Gliclazide and "skipping" meals

[debs248]

Yes, I wondered that too, but if levels are looking like they are starting to com down with Gliclazide, then maybe not.

I think it's too early to tell yet but I will bear it in mind. I was diagnosed a week ago and due to dehydration have only been able to test BG for a couple of days.

I am puzzled as to where all the glucose is coming from as it's obviously not diet, at least not this week anyway. Anything carby I ate before the weekend shouldn't still be affecting me should it?

 

[rebrascora]

Your liver releases glucose day and night in the absence of glucose from food. I like to think of it as a back up battery or emergency generator which provides a steady supply of glucose into our blood from it's stores in the absence of glucose from food. Plus in the absence of enough carbs (usually less than 30g of carbs per meal) the body will break down some of the protein and fat in the meal to provide glucose. This is a much slower and less efficient process of gaining the glucose it needs which is why Keto diets work. I follow a low carb way of eating and I need to inject extra insulin after a meal to cover that protein and fat release, which generally starts happening about 2 hours after I have eaten whereas most of the glucose from carbs is released in the first 90mins. The release of glucose from protein and fat then happens over a period of about 6-10 hours, so a much slower, steadier release than carbs which often give a sharp rise and drop in glucose levels in the 2-3 hours after eating.