What will be the complications if..?

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What will be the complications if..?


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Old 02-03-2014, 07:13   #1
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Default What will be the complications if..?

If after a meal your bs is always a little over 200 what are going to be the complications in the long run? I'm eating low carb all the time but I'm struggling with small portion meals and because of my job I don't have a regulation on when I eat, I eat whenever I can so most of the times after 2 hrs i'm around 200, I'm on metformin ... I'm frustrated and i'm only 26...

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Old 02-03-2014, 07:38   #2
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It isn't when you eat, it's what you eat, and it appears you need to go even lower carb, or perhaps your metformin dosage should be increased, or even add insulin if you literally cannot go any lower carb.

The rule of thumb is to keep our numbers under 140mg/dl (7.8mmol/l) to avoid complications, because internal and unnoticed damage begins occurring at levels over 140mg/dl (7.8mmol/l).You'll have to tell us exactly what you're eating to raise you that high, pigiulina, because there will be long-term complications if you continue at such a high level for months and years to come.




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Old 02-03-2014, 07:52   #3
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I must tell you that most of us try to keep under 140 at all times, to avoid complications. The good news is, it's not too late to start.

From what I can read, you're either on low-carb, or trying to be on low-carb but circumstances prevent it. Sorry, but I can't tell which.

If you're having a hard time sticking to low-carb ... is it possible to take good low-carb food in to your workplace? Such foods as string cheese, salami, avocados and pork rinds, to name just a few, don't require refrigeration or elaborate prep.

Schedule of meals should not be a problem in itself, but access to suitable foods can be a challenge. Improving that access is a skill we all must learn. I admit this can be a pain at first, but it soon gets to be a habit.

If you're eating all the right foods and you're still hitting 200 after every meal ... you'll probably want to ask about an increase in your Metformin dose, and/or starting insulin. If you're already on the maximum Metformin dose, it's definitely time to ask about insulin.

Some of us Type 2s do need insulin, not because we've done anything wrong, but because we need insulin.

Please straighten me out if I was confused. More info can result in better answers for you. In any case, please keep us posted!

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Old 02-03-2014, 09:20   #4
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To echo what Shanny and Shalynne have already said, It's more a matter of what you are eating rather than when or what amount. I also overeat quite often yet my numbers are never over 120. I also am not taking Metformin, using only diet to manage my numbers. It's difficult when you can't regulate what you can eat at work and my wife has the exact same problem in that her boss has told her that it's important that all workers eat together and eat the same thing. I can understand the "together" part but not the "same thing" part and it's really put the brakes on her weight loss. (She's not diabetic but is doing LCFH with me simply to lose weight).

I hope you are able to find a way around the eating at work problem and find a clear path to lower overall numbers.

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Old 02-03-2014, 10:07   #5
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This is going to sound like a chorus - and not a cheerful one.

Every time you eat - whenever you eat - the carbohydrate content of that meal has to be processed by you. If that meal pushes your blood sugar above 140, you are taking damage until you get it back down.

As Shanny said, you may not notice the issue this year or next but by the time you get to my age, you'll likely be a cripple with extremely poor eyesight, heart and circulation issues and generally not well at all.

It is hard but now is the time to take control. You do need to start monitoring your blood glucose and if you follow the rules outlined here as Step 1 - How to Lower Your Blood Sugar you won't go far wrong.

Once you have the picture of what is happening, you need to consider what you can do about it. Even if your fasting figures are acceptable Healthy Blood Sugar Targets but you are spiking to 200 and over, your meals do need to be looked at.

Two approaches are open.
  1. Cut the carbohydrate content substantially.
  2. If that isn't an option, discuss seriously with your doctor the use of insulin for meal control.
Please do it NOW - don't wait to prove me right.

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Old 02-03-2014, 10:10   #6
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A week ago, you started a thread and commented that you're oftentimes high because you eat bread at work and enjoy chocolate at work that's given to you by a friend. You had started by saying, "the problem comes when i'm at work..."

Several people commented with ideas on how to avoid this, including bringing your own food and snacks to work. Is this still going on or are you seeing high numbers still, in spite of eating low carb and not indulging in the bread and chocolate? I know that you mentioned that temptation was a real problem. What's your diet been like?

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Old 02-03-2014, 11:52   #7
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I couldn't go any lower with carbs so I guess I will go to the doctor and try to find another solution maybe I'll even change doctor because he said that my logs are fine and not to check my bs after the meal, they are always around 130 in the morning and befor dinner.
I tend to eat high fiber and low carb meals I substituted everything I could substitute and yet I find difficulty keeping those numbers at the right level, I'm very scared because also sometimes I fall in temptation, I love food and this a curse for me, not to mention I'm italian born and raised.... I don't want to complain I'm just trying to find the right solution for me because as one of u said I don't want to become an old cripple... Thank you all for your advices

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Old 02-03-2014, 11:55   #8
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It may help if you give us a typical day's worth of food. We may be able to tweak what you're eating a bit, which would help to bring your numbers down. What's on a standard day's menu?

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Old 02-03-2014, 12:05   #9
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So in the morning I usually eat a bagle which has 0 carbs because is 7carbs and 7fibers with rawtella which should be around 6 net carbs with a glass of low fat milk (that one might have around 12g), during the day is either a salad with dressing or meat or a 3net carbs tortilla with avocado ham and cheese or dreamfield pasta, and my fridge has 4 net carbs yogurts, shiratake noodles, eggs, cheeses, vegetables, i almost eliminated fruit which I used to love, Maybe at this point is better if I start taking insuline.. Another thing I also find difficult is to go out for lunch or dinner with people who don't know anything about diabetes and they don't care so they offer u food and I'm easily convincible... Why does it have to be so hard.... Oh I'm on 1000 mg 2 pills a day metformin I don't know if there could be a higher dosage.

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Old 02-03-2014, 12:09   #10
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A bagel has approximately 50 grams of carbs and even if the brand you're eating has seven carbs, all of which are fiber, it's got the flour thing going on, which elevates blood sugar.

Not sure about the rawtella- don't know about it. The low fat milk is full of sugar, the tortilla and yogurt are also high in sugar.

I think that if you actually counted your grams of carbs for one day, from morning to night, you'd be surprised. I believe you're eating way more carbs than you believe and that you're not eating low carb. I would almost guarantee that you will find that your blood sugar comes down once you modify what you're eating. Your carbs are high - regardless of the fiber.

You're on the maximum dose of metfomin, which is good, except that metformin works best with actual low carb eating. The bagel, low fat milk and yogurt are not giving your metformin the best chance possible to work in bringing your blood sugar down.

You're staying high because you're eating more carbs than what would be ideal for a diabetic. Most of us can't eat the foods you're eating and maintain blood sugar in target ranges. If you need help brushing up on LCHF eating, here you go.

LCHF for Beginners | DietDoctor.com
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