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Yet another question....

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sally43

Well-Known Member
Morning. I am sure this is something simple to sort out but.. 🙂

David has just tested his sugar level as an after breakfast. It was 21.5! He had shreddies for breakfast and a cup of tea - no sugar. He is now on metformin twice a day so he took a tablet too. His levels over the past week that he has been testing have been in the mid to low teens. He was very dispondent this morning to discover it had shot up. What should we be looking at? Last night's meal perhaps? We had homemade lasagne - he had a much smaller portion than normal! - and lots of salad then one pancake with blueberries and natural yogurt to follow. Guess that may have been where we went wrong? Should he now go out and do some exercise?

I so admire you guys who deal with all this confusion everyday. I never realised that diabetes was so complex. My ignorance is embarrassing! 😱
 
It would seem that shreddies dont agree with him, many cereals are a no go for most type 2 diabetics...........

what was his before breakfast/fasting blood glucose level............?

Its still early days, once any medication has finally being fine tuned,it will become easier to deal with certain foods...........
 
Hi Sally,

I agree with NRB - cereals do tend to spike. If he tests later, he will have undoubtably come back down.

It will just be trial and error as some cereals may not spike him....depends on if he wants to avoid altogther, or minds working out which may be ok.

Good luck.
 
Thank you for that reassurance. 🙂 He was told to only do the blood test twice a day so he's been working his way along the chart. We've avoided toast for breakfast. Perhaps the bacon and egg breakfast will be better - as suggested to us in an earlier thread!
 
No need to be embarrased sally - even after many years of dealing with it, it can still be very difficult to understand! 🙂

Did he test prior to eating his breakfast? This is important, as you need to know the difference between the pre- and post-meal in order to get an idea what is going on. I suspect that, although it may not have been an ideal breakfast, his levels were already high beforehand, possibly elevated overnight from the meal (again, important to know what level he was at prior to eating last night, and also before bed - lots of testing I'm afraid to try and build up a picture of his base levels and how various foods affect him).

I think it's fairly clear that his body cannot cope without some extra medication, and I would still wonder whether he is Type 2 or a slow-onset Type 1. I think it might be a good idea to try an non-carb breakfast - bacon and eggs for example, in order to improve his levels in the morning when many people find that their insulin resistance is at its highest.
 
It is so difficult for Type2's to get the breakfast right.
What was his result on waking? Was this high reading 2hrs. after the breakfast?
The Dawn Phenomenon could be coming into play here if he left a large gap between rising and eating too.
Does he like eggs? Scrambled egg on toast, (Burgen) might produce a better result or some find that a yoghurt with some berries are O.K. The cereals usually have a high carb content and the milk has carbs too. There is one cereal that is sometimes recommended and that is Lizzie's Granola. You could try that although it is expensive.
Metformin will not have a huge impact on lowering blood sugars but once you get the diet right you will notice it's lowering effects and it is also heart protective.
 
Thank you. It does seem logical that he should be testing more to get a better picture of what is going on. Twice a day doesn't really seem enough. But it's not me having to do it. 🙂 He has certainly had to get over his severe needle phobia with all this 'self harming' as he calls it! There is still a bit of discrepancy over his diagnosis I think and he has yet to see the specialist at our local hopsital. That will be in April. I read a post yesterday that was describing the T2 who was becoming T1. It really seemed similar to David. I haven't put that very eloquently, but I'm sure you understand! The GP he saw yesterday had no problem with issuing a prescription for more lancets and strips so perhaps I will encourage him to do tests more often.
 
Hi Sally,
As already mentioned breakfast is a right PITA to get right took me ages to dabble around and eventually find something that got on with me and my blood sugar lol, I am now stuck on 2 varients scrambled egg and bacon and quaker oats porriadge with golden syrup.Its all about finding what suits and what does not x
 
Luckily David is not a fussy eater and will eat just about anything. Peanut butter is the only thing he will not eat. I am sure he will enjoy the challenge of finding out what suits and what doesn't! 🙂
 
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