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SUPERDUPER26's Photo SUPERDUPER26 Posts: 1,553
6/11/09 1:44 P

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And just to complicate things further, lol, your body will change over time, so just because you eventually figure out what works for you this month, doesn't mean it will be the same all year.
I agree that both checking your rates/ratios is the best place to start, and that testing foods one at a time is the way to go. Its a pain, and its time consuming but its worth the hassle in the end.
Good luck Mandy!

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HJENSEN7 Posts: 57
6/11/09 1:19 P

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I agree, I think 1 place you should start is checking your Insulin to Carb ratios. You said you swing up to the 300s, I'm thinking you started in the more normal range or else you would have mentioned that you were higher before you ate. Assuming that's the case, that's a really large swing and my first instinct would be to check insulin to carb ratios.

I know for me breakfast affects me the most, so my ratio is 1:6. I'm on the pump and the pump does all the math for me. I also need to keep the amount of carbs low in the morning for the same reason.

Another thing to try is to test out foods like that one at a time, so you can see exactly what each food is doing. maybe only one of the food choices is the BG culprit.

I've been T1 for just about 10 years (I hit the decade mark next week!). I've learned that we learn new things every day about foods and insulin and insulin delivery and exercise and and and. what I find the important thing to remember is to keep educating yourself, learn what your body does, and don't let a few "let downs" (highs, lows,etc) get you off track. Out of the ordinary things are going to happen sometimes, it just the nature of the beast of this disease that we have to live with and manage ever freakin' hour of the day.

So.... I hope this was helpful. I have found for me whole grains don't spike me. Foods with high fructose corn syrup spike me tremendously unless it's a very little amount of the food (like 15g carb).

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JERSEYBEAN77 Posts: 15
6/9/09 11:16 A

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Mandy, sounds like you may not fully have a grasp on the eating/meds thing, based on some of your comments. (hope that doesn't come across the wrong way, we are all still learning to deal with it on a daily basis myself included - T1 for 15yrs).

On the day you hit 350 after eating the yogurt and nuggets at MickyDs. . What was your BG prior to the meal, what is your insulin:carb ratio, is your basal dose correct

All of these things will factor in and these need to be sorted out first, once you have that figured out you'll be able to adjust from there.

I wouldn't expect that yog/nugs would have you that high, but what were the carbs of each and did you dose accordingly.

As mentioned, protein and fats will slow digestion. This can have some good and bad effects in my experience. The good is that you may not peak as high, the bad is that your digestion may be so prolonged that you may seem good 2-3 hrs after eating, but find out that you are high 6hrs later. I'm a pizza fan, but this is exactly the effect it has on me I'll look good going to bed, but wake up with extremely high BG in the morning.

Not sure if you are on shots or the pump. But there are two ways to approach this. If on shots, take multiple shots spaced a few hours apart, or if on the pump take a combo bolus.

Anyways I've gotten off point.

You seem suprised that eggwhites didn't raise your BG, but they really should have minimal effect as they are pure protein. Its not that the protein has had some positive effect on you BG, its just that they don't usually (usually is the key word here) affect it.

However, protein in certain amounts can cause a spike in BG. I find that if I consume 30-50 grams of protein in a sitting (such as a protein shake after lifting), that my BG will rise. I find with high protein meals i have to dose at approx 75% of what I would dose for carbs. But this effect seems to vary different people.

Figuring out what foods work for you is trial and error, but you have to make sure these are correct first. What was your BG prior to the meal, what is your insulin:carb ratio, is your basal dose correct.

Things that don't work very well for me: pasta, rice, cereal w/skim or low fat milk (i think it'd probably work better with whole milk).

I'd say most things work in moderation, which is probably the biggest key for me.

Hope this was helpful, but this is where i'd start based on your post: what was your BG prior to the meal, what is your insulin:carb ratio, is your basal dose correct.

Feel free to PM me if you want to kick around ideas.

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CHELLE0207's Photo CHELLE0207 Posts: 74
6/8/09 5:48 P

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Sure, Mandy. I'm 28, and I've had diabetes for 16 years (almost...my D Birthday is 8/20). I'm still learning, too!



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MANDYB55's Photo MANDYB55 Posts: 408
6/8/09 5:43 P

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Oh ok thanks! There is a trader joes about 20 mins from me, so maybe I'll go check over there later tonight. Yeah I had about 45 carbs for breakfast, so maybe I'll try and keep it to 30 and see if that helps. I count carbs, but I don't try and stay under a certain amount per meal so that may help me.
I've had diabetes for 18 years, but I feel like I am learning all over again. It took me too long to realize I needed help!

Thanks for the advice!

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CHELLE0207's Photo CHELLE0207 Posts: 74
6/8/09 5:27 P

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I eat Trader Joe's, FAGE, or OIKOS. I get the greek yogurt @ Wegman's. I used to live in L.A., and when I was there, I'd buy greek yogurt at Trader Joe's.

Strawberries & apples are supposed to be lower on the glycemic index, so they "should" be okay. But I'm finding that if I have over 30g carb for breakfast, my BG shoots up, no matter what. So I try to keep the carbs below 30g.

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MANDYB55's Photo MANDYB55 Posts: 408
6/8/09 4:28 P

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What's the brand name of your greek yogurt? Can I buy this at a regular grocery store Thanks!

Hmm maybe I'll try and cut out the fruit in the am and see if that helps. I usually have an apple or strawberries.

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CHELLE0207's Photo CHELLE0207 Posts: 74
6/8/09 4:21 P

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That used to happen to me, too. Esp. after breakfast. I try to avoid fruit for breakfast, unless it's pteaches or berries (low glycemic index). I use greek yogurt because it's low sugar, high protein. And fat helps food digestion slow down.

Bananas make me spike. I only eat them right before exercise.

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MANDYB55's Photo MANDYB55 Posts: 408
6/8/09 4:19 P

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Ok thanks ladies.
I am really sick of being in the 300's after I eat. It freaks me out. I'm scared of getting the complications I am trying to avoid. Like this morning I had to eat on the go and I ate low-fat yogurt, fruit and 3 chicken mcnuggets from mcdonalds and I checked my blood sugar about an hour after and I was 350! It depresses me.
I just don't understand. You'd think I'd have this down by now, but I didn't really start focusing on my blood sugar until about a year ago.
I've found that eating scrambled egg whites in the morning does not raise my blood sugar. It's probably the protein. My doctor told me to always combine protein with carbs because you won't spike as fast. Also, when I eat salads I tend to be ok too.

I'd appreciate any advice anyone could give! I want these numbers in the low 100's.

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CHELLE0207's Photo CHELLE0207 Posts: 74
6/8/09 3:56 P

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Breakfast: greek yogurt (nonfat) + 1/2 c Heart to Heart + 0.5oz walnuts + 4-5oz berries

Lunch: I stick to the following grains
La Tortilla Factory Tortillas (low carb)
Ezekiel bread
I usually make an egg sandwich (1 egg, 2 whites, + 1T light mayo) or a wrap (lean natural lunch meat w/o preservatives, light mayo, lettuce, tomato).

For all meals, I try to stick with whole grains only. I also try to balance carbs/protein/fat so that 40% of calories are from carbs, and 30% from fat and protein. Having a little fat and some protein in each meal helps me not to spike and keeps me pretty steady.

Foods that cause spikes: corn, sweet potatotes, sweets, white flour, etc. And, if I eat anything fat free, I'll spike quickly. No sugar added drinks from Coffee Bean & Tea Leaf also make me spike (e.g. the ice blended stuff)

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SUPERDUPER26's Photo SUPERDUPER26 Posts: 1,553
6/8/09 3:49 P

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My new favorite breakfast is ~1cup of plain fat-free yogurt that I drain though a coffee filter overnight (that way it gets all thick and creamy) mixed with one ounce of granola. Not only does it keep me full until lunch, but it doesn't make a BG spike at all.
I usually do pretty well with oatmeal too, but not always.
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MANDYB55's Photo MANDYB55 Posts: 408
6/8/09 2:37 A

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What foods are best for your blood sugar? What foods tend to keep your blood sugar in good control? In other words, what foods don't make your blood sugar skyrocket!?

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