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Type 2 Diabetes
What counts as a blood sugar ‘spike’
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<blockquote data-quote="Paul_" data-source="post: 2700386" data-attributes="member: 578575"><p>This absolutely matches my experience with testing different carb intakes shortly after my T2 diagnosis.</p><p></p><p>[USER=588261]@EmilyMay11[/USER] - Your question is very good and definitely valid, but it's a difficult one to answer. I aim for the safe side, where my 2hr post meal reading is <1mmol above my pre-meal reading.</p><p></p><p>In terms of spikes, liquid carbs will result in the quickest and sharpest spikes for me, so honey, fruit juices etc, but quantity is key here when it comes to how long that spike lasts. Next up is high carb solid foods, but low fat, low protein and low fibre options - dirty, nutrition free (but my favourite) white rice being the worst for me, seeing a steadily rising and long elevation in BG readings.</p><p></p><p>However, just to keep the mystery of diabetes alive, the overall composition of your meal also has an effect. High fat, high protein, and/or high fibre can all slow the digestion of higher level carb items to a rate your body can handle. However, if it's a high enough level of carbs too, these combinations can result in a slower rise to peak levels, sometimes needing 3+ hours to see, and causing that eventual spike to last longer too. Portion control of offending carb items, combined with adjusting quantities of fat/protein/fibre as needed, is the best (but very time consuming to test) route in these scenarios when designing meals.</p><p></p><p>It all comes down to each of our individual insulin resistance levels, so a CGM is the only option that provides anywhere near the accuracy to determine what potentially spikes you and in what quantities/combinations.</p></blockquote><p></p>
[QUOTE="Paul_, post: 2700386, member: 578575"] This absolutely matches my experience with testing different carb intakes shortly after my T2 diagnosis. [USER=588261]@EmilyMay11[/USER] - Your question is very good and definitely valid, but it's a difficult one to answer. I aim for the safe side, where my 2hr post meal reading is <1mmol above my pre-meal reading. In terms of spikes, liquid carbs will result in the quickest and sharpest spikes for me, so honey, fruit juices etc, but quantity is key here when it comes to how long that spike lasts. Next up is high carb solid foods, but low fat, low protein and low fibre options - dirty, nutrition free (but my favourite) white rice being the worst for me, seeing a steadily rising and long elevation in BG readings. However, just to keep the mystery of diabetes alive, the overall composition of your meal also has an effect. High fat, high protein, and/or high fibre can all slow the digestion of higher level carb items to a rate your body can handle. However, if it's a high enough level of carbs too, these combinations can result in a slower rise to peak levels, sometimes needing 3+ hours to see, and causing that eventual spike to last longer too. Portion control of offending carb items, combined with adjusting quantities of fat/protein/fibre as needed, is the best (but very time consuming to test) route in these scenarios when designing meals. It all comes down to each of our individual insulin resistance levels, so a CGM is the only option that provides anywhere near the accuracy to determine what potentially spikes you and in what quantities/combinations. [/QUOTE]
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What counts as a blood sugar ‘spike’
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