Increase in AM FBS

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  • 4 Post By jwags
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Increase in AM FBS


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Old 06-28-2012, 17:46   #1
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Default Increase in AM FBS

I was diagnosed in January 2012 as Type 2 because my FBS was 206 and my A1C was 7.7. Was put on Metformin 500 BID and told to lose weight. By early May I lost 25 lbs., A1C was down to 5.5 and FBS was in the 100-120 range. Then we went on a 7 day cruise the end of May and, of course, didn't watch my diet, but only gained 4 lbs. back, which I have since taken off and some more. But now, for the past three weeks I cannot get my FBS down lower than 135-160. I do not take readings at other times because I read that this was the only one that counted. One thing I noticed though. If I eat red meat for dinner, my FBS is in the higher range than if I ate fish or chicken. But sometimes I just have a salad for dinner and my morning BS is still around 140. Also, I usually have an Atkins bar for an 8pm snack, which I have been doing since I was first diagnosed. I am not exactly on Atkins but do not have any rice, pasta, potatoes or bread. Any suggestions?

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Old 06-28-2012, 18:35   #2
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My first suggestion would be to test at 1 hour and 2 hours after meals. Testing only at fasting doesn't tell you much. I also just got back from vacation and did enjoy myself with lots of things I don't normally eat. I noticed the frist few days my fasting stayed good but over 17 days it gradually rose 30-50 points in the morning and after meal bgs rose 30-70 points. When you eat higher carb meals your liver stores more glycogen which then can be converted back into glucose when you are not eating. Lots of type 2's have problems with our liver storing too much glycogen and releasing it at inapporopriate moments. It usually takes me 3-4 weeks of extremely LC diet to get totally back to normal.

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moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

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Old 06-28-2012, 19:02   #3
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I want to second the experience of the "cumulative effect" of carbohydrates. If I let loose on the carbohydrates for a few days or a week, like over a holiday, my blood sugar averages are higher for a while, sometimes weeks depending on how much I broke my diet. The weight loss really stalls, too. Over the Christmas holiday, I increased my portions of everything, added more snacks between meals, and had a great time, but I gained 3-4 pounds and saw my blood sugar go up. After a couple weeks, the BGs were normal, but I couldn't lose weight for about a month despite fully returning to my diet.

My only suggestion, other than infuriating patience, is removing any extraneous carbohydrates and excessive protein from your diet for right now just to bring blood sugar in line. For me, that means limiting nuts to 1-2 servings max at a time, eating mostly vegetables, and no sugar alcohols, grains or anything like that.

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Old 06-28-2012, 19:21   #4
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Welcome, Ellie! I agree with the above about the cumulative effect of eating more carbs, and also believe it's critical to test more often in the early days. I've eaten this way now for two years and some days only test in the morning if I'm eating things I already know don't raise my BG, but I do test any new items for one and two hours and even three if my two hour test seems out of line. i believe you'll be shocked if you do this for a while.

I keep mine below 140 at all times and try most of the time to keep it at 120. I only eat red meat most of the time, by the way.




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Old 06-28-2012, 19:21   #5
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It really does seem that the liver can store extra glucose if you have carbs even once. It took about five months of low-carb dieting for me before my morning numbers were below 6. Now the occasional carb splurge seems to not affect things much. Patience!

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Old 06-28-2012, 20:25   #6
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Dawn Phenomenom is a problem for lots of us even when we eat perfect. I think the problem with a lot of type 2's is the signaling in our body. Our hormones signal the liver we are starving when we are not, so it then gives us a nice big liver dump. For years I never ate breakfast because I was never hungry. When I started to test I realised if I woke up early enough my bgs were good. But if I didn't eat right away those bgs continued to go up. Once when I fasted all day they continued to rise until about 2 pm before coming back down. Everyone's bg profile is different so that is why testing is so important. In the beginning I did tons of testing but have cut way back, now that I am controlled. It is also good to do some random tests. I found I was the highest in the late afternoon about 4.5 hours after lunch. I found I was getting a huge liver dump. A little snack helped me control my bg. I also found that when I exercised intensely I would get a huge bg spike. So testing throughout the day is so important. Otherwise you are driving blindfolded.

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diagnosed Feb 2007
metformin-2550
low carb organic diet
3 T of Coconut Oil daily
moderate exercise- mostly walking 3-5 miles, tennis - 4 hours per week, weight training, hiking on weekends and vacations 7-10 miles

HbA1c 5.3 3/11
HbA1c 6.1 5/12

Age 62
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Old 06-29-2012, 01:04   #7
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Thanks all for the advice. I will now try to test more often and hope that my AM numbers start coming down soon. And you know, I never thought about it but its true that they are lower at 6am when I get up to go to work than at 10am when I sleep in. Thanks for pointing it out.

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