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RE: One stop Diabetic Chat - 9/29/2011 6:23:59 AM   
barelynangel


Posts: 6233
Status: offline 		Why would she if she is a type II diabetic need to carry sugar with her?  Sorry but i fully disagree, if she is going to carry anything with her, it should be nuts or something she can eat as a diabetic.  She hadn't eaten in 12 hours, pouring sugar into her system instead of protein is not, to me, a smart idea.   To me, carrying around sugar is like feeding yourself the bullet that began the disease.  What she needs to have with her is food to eat, not sugar to swallow.  If she is going to carry sugar, she can carry something to snack on.

Tazzy here is the reason why i think your blood sugar spiked after you ate after 12 hours -- 1) ate some apple which has high fructose - go for veggies instead of a piece of fruit, 2) the peanut butter while is better than the apple, may have had sugar in it and depending how much you ate, it could have contributed, 3) came home and ate pasta and 4) light dressing probably has more sugar content in it as fat is replaced with sugar  - next time mix it up with some water or scrap the dressing and use some mayo and lemon juice.  IF you look at everything you ate, as well as the fact you hadn't eaten all day and probably were stressed, you ate things that your body reads as a concept of sugar.   Next time, try going for the protein more so than the fruit and carbs.   


Your blood sugares are going to fluctuate until you have this completely under control.  So be patient.  One thing that may be good to do which i completely suck at doing is planning.  Making up foods and freezing for easy dinners and such which keeps you from making quick choices that may not be as good for you.

Next time, go along the perimeter of the store, get veggies before you get fruit, if you want fruit start with berries.  Get meats instead of pastas, and make sure you throw some olive oil on the salad and put some protein into every food you have that is a carb.  If you are going to have pasta, go whole grain and make sure you put some protein with it.   Better yet, make up an emergency shopping list and keep it in your purse.  What this is would be everything you need for a meal when you are in a situation you hadn't eaten most of the day and want to grab some stuff to make dinner at home quick and easy.  Another way -- which i am good at explaining but not executing lol is make up a couple of homemade "TV Dinners that you can just pop in the microwave or oven when you find yourself in such a situation.

What you may want to do is get a big bag of raw almonds and make sure you keep some in your bag for when you get hungry and can't or don't eat.  You don't need a lot to make a serving i think its 11-15.  So if you are worried about eating the whole bag lol which is easy, put them in those snack baggies as a serving size, keep some in your purse, your car etc.

Give yourself some time, it's not hard, its just overwelming right now because you are looking at food as the enemy.  So you don't know who is friendly.  When you are in a bind or feeling overwelmed with no list to follow -- go back to the basics and UNPROCESSED -- meat and veggies can make a meal.    Get what you need for that meal and then go home and relax and make up a list to follow.

angel

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(in reply to zephyroftheNorth)
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RE: One stop Diabetic Chat - 9/29/2011 6:38:19 AM   
barelynangel


Posts: 6233
Status: offline 		Oh and if you are in a medical clinic or facility and you are waiting and waiting, go up and tell them you are a diabetic, you haven't eaten in blank hours and do they have something.

More than likely they may. 

angel

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RE: One stop Diabetic Chat - 9/29/2011 7:21:17 AM   
kalikshama


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Joined: 8/8/2010
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quote:

Long story short, I ate this morning at 7am, and didnt get back home until 7pm. Had not eaten all day. Bad decision. Was shaky, nauseated and clammy.... and more fuzzy headed than usual. We went to the grocery store, and I had an apple and a couple of peanut butter crackers before coming home.


I start getting low blood sugar symptoms after 3-4 hours without food. If it's been much longer than that, after I finally eat, I'm still out of whack for a few hours.

I always keep nuts in my house and if I won't have access to food for a while, will bring some along. Just like I would never go to the doctor's office without a book, I would never go someplace where I might get stuck without nuts (or a protein bar, or a sandwich).

Angel had good points about carbs/fats. For example, I can tolerate ice cream, because of the fat, but cannot drink apple juice - the sugar unmediated by fat whacks me out. I always make my own salad dressing because it seems like bottled kind doesn't have nearly enough fat. Traditional salad dressing is 4:1 oil to vinegar, but in bottles you will find HFCS, water, and other crap to reduce the amount of oil to reduce calories.

I'm fine with Ezekiel bread, but bread made of flour has too high a glycemic index for me to tolerate. Whole wheat pasta is better for me than not, and non-wheat pasta is even better.

Lots of trial and error, and observation.

(in reply to tazzygirl)
Profile   Post #: 83
RE: One stop Diabetic Chat - 9/29/2011 7:34:15 AM   
yourdarkdesire


Posts: 4477
Joined: 10/2/2008
From: NeverNeverLand
Status: offline 		nice try angel - but if she is experiencing a low blood sugar - protein isn't going to help her. And I didn't say to carry "sugar" with her - Isdlkjdskjbdsvlnds;mjdsvnk

oh never mind

what do I know

I've only been a nurse for 20 years

and I've only dealt with diabetes on a daily basis for 5 years

and just because she is type II, doesn't mean she is immune to low blood sugars

to treat a low - you need a source of sugar - whether is it is in carbohydrates (which take too long) or a fruit. everything has sugar in it except for proteins and if they stay in the digestive system long enough - they too will break down into a sugar of some sort.

if you don't know what you're talking about - keep your bad advice to yourself

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RE: One stop Diabetic Chat - 9/29/2011 7:53:17 AM   
kalikshama


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Profile   Post #: 85
RE: One stop Diabetic Chat - 9/29/2011 8:02:25 AM   
tiggerspoohbear


Posts: 19141
Joined: 6/27/2010
Status: offline 		sits next to KK  

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RE: One stop Diabetic Chat - 9/29/2011 8:29:33 AM   
barelynangel


Posts: 6233
Status: offline 		Well how do you know that was what was wrong that sugar was needed to fix it. To me, after 12 hours of not eating sounds like she needed FOOD. Just like nondiabetics and eating usually fixes the issue not ingesting " a quick source of sugar". Which to me a quick source of sugar is sugar. As a nurse it interesting you would tell someone who is a pretty substantial diabetic if her numbers are anything to go by to have a source of sugar instead of a low sugar or no sugar snack. As I said if anyone can carry a source of sugar the can carry nonsugar snacks. Do u agree, I mean as a nurse and all?

I just spoke to my doctors Ofc and he recommended the almonds instead of a "source of sugar" but if u were leaning towards the go with a complex carb instead of a simple carb- which is what he would consider a source of sugar, with some protein. I guess it all depends what you consider a source of sugar as I indicated go me it's like carrying sugar with you.

He said almond would be good too just have them earlier and more frequent than 12 hr gap.

All in all, I don't see how a source of sugar benefits a diabetic in any situation. To me it would make the situation worse especially telling that to someone brand new to the disease and how to eat, what to eat, and how it effects her.

You don't have to agree just as my doctor didn't agree with carrying a source of sugar which he determined to be a simple sugar on his own.

Angel

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What lies behind us and what lies before us are tiny matters compared to what lies within us.
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Profile   Post #: 87
RE: One stop Diabetic Chat - 9/29/2011 9:20:30 AM   
tazzygirl


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Joined: 10/12/2007
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quote:

ORIGINAL: zephyroftheNorth

All the more reason to find yourself a dietitian. Have you looked into it?


I have to go and make another appointment with my PCP. It shouldnt have to be this difficult.. but I am working on it.

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Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

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Profile   Post #: 88
RE: One stop Diabetic Chat - 9/29/2011 10:26:59 AM   
CalifChick


Posts: 10717
Joined: 10/28/2007
From: California
Status: offline
quote:

ORIGINAL: tazzygirl

~FR

apple and a couple of peanut butter crackers before coming home.

pasta and a huge salad, light dressing. After the apple and crackers, BS was 277... 2 hours after dinner... 353.



I see NO real protein here. There is negligible protein in peanut butter crackers (off the top of my head without looking at a package of them).

In the store I would have grabbed some cheese, a small package of salami or cold cuts, something with some real protein to go with the peanut butter crackers.

Despite the talk of "good carbs" or "good pasta" or whatnot, grain carbs affect me the same way... for you it may be different. Pasta and salad has zero protein. If you had added some chicken (poached, sauteed, whatever, just not coated with bread crumbs or batter), your blood sugars would have been lower at 2 hours.

Think of your blood sugar levels kind of like a bouncing ball. You want the ball to NOT bounce, to be as even as possible. Carbs and sugar are going to make the ball bounce high and then drop low. Add in some protein, and it's like an anchor on the ball... it won't bounce as much and will be more even.

Cali


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Profile   Post #: 89
RE: One stop Diabetic Chat - 9/29/2011 11:23:31 AM   
yourdarkdesire


Posts: 4477
Joined: 10/2/2008
From: NeverNeverLand
Status: offline 		peanut butter is worth 2 carbs per tablespoom; the cheese and crackers are worth 17 - I'm not sure of the pb and crackers

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RE: One stop Diabetic Chat - 9/29/2011 1:42:05 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
Status: offline 		The protein in those was 4... carbs 24, sugar 5

And thankfully I meet with the diabetic nutritionist tomorrow morning!

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to yourdarkdesire)
Profile   Post #: 91
RE: One stop Diabetic Chat - 9/29/2011 2:06:05 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
Status: offline 		Sugar benefits only if the BG falls dangerously low... we are talking below 70 for most people. A quick jolt of sugar and that gives protein time to work. I dont believe mine was ever that low. Running in the 300's fasting, it probably got down to 150.. which is enough to make me feel sick.

I should have grabbed cheese, but I wasnt anywhere that I could until we hit the grocery store. PB crackers seemed like a good alternative. I have since stocked up on cashews... I cant do the almonds.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to barelynangel)
Profile   Post #: 92
RE: One stop Diabetic Chat - 9/29/2011 5:18:36 PM   
KMsAngel


Posts: 17415
Joined: 4/13/2007
Status: offline 		i've been admonished to keep a small popper (about 150 ml) of juice in my car/purse at all times in case of lows. i also keep spare boxes of dried fruit in bags and cupboards and glove compartments. the popper is for quickly getting my blood sugars up, since tingling lips and fingertips, shakes, dizziness are so not a good look for me. after that i try and avoid the quick fix of white bread (bounces me too high), and instead go for plain biscuit (cookie) - i don't know of an american equivalent to them - with smear of peanut butter on it.

the dried fruit is if i'm taking longer in class than i anticipate and am not anywhere i can get some proper food into me. it puts my sugar higher than optimal, but not dangerously so, but again, better than it dropping out on me, esPECially if i have to drive somewhere.

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RE: One stop Diabetic Chat - 10/1/2011 5:44:14 PM   
zephyroftheNorth


Posts: 8159
Joined: 10/5/2009
From: The Great Frozen North
Status: offline
quote:

ORIGINAL: tazzygirl

And thankfully I meet with the diabetic nutritionist tomorrow morning!


How did it go with the nutritionist?


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Profile   Post #: 94
RE: One stop Diabetic Chat - 10/1/2011 5:54:29 PM   
quietcuriosity


Posts: 29
Joined: 8/11/2011
Status: offline 		I've been a diabetic for going on 35 years. I've been insulin dependent for all but one of those. I'm also what my doctor called "brittle" but simply am an anomaly to them. Tell me my body can't do something or react a certain way and it'll prove you wrong. I've been on NPH, then an insulin pump and now Lantus. Along side regular to regulate foods and sugars. People in my opinion worry too much about sugar content and not enough about total carbs. That's where the danger lies. The insulin pump was a pure disaster. Yes when it worked it was great, but give a woman with arthritis in her hand a device she has to squeeze equally to seat the needle, and it's just a disaster waiting to happen. Eight hours later with sugars over 500.. hmm I think not! My sugars never respond to the same activity/meal/insulin dose the same way twice. So in my pocketbook not only do I carry peanut butter crackers, and glucose tablets but also my blood testing machine. I remember when home blood monitoring first came out and the damn razor blades it required! If I suspect somethings off even a little I test. I have been suprised to find at times my sugar is opposite to what I should be experiencing symptoms for. Now that all being said, my vision is good. I have no signs of heart disease and very very minimal neuropothy, which oddly affects one hand more than anything else. It takes work, and planning, but it can be managed.

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RE: One stop Diabetic Chat - 10/1/2011 7:16:41 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
Status: offline
quote:

ORIGINAL: zephyroftheNorth


quote:

ORIGINAL: tazzygirl

And thankfully I meet with the diabetic nutritionist tomorrow morning!


How did it go with the nutritionist?



To be honest, zeph... I dont think all that well. I do understand a bit better... but then I got the speech about being vcareful of too much protein because of the potential for kidney damage and to watch red meats wven though my cholesterol levels were all normal.

She offered three diets...

High protein... one she said she had to offer but it wasnt for me.

high carbs.... the one she preferred.

and the mediterranean diet.

50 carbs a meal.... I dunno

lost 12 lbs though.

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to zephyroftheNorth)
Profile   Post #: 96
RE: One stop Diabetic Chat - 10/1/2011 9:53:31 PM   
DeviantlyD


Posts: 4375
Joined: 5/26/2007
From: Hawai`i
Status: offline 		Regarding your day of not eating, I'm sure you realize that it isn't a good thing. As others have alluded to, and I'm sure, as a nurse, you realize yourself, the key is to keep blood glucose levels stable and that won't happen with long gaps of not eating. From what I understand, your best bet is to do what has been referred to as the grazing method of eating: you eat small, but frequent meals. As long as they are balanced it should go far in keeping your blood sugars level. Given your new diagnosis, you'll have to do what many other diabetics do and carry food with you when you're out and aren't certain when you'll be able to get to eat. Some people have recommended peanut butter crackers and the like. I'm not a dietician, but to my mind that doesn't sound like a healthy option. If I was going the peanut butter route, I'd go with real peanut butter (just ground-up peanuts, no added sugar, no added fats, just peanuts) and celery. Hummus is mostly garbanzo beans, so that's another protein option. Put some in a container and use it as a dip with some veggies. You could pack this kind of stuff into a small lunch cooler bag to take with you. Hard boiled egg whites are another option, depending on if you like eggs or not. I'd use something like Mrs. Dash to season it. You would want to avoid salt whenever possible. Not because it's directly involved with diabetes, but now that you have one health situation going on, why invite another one in? Anyhow, those are some protein options to take with you when you're out.

I can't say I'm impressed with what your dietician had to say. Go with your gut feeling on this. Personally, I would want to find someone else.

Here is a good article on insulin. I think that would be a useful review. http://www.vivo.colostate.edu/hbooks/pathphys/endocrine/pancreas/insulin_phys.html

And I just found this article from the Harvard University web site. http://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/carbohydrates-full-story/

I found the one above when I was trying to find a source about eating carbohydrates and protein together. I can't recall where I came across it, but I had read somewhere that eating both together will slow down the absorption of carbohydrates and thus, a slower release of glucose into the bloodstream. But I can't find anything other than the body builder sites. When I provide references, I try to go with reputable sites. ;)

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Profile   Post #: 97
RE: One stop Diabetic Chat - 10/1/2011 10:05:16 PM   
tazzygirl


Posts: 37833
Joined: 10/12/2007
Status: offline 		Your information is correct. I do recall that from anatomy and physiology classes.. lol As far as the peanut buter crackers.. figured that was a better choice than the cakes i was looking at.. lol

The eggs are what I think.. the nutritionist said I needed to avoid too many eggs because if the cholesterol. I didnt have the heart to tell her that I had been eating almost a dozen eggs a week for years. My cholesterol levels were fine, though.. not even on the high end.

Dietary changes are hard... and its not as hard to give up the sugar as I thought... even the bread isnt that hard. She suggested I start with one meal and work on that... then add another meal a few weeks later in order to get the right proportions.

Oh, as far as me being a nurse....

well we all teach
we just make horrible patients


< Message edited by tazzygirl -- 10/1/2011 10:06:03 PM >

_____________________________

Telling me to take Midol wont help your butthurt.
RIP, my demon-child 5-16-11
Duchess of Dissent 1
Dont judge me because I sin differently than you.
If you want it sugar coated, dont ask me what i think! It would violate TOS.

(in reply to DeviantlyD)
Profile   Post #: 98
RE: One stop Diabetic Chat - 10/2/2011 12:34:16 AM   
DeviantlyD


Posts: 4375
Joined: 5/26/2007
From: Hawai`i
Status: offline
quote:

ORIGINAL: tazzygirl

Your information is correct. I do recall that from anatomy and physiology classes.. lol As far as the peanut buter crackers.. figured that was a better choice than the cakes i was looking at.. lol

The eggs are what I think.. the nutritionist said I needed to avoid too many eggs because if the cholesterol. I didnt have the heart to tell her that I had been eating almost a dozen eggs a week for years. My cholesterol levels were fine, though.. not even on the high end.

Dietary changes are hard... and its not as hard to give up the sugar as I thought... even the bread isnt that hard. She suggested I start with one meal and work on that... then add another meal a few weeks later in order to get the right proportions.

Oh, as far as me being a nurse....

well we all teach
we just make horrible patients



If you have egg whites, then cholesterol isn't an issue. http://www.mayoclinic.com/health/cholesterol/HQ00608

You are lucky about the eggs and having good cholesterol though. :) You must have inherited some damn fine genes!

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RE: One stop Diabetic Chat - 10/2/2011 4:21:53 AM   
zephyroftheNorth


Posts: 8159
Joined: 10/5/2009
From: The Great Frozen North
Status: offline 		Yeah I agree with Dev, I would find another one, it doesn't sound like she knows what she's doing. Too bad though.

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(in reply to DeviantlyD)
Profile   Post #: 100
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