neohdiver |
11-27-2015 04:52 AM |
Blood glucose changes very quickly
In a matter of minutes. So - I hate to break it to you - the 160 after starting Metformin is far more likely an accident of timing than a sign the metformin is working. (It typically takes 1-2 weeks to make a difference - I think it was about 2 weeks, or perhaps even a bit longer, for me).
To really understand what is going on with blood glucose, you need to test multiple times a day: when you first wake up (fasting), before you take a bite of food for a meal, an hour later, two hours later and (if the 2 hour reading was above the 1 hour reading), again at 3 hours. Find out your body's rhythm over the day so you can adjust your eating to control it.
I'm still relatively new (diagnosed as "somewhere on the diabetes spectrum" on Oct 2). I've tested up to 10 times on some days, if I'm eating multiple new foods and I'm not sure how my body will react. My goal is to keep my blood sugar below 140 at all times (based on my A1C at diagnosis, the average in the preceding 3 months was more than 140). Within 3 days I had my blood glucose under control - with the exception of testing food items I was unsure might be too high in carbs. Since then, I've only had 5 tests over 140 (out of around 180 tests - specifically looking for high numbers).
There are lots of approaches to managing diabetes. My goal is to maintain normal blood glucose levels (not the elevated levels generally recommended for people with diabetes). The only approach I have found in my research that reliably achieves that goal is low carb (<50/day), moderate protein, with the remainder of the daily calories coming from fat (because there isn't anywhere else to get them from). Here's a study suggesting it ought to be the first approach for management of type 2 diabetes: http://www.sciencedirect.com/science...99900714003323
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