How do you eat to maintain your best control?


#81

@Bethshine82 Also, do you use a pump? A pump makes sugar surfing easier. Small corrections can be given by monitoring your cgm, do you don’t have to rely so much on carb counting.


#82

Great suggestion! @Trying

A pump also give you the benefit of multiple basal settings. Once your basal is on target, it makes bolusing and correcting more effective.


#83

Definitely correct Terry that the way |I am getting my exercise is not the only one that works. I saw a posting from an elderly diabetic in New York who did not feel safe walking outside because of muggers, drunks and distracted drivers. He got his after meal exercise by stepping up and down on his living room sofa for 15 minutes.


#84

This is a really tough one for me. As per some comments that I’ve read, yes there will be a drop typically from night time to morning time. Some doctors suggest to go to bed with slightly higher bg levels to adjust for this. Lately I’ve been waking with sugars around 34, 50 in the morning with sugars around 145, 116 at night. And yes the bg variability does do damage to the kidneys in particular. And yes I cannot just eat what I want. Originally doctors never said things like this. It was always schedule, schedule, schedule, same thing same time, watch this watch that. But life…it’s tough. But it is the way the doctors recommend. And then there’s the “stacking” as one doctor called it to me. Overtaking insulin to adjust for just eating whatever you want. Many diabetics do this. I myself have at times. Although I try to take as little insulin as I can. I also skip meals, usually breakfast, but I still take a little insulin, and if I don’t take the right amount we’ll its trouble. Diabetics metabolism is probably slower typically than a non-diabetic. But the lows and the highs are very confusing with how to deal with. Not having or taking the right amount will cause chaos in thinking. Insulin makes you hungry no matter what, you can’t control that feeling, and it’s dangerous if you don’t eat enough, or you eat too much.
As for me, the problem I’ve always had are the lows. So it’s 34 I wake up and am light headed confused a little nervous, can’t think too well, and of course confused so hungry, well how fast that sugar goes up to get rid of that feeling. And how much food, glucose tablets orange juice, do I take. Surprisingly most of the time it’s just a little, and then if I have too much, my sugar eventually goes up to 224, or if I eat just the right amount like 100. But then it’s tough because that feeling of not eating enough which causes the low blood sugar stays in my mind, and of course the thought of having a low blood sugar stays in my mind and is worrisome. So the thought and feeling of course of eating stays in my mind. It’s tough in situations of low blood sugars I have to say. Really tough. Because what am I supposed to do? Take insulin after a low blood sugar because I ate too much? No. That’s not good thinking. But I’m still having trouble with figuring things like this out, even after all these years. Like I said, the doctors have it right, eat a planned well scheduled diet based on the same routine every day.
Types of foods to avoid should be all complex carbohydrates, even potatoes, even chickpeas. All flour products, etc
Foods to eat, beans, nuts, cheeses, yogurts (no sugar, I heard stories about companies adding sugar to plain yogurts and not labeling it), fruits, meat meat meat (lol), and vegetables (such as squash). I’ve had a1c’s as high as 13, and I’ve had a1c’s as good as 6. Currently speaking for the past year, 3 visits to my endo, my a1c’s have been consistently 7. But the foods above that I mentioned worked out the best for me. It’s tough to stick to though, because you’re always shopping for fresh ingredients, and the healthy foods like these well they’re not cheap either. It’s tough, but it’s really my goal to stay on this simple carbohydrate diet, and lower the insulin I take significantly. Kind of like what the doctors said in the beginning, get the body to get used to how to function properly again on its own…


#85

This describes well the precarious balance we all try to negotiate with insuln and diabetes. Diabetes is a “Goldilocks” disease.

While I realize you are suspicious of this, I’ve successfully used this tactic many times. Due to the hypo monster that overwhelms clear thinking and any willpower to resist, we often over-treat serious hypos. When my better thinking returns, I just add up all the carbs (minus the small number actually needed to correct the original low) I consumed and give myself the appropriate insulin correction dose as if it’s like another meal or snack.

Your hesitation about this may arise from over-correcting and leading to the glucose roller coaster. This is a serious risk! But if you can clearly assess the number of carbs and dispassionately determine an appropriate correction bolus, this situation could land well. Not too much, not too little, just right – Goldilocks!


#86

Yeah I would argue this is actually a great idea and essential to avoiding rollercoasters sometimes, at least for me. I’ve definitely taken insulin when still low because I know the food will kick well before the insulin will. Or I wait until it starts coming up just a little if I’m worried about it, then take my shot for the extra.


#87

Thanks. I appreciate the replies. It’s hard to be perfect with this, and know what’s going on all the time. I guess there’s always gonna be some level of guilt at doing something wrong. But I appreciate what you guys said.


#88

Also though the thing I hate about this is say my sugar is around 180. So maybe I take 2 u to keep it normal. But I don’t eat because my sugars 180. Eventually that insulin is not only gonna change the way I feel, but eventually make me feel hungry. What do I eat then? No matter what. And then what do I do eat again and then go through the whole thing all over again. Insulin is very very powerful medicine. I just think and am trying to believe that there are other ways with diet to not be so dependent on the insulin for everything. And schedule schedule schedule. But it’s tough sometimes. Anyways, thanks again.