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 beans..lol. 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 first..lol. 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.
Russell - current BMI 31.4
197 - bmi-30
164 - bmi-25
| current weight: 193.6