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LITTLEWIND53's Photo LITTLEWIND53 Posts: 17,178
6/17/15 3:42 P

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GLIOWIENRAYNA, You were very lucky to have such a good Nutritionist.It's too bad there aren't more like her around.....

Linda

Leader: Living with Diabetes
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YOU can do it.
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GLIOWIENRAYNA's Photo GLIOWIENRAYNA Posts: 68
6/17/15 2:11 P

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The Diabetes Educator I saw gave terrible advice, telling me to up my carbs to 60 WITH EACH MEAL? It took passing out at home from the Metformin Dash to figure out that carbs were not digesting and I was dehydrated from having to stay in the bathroom for most of about 3 days.

I switched to a very knowledgeable independent nutritionist and she has been helping me design a way of living and eating for optimum health and vitality, not trying to fit me into some pyramid mold. She's been a gift from the heavens!

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DONNAEDA's Photo DONNAEDA Posts: 30,939
6/17/15 1:25 P

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excellent advice. I saw a DE and she was very helpful. She knows about the effects of medication too.

Donna
Brown Deer, WI
leader of Weight Watchers Support team - leader
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LITTLEWIND53's Photo LITTLEWIND53 Posts: 17,178
6/17/15 9:27 A

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It is important to have protein with your carb snack for the very reason that protein helps to slow the absorption rate of the carb. This means you won't get a fast spike followed by the quick fall of blood glucose -- the protein keeps it working all night long.

As for Educator versus Nutritionist, I say make sure the Nutritionist is experienced in Diabetes not just general nutrition (which I believe is wrong to begin with).

I asked my doc to send me to a Nutritionist to get some help fine tuning my meal plan, and she appeared to be so young she must have been fresh out of school, and she gave me some very bad advice. She subscribed to the theory that everyone needs to eat 60 percent of their calories from carbs! SAY WHAT !

On the other hand, I have found every DE I have ever seen to be knowledgeable in Diabetes and very informative. I guess it all depends on who the person is, where they trained, and how much of their work experience is with actual Diabetics.

Just remember that Type 2 Diabetes is a carb intolerance which results from the body's inability to use insulin completely (or at all) So any Nutritionist you work with, must understand and be willing to work with you to come up with a plan that will work for YOU.

Your glucose meter is your best friend and best indicator of how your body is reacting to the food you eat. If something causes your sugars to rise, eat less of it next time. The only way to really know that is to test before you eat and again 2 hours after you eat. Keep a journal of what you eat when, and what your blood sugar reading are. This is the best feedback available and will really help your Diabetes Care Team (doctor, nutritionist, educator, etc) come up with a plan specifically for you.

My motto is test, Test, TEST emoticon

Linda

Leader: Living with Diabetes
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ndividual.asp?gid=10080


YOU can do it.
You CAN do it.
You can DO it.
You can do IT.
CROYLE55 Posts: 1,456
6/16/15 10:53 P

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Bs 70 - 100 is normal 101 -126 pre diabetes and 127 and above diabetes. My ENDO says anything below 120 not to freak out for fasting BS but likes it below 100. He wants BS 2 hours after eating to below 140 but rather have it below 120. The ADA is fine with below 180 after two hours. Yes eat an apple with some peanut butter. It does sound like you are having the dawn effect. It just might take time for you meds an new way of eating to get things under control. Big hug mean were you are at, It will get better Love and Light Carol .

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VDANDER24's Photo VDANDER24 Posts: 54
6/16/15 9:44 P

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Hey, thanks for the tips. I have to go back to the doctor in six wks to see how the meds are working, but in the meantime I will keep testing and tracking

No More Gimmicks, No more excuses!


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1CRAZYDOG's Photo 1CRAZYDOG Posts: 428,262
6/16/15 7:45 P

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Just was going to add that sometimes a carb combined with a protein (think a small piece of apple with some peanut butter) does the trick for me.

Love is the root of all things good in life.


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GLIOWIENRAYNA's Photo GLIOWIENRAYNA Posts: 68
6/16/15 5:21 P

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First line of defense is to get an appt with a good nutritionist, not just the "diabetes educator" .... I've often found these "educators" are just not trained enough to really help you find a healthy lifestyle.

Every single person reacts differently to the medications and to foods. I for example can't eat too much whole grains, it causes Metformin Dash and raises my blood sugar for sometimes a whole day or longer. You will only figure this out by frequent testing and keeping a food journal where you also record your blood sugar readings.

I have found that one tablespoon of real ice cream at bedtime seems to keep me from the Dawn Phenom. Only one tablespoon, which is just one bite. That doesn't mean it will work for you. I've read some people have great luck with a small dish of cereal as their bedtime snack. You'll have to experiement and see.

I can tell you that I do a 12 hour fast almost every night, and I want my waking blood sugar to be under 100, and I'm super happy when it's about 85. I don't sweat any number under 115-120 on my doctor's advice, she laughs because I'm stricter with myself than she is with me.

p.s. it's hard to know if your morning reading of 180 is just a morning high....or if you're overall not well controlled and it's actually the lowest reading of your day. Testing 2 hours after each meal will give you an overall glimpse of what you do over the course of the day.

Just one high reading like that in the morning could mean Dawn Phenom, but if that's the lowest reading you're getting all day....then you will likely want to get better controlled overall.


I put a picture of my granddaughters on my fridge, and on my desk at work to constantly remind me why I'm working so hard.....need to see those babies grown and on their own!!!

Edited by: GLIOWIENRAYNA at: 6/16/2015 (17:25)
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HYEGEEK SparkPoints: (179,834)
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6/16/15 4:56 P

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A high glucose reading in the morning is most likely what is know as dawn phenomenon. Some people have success in lowering this by having a small amount of carb shortly before bed.

Dawn phenomenon is most likely caused by your liver dumping glucose into your system once your blood sugar drops lower. That is why eating a bit of carb might helpl. It can keep your blood sugar high enough to keep your liver from dumping.

You want to keep the number low so that you don't do damage to your body (most studies say above 140 is doing damage), so you want to be sure you don't go high in order to avoid going high.

As with all things diabetes, using your meter regularly and often is important. Measure before and after meals to find out what the food does to you and make your food choices after considering those results.

VDANDER24's Photo VDANDER24 Posts: 54
6/16/15 4:48 P

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Hey Team, I started taking 850mg of metformin 2x daily last week. Since then I have been watching carbs and calories, but I am not sure what a good range is. There were two nights when I ate nothing after 7pm, and my FBS the next morning was 201. One night I ate a small piece of fruit about 20 minutes before bed, and the reading the next morning was 184

I am trying to not be a wreck about the numbers, but Im not sure what the range should be. My doctor just said just focus on losing weight.
Any ideas?


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