Meal question

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Meal question


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Old 10-12-2016, 02:36   #1
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Default Meal question

My FBG (is that the right acronym?) this morning was 117. I think that's weird because after my LCHF dinner last night I was at 105 mg/dL. But I digress - that's probably for another post.

I didn't "eat" breakfast, but after I drink my 16oz coffee with about 300 calories worth of heavy cream, I'm not hungry. I didn't test because coffee and cream haven't raised my BG in the past.

I ate 2 servings of a prepared salad from Trader Joe's. It has rice noodles and sugar in the dressing. Here's the nurtrition info from the label:
Calories - 480
Fat - 24g
Total carbs - 46g (fiber 8g, sugars 24g)
Protein - 26g

One hour after I ate I tested at 113 mg/dL. I was surprised. And happy. Then I remembered reading about how some foods cause a later spike and I set an alarm to test my blood an hour later.

Two hours after I ate I tested at 140 mg/dL.

Three hours after I ate I tested at 110 mg/dL.

So I'm thinking this salad (or at least double portions of it) shouldn't be on my plan.

Is that right? Do I just test after every meal at the one hour and two hour mark and make a note of the foods that cause me to go over a certain level? And how did you come to that "magic" number?

Also, do you eat even when you're not hungry? Why or why not?

I feel like I have 100s of questions and I only remember to ask a few of them.

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Old 10-12-2016, 02:52   #2
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You did well, and I think your conclusion about that salad would be correct. Probably a combination of the rice noodles and the dressing.

You're new to all of this, and to testing around your meals. So just keep on testing and after a couple weeks you're going to see what foods raise your BG and what ones don't.

Eventually, you'll have a list of foods and menus that can be eating with confidence that they won't spike your BG.

There's one more part to the testing equation, though. To get the most out of the testing data, you would need to test before the meal. If you are counting carbs you'll be able to see that X amount of carbs will raise your BG X amount. This information will help you to make knowledgeable decisions about your meals. For myself, I have found that I cannot eat more than 12 grams of carbs at one time, and its better if I keep that to 8g or less. I found this out by testing before, 1hr pp and 2hr pp.

Re: eating or not eating
There is no need to have a set meal schedule. You are free to eat when you're hungry and not to eat when you're not. If you have increased fats, you'll find that you can go far longer between meals than you had previously. Fats take longer to digest and stay with you longer.

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Old 10-12-2016, 03:57   #3
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FBG is fasting blood glucose, but if you want to call it fasting blood sugar FBS, that works too, or you could just say fasting.

The body uses checks and balances to control BG or BS. It is an ongoing process to signal for a little insulin to be secreted and then a little glucose to be secreted, then a little insulin, then a little glucose.....and so on. I think this is referred to as our basal insulin response. This goes on throughout the day and night when we're not eating. In the morning when we are about to awaken our body may think we need a little extra boost of energy to get going and we get a little larger amount of glucose secreted. For normal people, they usually get an equally responsive burst of insulin. For those of us lucky enough to have metabolic issues (fewer productive beta cells and/or insulin resistant) we don't get enough insulin secreted to offset the amount of glucose our liver was so kind to deliver, and we awake to see a higher BG than we had when we went to bed. As near as your numbers are, that could be merely falling into allowable meter/strip inaccuracy. If your numbers were more than 20% apart, that could be what is called dawn phenomenon that I just described.

I agree, the salad you describe should be of a lesser portion or eliminated. I'm surprised your BG didn't go higher, mine would have. But hey, thats why you can't depend on how something affects someone else, you got to know what it does to you.

Initial testing to see how things affect you, test premeal, 1 hour after, and 2 hours after. The times are not linked to anything exact, but most people reach a peak at about one hour after the first bite and should be back to pre meal values within a couple of hours. This time may be highly variable, due to how fast the carbs are digested and converted to glucose (several things can come into play to affect this) and your own first phase insulin release and your second phase insulin release. It would be nice if we could all have use of a CGM (continuous glucose monitor) after first being diagnosed to watch these more closely. We could trial and error our way with test strips to find the peak time, but would drive ourselves into bankruptcy. The only magic number I am aware of is 140 and that is the BG number that studies show where damage is occurring to our bodies if we go over it.

I don't normally eat if I am not hungry, but when I eat, I eat until satisfied.

Questions are good. Keep on asking.

I need to learn how to split quotes into pieces so I can give better looking answers, especially if I don't post immediately after the original post. Hope this helps some.

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Old 10-12-2016, 20:25   #4
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Quote:
Originally Posted by VeeJay View Post
There's one more part to the testing equation, though. To get the most out of the testing data, you would need to test before the meal. If you are counting carbs you'll be able to see that X amount of carbs will raise your BG X amount. This information will help you to make knowledgeable decisions about your meals. For myself, I have found that I cannot eat more than 12 grams of carbs at one time, and its better if I keep that to 8g or less. I found this out by testing before, 1hr pp and 2hr pp.
Thank you for explaining that! I didn't understand why testing before meals mattered but this clarifies that. I'm so happy when these "ah-ha!" moments happen. I feel like shouting, "I found another piece of the puzzle!" But no one I know in real life understands or cares so I refrain.

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Old 10-12-2016, 20:35   #5
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Originally Posted by mbuster View Post
The body uses checks and balances to control BG or BS. It is an ongoing process to signal for a little insulin to be secreted and then a little glucose to be secreted, then a little insulin, then a little glucose.....and so on. I think this is referred to as our basal insulin response. This goes on throughout the day and night when we're not eating. In the morning when we are about to awaken our body may think we need a little extra boost of energy to get going and we get a little larger amount of glucose secreted. For normal people, they usually get an equally responsive burst of insulin. For those of us lucky enough to have metabolic issues (fewer productive beta cells and/or insulin resistant) we don't get enough insulin secreted to offset the amount of glucose our liver was so kind to deliver, and we awake to see a higher BG than we had when we went to bed. As near as your numbers are, that could be merely falling into allowable meter/strip inaccuracy. If your numbers were more than 20% apart, that could be what is called dawn phenomenon that I just described.
Wow! Thank you for explaining that in a way that makes sense. I had no idea about that and it's fascinating! I was watching Dr. Bernstein's YouTube videos and he broke out with illustrations and started talking in a way that caused my eyes to glaze over with confusion. It's pretty amazing when someone understands complicated stuff but can explain it in layman's terms.

Quote:
Originally Posted by mbuster View Post
I need to learn how to split quotes into pieces so I can give better looking answers, especially if I don't post immediately after the original post. Hope this helps some.
This is my first attempt at splitting quotes. In my opinion, the looks of your answers aren't important. The substance is there. And yes, it was very helpful. Thank you again.

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