Breakfast Highs

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I will have 2 small poached, dry fried or boiled eggs plus one medium slice from a 400gm wholemeal loaf with no added sugar (Warburtons) and bulked out with grilled mushrooms and/or a medium tomato.
 
rebrascora said:
So about 15-20g carbs which would raise your BG between 4.5 -6mmols working on the principle that 10g carbs raises your BG by 3mmols, so that more or less ties in with the rise you saw, suggesting that your first phase insulin response is pretty poor at the moment. Do your levels come back down by the next meal... 4-5 hours later?
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Hi. Yes they do, they are back within my current target range of 5 - 8 before the next meal.
 
childofthesea43 said:
And if rebrascora is right and it’s a first-phase deficiency, the next question might be whether you’re carrying excess pancreatic fat and whether you have scope to lose some weight and thereby reduce or clear it.
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Well that's interesting as I have had 3 x pancreatic attacks in my life (not had a big one for a number of year) but I know I have damage to the pancreas but I can't remember if its the head or tail that is damaged.
 
TerryP said:
Well that's interesting as I have had 3 x pancreatic attacks in my life (not had a big one for a number of year) but I know I have damage to the pancreas but I can't remember if its the head or tail that is damaged.
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That probably explains why you are struggling even with the meds you are on.
 
Leadinglights said:
That probably explains why you are struggling even with the meds you are on.
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Yep this is what I think, but..... my DN is stuck on Type2 even though I am within my BMI. I have my review at the end of August so will see which way they want to play this. Does anyone know if you can go private for the reviews or what do you do if the DN won't budge on how you are being treated. BTW my last HbA1c was 54
 
Hi, I have same problem. As I have IBS and a lactose intolerance I have to have porridge or oatibix, if I don't I have other problems. I also take glicazide and metformin. If I have an omelette for breakfast I am starving an hour later!!! I am a stone overweight but my diet is so limited. I tried poached egg on toast and my sugars were 13.4. It's around 6 the rest of the day.
 
TerryP said:
Yep this is what I think, but..... my DN is stuck on Type2 even though I am within my BMI. I have my review at the end of August so will see which way they want to play this. Does anyone know if you can go private for the reviews or what do you do if the DN won't budge on how you are being treated. BTW my last HbA1c was 54
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If you have damage to your pancreas then that puts you in the Type 3c category and there are a few folk here in that situation.
It would be worth keeping a good comprehensive food diary together with blood glucose readings to show your Nurse but also ask for referral to a specialist diabetic clinic at the hospital.
Luckily your HbA1C is not too high so what you are doing must be having some effect.
It may be worth calling the DUK help line for advice on how to approach your DN. You could point her to the section here on Type 3c https://www.diabetes.org.uk/diabetes-the-basics/type-3c-diabetes
 
TerryP said:
Bog standard sliced loaf slice of (white bread). Premeal was about 10 mins before eating and about 20 mins after getting up. Half a cup of tea to wake me up before doing my bloods... Plus 2 Gliclazide after bloods and 1 Metformin half way through the meal.
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I think the problem there was the fact it was white bread. I've found that my sugars skyrocket if I have white bread, but wholemeal seems to be well tolerated. Try replacing with wholemeal, Warburtons wholemeal farmhouse is quite a good one in my experience.
 
I would be interested to know what the profile of glucose should be, and what I mean by that is for how many hours should it keep going up before it peaks and then returns. I checked mine this morning and this is what I got
07:43 7.7 (before breakfast and drugs)
10:26 15.1 (two and half hours after eating)
12:59 7.5 (before lunch)

Thanks
 
Generally it will spike to a peak between about 1-1.5 hours and should be on its way back down at 2 hours and be no more than 3mmols above premeal level at that time, so in your case the 2 hour reading should have been less than 10.7. If you are up at 15.1 2.5 hours after a meal then whatever you had was a very poor choice.... assuming that 15.1 was correct and not a rogue strip or some contamination on your finger. Your levels are too high for too long in that scenario and those elevated glucose levels will mean that more glucose has a chance to stick to your red blood cells and raise your HbA1c but also risk clogging up your fine blood vessels in the eyes and feet and kidneys over the long term.

What did you have for breakfast that could have pushed your levels up to 15?
 
I should say that that is a rough guide and the profile of any glucose release from food is dependent upon the food eaten, your digestive system and your insulin response to it. Those results show that your first phase insulin response is poor but your second phase mopped it up and brought you back down by lunchtime. The problem with this is that your base level at 7.7 is too high to start with and by going as high as you did and needing your second phase insulin to bring you down, you have no reserve to bring that baseline level in the 7s down, so your are not improving your diabetes management but just treading water at the level you are at.
 
So this morning I started off at 7.0 before breakfast, had scrambled eggs and salmon on 1 piece of wholemeal toast.......at 10 o'clock (2 hrs later) my number was still 10. (bangs head against wall)
 
I slice of wholemeal toast is about 15g carbs and that will raise your levels by about 4.5mmols in the absence of any insulin, so it looks like your first phase insulin response is very poor. If you come back down by lunchtime, then your second phase is working OK. Try an omelette with salad and coleslaw if you like it but no bread next time or have your scrambled eggs on a couple of slices of ham with some mushrooms.
 
Well I thought I had it cracked this morning. Started the day with a 7.0 reading before breakfast. Had scrambled eggs and salmon (no bread or toast in sight) and then got a 7.8 reading two hours later 🙂 The only snag is I have had rotten heartburn all morning. Ho-Hum.
I did look at the breakfast recommendations on this site and noted that both Porridge and Weetabix is included as ok for some people, but for others it rockets the blood glucose count. I guess I am that group.
I have my review with the DN on the 24th of this month, so I think I will see what she has to say and about the way forward with this. Just wanted to provide an update on my numbers adventure 🙂
 
As a newbie I found similar challenges, so loads of sympathy! What has helped me enormously was getting the two-week free trial of the Libre continuous glucose monitor. During the two weeks, I tried different foods, volumes, timings and combinations and largely managed to control my glucose levels. I can’t afford to carry on with it, but I learned a lot. For example, it turns out that fruit is largely not an issue for me, but virtually all grains cause spikes.
 
TerryP said:
Well I thought I had it cracked this morning. Started the day with a 7.0 reading before breakfast. Had scrambled eggs and salmon (no bread or toast in sight) and then got a 7.8 reading two hours later 🙂 The only snag is I have had rotten heartburn all morning. Ho-Hum.
I did look at the breakfast recommendations on this site and noted that both Porridge and Weetabix is included as ok for some people, but for others it rockets the blood glucose count. I guess I am that group.
I have my review with the DN on the 24th of this month, so I think I will see what she has to say and about the way forward with this. Just wanted to provide an update on my numbers adventure 🙂
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I found that scrambled egg always gave me indigestion though I could eat, fried, poached, boiled, omelettes. But with the low carb it is fine now. Hopefully just a one off. Blood glucose was fine anyway.
 
RJN123 said:
As a newbie I found similar challenges, so loads of sympathy! What has helped me enormously was getting the two-week free trial of the Libre continuous glucose monitor. During the two weeks, I tried different foods, volumes, timings and combinations and largely managed to control my glucose levels. I can’t afford to carry on with it, but I learned a lot. For example, it turns out that fruit is largely not an issue for me, but virtually all grains cause spikes.
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Re your comment about Libre, I tried it and like you couldn't afford to continue with it. I do however have great hope for this
when it comes to market (I have no connection to the company other than wanting one of the devices).
Glucowear I have been watching the development of this over the last 18 months and I'm hoping that the end of the year it will make it to market. If it does what they promise, it will revolutionise the way we get our readings 🙂
 
TerryP said:
Re your comment about Libre, I tried it and like you couldn't afford to continue with it. I do however have great hope for this
when it comes to market (I have no connection to the company other than wanting one of the devices).
Glucowear I have been watching the development of this over the last 18 months and I'm hoping that the end of the year it will make it to market. If it does what they promise, it will revolutionise the way we get our readings 🙂
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Wow. Yes, that sounds great, especially if it is more affordable. Such a shame that the libre is so costly!
 
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