how your insulin is acting to the hyper (high blood glucose levels) then to see if you normalised or go hypo!

This test is not necessarily a definite diagnosis, whilst the test is being done, you should get a c-peptide and GAD test. These are to see the amount of your insulin is in your blood and also to see if you have other conditions.

These tests can only be done by an endocrinologist.
 
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