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I am going up in the mornings to 12-15mmol after a small breakfast 10 grams of carb only and despite taking 2 medications. I am now exercising after I eat and able to get it back down to range in 1-2 hours.

March 26
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A DiabetesTeam Member

Is there any fiber in your meal to slow down digestion?

My nutritionist used to tell me I was not eating enough carbs. Not enough to stimulate your own insulin. I thought it seemed weird but sometimes things are counter intuitive. Hard finding just the right amt and when you do something else changes . Seems like a constant readjusting.

And drink lots of water with your meal and if your having a caffeinated beverage some find it works as a diuretic so you need even more water.

And yes those spikes can be cumulative.

March 27
A DiabetesTeam Member

@A DiabetesTeam Member Yes, it's looking for that sweet spot and when I find it then suddenly all changes. Aaaarggghhh! 😀 I find using continuous glucose monitor helpful in looking at how my body manages glucose.

I'm looking at a video by a nutritionist (one of those rare ones that speaks sense) that for diabetics it's best to eat protein first (meat and/or plant) then starchy vegetables and then lastly full blown carbs such as root vegetables, rice etc. The latter would spike me too much.

March 27
A DiabetesTeam Member

More low carb breakfasts I've eaten.
58g Pek ham (0.3) 55g boiled egg (0.4) 12g butter spread total carbs 0.7g

98g tinned mackerel 32g Polish Mayonnaise (1.0) total carbs 1.0g

109g fried eggs (0.8) 107g fried mushrooms (1.0) 53g fried streaky bacon (0.6) total carbs 2.4g

48g pork luncheon tongue (0.9) 27g Stilton (0.1) total carbs 1.0g

100g chicken mayonnaise (0.7 total carbs)

100g Roast chicken (0.7) 82g avocado (1.5) Total carbs 2.2g

78g Roast Chicken (0.5) 23g roast beef (0.1) 9g butter spread total carbs 0.6g

43g pork luncheon tongue (0.7) 23g mozzarella slice (0.4) 12g butter spread total carbs 1.1g

80g Frankfurter (1.2) Total carbs 1.2

56g Hard boiled egg (0.4) est 46g mozzarella slices ((0.6) 8g butter spread total carbs 1.0g

Of course everyone is different when it comes to diabetes but being sensitive to carbs in the morning suggests that many people should look at cutting carbs to see what happens rather than going down the route of more medications whether those meds be pharmaceutical or alternative meds which have dangers of their own.

I take 40mg Gliclazide a day and 1000mg-1500mg (2-3 capsules) Berberine a day but NOT in the morning as that would interfere with my Gliclazide.If taking Metformn keep Berberine separates ie don't take within two hours of taking metformin.

Management of blood sugars need endless tweaking to keep it within acceptable ranges and meds have their part but I suggest they should be used as a last resort ie used when all else fails.

And for most people diet may be pointless without exercise which can be walking, swimming, gymnasium, jogging, gardening or a combination. Even exercises in a chair may be beneficial.

March 27
A DiabetesTeam Member

Sugar free breakfast cereals way to go Deb2. Porridge is my favourite!

March 26
A DiabetesTeam Member

I would suggest that before using the convenient crutch of extra drugs (with the potential risks that involves) that you cut your carbs down to 5g or less for breakfast.

Here's some suggested breakfasts

Tinned (canned mackerel) about 88g tin
30g Mayonnaise - about 0.4g carbs or more depending on brand.
Total carbs 0.4g

or

About 110g (=2 large eggs) omelette (about 0.8g carbs) with 100g fried mushrooms (2g carbs) Total 2.8g carbs You can replace the mushrooms with 35g cheddar cheese (about 0.1g carbs) total 0.9g carbs

I give the above as examples, there are many combinations you can do to get 5g or below of carbs.

I suggest you should only increase your meds as a last resort.

I get the dawn phenomenon where I go out of range and how much depends on how many carbs I ate the day before and especially supper if I had too much food in carbs and/or weight.

It's been 29 years since my diagnosis and I now use CGM which is giving me good information on how my body handles (or doesn't!) carbs.

March 26

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Silicon Valley, CA