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Blood sugar spike
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sha49tn1 posted:
When I got up today, I took my meds first thing. Then had a bowl of Cheerios sweetened with stevia, & low carb milk. About an hour later, I had the shakes really bad, & when I tested, it was 188. I checked it 2 hours later, & it was still 145. I called the clinic that I use, & talked to the nurse. He said he'd talk to the provider, & call me back. He called me back in about 2 minutes, & said that she said to keep taking the metformin, & watch what I eat. DUH!! What I wanted to know was there anyway to bring it down w/o taking more metformin, or did I just have to tough it out. I get so aggravated with this clinic that I use. I have no insurance, so don't have any choice in where I go, since they only accept people with out insurance. I'm totally in the dark on the diabetes issue, & they don't seem to be much help! Is there any thing I can do to bring it down without any problems? And, is there any evidence that stevia can elevate your bg levels?
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krhudson responded:
Forget the Cheerios if you can. They will cause a spike in blood sugar. If you do eat them only have 1/4 to 1/3 cup and make sure to have a protein included in breakfast. I use Morning Star Sausage, the patties and you can buy 32 of them in a box at COSTCO for $12.99 and have 1 every morning. Eggs are also fine for the protein.

I am not a Stevia fan, I just have a trace of regular sugar. I am type 1 though but still do not need to adjust my insulin for a trace of regular sugar on very few items.

I eat 1/3 to 1/2 cup of Plain Quaker oatmeal in the package instead of the cherrios that I also like. In order for me to eat the cherrios is I have to increase my exercise.

Do not adjust any meds without seeing the Dr. with blood sugars logged so he/she can see how your blood sugars trend at all times of the day.

Only eat lean protein, veggies and moderate fruit and tons of salad and bump up the exercise to a vigorous level for an hour a day and try some weight bearing exercise if you can.For snacks just have some mixed nuts from Trader Joes or some other healthier brand and cheese and half an apple. 1/2 yoplait yogurt low sugar/fat may also be fine only if exercising vigorous.

Eat smaller portions and stay off breads, white rice, Pasta and Pizza. Maybe if your body can take it only have a couple of baby red potatoes which are slower metabolising and better for Diabetes but always test any foods you try 2 hours after the meal or snack and try to stay under 140 at that point and exercise it down from there if you need to so you can be back at 85-95 by the next meal.

When you do all of these things in line you will see much better blood sugar numbers.This will also help if you have been trying to lose weight. I have lost 23 pounds from concentrating on this.

Keep us posted.

krhudson
 
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phototaker responded:
Dr. Dansinger has some good ideas for food choices on his site here. Kr gave you some good things to do.

If you spike higher, 188(an hour afterward), you might want to try Eggbeaters and some low fat cheese for an omelet(or egg if you don't have high cholesterol), and maybe just one slice of whole grain bread. What I did the first year is check my blood sugar levels two hours after eating certain things, to see how much I went up. That way I figured out what foods worked with "my" body. Everyone's bodies are different. Some people on here can handle a lot of fruit. I can't. Some people can have 2 slices of pizza. My body doesn't do well with one slice.

What some of us have done is make our own versions of things. I use the whole wheat pasta and use a small amount.
I don't do it very often. There's even whole grain popcorn now I'm seeing. I tried that out the other night and didn't spike. I was surprised. That is for a special treat. It was even salted lightly, too.

I'm not on medicine for my diabetes, so I have to be extra careful in my choices of what to eat.

For lunch, you can do salads with pieces of white chicken breast or tuna. Today I made 1/2 a sandwich with salad. I used whole grain bread, turkey slices, tomato, lettuce, and had a salad with it. I'll have a piece of fruit for dessert.

Tonight, I'm making salmon, vegetables, and possible a tiny red potato. They say to stay away from white things such as white pasta, bread, rice, etc.

Good snacks as KR said are almonds or walnuts with a small apple, or other piece of fruit. Stick to berries and melons mostly. I love five strawberries and some blueberries in Lite Cool Whip. I have that with a cup of decaf coffee with creamer and that seems to satisfy my sweet tooth.

There are some doctors who don't understand about diabetes.
Dr. Dansinger does.

How long have you been taking the Metformin? Sometimes it takes a while for that to kick in, BUT you need to continue to eat right AND exercise every single day for an hour, if you can. The exercise is important, too.

Start reading up on diabetes. I go to a good health facility but really felt in the dark at first too. You have to be the one to find out things, as well as your doctor helping you out. Many doctors are very busy right now, overloaded with patients.
Stick on here and ask lots of questions. Read labels on your packages and look for total carbohydrates rather than just the sugars. Try to keep your carbs at each meal under 40-45, and snacks around 10-15 carbs. Eat smaller portions, smaller meals. Sometimes I eat every 3 to 4 hours, just smaller amounts, so my bs stays more stable.

Drink lots of water to bring down your bs numbers. Other than that, there's not much you can do, other then going for a walk, to bring your numbers down quickly. It will be okay.

You'll be fine....This is a learning time for you. Experiment with different foods. Sometimes hospitals have classes that explain more about diabetes.

I don't think the stevia sent up your numbers, probably just the amount of milk you had with the Cheerios, and maybe no other protein. How big was your bowl of Cherrios? Measure it out. See how much milk went in there, too. It all adds up.
Check out Calorie King online to see carb levels of different foods.

Good luck!
 
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MSUphysicsFRIB responded:
The second ingredient in cheerios is corn starch. Starch digests extremely rapidly--in fact, some of it is converted to glucose (by salivary amylase) while it is still in the mouth! It raises blood glucose much faster than sucrose (table sugar). The glycemic index (GI) of cheerios is 74, which is quite high. krhudson and phototaker give examples of lower-glycemic breakfasts in their responses.

It's definitely important to have a good source of protein for breakfast. Also, choose a low-glycemic carb such as fruit (e.g., blueberries, which has GI of 40), unsweetened yogurt (GI = 35), cow's milk (GI = 30), or porridge made from steel-cut oats (GI = 55). Normal prepared oatmeal has a glycemic index of 66, which is somewhat high, but if you add flax meal, milk, and/or fruit, it will reduce the glycemic index of the oatmeal. This is because the sugar in the milk and fruit reduces starch gelatinization, the fat and protein in the flax meal and milk slow down stomach emptying, and the soluble fiber in the flax meal and fruit slows down the rate at which digestive enzymes can access the starch particles.

Flax meal is fantastic! It's high in ALA (an omega-3 fatty acid), and it's also very high in soluble fiber. It's extremely filling. It has a neutral flavor (unlike flax oil, which can taste strong), and it is a great substitute for some of the oats in porridge because it increases the viscosity ("thickness") of liquid (due to its soluble fiber content).

Try this porridge recipe:

Combine the following in a microwave-safe bowl, then microwave on high for 1-2 minutes (don't overcook):

3 Tbsp old-fashioned oats
1/2 cup water
1/4-1/2 apple, chopped, or 1/2-1 Tbsp raisins
1/8 tsp cinnamon (or to taste)

Remove bowl from microwave. Stir in:

1/4 cup milk
3 Tbsp flax meal
stevia to taste
add more milk or water if the porridge is too thick

Note: It might take a 1/2 minute or so for the porridge to reach maximum thickness after the flax meal is added. Don't hastily add more flax meal or you might wind up with a super-gloopy porridge!

If you eat this with an egg, you might be full until mid-afternoon! :P
 
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soapster1949 replied to MSUphysicsFRIB's response:
I've never had a problem with Cheerios - in fact, it was recommended along with Kashi as a good choice for cereal since it's whole grain. However, serving size is very important.

Sha49tn 1 - Metformin works over the long term. It's not like you can take a metformin to lower your blood glucose when it's high after a carb laden meal. Like Photo said, drink water and do some exercise to bring your numbers down. More importantly, do frequent testing if you can to see how the various foods efet you.
 
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sha49tn1 replied to krhudson's response:
Thanks for the advice. The clinic that I go to has been very uninformative on things that I need to do. I did call them, & all they said was to take my metformin as prescribed, & watch my sugars. I always read the labels of what I buy, but on the cheerios messed up. I didn't see the corn starch on the label though. Must be down in the fine print. Oh, well, my grandkids love them, so guess they're going to their house! I only ate about 1 cup with the low carb, low cal milk, so didn't think that would make it spike like that. My friend from church did tell me that a man at her dr's told her that he drinks a lot of water when he has a spike like that. And, she said the dr told her that was a good idea too. My sugar level was 91 this morning, so it's back down to where it usually is. All, I can say is thank God for sites like this, & people who are willing to reach out to another person to try to help. I really need to see a diabetes specialist, but without insurance, it's almost impossible to get into one. Even a regular gp won't take you without insurance. So I'm trying to pick other people's brains, & learn as I go.
 
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auriga1 replied to sha49tn1's response:
Hi, sha49. Everyone has given you some really good advice. See if one of your local hospitals offers free diabetes seminars. We have a couple around here that have speakers from endocrinologists to eye specialists and podiatrists. Anyone is welcome and they are usually sponsored by outside companies so there is no fee to get in.

With diabetes, it's not just watch your sugars in foods. It's carbohydrates which are in nearly everything we eat except for protein.

Has your doctor at the clinic or nurse given you a carbohydrate allowance per meal? For example, my dietician said my allowance is 35-45 grams per meal. Some people can eat more than that and not have it affect their blood sugar.

Another poster mentioned The Calorie King, which is a Calorie, FAT and carbohydrate counter. Very valuable resource. You can find it in paperback and online.

Exercise is important along with your diet and meds. It really helps those blood sugars stay where they are supposed to. Everything works together - diet, exercise and medication. I use insulin and have to be very strict with my carbs and include exercise into my regimen.

We can all tell you what works for us and maybe you can incorporate something into your daily life. It does take some experimentation to see what works for you. That's why I came here, too, to find out a few things regarding diabetes. Try not to stress too much about your numbers, because the stress can actually raise them. Take it one day at a time.
 
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krhudson replied to sha49tn1's response:
In my prior post I learned the better carbs through here with the group! I just take a small dinner plate, 1/3 for the protein, 1/3 for veggies and the last 1/3 for moderate fruit.

I worked out at 5:00 for an hour and 15 minutes vigorous excersise and was starving when done. That work out honestly took my blood sugar down from a touch high 165 ( I do that before a workout since I know I will drop and I am on insulin) down to 119 before dinner. I was very hungry. I took a large bowl and cooked cauliflower and brussel sprouts and enjoyed each bite with just some mixed fresh fruit with 4 oz of chicken that I had cooked earlier. I will say I had 2 servings of veggies which is about 25 to 30 carbs but not carbs that spike the blood sugar.

I took 2 units of my insulin and 2 hours later, 124. Once you see good numbers and have tested how all the foods you eat work, it will be so easy.

I have been a type 1 for 35 years, no Diabetes complications but I kid you not, I did not get a real total understanding of what I had to do until I came here and dug in. I have lost 23 pounds now and insulin doses cut almost in half so far. I am a happy camper about this.

Before now my control was good but not excellent so now I have strived for excellence and it is paying off big in how I feel.

When on insulin we can adjust the doses to the food so why not eat pizza right? Forget it, I got heavy in my 50s from playing it that way. Now I am so careful I scare myself :-)

Stick with us and your Dietitian and this will be fine. I have been on here now for 5 months and something new every day.

krhudson
 
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phototaker replied to krhudson's response:
Keep up the great work, Kr! You could teach me a lot!
 
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KUJayhawer replied to sha49tn1's response:
Another good site for those who are new to this disease, as I am myself is going to the American Diabetes Association website. I didn't know about the water helping, so your post helped me learn today also. Thanks and Good Luck
 
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sha49tn1 replied to KUJayhawer's response:
The lady that I go to church with told me that the man that had told her about drinking lots of water to bring it down, had had his bs level hit 1600, & the dr told him to drink water as much & as often as he could. Apparently it helps flush the sugar out of your system faster. And, I'm learning some good info on here too. There's a website that I like called dLife too that is all about diabetes. They even have a weekly t.v. show. I'm just so thankful that there are people who are willing to try to help others. And, I did check with my local hospital about diabetic classes or seminars, but never heard anything back from them. Guess I'll keep picking you alls brains! LOL
 
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cookiedog replied to sha49tn1's response:
My doctor has told me to drink 8 oz of water and walk around the house and repeat my blood glucose test after 15 minutes. Repeat as necessary. This is what I am supposed to do if I am high up to 300.

From 300 to 400, I am supposed to call his office immediately.

Above 400, I am supposed to go to the ER and be seen immediately. He said the ER will call him.

When this man reached 1600, no amount of water would have helped him. He would need to have been receiving IV insulin in the hospital, I think.
 
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amanda2581 responded:
A145 would be a good number for me after cereal I wonder how come,I guess I am just getting my body use to the lower numbers slowly,I go to a clinic also and I know what you mean about having no insurance I started there before I was on medicaid,And first had a dr, I did not get along with ,Than I got a dr. I love and I got on medicaid,and she took it so I stayed but over all I get good health care and we have all the specialists in the area she refers me to through the hospital and clinic,I hope you can get under control.slipper
 
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sha49tn1 replied to cookiedog's response:
That's what I though too, so maybe she meant 600, which is still WAY too high! What I don't understand is that 188 isn't
really that high of a number. I know that they said to not worry
as long as it didn't go over 200, which has only happened twice in this past year. And, believe me, I've learned that just because it says low sugar, doesn't mean it doesn't have the high fructose corn syrup! I am so thankful that I've found a site that people will really help others!


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