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Discussion Starter · #1 ·
In just the short time Ive been a part of this wondrous forum Ive done hours of reading. Some of it Im not real clear on but Im a quick study so it'll happen

But..something Im learning here that no one has ever really mentioned to me in the years since being diagnosed is monitoring my post prandial >sp< blood sugars. I have good fasting sugars 99% of the time unless I didnt behave....and before meals is 99% great. But 6 or 8 months ago when my A1c was higher than it had been the doctor mentioned in passing "Oh it must be the "after meals" bs causing problems" and moved on. DUH

So I started reading everything I could. I take vitamins and supplements to add in blood sugar reductions / control whatever the choice wording is. I have had fantastic responses with drinking ACV each day.

I know it's a little early to brag but Im excited to see this already. Ive been checking my BS an hour after meals and 2 hours after. The first couple days they would run 150/110 respectively...a couple were higher at the 1 hour marks. But now...just the last 3 or 4 days they're hanging at 115 and 90 respectively.

...it IS somewhat better right?
... And every little bit helps right??

It sounds so silly but it makes me feel so good to be taking such control over ME and how I feel. I dont care what others say, Im feeling a difference in the last couple of weeks with reigning in my blood sugars.

So all that to say...THANKS FOR BEING here and educating people

I did want to add that I do struggle a little with mid afternoon (2-330pm) low blood sugars (40-57) and early morning lows (38 was the worst). Im not sure how to remedy that yet so if y'all have ideas please feel free to offer them here. Logically Im thinking to just cut back on the insulin, Im just not sure. I dont want to "just eat something" because I am on the path to lose weight and dont want unnecessary food or calories.
 

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First ...

:peace: Good On Ya!!! :peace:

Second ...

I don't remember ... are you on insulin? If yes, do you take 2 basal doses (1 in the AM, and 1 in the PM)?

If that's the case, you may want to reduce your basal by 1u for both doses. If you're still low, reduce by another unit, thusly:

-- morning dose (for mid-day lows)
-- evening dose (for morning lows)
-- both doses if you're still getting lows twice per day

Hope this helps!
 

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Discussion Starter · #3 ·
Shalyne....I do take Insulin. I take morning (2-4am.), then a small dose mid day if I cant behave myself, just before supper (5pm) I take the largest dose of the day. At bedtime they have me take Lantus. EVERY dose goes strictly according to what my BS readings are or what kind of meal Im going to have.

I have been cutting each dose drastically over the last couple months to stop the drastic lows. I seem to be super sensitive with anything below 70 day or night. Im still in total shock at how much better and how different I feel with keeping the numbers low. You'd think after 15 years someone at some point would have asked me about the numbers after meals. ~sigh~
 

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Hi Resty. Great post. We all have our DUH moments, especially around doctors. I'll give you mine and hold your breath. The Head of Endocrinology at a premier post graduate institute in India told me that there is no difference between a BG reading of 180 or 400. DUH ??

The lows are due to insulin dosage and maybe its time to correct it. Users will be better equipped to advise on that. BTW what is ACV ? I was hoping the V stands for vodka, but I know you are going to say vinegar. For some people it works.
 

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Is that mid-day dose Lantus, or do you take a rapid (e.g., Novolog or Humalog) to prevent/correct spikes?

I ask, because it's rather unusual (albeit not unheard of) to use basal alone.

Rapid insulins are best for covering meals/snacks, or for correcting spikes. Unlike basals, rapids peak within 5-15 minutes, then disappear in 3-4 hours. This provides much more reliable control when you need a quick adjustment.

If you're not using a rapid, you may want to ask your doc.
 
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Discussion Starter · #6 ·
I use all "R" with the exception of the Lantus that I take at bedtime. Ive been slowly reducing the Lantus as well.
 

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None of us has ever been able to puzzle out why doctors are so fixated on fasting readings, when fastings are the last to manifest diabetes*. My own opinion is that every patient who presents with any diabetic symptoms should be tested for postprandials instead of fastings, A1c, of course, and they should also be tested for GAD antibodies & c-peptide. There is no reasonable excuse for these tests not to be done! It would give doctors all the diagnostic information they need in the very beginning. But I guess they must need excuses to schedule many subsequent visits exploring, so their billing accounts look good to the accounting department, so they dither about every little thing. Yeah, I know I'm a cynic . . . :rolleyes:

I too, would have benefited greatly from knowing to test postprandials.

*the last to rise and the last to drop after control has been introduced.
 

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I am not on insulin or other meds. Which simplifies things for me. But, in my simple world, the more stable and low I keep my 1 hour test results, the less likely I am to find myself suddenly dropping through the 50s (and blinded by bright flashing lights and suddenly feeling really yucky).

Perhaps as you tune both your PP BG and your insulin down you will hit a balance that really works for you!

PS I am so very happy you found us! Keep posting, you have a lot to share and I am very grateful.
 
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Discussion Starter · #9 ·
Ive gone from 5 injections a day to two. The units went from 50 to 10-15 twice a day.

Today my 2 hr after was 90 once and for some reason 145 the next time. Im unclear why but it's still getting better. I do log what I eat so I can see but its escaping me today. I havent slept good in many many days. No matter who ya are...2 or 3 hours a night isnt near enough for anyone....even me.

But..I feel better and and I know it's all working..sadly patience is not one of my virtues.

Hope y'all are having a super day....Stand Strong
 

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Some foods (fats fer shure, fiberous foods, I am told even small amounts of pasta) slow digestion waaay down. If I eat a some high fat or high fiber foods, I know the rise and fall of my BG is going to run about two hours behind my normal schedule.

So, it could be food.

And it could be lack of sleep/stress. Golly BG is fickle and delicate stuff!
 
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The diabetes specialist at the clinic my doctor is part of said that I should aim for FBG numbers between 5 and 7 mmol/L (90 & 126 mg/dl), and post-prandial numbers (2 hours after meals) no higher than 10 (180)... Seriously? My own targets are FBG between 4 and 6 (72 and 108), and PP no higher than 7.5 (135).

My FBG is always my highest of the day. Yesterday, two hours after supper my BG was 5.5 (5.1 when I got home from work). But then, no one said I couldn't go for lower targets than the doctor suggested. ;)

(For the record: 850 mg Metformin 3x/day, 24 units of Lantus an hour or so before bedtime.)
 

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The 10 mmol per litre target is the standard figure advocated by the national associations. Pity it's a virtual guarantee of complications:(.

Now the cynic in me deliberately presented it in mmol per litre rather than 180 mg/dL since I suspect that it's such a nice round number when quoted in those units and thus easy to remember. Was it picked out of the air for that reason and no other?

John! - go take your anti-cynic pills:eek:
 

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Discussion Starter · #13 ·
My FBG was like 80 something this morning
...130am---87(?).
...6 am---82...
...10am---92
...1pm---140 (1 hr PP)
...230---101 (2hr PP) roughly

...and just now it's 97 so it is getting better I think. I am AMAZED at how much better I feel, less tired, more energy.

I am working on the low carb thing. Im just not sure about the fat side of things. I have enough of my own ya know? LOL But seriously..I AM reading and absorbing a lot here.

My victory for the day is gonna sound really flaky to y'all but it's really kind of major to me. It's something Ive struggled with in breathing for the last 3 or 4 years. I was able to walk from my truck to my office today at 5am...and then back out to my truck at 245 this afternoon without stopping or huffing and puffing til I actually got IN the truck. Normally I have to stop 2 or 3 times both ways.

I gotta beat this and just in the short time Ive been here I feel the support and encouragement. Lawd knows Ive learned more here in the last couple weeks than I have from my own physicians and Diabetic whatever her title was. LOL
 

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Read everything about nutritional ketosis, and it eventually sinks in. I did just low-carb for several months, and was seeing results. Then I stopped seeing results. Then I added fat and dropped inches and weight. Sortof convinced me right away. Now I've hit another plateau and am rolling my eyes at having to pay close attention so I can figure out how to break it this time.

I've been educating both my PP (who cannot argue with my results) and my Diabetes Educator, using links to studies that are well-cited, as well as anecdotal information from around the globe to prove my point.

I know how you feel about the huffy-puffy. I drive a computer with panache and precision, I do the same with a car. I went hiking at a high altitude with my delivers-shipping-freight BF and nearly passed out all over the place.
 
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Happy Dance for no huffing and puffing!

I am so glad you embraced the 1 hour PP testing! While the results are sometimes puzzling, they can usually tell us so much about how our bodies are reacting to food/environment.

I also encourage you to run some internet searches and learn more about the HF part of the LC equation (or try it for three weeks - see if your body shows even more signs of improving health).

It sounds odd to say a body that is getting a lot of energy from eating - especially eating LCHF - is more likely to release weight than a body that is at deficit. I think it has something to do with the body being under so much less physical stress. And, yes, from time to time during weight loss the amount of energy coming has to be tuned. But, for many of us, the easiest road to losing and maintaining that loss is butter (and related fats).

Keep learning! You came here with a lot of knowledge and experience. And you are building on that foundation wonderfully!
 
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Discussion Starter · #16 · (Edited)
No huffin and puffin....and blood sugars below 100 ALL day...

>>I killed the whole low carb things early on though...I caved and had a cinnamon roll<< I couldnt help it...it wasnt my fault..it was calling my name ...

WOOOOOOOOOO HOOOOOOOOOOOOO

1hr PP.....130
 

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acv

In just the short time Ive been a part of this wondrous forum Ive done hours of reading. Some of it Im not real clear on but Im a quick study so it'll happen

But..something Im learning here that no one has ever really mentioned to me in the years since being diagnosed is monitoring my post prandial >sp< blood sugars. I have good fasting sugars 99% of the time unless I didnt behave....and before meals is 99% great. But 6 or 8 months ago when my A1c was higher than it had been the doctor mentioned in passing "Oh it must be the "after meals" bs causing problems" and moved on. DUH

So I started reading everything I could. I take vitamins and supplements to add in blood sugar reductions / control whatever the choice wording is. I have had fantastic responses with drinking ACV each day.

I know it's a little early to brag but Im excited to see this already. Ive been checking my BS an hour after meals and 2 hours after. The first couple days they would run 150/110 respectively...a couple were higher at the 1 hour marks. But now...just the last 3 or 4 days they're hanging at 115 and 90 respectively.

...it IS somewhat better right?
... And every little bit helps right??

It sounds so silly but it makes me feel so good to be taking such control over ME and how I feel. I dont care what others say, Im feeling a difference in the last couple of weeks with reigning in my blood sugars.

So all that to say...THANKS FOR BEING here and educating people

I did want to add that I do struggle a little with mid afternoon (2-330pm) low blood sugars (40-57) and early morning lows (38 was the worst). Im not sure how to remedy that yet so if y'all have ideas please feel free to offer them here. Logically Im thinking to just cut back on the insulin, Im just not sure. I dont want to "just eat something" because I am on the path to lose weight and dont want unnecessary food or calories.
We are all very different, I tried ACV years ago then a few years ago. I saw no change and I did it a long time, depending on how advanced one D is and if the pancreas is shot this can work for many.
 

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No huffin and puffin....and blood sugars below 100 ALL day...

>>I killed the whole low carb things early on though...I caved and had a cinnamon roll<< I couldnt help it...it wasnt my fault..it was calling my name ...

WOOOOOOOOOO HOOOOOOOOOOOOO

1hr PP.....130
Didnt you realise that the cinnamin rolls name was "testy". Resty was suckered by testy.

So, in your baseball language, "you is on strike one". So you gotta be careful in the next innings.

Great to hear that you are walking better and feeling better.
 
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