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  #31 (permalink)  
Old 04-30-2008, 10:43 AM
davef's Avatar
Senior Member
I am a: Type 2
 
Join Date: Nov 2007
Location: Dublin, Ireland
Posts: 3,423
What (if any) meds are you taking? I'm not sure how many carbs are in an egg McMuffin but would guess there are probably quiet a few, which would cause you to jump from 130 to 211. Personally I would feel 211 is high, I aim for 140 two hours after first bite. It also does depend how long you are on meds, what you ate (and when) last night to have a FBG of 130.

I would suggest that it might be well worth looking at alternatives to eating a McMuffin for breakfast, could you make some eggs at home?
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Diagnosed T2 on 26th Nov'07
Metformin 500mg twice daily
Enap 5mg

14th Dec'07: 11.6%
15th Jan'08: 9%
3rd March'08 6.8%
6th June'08 6.1%
30th Sept'08: 5.1%
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  #32 (permalink)  
Old 04-30-2008, 11:50 AM
princesslinda's Avatar
Super Moderator
I am a: Type 2
 
Join Date: Dec 2006
Location: Knoxville, TN
Posts: 7,227
Egg McMuffin contains 29 carbs and 2 fibers according to dietfacts.com.

You might want to get some of the low-carb tortillas and put your egg, meat and cheese on it. I buy the Mission Brand from Walmart. one has 18 carbs minus 11 fiber (so total carbs 7) and 110 calories. You could make this the night before and grab it as you leave your house. This might keep you from having such a high post-meal spike.
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T2, diagnosed 8/31/06.
Byetta 5 mcg
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets


Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (right after dealing with shingles and bronchitis)


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  #33 (permalink)  
Old 04-30-2008, 12:03 PM
Junior Member
I am a: Type 1.5
 
Join Date: Apr 2008
Location: New Richmond, Ohio
Posts: 48
Bluemax,
I understand the denial thing. Things will get better.
I hope you have a good session with the diabetes educator. When I first got diagnosed, she was the one who was the most help. The doctor just said "take these pills and come back in three months." The diabetes educator taught me how to count carbs, about the effect of exercise, etc.
You may have to demand the test strips from your doctor. I did. I got them.
After two years I'm still learning how to talk to my endocrinologist about my diabetes. I think most of her patients don't ask questions or participate actively in their own treatment. At first she was a bit defensive when I asked questions, but now I think she knows that I am taking this very seriously.
Good luck.
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  #34 (permalink)  
Old 04-30-2008, 12:31 PM
Bluemax's Avatar
Junior Member
I am a: Type 2
 
Join Date: Apr 2008
Location: Houston
Posts: 15
Jazzbo

I think we are seeing the same DR. She said check my BG 2 times a day and come back in a month. My first thought was check it for what? and what if its not that? Fortunately she did set me up with the educator. She also changed my perscription after I told her that I had talked with the educator on the phone and that she wants to see more that two tests a day. BTW I ordered a book yesterday called The First Year Diabetes type 2. I have read on this forum that it is a very good book.
Thanks
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  #35 (permalink)  
Old 04-30-2008, 12:35 PM
princesslinda's Avatar
Super Moderator
I am a: Type 2
 
Join Date: Dec 2006
Location: Knoxville, TN
Posts: 7,227
When diagnosed, I was told to check only fasting level each day....but how will you know how things are going and how foods affect you if you don't check more than that. I've been diagnosed 18 months and still check 4-5 times a day.

You'll really like the Becker book...I still refer back to it on occasion. Its a keeper!
__________________
T2, diagnosed 8/31/06.
Byetta 5 mcg
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets


Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (right after dealing with shingles and bronchitis)


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  #36 (permalink)  
Old 04-30-2008, 12:54 PM
Senior Member
I am a: Type 2
 
Join Date: Jun 2006
Posts: 1,047
Bluemax, I'm glad to hear that you are getting that book and are going to test more.

You were asking about whether your tested levels were too high. The general response has been that a goal is to have your blood glucose no more than 140 two hours after a meal. Well, I only get mine down that much after lunch, it will not come down enough before I have supper. Then I will end up well over 140 two hours after supper. I have to keep my BG lower all the time. That 140 after two hours is just not good enough for me.

I like to see my BG at 85-98 two hours after a meal. On active days I have to east part of my meal as a snack instead of all at once in order to keep my BG high enough to keep working, but not to spike too high after the meal.

That number 140 recommended for after meals? That is not because 140 is thought to be a good number. It is thought to be the borderline number between the levels at which there is a higher or lower chance of having complications from your diabetes. Get it below 140 to reduce chances of complications.

It is odd that so many people here seem to have endocrinologists who they don't have a comfortable relationship with. Before I was diabetic, my primary doctor was an endo. He was simply the doctor who had space for a new patient when I went to the particular office I go to. I found that guy arrogant like no other doctor I've encountered before. (And I have worked in a hospital in a position where I often would rub elbows with doctors or other staff who seemed much into stratification of human validity based on job, so I had met a lot of doctors). It didn't bother me too much to have him as a doctor because at that time I only needed a doctor about once every three or four years. He seemed competent, so it was no big deal to see him,.However, now that I am diabetic, I'm really glad he is no longer my doctor. I don't ever even see an endo. My internist handles things just fine at this point. If I need an endo in the future, well, I do know one I wish to avoid.
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  #37 (permalink)  
Old 04-30-2008, 01:06 PM
Senior Member
I am a: Type 2
 
Join Date: Apr 2008
Location: Roanoke, VA
Posts: 590
All of the above are sound advise. Word to the wise after 40 years I still do not understand the disease. I just know I have it and it is my job to control it.

This is a good site. Keep reading, testing, watch what and when you eat and by all means get some exercise even if only walking 20 minutes several times a week.

Have a great day.

Janlaton
type 2 40 years
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  #38 (permalink)  
Old 04-30-2008, 01:14 PM
Bluemax's Avatar
Junior Member
I am a: Type 2
 
Join Date: Apr 2008
Location: Houston
Posts: 15
Everyone.. thanks for all the advice, I look forward to actually meeting with my educator, and also reading the book. I do have to admit, I don't really exercise. I suspect that will have to change. I love junk food, and that too will have to change. I see the educator in 2 weeks.
BTW the picture is not really me
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