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Diabetes in Children - Standard treatment ineffective, but there is hope

Friday, April 18, 2014

This story made me sad.

www.pbs.org/newshour/bb/health-jan-j
une12-diabetes_06-06/


But I know that there is hope. If we can just get the information out there. My own daughter tested positive for pre-diabetes about a year ago with an H A1 c level of 5.7 in spite of having about 16% body fat and being a successful and muscular Highshool swimmer who, together with her team, won the State Championship for her High School.
We were lucky to find out that I was pre-diabetic or she never would have been tested.
She is now eating a paleo-type and low-carb diet and her blood sugars are in the normal range. It is not always easy for her to explain to her class mates why she will not eat like everyone else but it is so worth it to know that she will not have to deal with all the problems that type 2 diabetics face.
She decided to get a blood glucose meter and occasionally tests her blood sugar on her own to make sure that the can avoid foods that raise her blood sugars to unhealthy levels. Her HA1c level is also tested every 6 months. She learned that it is very possible to have fun with friends and with food without caving to the carb-temptations that we are all bombarded with all day long. I'm so proud of her for taking control of her life and her health now.

  
  Member Comments About This Blog Post:

KICK-SS 4/18/2014 1:50AM

    You don't say how old your daughter is, but that is great that she takes her health serious and doesn't cave to the other classmates whims. You should be very proud of her!!


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DIDMIS 4/18/2014 1:45AM

    Your daughter is one smart emoticon

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NOWYOUDIDIT 4/18/2014 1:45AM

    My 10 yr old "surprise" baby has a skin condition that in children is often a warning to being pre-diabetic. I had gestational diabetes with 3 of my 4 pregnancies, (not my first) but only with my last was I treating it with insulin. The older 2 kids (33 and 35 yrs now) are very thin like their father. I never took these things seriously when they were little, and then sure enough I developed type 2. Now I think it's a blessing that I can teach my 10 yr old son how to eat. And he can see his sjkin improve when he eats right. My older 2 eat incredible amounts of carbs like my husband. My 10 yr old son appreciates what I am trying to prevent him from- even if he still shares a jelly toast with Dad. He knows. I was not able to help the older two, they are like I was at their ages, but even more so because they are thin. They think because mom is fat- I have the problem not them. :o( My 10 yr old is thin too, so we know it's not all about the weight.
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4/15/14 Biggest blood sugar spike yet - Quest bar

Wednesday, April 16, 2014

This one was somewhat unexpected. I wanted to try one of the Quest protein bars which have a half-decent ingredient list and relatively low net-carbs. The sweeteners are all supposed to be very low-glycemic. The variety I tried was one of the two without sucralose (Splenda), Lemon Cream Pie

www.questproteinbar.com/protein-bars
/lemon-cream-pie-single-bar.html


I wanted to like this one, hoping that I may have found an easy occasional protein source for use after a hard workout when I don't have time to make food.
The taste was ok, pretty chewy, not great, I don't expect gourmet food from a protein bar.
But I tested my blood sugar several times. After 30 minutes it was 122, after 45 minutes it was 147, after 90 minutes it was 129 and after 2 hours finally back at 110.
I think I will have to skip the Quest bars, maybe they are processed too much. I can do better for the about 2.50 they cost. They are gluten-free and would work as an emergency ration.

The day until the Quest bar was uneventful as far as blood sugars:

8:40 am 87
11:30 am 93
12:30 pm 97
1:30 pm 93
3:30 pm 105 after having yogurt with rhubarb and nuts with "Just like Sugar" sweetener

I may give the experimenting a rest for a while. I've tested so many foods that I have a very wide variety of things I know I can eat and in what quantity. I may test blood sugars just once or twice a day for a while.



  
  Member Comments About This Blog Post:

RUSSELL_40 4/17/2014 10:28AM

    I get BS spikes from anything of the sort.. Sugar free foods, sugar alcohols, and sugar alternatives.

Now that you have tested all your foods, I would think the only reason you would need to test extra is if you try to add another food that you haven't tested.

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JSTETSER 4/17/2014 9:18AM

    Sometimes I am amazed at what causes a spike.

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SKATER787 4/16/2014 10:53PM

    I wonder if you're better off making your own energy bars. I remember I used to make those years ago. emoticon

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SEATTLE58 4/16/2014 12:07PM

    It's a good idea to stay away from the Quest bars, it seems. I love how you take care of yourself so well. Oh, and I must tell you too, that I'm starting to believe in the Atkins and the last 3 days have been just that. A lot more fat! Hmmm, hard boiled eggs with real butter! Gotta love it! emoticon

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1CRAZYDOG 4/16/2014 10:31AM

  For some reason erythritol makes my blood sugar go a little higher. Anyway, it was a good try for you. I personally do not use the Quest Bar, but know plenty of people who do.

Good luck on your continuing learning quest! Thanks for sharing.

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"Happiness is the spiritual experience of living every minute with love, grace, and gratitude." Denis Waitley
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BELMACD2 4/16/2014 10:27AM

  Eh $2.50 a bar? That's a rip-off! I like to stay away from those processed bars myself. I just keep a bag of nuts in my gym bag for after my workout. I don't even want to eat it lately but force myself to. I wonder if I could wait until lunch and have a good size serving of protein like chicken. I'm afraid of having an energy slump after my workout if I dno't have a snack but I wonder if that might not happen since I'm not fueling on carbs any more? I used to eat greek yogurt (sweetened) after my workout every single day until I switched to the low carb plan. Very very surprised to find that I don't miss it! It was my biggest source of added sugars in my diet for sure.

Thanks for the welcome to the low-carb board :)

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WOUBBIE 4/16/2014 8:51AM

    Homemade trail mix might have to do.

I had to look up Isomalto-Oligosaccharides; you know, I can honestly say that I'm really sick of reading about sugars, pseudo-sugars, and sugar substitutes! They're everywhere!

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-LINDA_S 4/16/2014 7:38AM

    I love Quest bars. I don't really know if they have an effect on my BS since I've never had a pressing reason to check it. I didn't like the lemon one either. I've only used the ones without sucralose. Sorry they didn't work for you.

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DIDMIS 4/16/2014 3:53AM

    You do good to check your sugar so diligently.
Irene

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KICK-SS 4/16/2014 1:39AM

    I use the Quest bars quite often (the lemon is one of my least favorite, I think it tastes more artificial than the others) - anyhow, they don't seem to affect my BS at all, or very little... I use them more for a filler for the protein and the fiber. I like most of them, the banana muffin is a good one, as is the white chocolate raspberry and the choc chip cookie dough. Actually I like them all except the lemon and the double chocolate chunk...

I'm not diabetic, but having a close friend who is made me want to keep an eye on the blood sugars after seeing all she has and still is going through. My FBS has always been a little bit over 100, however the rest of the day it's just fine.. Dr.'s have said, "no worries" - so....

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ZRIE014 4/16/2014 12:53AM

  take care

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4/14/14 Blood sugar spike after coffee - or was it the diabtes meeting? ;)

Tuesday, April 15, 2014

I'm not kidding, the local diabetes meeting was filled with confusing and contradictory information. The dietician that gave the talk probably had no choice but to present the new guidelines of the American Diabetes Association. I suspect her knowledge base was heavily influenced (or shall we say limited) by sources that the American Diabetes Association uses.
Overall there were some hopeful signs. Some things were not outright condemned any more, among them a low-carb diet. Instead it was said that there is no set macronutrient ratio that is recommended. It was also said that omega-3 fatty acids are useless for diabetes unless they come from natural foods like fish.
It was mentioned that a high-fiber diet has been shown to NOT be helpful in diabetic patients.
Some stuff was horribly misleading: Trans fats, cholesterol and saturated fats were all mentioned as one category with no mention of the fact that the first is man-made, the others are natural foods. Polyunsaturated fatty acids were recommended, regardless of source (whether from corn, soy, canola or flax) and no mention was made of the fact that these oils are often full of processing chemicals (in particular soy and canola) and are not heat stable and therefore often rancid at time of consumption.
There was also no difference mentioned between saturated fats from animals that were raised in factory farms on GMO corn and soy and animals that were pasture-fed. The nutrient profile is very different, with the latter containing much more omega 3 fatty acids and CLA's (conjugated linoleic acids).
Further, the argument was made that starches are to be preferred over processed sugar because they supposedly raise blood sugar more slowly, not my experience at all. In fact, given that sugar is broken down into glucose and fructose and fructose is processed by the liver and does not spike insulin quickly (although does plenty of harm in the liver) it stands to reason that starches like flour/bread raise blood sugar more quickly than sugar.
When talking about alcohol the only effect that was mentioned was the fact that the consumption of alcohol can lead to dangerously low blood sugars in diabetics. The effect that both alcohol and fructose have in causing fatty liver was not mentioned, even though good liver function is a very important factor in blood sugar regulation.
I had the chance to share at the meeting that I had experimented for the last 3 weeks with finding out my body's blood sugar response to many different foods. The Diabetes educator answered by saying that I am the exception, that most diabetics are not willing to test their response to foods. I was wondering if they were just never told that this is an effective option.
In any case, I was pretty wide awake during the meeting because I could only get regular coffee instead of my usual decaf. I suspect that this was the reason for my somewhat high blood sugar levels two hours afterwards. Caffeine works as a stimulant by causing a release of sugar into the blood stream. Now I know to stay with decaf.

Here are today's stats:

8:40 am 92
12 noon 99
4:30 pm 111
6:00 pm 93
9:30 pm 120

average blood sugar: 103
high blood sugar: 120
low blood sugar: 92


  
  Member Comments About This Blog Post:

SWEETLIPS 4/16/2014 7:22PM

    I appreciate this post because I too am one that test how my body reacts to food - if it raises it, I don't eat it. This is my new attitude, having now found a great place to be in this world. Diabetic educators are paid by grants from pharmaceutical companies that are provided to their employers. I remember when I attend, I thought and of course said out loud, why are you advocating all this meat - are you not aware that diabetes is a disease of fat? My educator replied very sarcastically , I don't have diabetes and you do, so who knows what. At the same time a doctor walked in and requested that she have a seat and said, I was correct, although he likes for people to eat a little white meat, chicken and fish - he agreed and shared other information. The diabetic educator was reassigned.

I do appreciate that the National Affordable act is diligent on helping diabetics - since it also helps relieve heart disease, kidney disease - effects on thyroid and depression. Whatever takes to inform the populace is necessary .

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RUSSELL_40 4/15/2014 11:50AM

    I also read that insurance companies are now calling patients who miss appointments, or forget to fill a prescription. Their goal is to get blood sugars under control before serious complications occur, and save money.

Birgit - It is interesting that she did not say that it wouldn't work, but that people just wouldn't do it. As we both know, it works great, so it is something that needs to be told, and spread about. Even non-diabetics should get tested regularly, since our standard diet causes diabetes, and for most, it is just a matter of time.

Next meeting take some water to drink, and have some more fun with the Diabetes " educator ". Hopefully you can sway opinion some. Maybe other members will approach you after the meeting.

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1CRAZYDOG 4/15/2014 11:17AM

  "I had the chance to share at the meeting that I had experimented for the last 3 weeks with finding out my body's blood sugar response to many different foods. The Diabetes educator answered by saying that I am the exception, that most diabetics are not willing to test their response to foods. I was wondering if they were just never told that this is an effective option. ****EXACTLY!!!**** And believe me, for those who had to go the Obamacare route, the insurance companies are ADAMANT about testing and so on!!!! To the point that, if they see there is a missing prescription that hasn't been picked up they will call. If you haven't seen the Dr. in a timely fashion, in some cases they'll even send a nurse out to the house. OMG! BIG BROTHER!!!



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DJ4HEALTH 4/15/2014 4:52AM

    Coffee is a bean too and those type of beans will raise your sugar. Not sure what you are sweetening it with but if it is the fake stuff then that also will raise it too. They really don't know what they are teaching because what they tell diabetics is wrong and will mess with the sugar. That is because they want you to stay on their meds for the rest of your life and get more and more meds to take too.

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NOWYOUDIDIT 4/15/2014 2:29AM

    Thank You for sharing! Very informative! I find at the Diabetes groups that our nutritionists are not well prepared for questions or discussions about what they believe. Makes for short conversations.
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DIDMIS 4/15/2014 2:15AM

    I read on line that the insurance companies are cracking down on diabetics and monitoring if they take their medications and eat right. Just read that today.

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SKATER787 4/15/2014 2:08AM

    I wonder if your blood pressure had gone through the roof sitting through that meeting. That could very well affect the hormones in your body that could easily affect your BG. Forget the coffee.

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Blood sugar 4/13/14

Monday, April 14, 2014

Everything was back to normal yesterday. I did not eat any higher carb foods. I did low-level exercise throughout most of the day, cleaning up at the barn, steam-cleaning and cleaning up our bedroom and walking with the dogs and the horse.

8:00 am 97
11:20 am 107
1:30 pm 90
5:00 pm 97
9:30 pm 95

average blood sugar: 97
high blood sugar: 107
low blood sugar: 95

  
  Member Comments About This Blog Post:

DUSTYPRAIRIE 4/17/2014 10:31AM

    Fantastic! Day One of it for me. I'll be thinking of you and your accomplishments as I go through the day.

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NOWYOUDIDIT 4/14/2014 7:27PM

    Wonderful!! emoticon

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RUSSELL_40 4/14/2014 4:39PM

    90-107 is incredible control. Keep this up, and you will have a 5.0 A1c like I do.

Do you feel like you are missing out on anything? If not, then you can do this permanently, with a splurge when a special occasion happens.

I find that you are taking what I did a bit further. I got a general idea what caused my blood sugars to be high, but never fine tuned it. I just knew that carbs caused high spikes, so I thought low carb made sense, and then stopped testing blood sugars shortly thereafter, so I stopped short of where you are on that front.

I did eventually get down to where I was trying to eke out a lb. a week, and when weight loss slowed down, I started noticing that certain foods caused me to stall, or gain weight. So I refined my diet by using the scale, and eliminating, or severely limiting foods that caused the scale not to move at the right pace, in the right direction.

The funny thing is..those fine tuned food selections ( once I was already on low carb, not pasta/pizza ), turned out to be similar to what you have determined to be problem areas by using the meter. I have to limit yogurt/nuts/cheese too, because in larger quantities they are a problem.

The idea that I could do so with the scale, and you could do so with the meter, means these are linked somehow, and I can know that I am on plan either way. If I get a high blood sugar, or gain weight, I know to look for the culprit, and correct it.

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1CRAZYDOG 4/14/2014 4:36PM

  Good job!!!

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SEATTLE58 4/14/2014 12:28PM

    emoticon

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SKATER787 4/14/2014 12:13PM

    I think it is similar to blood pressure. You can have some fluctuations. There are many hormones involved not just the foods you ate or the exercise you did.

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4/12/14 blood sugar all over the place

Sunday, April 13, 2014

I wish I knew exactly why, but can only guess why some of my blood sugars were so high today. Was it the fact that I did not move much this morning? Was it the fact that I had a large breakfast, incl. both an omelet with veggies and also a small portion of yogurt, berries and walnuts? Was it the sugar-free chocolate I had last night? Was it totally unrelated, maybe some accidental wheat ingestion? Some inaccuracy of the glucometer is most likely part of it, too.
I'll never know and it is not really that important. If this happens several more times (and it will) then eventually the evidence will mount one way or the other.
One thing that was very interesting and helpful to observe is the fact that when my blood sugar was around 140 I had cravings for fruit and chocolate, not really intense and irresistible, but noticeable, especially given the fact that I had just had fruit about an hour before.

blood sugars, incl. several re-tests:

10:04 am 105 retest 111 2nd retest 119
10:55 am 90
breakfast of omelett with veggies, small sering of yogurt with fruit and nuts
12:15 pm 142 retest 148 2nd retest 136
a few pushups and a short walk
12:45 pm 91
snack: 3 tbsp. almond butter
4:00 pm 87
8:20 pm 89
dinner beef sausage and green beans
9:30 pm 106
10:30 pm 101
With these unususal numbers an average is not very meaningful but here it is: 102
high blood sugar 148
low blood sugar 87




  
  Member Comments About This Blog Post:

1CRAZYDOG 4/13/2014 6:15PM

  I know for me when I don't get enough sleep, it is erratic. If I don't rise and go to bed @ relatively the same time, it is erratic. If I have something like dark chocolate later than 7:30 pm, it's erratic. If I don't get the usual amt. of movement in a day, the blood sugar is erratic.

It seems difficult to tell, bt I can tell you, if I'm going to have fruit, I have it early on in the day because that way I have lots of the day left to burn off the fruit sugars. That does cause hunger for sure!

Good luck.

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LIVE_2_KICK 4/13/2014 1:06PM

    Yes there is so much that can affect BS.
It's hard to tell what until you get lots and lots of data!
You are doing it right though! Keep at it and you'll figure it out!

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SEATTLE58 4/13/2014 12:52PM

    Stress can do funny things for sure. I hope that you're more relaxed today??! I hope so! emoticon

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HOUNDLOVER1 4/13/2014 11:18AM

    I really had a very stress-free day yesterday. I suspect I just enjoyed too much food, LOL. And, no, I know it won't get worse, fluctuations like this happen for many reasons. emoticon

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SANDRALEET 4/13/2014 7:35AM

    Maybe if it gets worse have to make major changes

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JSTETSER 4/13/2014 6:45AM

    I don't know why, but sometimes it just happens. We are never aware of all that goes on in our body.
Are you under stress? Stress will raise your blood sugars.

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