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Three Questions

RobPalt

Member
Messages
5
Hi everyone,

Some Background: I feel very lucky that I caught sight of my increasing blood glucose levels early, my FBG at my November physical was 105 which the doctor ignored, I didn’t and I started testing. In the following six weeks I saw my FBG in the range of 114 to 135 so I went to see an Endo., she said test, test, test and come back in two months! So I started testing five times a day and I soon realized that something needed to be done, I stopped all starch, bread, rice and potato and decided I would eat nothing higher than a GI 50. I played around with salads and combinations of things and pretty soon my numbers looked like (about) this:

Fasting – was 114/135. Now – 110/118
Breakfast 2hr PP – was/is 135/120. Lunch 2hr PP – was/is 135/118. Dinner 2hr PP – was/is 130/115.

I set myself targets for 1 hour of <140 and a 2 hour target of <130, so far I’ve been able to meet those targets 98% of the time, previously I had seen spikes up to 200!

My Questions: Now we come to the problem areas, since I went low carb my FBG levels are consistently around 115, I don’t have any spikes and I occasionally drop down to 110 but then always quickly revert, my question is, are the higher FBG levels a function of low carb diets and is there any way to improve them apart from medication?

My second question is about diet: whilst I have been religious in what I eat, I have tried to add back in some carbohydrates from time to time but always with disastrous results. My favorite long term breakfast of Muselli and Prunes recently sent me into the 180’s after three hours despite having eaten them on most days prior to a month before. My question is, once I decide to give up on such foods, is that them on the no-go list for life? It seems to me that the body learns from the things that you feed it to some degree and changes accordingly,

My third and final question: during the past six weeks I’ve been suffering from really itchy eyebrows and searches on the web say diabetes is a primary cause. But I’ve not seen anything anywhere on this subject and I’ve yet to come across a single mention of it in discussion forums, is it really that unique or am I barking up the wrong tree?

Finally, I had an A1C test on 1 and 15 December which showed 5.9 and 5.7 respectively, I calculate my current AIC is around 6.2. And finally finally: I exercise at the gym about three days a week but this doesn’t seem to have any impact on my numbers.

Many thanks in advance for any feedback.
 
Exercise will improve insulin sensitivity but firstly it takes time to kick in, took me about 4 weeks for a noticeable effect and secondly, it has to be daily. The hormones/enzymes that exercise releases do not last long. I exercise for short periods several times per day, just four or five mins each time. The effect of this can be seen on my reaction to porridge oats. Everyone seems to have problems with these. It used to spike me and I would be 2.0 - 2.5 mmol/L higher after 2 hours. Now, it is 0.5 mmol/L max and mostly it is back to the pre meal reading. As I mentioned, it took a few weeks to get to that state and maybe when I first started production of my hormones/enzymes was also sluggish but I am glad I persisted because I have moved on to a wider variety of breads too. In general, I am eating more carbs now, mostly unrefined but some refined, and still keeping my levels low. Also, even though I only exercise for short periods, now that I am a little fitter, I can work at a harder rate. Maybe this has a beneficial effect on my insulin sensitivity. A report I read claimed that one should aim to burn 1000 - 1500 Kcal a week through exercise to maximise the benefit to insulin sensitivity. I aim to do five sessions a day at 30Kcal per session.
 
Three Answers.

1. Higher fasting bg levels are a symptom of diabetes, sometimes diet can control them and sometimes not, if you are concerned speak to your doctor about it.

2. People eating a very low carb diet often report that it causes carbohydrate sensitivity making carbs affect them more the lower they go. I do not follow a very low carb diet so have not found this to be a problem for me.
I do eat a reduced carb diet and eat low GI carbs where ever possible, I have also lost over 5 stone (73lb) in weight which has been the best treatment which has clearly reduced my insulin resistance to the point where I can eat a more normal diet. If you are over weight the best way to help yourself is to loss weight, obviously that is not an option if you already have a normal BMI, in which case your only option is either low carb diet or meds or a combination of both.

3. Itching is often associated with diabetes although I have not heard of itchy eyebrows before, of course that is not to say that it doesnt occur frequently just that Ive not seen it mentioned on the forum before. There are many causes of itching however and it would be best to talk to your doctor about this so things like fungal infections, psoriasis etc can be either discounted or confirmed and treated.


ps. Hi RobPalt and welcome to the forum :D
 
Hi. Yes, there is an inconsistency between your meter readings (bad) and what your recent HBa1C shows (good). It is always possible that you are one of the few people who have these inconsistent HBa1c results (see the NICE Diabetes Pathways doc for a point on this) and there are other approaches that can be taken. I can only suggest further discussion with your endo?
 
I think that inconsistency results from my FBG levels first being high(ish) in early/mid November and my first ever A1C reading dated mid December, the A1C therefore includes four/eight weeks when I was normal whereas the home tests reflect only days when I my levels were high.
 
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