Lantus, Novolog, Metformin, Januvia...questions! - Page 2

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Lantus, Novolog, Metformin, Januvia...questions! - Page 2


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Old 04-26-2015, 20:32   #11
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Some members are 'that strict' - true but some are less so. And that does not mean that you can have a 'small apple' and nothing else. Green veggies are low carb and you can have quite a plateful.

I've been low carb for nearly five years now. I no longer need any medication and my doctor gets bored with my quarterly visits when all he gets to do is nod sagely and hand me two prescriptions - one for an HbA1c test and one for a box of test strips.

Anyway, I think the focus should not be on "20 grams...." or any other hard number. We are all different but we do share one concept. We want our blood sugar under control - following something like the ideas you'll find in Healthy Blood Sugar Targets

So, having set your target for your post meal figures, the question you have to ask your meter is "did my last meal achieve my aim?". If not, then you have to decide what you do about it. And the answer is probably to cut back on carbs and/or adjust medication. Since our aim is to avoid medication - even relatively safe stuff like insulin, our first priority is the carbs. Explore our Diet and Nutrition Forum for some useful ideas on low carb meals. Explore LCHF for Beginners - DietDoctor.com for other ideas too.

A low carb diet is HEALTHY, filling and with a bit of imagination in the kitchen, delicious!

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Old 04-26-2015, 20:33   #12
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Quote:
Originally Posted by rnr1 View Post
"You will find it VERY difficult to steady your BS with that many carbs as well as grains, starch, fruit, sugar, juice etc. Can you aim for 20 carbs a DAY? That is the only way I could avoid the roller coasters."

i again, I appreciate all of the great information here! But now I have a question. You said "...with that many carbs, as well as grains, starch, fruit, sugar, juice etc."

I am counting total carb exchanges per meal (all grains, starches,veggies, fruit, dairy) and also checking labels whenever possible for grams of carbs, to make sure.

When you mention 20 grams of carb a day, that would be so little: like one small apple for the whole day and not any other sources of carb. So are most of you here being that strict? This is a new concept to me, but I am here to learn!

If you are being that strict, are any of you seeing problems with long term ketosis?

Again--thanks!
Yeah i cut all grains (wheat, corn, oats, etc) and all fruits except a few berries. Most of us eat to our meters. Test with your meter and see what foods u can tolerate.

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Old 04-26-2015, 20:59   #13
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Quote:
Originally Posted by rnr1 View Post
"You will find it VERY difficult to steady your BS with that many carbs as well as grains, starch, fruit, sugar, juice etc. Can you aim for 20 carbs a DAY? That is the only way I could avoid the roller coasters."

i again, I appreciate all of the great information here! But now I have a question. You said "...with that many carbs, as well as grains, starch, fruit, sugar, juice etc."

I am counting total carb exchanges per meal (all grains, starches,veggies, fruit, dairy) and also checking labels whenever possible for grams of carbs, to make sure.

When you mention 20 grams of carb a day, that would be so little: like one small apple for the whole day and not any other sources of carb. So are most of you here being that strict? This is a new concept to me, but I am here to learn!

If you are being that strict, are any of you seeing problems with long term ketosis?

Again--thanks!
Yes I am being so strict. It's the only way to keep my BS steady and insulin doses low. I have eaten this way since Atkins came out. Induction stage. I only eat above ground green veggies for carbs. I have no problems with ketosis, in fact the opposite. My system, energy, digestion, sleep, aches loves ketosis. My weight especially.

I know it seems limiting but it works wonders and I do love fresh veggies. I don't eat large meals so it's a no brainer for me.

Hope this helps!!!

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Old 04-26-2015, 21:25   #14
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And for the record, 'long term ketosis' is GOOD thing. Nutritional ketosis is the best possible condition for diabetics, because it allows our bodies to run on ketones (fats) instead of glucose (sugars). Fats do not raise blood sugar like glucose does.

I suspect you are confused about nutritional/dietary ketosis and diabetic ketoacidosis (DKA), which are totally different things.

Is ketosis dangerous?

Ketogenic Diet Resource




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Old 04-26-2015, 21:52   #15
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"Carb exchanges" are nonsense.

They only lull people into thinking that they are eating "low carb" when, in fact they are doing no such thing.

Please discard that system, and count grams of carbohydrates, and reduce your intake (carefully) to what folks here keep recommending. Your need for injected insulin will decrease, so you have to be careful, and aware of what you are doing, to avoid lows.

Also, discontinue, with your physician's knowledge, the Januvia, which is not helping you. (This is not medical advice)

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Old 04-26-2015, 23:00   #16
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Thank so much, everyone, for your additional responses. I have followed up on links, and have really learned a lot from your comments.

Thank you, thank you!

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Old 04-27-2015, 00:45   #17
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I did forget one main ingredient. HIGH FAT. I eat very low carb but about 80% of my diet is fat. I don't gob but I don't skimp. For instance, a 4 cup salad with 3 ounces of protein and 2 T olive oil is 80% fat, 15% protein and 5% carbs. My fat calories replace my carb calories and IMO tastes MUCH better.

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Old 04-27-2015, 04:03   #18
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If it wasn't I who stated they quit Januvia without much change, then I will second the motion. My FBG was 130-135 with it or without it. Your pancreas may produce more insulin than mine, thus you're seeing a change. Just my opinion, but eventually, continuing to eat the carbs you eat, continuing with Januvia, and forcing your body to produce insulin, you will get like me. You won't see a difference, because your pancreas will not answer the call for more insulin, but the adverse affects of the drug will continue to increase the danger of cancers.

Can't speak on the subject of dementia and low blood sugar, but 60s, in reality is only false hypo, felt or not.

I'm not as strict as 20 grams, but around 30 grams.

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Old 04-27-2015, 04:27   #19
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Quote:
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If it wasn't I who stated they quit Januvia without much change, then I will second the motion. My FBG was 130-135 with it or without it. Your pancreas may produce more insulin than mine, thus you're seeing a change. Just my opinion, but eventually, continuing to eat the carbs you eat, continuing with Januvia, and forcing your body to produce insulin, you will get like me. You won't see a difference, because your pancreas will not answer the call for more insulin, but the adverse affects of the drug will continue to increase the danger of cancers.

Can't speak on the subject of dementia and low blood sugar, but 60s, in reality is only false hypo, felt or not.

I'm not as strict as 20 grams, but around 30 grams.
_______________

This has all been educational as well as super interesting. Doing 30 grams would be easier, closer to what I've done before. It would be a start. I was wavering about starting up the Januvia again, but instead I'm going to follow the advice here and cut way back on my carbs.

Many thanks to all!

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Old 04-27-2015, 04:30   #20
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Quote:
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_______________

This has all been educational as well as super interesting. Doing 30 grams would be easier, closer to what I've done before. It would be a start. I was wavering about starting up the Januvia again, but instead I'm going to follow the advice here and cut way back on my carbs.

Many thanks to all!
YAY!!! You won' be disappointed! We're here for you

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