How can 20g of carbs do this?

[SurreyFifties]

But 30g of Lizi's would be 13g carb.

But portion size for Lizi’s is 50g with 22g carbs. It’s denser.

 

[harbottle]

Several things come into play here. Many Type 2s do produce plenty of insulin, but their bodies can't use it properly. Quite often, what’s missing is what's known as the 'First phase insulin response' This is insulin that gets released quickly, and starts doing its job straight way. If you’re lacking this, your glucose levels will spike, but then your body's natural insulin will start doing its job and will bring your levels down slowly. The other thing is, the kidneys react to having too much glucose in the blood by excreting it, hence the thirst that a lot of undiagnosed people with diabetes have, as their body excretes the glucose in any liquid it can extract from the system.

There are a number of phases:
- one when food is tasted or smelled before it even starts being processed (Triggered by some magical means... not really well understood, but it's in response to brain stimuli, hence its named 'cephalic'). This is short and lasts 5 minutes or so and is a very small release with very little effect on BG levels, but it does seem important as if it is missing (In many T2s it is due to beta cells not working properly) insulin sensitivity is lowered...
- first phase, when beta cells respond to a sudden rise in BG (This is very short and peaks quickly, only lasting 10 minutes.) and may not always happen if the meal is slowly absorbed (I believe this phase is can be tested by a pure glucose drink that will create a 'square wave' in the blood sugar levels.) or has no carbs.
- second phase, a slow ramping up that can last 3 hours.

 

[AndBreathe]

Thank you, I think this is the case for me. For many years I had very debilitating IBS which after i went low carb for diabetes, disappeared. It feels like there is a food type that spikes me, seemingly grain. I interested when you said your endo as I really feel I could do with discussing my results with someone to help me understand. How did you find your endo?

I don't see him for diabetes, although he has always had a peek at my bloods when I see him. I see him for an errant thyroid. I'll spare you a long preamble, but I learned he is the guy who sees the cases others are lobbing in the "too difficult" bucket, so requested a named referral to him. (We are allowed named referrals under the NHS.)

When I initially saw him he ordered a mahoosive list of bloods for automimmune conditions, due to my family history. That list included a Coeliac panel. I "passed" all the tests, although my coeliac and another were marked as "inconclusive".

For a true coeliac panel result you have to eat plenty gluten for a couple of weeks prior to the test, but with the Endo's agreement I didn't do that, as it would not be reflecting my day-to-day life.

His recommendation was based on his statement that "..... people with autoimmune conditions do very well gluten-free...." He felt that whilst nothing conclusive had come up on my extensive panel, I'd likely have "something" lurking.
I hadn't thought I had any real issues with gluten, but after several weeks without it at all (think Worcestershire sauce, soy sauce, many spice blends, cola and so on) I actually felt more "well".

Going GF isn't easy, and to have a true picture you have to go totally GF. Cutting down doesn't work with gluten if you have an issue.

If you feel your issue is grains, just cut them out for a couple of months and see how you go.

I eat very few grains, and can't say I miss them.

When you discover feeling really well, it's easy simply not to bother with whatever stuff it is that's not helping you.

 

[harbottle]

Well I accidentally drank half a bottle of ‘full fat’ fizzy pop last night with tea (Which was a bit high in carbs as I used a lot of veg) and was expecting a huge rise, but two hours after tea it was in the 5s. I must have picked up two bottles, not realising one was in the wrong section! (The other one I had was diet.)