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Hello!

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
travellor said:
Mornings BG don't really matter if you are low carb.
They rise.
I would guess it very recent?
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Yes we have made adjustments within last 8 weeks. Why doesn’t morning BG matter? So how do we know where we are with it?

The more I learn it seems the more confusing it it to me
 
Anne Marie said:
Yes we have made adjustments within last 8 weeks. Why doesn’t morning BG matter? So how do we know where we are with it?

The more I learn it seems the more confusing it it to me
Click to expand...

Low carb slows down your insulin response.
A normal liver dump still happens in the morning, so your BG rises.
 
The thing to look at is your meal rises, if those are within acceptable range then you will find morning readings will trend down.
I also didn't realise that low carb which is what I do meant that morning readings wouldn't be particularly low. I will need to research that.
 
Leadinglights said:
The thing to look at is your meal rises, if those are within acceptable range then you will find morning readings will trend down.
I also didn't realise that low carb which is what I do meant that morning readings wouldn't be particularly low. I will need to research that.
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I’m now doing A LOT of reading up on here!! So.. am I assuming correctly that higher morning readings on low carb does not necessarily mean the overall picture is not good?
 
Anne Marie said:
I’m now doing A LOT of reading up on here!! So.. am I assuming correctly that higher morning readings on low carb does not necessarily mean the overall picture is not good?
Click to expand...
That's what I gleaned from something I just read on the dietdoctor site. Even though morning readings are a bit high overall HbA1C would be pretty normal.
 
Anne Marie said:
I’m now doing A LOT of reading up on here!! So.. am I assuming correctly that higher morning readings on low carb does not necessarily mean the overall picture is not good?
Click to expand...
It's different.
Which isn't bad.
That's why sometimes it's not BG, but Hba1c that matters.
 
Leadinglights said:
That's what I gleaned from something I just read on the dietdoctor site. Even though morning readings are a bit high overall HbA1C would be pretty normal.
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my HBA1c last week was 46 down from 103 in May. Morning BG range is 6.3 - 7. Am doing low carb - Metforrmin 500mg.
Would like to come off meds but don't want HBA1c going up. Hope to see DN next week. Am I on right track?
 
JanetT said:
my HBA1c last week was 46 down from 103 in May. Morning BG range is 6.3 - 7. Am doing low carb - Metforrmin 500mg.
Would like to come off meds but don't want HBA1c going up. Hope to see DN next week. Am I on right track?
Click to expand...
You have done fantastically well to get your HbA1C down in that relatively short time. Sounds very much that you are on the right track especially as you are on the minimum dose of metformin. Just shows how powerful dietary changes are.
 
Leadinglights said:
You have done fantastically well to get your HbA1C down in that relatively short time. Sounds very much that you are on the right track especially as you are on the minimum dose of metformin. Just shows how powerful dietary changes are.
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Thanks - that's very reassuring!!
 
Anne Marie said:
Hi,

A little bit about my other half (he doesnt do social media / forums etc)

He's 66 years old
Diagnosed around 15 years ago
Lost a lot of weight over since diagnosis and just about at his target weight
He is quite active, goes to the gym twice per week and never sits still for long! We live on a farm so always active/outdoors!
No symtoms
Medication - Metformin + Dapagliflozin + Glaclazide and Simvastatin (Cholestrol is controlled well)

I'm really trying to help him with changing and improving diet and have changed quite a few things but doesn't seem to have made much difference, so I'm not sure where to go next.
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The Gliclazide is a glucose lowering medication, so it would not be wise to go very low carb, and what carbs are eaten should be spread throughout the day as otherwise levels can become too low. That might seem to be rather at odds with the usual way to treat type 2 which is low carb and intervals of fasting, but the medication has to be pandered to.
Even with that, it might be a good thing to cut out the grain-based foods and have something with more nutrition - more vitamins and minerals and with the advantage of colour and textures to make it interesting too.
 
Drummer said:
The Gliclazide is a glucose lowering medication, so it would not be wise to go very low carb, and what carbs are eaten should be spread throughout the day as otherwise levels can become too low. That might seem to be rather at odds with the usual way to treat type 2 which is low carb and intervals of fasting, but the medication has to be pandered to.
Even with that, it might be a good thing to cut out the grain-based foods and have something with more nutrition - more vitamins and minerals and with the advantage of colour and textures to make it interesting too.
Click to expand...
The example menu the OP posted wasn't particularly low carb as it looked to be way over 130g per day.
Is there a suggested amount of carbs people should be making sure they have if on gliclazide?
 
travellor said:
Low carb slows down your insulin response.
A normal liver dump still happens in the morning, so your BG rises.
Click to expand...

You must be referring to the insulin resistance that can happen to people (Even non-diabetics) that are on a low carb diet in the fasting state - it's (I believe) a natural response to a lack of dietary glucose, and can mean fasting glucose is higher than the so called recommended value ( <5.6 - pre hba1c this would be used to diagnoses diabetes), especially in the morning. Reason might be due to some process by which the brain turns up muscular resistance to make sure it has its supply of glucose or the increase in fatty acids/ketones.
 
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Welcome to the forum @Anne Marie

Let us know how things go with the tweaks and changes you are considering to your husband’s menu - and be careful of levels dropping too low if his medication remains unchanged and you start to reduce carb intake.

Keeping a food diary over the next few weeks, along with BG readings around mealtimes (and 2hrs after eating if wanting to check response to a specific meal), might be helpful to assess progress?
 
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