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re: morning blood sugar - Page 2


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Old 05-22-2016, 21:52   #11
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Quote:
banana and 4 oz. of cantaloupe,
Real food, but high in carbs. Could be the reason for the 153 BG after lunch. Did you test 1hr pp? Could have been a lot higher then.


Whenever one eats a lot of carbs, some of the resulting glucose is snatched up by the liver, converted to glycogen, and stored to be released as glucose at a later time. That later time is often in the morning - a natural part of the waking up process. A low-carb diet (less than 50 grams of carbs per day) does help in lowering the liver's stores.

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Old 05-23-2016, 13:32   #12
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"Did you test 1hr pp?"

Thanks VeeJay; no, I did not do that yesterday. I will do that this morning. It will be instructive, I believe, as I have just completed a "high-carb" breakfast (estimated 4.5 units).

I would migrate more quickly to eating fewer carbs, if I was sure I would remain at my current activity level, which is very low. I am expecting to be much more active soon, with a mix of exertion levels. One constant in my history is that my BG plummets quickly when my exertion is heavy, even if for only 10-15 minutes. (But, just to be clear, I am not a weight-lifter.)

I am testing so much more frequently now, that I am using up all of my test strips! I will have to ask my endoc to approve a larger quantity to be supplied.

UPDATE:
1-hour pp - 234. Wow! Of course I will test again at the 2-hour point. I really do want to get a closer track on my morning progression of BG. That is because I have experienced so many deep lows (hypos) in late mornings. My endoc said he would approve a Continuous Glucose Monitor ONLY if I was also using an Insulin Pump. Honestly, I don't want to go all that bionic. I just learned last week that even if I did use a CGM, I would still be using finger-pricks and test strips besides. So, enough invasion for me. Enough is enough.

This afternoon I plan to eat a low-carb lunch, then take hourly BG tests. As I have written in my food log, THE WAR IS ON!


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Old 05-23-2016, 13:53   #13
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@SteakSauceCharlie
I'm thinking that some of your problem is how you are using insulin. I don't use it, so can't address this directly. Diabetes Solutions is a good reference book for any diabetic and especially those using insulin. Dr. Bernstein is a T1, but his method of managing blood sugar with insulin transcends types.

Much of what is in his book is available online: Read Online - Dr. Bernstein's Diabetes Solution. A Complete Guide to Achieving Normal Blood Sugars.

And his "Law Of Small Numbers" is one of the keys to managing BG that goes up and down The Laws of Small Numbers

I hope this helps.

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Old 05-23-2016, 15:19   #14
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Honestly, morning BG tests distress most of us because it is often the hardest to control or get to the set point WE want. So, you go to sleep with 85 and wake up at 85 - you'll feel great - you have beat this thing. Then next week, it will begin all over again and you get really frustrated. Remind yourself that you are not a robot. You can have illnesses that are temporary and that don't even bother you enough to notice that could be affecting your morning BG. But, let me give you a big hand for getting to 85!! The only way I get below 100 is skipping lunch until 2:00 p.m. while doing errands (exercise keeps BG down in my case).

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Old 05-23-2016, 16:51   #15
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@VeeJay and @Bunjee, thank you both! I always appreciate links to more info and encouragement. I did start to read some of Dr. Bernstein’s on-line material, last week. I read slowly, and I have to read several times before I truly get it. It’s great stuff! I am learning more and more. I should have done all this learning 7 years ago.

My morning BG test readings so far today are intriguing:
234 at 1hr pp – 7:30 (noted earlier)
244 at about 2:30 pp – 9:00. (I am TERRIBLE overall at keeping track of time and especially, for no good reason, at being on time with taking the 2-hour pp test.)
134 at 10:05 – about 3:30 pp. So the late morning dive appears to have begun!

What did I do in that hour between 244 and 134? Next to nothing, to my estimation – just finished bathing and dressing, and driving to work (short commute, hooray!).

I had read recently, and I think it was in Bernstein’s small numbers literature, that meds like Humalog do not act right away, after injection. Believe it or not, before I joined these forums, I never even thought about latency like that, and its likely effects.

So @VeeJay, I am getting the same suspicion you have – that I am not using my insulin (Humalog) just right yet. The good news is that I am using so much less than I was using just a month ago. I am tempted to experiment on myself. I wonder what would happen if I used NO Humalog at a future breakfast, only the 1000mg Metformin. Presuming a LCHF meal and testing hour by hour, I suspect that would be telling.

Onward with the war! Thank you again to both of you for reading this bit of my saga.

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Old 05-23-2016, 17:13   #16
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I looked up Humalog and find it's the fast-acting insulin to be used to cover the carbs eaten.

My logic says you should not stop it, but get the dose correct for the amount of carbs you are eating. Do you know your insulin:carb ratio? Would be good to get that figured out.

Also, if your BG is in the 200s, ANY carbs are going to just send your BG higher. I have read from other insulin users that they cannot eat carbs at breakfast because they are more carb-sensitive at that time.

Have you considered eating bacon and eggs for breakfast and skip the carby foods like breads and fruit? This might be a more productive experiment than stopping your insulin. Watch carefully, though, because if you are used to injecting X-amount of Humalog, and you greatly reduce the need for it, then you will likely go hypo. So do this experiment in increments so you can make adjustments in your insulin.

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A1C in the 5% range.
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Eat no grains

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Old 05-23-2016, 17:23   #17
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I always take a snack sometime after dinner. Can be a few pecans, walnuts, or a few squares of 85% cacao chocolate. Al these are low carb....but if I eat them after 8pm my morning BS will be 110-120! If I eat them before 8pm I get a 90-110 morning BS. If I eat nothing after dinner, I still see a 90-110 morning...!

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Old 05-23-2016, 18:20   #18
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Quote:
Originally Posted by VeeJay View Post
I looked up Humalog and find it's the fast-acting insulin to be used to cover the carbs eaten.

My logic says you should not stop it, but get the dose correct for the amount of carbs you are eating. Do you know your insulin:carb ratio? Would be good to get that figured out.

Also, if your BG is in the 200s, ANY carbs are going to just send your BG higher. I have read from other insulin users that they cannot eat carbs at breakfast because they are more carb-sensitive at that time.

Have you considered eating bacon and eggs for breakfast and skip the carby foods like breads and fruit? This might be a more productive experiment than stopping your insulin. Watch carefully, though, because if you are used to injecting X-amount of Humalog, and you greatly reduce the need for it, then you will likely go hypo. So do this experiment in increments so you can make adjustments in your insulin.
@div2live, way to go with your control through the night! That encourages me. I can win, and I will win! You point out something that I do, though, that is probably bad for me, as far as controlling BG (or BS). I often will eat dinner after 8pm. It's hard to avoid because I usually work late.

@VeeJay, more thanks! I appreciate your suggestion on a cautious approach. I was sure that I had read about latency in Humalog... Maybe not. [B]I do not know my insulin:carb ratio. I will definitely work on that.

I already eat one fried egg almost every morning. Usually, I will eat either bacon or sausage with it, too, but not every morning.

I have a virtual life-long habit of eating a bowl of sugary cereal with milk for breakfast. Not every day, but almost every day (well, until the past couple of weeks). Bad, I know. I am eating cereal w/milk less and less often, and in smaller quantities when I do eat it. But I will still drink milk some mornings, even if I do not eat cereal.

I also have eaten a banana for breakfast almost every day for many years. It is hard to describe, and I am not knowledgeable to explain or even to speculate on why, but I swear, I do not feel good through the day, if I do not eat a banana in my earlier waking hours. Today, I have held off with eating the banana until lunch. That is as long as I can hold off, without feeling "un-good." I have eaten my daily banana at lunch more often in the past month. I plan for the banana to be my only carbs until dinner - counting it for 2 units (30 g).

My carbs at breakfast today were specifically a hunk of a glazed sweet roll. The worst, I know. Very dense bread, lots of sugar - counted it as 4.5 carbs (~68 g). I did expect higher BG readings to ensue, and injected 8 units of Humalog, thinking that based on prior mornings' readings, that dose would keep my BG from going too high. Obviously, for today, that was a total failure!

But, my BG was 92 at 11:30, down from my highest reading this morning of 244; I expect to eat lunch between 12:30 and 1:00. Oh - I should mention that my waking BG this morning was 133.

One of my meds knocks down my BG during the morning, and often knocks it down too low. I am just not sure if it's the Humalog or the Metformin. I have an office job, and it typically is not terribly mentally taxing. So I don't think my work makes my BG dive in the mornings like it does. However, I have noticed on a couple of occasions, that when I am bearing down in thought at work for a couple of tough hours, I go into hypo.

So I might be carb-sensitive, such that I should not eat any carbs in the mornings. That is certainly possible for me to do. But whatever it takes, I dearly need and want to halt having the late morning hypos.

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3. Lantus inject 1x/day (bedtime - late evening, 11pm-midnight) - 30 units

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Old 05-23-2016, 19:57   #19
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I already eat one fried egg almost every morning. Usually, I will eat either bacon or sausage with it, too, but not every morning. This is really a good breakfast, pure High Fat Low Carb it is....! Don't be afraid to scramble those eggs and add some cheese for a change!

I have a virtual life-long habit of eating a bowl of sugary cereal with milk for breakfast. Not every day, but almost every day (well, until the past couple of weeks). Bad, I know. I am eating cereal w/milk less and less often, and in smaller quantities when I do eat it. But I will still drink milk some mornings, even if I do not eat cereal. This all, as you know, is really starting your day off poorly for a diabetic! I had the same problem, but I have not had cold or hot cereal or any milk other than Heavy Whipping Cream since I began LCHF. From testing I know these both blow my sugar up, which in turns packs my liver with sugar to dump on my later, usually when I get up....!


I also have eaten a banana for breakfast almost every day for many years. It is hard to describe, and I am not knowledgeable to explain or even to speculate on why, but I swear, I do not feel good through the day, if I do not eat a banana in my earlier waking hours. Today, I have held off with eating the banana until lunch. That is as long as I can hold off, without feeling "un-good." I have eaten my daily banana at lunch more often in the past month. I plan for the banana to be my only carbs until dinner - counting it for 2 units (30 g). What I found as I went through the process of getting myself to change and stop eating things that were high in carbs, things I had done all my life, was that for a time 2-3 weeks I felt bad, low energy, sleepy, etc. But I stayed on course, increased my salt intake to offset my weight loss from more water being lost and increased my fat intake, especially in the morning with Heavy Whipping Cream in my Coffee! And at the end of 3 weeks I felt great, food tasted great and I stopped craving fruits and sweets....!

My carbs at breakfast today were specifically a hunk of a glazed sweet roll. The worst, I know. Very dense bread, lots of sugar - counted it as 4.5 carbs (~68 g). I did expect higher BG readings to ensue, and injected 8 units of Humalog, thinking that based on prior mornings' readings, that dose would keep my BG from going too high. Obviously, for today, that was a total failure!

Trying to manage high carb intake with extra injections of insulin is a bad yoyo model that can lead to some serious problems.....you are playing with fire! At some point you have to deal with your disease and change your lifestyle or bad stuff may come your way....!

But, my BG was 92 at 11:30, down from my highest reading this morning of 244; I expect to eat lunch between 12:30 and 1:00. Oh - I should mention that my waking BG this morning was 133.

One of my meds knocks down my BG during the morning, and often knocks it down too low. I am just not sure if it's the Humalog or the Metformin. I have an office job, and it typically is not terribly mentally taxing. So I don't think my work makes my BG dive in the mornings like it does. However, I have noticed on a couple of occasions, that when I am bearing down in thought at work for a couple of tough hours, I go into hypo.

So I might be carb-sensitive, such that I should not eat any carbs in the mornings. That is certainly possible for me to do. But whatever it takes, I dearly need and want to halt having the late morning hypos.[/QUOTE]

As I read the rest of this post it seems you are justifying and rationalizing everything you eat! Diabetes will cause heart disease, liver damage, pancreas damage, blindness, loss of limbs, etc. etc. etc. This is my motivation to myself....how about you?

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Old 05-23-2016, 23:42   #20
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I am motivated by:
- being loved by, and loving, others in my life;
- others' successes and their encouragements;
- my siblings (all older) also having Type 2; (we are not close enough for me to be sure how they are doing today, but, they are still alive, decades after diagnosis)
- knowledge (what I already know, and what more I expect to learn, and even more that I hope to learn);
- desire and will to be as healthy as I can be within my own control, with whatever time I have left to live;
- confidence, from having overcome adversity and achieving success in other areas of my life (this is where it pays to be older, as old as I am now, and to have memories to look back on).

Honestly: the threat of (or fear of) more and more adverse consequences of having diabetes (or worsening diabetes) does not motivate me like any of the things I listed above. I will deal with consequences as they come - if they come. I accept that there will be some things within my control, and some things beyond my control. Things beyond my control do not frighten or discourage me.

I know that I am not:
- "playing with fire;"
- not dealing with my disease* (the double negative is intentional)...*as of about mid-April 2016;
- "Trying to manage high carb intake with extra injections of insulin"
- "justifying and rationalizing everything I eat" (that is, according to any delusion that I can indulge in and eat whatever I want - been there, done that)

It is a sublime peace of mind to know that, for at least where my diabetes is concerned, I am (finally!) free of denial and self-delusion.

One of my favorite quotes, by James Baldwin: "Not everything that is faced can be changed; but nothing can be changed until it is faced."

I have changes to make, adjustments to continue making, and progress to realize. I rest assured that all of those will happen.

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T2 Dx: 5 Aug 2009
A1C: 8.7 Apr 2016
MEDS:
1. 1000mg Metformin 2x/day (breakfast and dinner)
2. Humalog inject 3x/day (breakfast, lunch and dinner) - dose varies according to BG at start and anticipated carb consumption
3. Lantus inject 1x/day (bedtime - late evening, 11pm-midnight) - 30 units

I used to live to eat. Now, I eat to live.
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