Hello. I'm a new member. Since I was diagnosed T2 in September 2019 (HbA1c 6.7), I've been on (relatively) low carbs and (relatively) high fat diet combined with intermittent fasting (18:6) and exercise (gym, swimming and tennis until lockdown). I lost more than 2 stones and my last HbA1c was 6.1(Jan. 2021). I haven't taken any medicines since I was diagnosed. I'm wondering if I should start taking medicines, as my last result 6.1 is still in the range of pre-diabetes. Next question is about my postprandial spikes. I've noticed that sometimes my blood sugar level didn't seem to come down as quick as it should. Once, I noticed that it didn't come down until 4 hours after dinner. This really worries me because I couldn't find any information about it when I researched all about diabetes on the internet. I'm aware that people with diabetes tend to exhibit this tendency, but I'd like to know how it actually affects my diabetes and is there anything I can do in order to improve it? Unfortunately, I haven't had an opportunity to consult with either my GP or a specialist nurse since the pandemic started.Thank you in advance.
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Questions about postprandial spikes
- Thread starter HYC
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rebrascora
Well-Known Member
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Hi
Do you keep a food diary? If so, do you know the foods which caused you to go high and stay there for several hours. Just wondering if it is delayed release of glucose as a result of higher fat or higher fibre foods? Or in the absence of enough carbs the body will break down 40% of protein into glucose which takes longer to release. How high was your reading 4 hours afterwards compared to the pre meal reading? Just wondering what sort of levels we are talking about?
NICE guidelines would not recommend medication for being in the prediabetes range if that is any help to you.
Do you keep a food diary? If so, do you know the foods which caused you to go high and stay there for several hours. Just wondering if it is delayed release of glucose as a result of higher fat or higher fibre foods? Or in the absence of enough carbs the body will break down 40% of protein into glucose which takes longer to release. How high was your reading 4 hours afterwards compared to the pre meal reading? Just wondering what sort of levels we are talking about?
NICE guidelines would not recommend medication for being in the prediabetes range if that is any help to you.
Hi,
Thank you for all your replies. I feel very welcome. I'm glad to hear that NICE don't recommend medicines for prediabetes. My aim is to go below 6.0 without taking medicines. Perhaps I should try harder. Re: post-meal spikes, I registered with Fatsecret and try to record what I eat as often as I can and I didn't eat something different that day (when my after-meal spike went down very slowly). My dinner is pretty same every day (except 2 or 3 times of occasions per year), e.g. a big bowl of salad and grilled fish (I don't eat meat) or cheese (usually grilled halloumi) or boiled egg or some shellfish with olive oil and lime juice dressing (no sugar or any manufactured dressings). My usual pre-meal BS is between 5.0 and 6.0 and post-meal BS (highest) between 8 and 9.5. Last Christmas I ate something (perhaps forbidden one - panettone) and the post-meal BS hit 200. I thought I'd die. It really scared me. I'm fully aware that I have to live with diabetes for the rest of my life. But, I think that I'm still in the stage of 'fear' rather than becoming a friend with it! Since then I'm trying to be good, but as everyone knows it's not easy! Thank you for your support.
Thank you for all your replies. I feel very welcome. I'm glad to hear that NICE don't recommend medicines for prediabetes. My aim is to go below 6.0 without taking medicines. Perhaps I should try harder. Re: post-meal spikes, I registered with Fatsecret and try to record what I eat as often as I can and I didn't eat something different that day (when my after-meal spike went down very slowly). My dinner is pretty same every day (except 2 or 3 times of occasions per year), e.g. a big bowl of salad and grilled fish (I don't eat meat) or cheese (usually grilled halloumi) or boiled egg or some shellfish with olive oil and lime juice dressing (no sugar or any manufactured dressings). My usual pre-meal BS is between 5.0 and 6.0 and post-meal BS (highest) between 8 and 9.5. Last Christmas I ate something (perhaps forbidden one - panettone) and the post-meal BS hit 200. I thought I'd die. It really scared me. I'm fully aware that I have to live with diabetes for the rest of my life. But, I think that I'm still in the stage of 'fear' rather than becoming a friend with it! Since then I'm trying to be good, but as everyone knows it's not easy! Thank you for your support.
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