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SAMMI-SAM SparkPoints: (26,311)
Fitness Minutes: (4,595)
Posts: 844
11/21/13 3:25 P

I would raise my Lantus which is my long acting insulin by 2 units.....

ALGEBRAGIRL Posts: 1,925
11/20/13 7:50 P

Call your doctor. He knows your history.

RUSSELL_40 Posts: 16,826
11/20/13 7:30 P

I think it would be very helpful if you actually tracked what you ate for 2 weeks ( on your tracker ).

I was on 4 mg of Amaryl, but in the morning, to deal with my high morning blood sugars. My A1C's were closer to 10. I was on 2000 mg of Metformin.

The one day I saw was kind of low in carbs ( 59 ), but not very low glycemic. You don't want to just eat lower carb, you need better quality carbs too. You also only tracked 788 calories.

If you seriously think that low carb will help you, then you need to track your foods EXACTLY. You test after meals, so you will get direct feedback of how that food affected you. Did your doctor actually suggest this for you? If so, you might want to go get a meal plan, or have him refer you to a dietitian, with his guidelines.

Low carb isn't about reaching a certain number of carbs. We all like carbs, right? So the goal is to not eat too many carbs, so your blood sugars stays stable. This might be 150 grams a day, if you eat the right types of carbs. If you are winging this, I would suggest you read a few books on the topic. Your protein isn't going to be much higher on low carb, nor does it need to be. Some low carbers are still afraid of fat, so when carbs drop, they up protein to avoid eating 75% fat.

You, or your doctor will choose the amount of carbs you are going to eat, and protein levels 20-25 % is normal.. whatever your doctor says though. The rest is fat.

You could try the Spark Diabetes program, if you are just trying low carb because you are not getting results. If that didn't work though, you may have to go lower carb, and I sincerely hope that your doctor is on board for this. It will help you immensely.

With fats, there is a difference. You can eat fatty meats, and butter, or avocados, and olive oil, with skinless meat. Most low carbers start by eating the fattest forms of meat, and enjoy it for a month. Then they usually quit, or start eating healthier forms of fat. Grease makes me queasy, even though I eat 60 % fat. That isn't the goal

With protein, you should be able to eat lean meats, or as lean as tastes good. I eat thighs instead of chicken breasts, because they taste better. There are other forms of protein though too, especially if you are closer to 100 grams a day. Cheeses, yogurt, and beans for example.You don't need to eat a lb of meat a day.

Last is carbs, and this is very confusing. Pop is a carb, and so are green beans. You want the green There are some vegetables that can't be part of very low carb, but not many, if you can stay towards 100-150. Even sweet potatoes a few times a week are possible. Corn seems to be universally shunned. There are hundreds of vegetables you can eat. Some fruit you can't eat due to fructose levels, but again , most are okay on higher levels of carbs. Most of your drop, is going to be what you cut out, and then you would want to replace some of them with healthier carbs. A serving of quinoa with dinner, nuts and seeds at snacktime, plenty of fruits, and veggies all the time.

That is the basics, but if you don't have a doctor to help you, or haven't tried the diabetic diet, simply switching they types of carbs can help a lot.

The warning of low carb I have to give you, is that if you do it properly, you run the risk of low blood sugars. Unsupervised, that could be dangerous, especially while you are on meds, which are doing the same thing. I had a LOT of low blood sugars doing it on my own, but I think my situation was more dire, and I thought I had no options.

6.9 isn't that high. My goal was to get below 7.0 at You may not need to do something as drastic as low carb.

Also, talk to your doctor about taking the Amaryl with breakfast. Not at night. It is a fast acting drug, meant to drop your blood sugars quickly, and last about 4 hours. Metformin is less effective, but gives you less coverage. So in practice, what you are doing is before bed, taking a pill, which knocks your blood sugar down, and then you go to bed. This can lead to you waking up hungry, or while you are sleeping, your body actually produces its own glucose. It doesn't produce much, and as a diabetic, it is hit or miss, but if it does, you end up with a high blood sugar reading in the morning.

Instead, talk to the doctor, and ask if having a small snack of a protein, and a carb at night might be better.. raspberries,and an oz of cheese for example, and if you have a high blood sugar in the morning, use the Amaryl THEN. It worked for me, even before I started low carb. My overall blood sugars were atrocious, but it solved this problem.

So talk to your doctor, see if the diabetic diet can correct this blood sugar problem, before trying low carb at all. I did it through low carb, but I had many other issues, and it took me a year to get off my diabetes meds, and drop my A1C to 5.4. A whole year, where I suffered from blurry vision, and headaches from low blood sugars, probably 2X a week.

Whatever you and your doctor decide, make sure you track. Even on the diabetic diet, certain foods will spike your blood sugars more, and you should be able to refer back to your tracker,and see what food caused your high blood sugars.

I often wonder about posts like this. Why would a doctor suggest a way of eating, and not give you more advice? As a diabetic, you should have seen a dietitian, and taken classes at a minimum. You might have already been able to correct your blood sugars by now, without resorting to low carb. That is a drastic measure, and I wouldn't recommend it without supervision. Daily, if possible. It is too easy for things to go wrong.

I hope you figure this all out, and get back to stable, lower blood sugars. The advice I gave you about low carb, applies to carbs in general, even if you are eating 150-200 grams a day. Avoid the high glycemic carbs. The only reason I gave you any advice on low carb, is I fear, you may just be winging it. If not, then follow your doctor's advice. If you are, do a search for the Spark Diabetes program, and try that first.

11/20/13 6:38 P

Thanks for sharing this interesting advise. I learned a lot. God bless you. ♥

SAMMI-SAM SparkPoints: (26,311)
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11/20/13 1:47 P

I have been type 1 diabetic for nearly 30 years & u should know that fruit has carbohydrates and carbohydrates raise blood sugar! Your endo is not to informed....

SUNSHINE6442 Posts: 2,257
11/20/13 6:51 A

My endocrinologist told me a long time ago to only eat berries for three months and no other fruit to get my sugar levels down as berries have the least impact on blood sugar. It works!
Then and only then I was able to add low carb fruits such as apples, peaches, pears, plums, kiwi and cherries.

4 grapes can raise my blood sugar 10 points and bananas also give me a surge as well as pineapple. I know every diabetic is different but this may be good advice for others.

I do not eat granola bars, or any yogurt with fruit added....I go for the Greek Fage 0% plain yogurt and add fresh or frozen berries.

Wheat bread raises my sugar so I eat rye bread or pumpernickel as they both digest slowly and don't create a sugar surge. I use Benocal as a spread because of the plant sterols and no butter or margarine. I eat Kashi 7 Grain puffs, oatmeal, grits with a soft boiled egg mixed in and All Whites, cottage cheese with lettuce for breakfasts. I use skim milk... the sugars found in fruits and milk can make your blood sugar rise and fall rapidly.

I make my own pizza with a portabella mushroom half, some low sodium cheese, and green pepper and juicy and minus any crust.....I wouldn't go back to traditional pizza. I avoid foods made from flour such as bread, spaghetti, macaroni, pizza, pretzels, bagels, flatbreads and so forth

I do incorporate almond and walnuts as a snack to protect my heart usually before apple, with a tad of peanut butter and 7 walnuts halves @ 100 calories for the walnuts. Might be worth a try.

This is not intended as medical advice...Always discuss with your doctor what medical treatments and changes in your lifestyle will better your condition

11/20/13 1:26 A

I Always tend to Have High Blood Sugar Before Breakfast Anywhere between 110 mg/dl / 6.1 mmol/L - but then i am able to Control it between 140 -150 Throughout the Day. I have Started excercising and Stopped taking Insulin [ I started with 450 mg/dl when i was diagnosed].

I have tried Snacking but that is not helping me reducing the Blood Sugar in Morning.

SUNSHINE6442 Posts: 2,257
1/25/13 4:43 P

Always have a small carb and a protein 2 hours prior to will balance your blood sugar throughout the night.

Remember...High blood glucose can wake you up to urinate, while low blood glucose can wake you with hunger.

Cottage cheese is high in casein protein it is the perfect food to consume before bed. Have a scoop and add a breadstick with seasame seeds.....test in the morning and see the difference.

MICHELLEXXXX SparkPoints: (12,145)
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1/25/13 3:38 P

Amaryl can certainly cause hypoglycemia, cascading into the hyperglycemia of the Somogyi effect. Whether insulin induced or glimepiride induced, the effect is more insulin utilization in the body, resulting in a counter-regulatory hormone response and morning hypoglycemia.

LOVE4KITTIES Posts: 4,690
1/25/13 12:23 P

The Somogyi effect is something that can happen in people who are taking insulin and who take too much. It doesn't happen to T2 diabetics who are managing the condition without taking insulin. It's more likely to be what you mentioned--the dawn phenomenon. The dawn phenomenon is not associated with nocturnal hypoglycemia.

Definitely talk to your doctor about this. Your doctor will help you to get your meds and other things right to best manage this condition. Keep your chin up and be patient and persistent with it and you and your doctor will get things under control. Diabetes can be a tricky condition to manage (which is why you really need your doc to help you with this).

LANZAM Posts: 68
1/25/13 11:31 A

Hi, no - I did not know about. Thanks for the info! I will have a snack before bedtime - protein and limited carbs to see what happens.


MICHELLEXXXX SparkPoints: (12,145)
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Posts: 3,765
1/25/13 11:03 A

Do you know about Somogyi effect? It is the result of too much evening insulin (which would coincide with your dosage increase) or not enough of a bedtime snack to keep BS levels steady.

DRAGONCHILDE SparkPoints: (61,313)
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1/25/13 10:34 A

This is a question I t hink would be best directed to your doctor. Medical issues are a bit beyond our ability to appropriately answer here.

LANZAM Posts: 68
1/25/13 10:11 A


I am a T2 Diabetic and recently began watching what I eat and the number of carbs that I consume after my A1C went up for the 3rd time in a row. It is currently at 6.9.

For the past week I have had a very low carb diet, have eaten pretty much all of my allowable calories, fat and protein. My blood sugar levels upon waking have been abnormally high all week! My last bloodwork showed a fasting glucose level of 160. All week I have been between 170-180!
My sugar levels are good all day long (I test before and after meals). I know about the dawn phenomenon and all that but considering that I have been eating better the past week, I would have expected my fasting blood sugars to be better.
My doctor also increased my dose of amaryl from 1mg to 2mg with dinner.
Does anyone have any idea why this could be happening? Its not the result I expected!

Thanks very much.....

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