I posted this in response to a question in "Living with Diabetes" but I thought it would be useful here too so my apologies if you are reading this for a second time. I am not trying to spam.
The question what from a fellow who was only drinking coffee for breakfast and couldn't figure out why his blood sugar was sky high through the morning. He wanted to know if coffee only for breakfast was bad. This was my reply:
"First I'll qualify my answer with the fact that I'm type 2 diabetic taking a low dose of Metformin.
Oddly, your blood sugar will spike if you don't get enough carbs. The liver starts to dump sugar to make up for it. That is why your morning reading is higher than one would expect. Going more than six hours between eating puts the liver on alert so to speak. That is what Metformin is used for. (Controls the liver) The problem with diabetes is that the liver looses it's ability to adjust properly so it tends to dump too much sugar and the pancreas, being out of whack, can't handle the load. SO...not eating breakfast is about the worst thing you can do...as well as Not eating a snack at bed time. The body of a diabetic needs constant fueling...many meals a day. I try to eat something (carbs) every four hours or so...and a bed time snack. Going without spikes my sugar. The snacks can be one or two carb counts (15-30 carbs)...meals should be about (40-65) carbs per meal. I know this is a hard concept for many. Me being one of them...but I realize now that my bad eating habits...in particular, eating no breakfast and often times no lunch either, was probably how I got into this mess.
I'm eating according to Spark plan suggestions...watching my carbs so they don't go to high or too low. I try to choose carbs that are "green light" carbs according to the GI (Glysemic Index)diet and I'm maintaining my BS within my targets. I eat way more than I ever used to. I eat BETTER than I used to and I'm loosing weight. GO figure. If you don't eat enough, your body plays this nasty trick on you. It thinks it's going into famine mode so it adjusts your metabolism to accommodate for lean times. That's why fad diets and starvation diets stop working. Your metabolism slows to a slugs pace and your just doing more harm than good.
P.S. if you are following these suggestions, eating breakfast(keeping carbs within the range of 40-65 per meal and 15-30 for snacks, eating every four hours ...with your snacks between the longer stretches... and your sugars are still not within your target range, then you need to revisit the doctor and see if your meds need adjusting.
If you are not eating like this...try this first and see what happens. *** Track your BS often for the first week then if it's looking pretty good...you can cut back on the tracking to once a day but very the timings. (***for type 2 non insulin dependent people only)
If you are needing to loose weight, as most of us do...cut out the fat, watch the carbs but don't go short on them. Stay within that range."
I hope this helps.
As I said...I follow the guidlines "my Nutrition" has set for me, which happens to follow what my nutritionist set out for me...and I keep an eye on the types of carbs...trying to keep most in the green zone of the GI diet. They are not always there but I do notice a difference in the BS reads when I stay into the red zone too much. For those not knowing what I'm talking about... www.the-gi-diet.org/glycemicindexchart/
| current weight: 212.0