[Superjew78]

Well before i ate breakfast this morning my reading was 132, not bad but could be better. Well i tried a flat bread wrap to see how my body reacted to the 6 net carbs. My blood sugar spiked to 256 after 2 hours of my first bite.

I called my doctor, his response was "Your testing to much, just test 30 mins before each meal." I said, to his nurse, well how am i supposed to know how my body reacts to food then if i dont test after i eat. Her response was "Dr said he wants you to test 30 mins before you eat each meal." Then i said "So he wants me to ignore the fact that my blood sugar just spiked to 256" Her response was yes....

[princesslinda]

From what I have seen personally, as well as from what I've read here, you'll get a lot more information from the forum and from your own research than you'll ever receive from your doctor.

At diagnosis, I was told to check a fasting only (1 test/day). Now, nearly 2 years in, he suggests I check a fasting blood sugar 1-2 times a week.

He is, however, willing to write me the # of strips I feel I need, so I keep seeing him for my A1Cs and annual physician.

I think many doctors just assume we T2s aren't going to test very often or take our diabetes very seriously...and if you know many diabetics (other than the ones on the forum) you can see where they get this idea.

[Superjew78]

i asked him to up the perscription so i could test before and after each meal till i get better acclimated to it. He said no 4 times a day is what i need to do and its supposed to be before each meal, I said well its about 4 hours between each meal. "Thats fine."

[volleyball]

You are way too new to this to not expect strange spikes.
Of course the nurse is not going to contradict the doc.
Was the wrap the only thing you ate? Probably had some stuff in it. It all contributes to your number. What else did you eat. What was the meal before and how long ago? Was your wrap too big? Have you heard of glycemic load?
I would expect your doc to act the way they did. A temporary spike will not harm you

[Superjew78]

i had a wrap with my usual breakfast*. I am going to skip the wraps and i was just telling the doctor about my 256 as an example. Yes i am new to this thats why i am trying to figure out exactly what foods cause me to spike so i can avoid them.

If i only check my fasting Blood sugars and its high in between then wont my a1c reflect that? Since i wont know what foods cause me to spike.

*My usual breakfast is egg beaters with some cheese and mushrooms.

I added the wrap thinking if it didnt spike me i could make like a breakfast sandwich. The wrap had like 6 net carbs. 9 dietary fiber.

[princesslinda]

My insurance only covers 100 strips every 25 days for a non-insulin dependent T2.

If you want to test more, buy one of the "generic" type meters. Walmart has a Reli-On that's quite a bit less expensive.

Your doc can suggest when to test, but you ultimately decide when you do.

You may just want to test your fasting, then before and after a different meal each day and a random to see how things are going throughout the day.

[Noturningback]

I am not yet 2 months from my diagnosis and I can tell you my doctor mailed me my results with a note saying come back in three months to retest. The end - no advice - no meter - zippity do da. So, I feel your frustration. From the advice I got here, I went back to him got a meter and thankfully he wrote a prescription for 100 strips + lancets. I actually asked for more and he never responded. I now realize what insurance permits and doesn't - live and learn. However, he has refused to put me on meds, suggested testing three times a day (never showed me how or told me when) and just overall doesn't seem concerned.

Since you are here at this forum, you are a proactive person like many of us. Personally, I'm a bit of a perfectionist too. However, I have seen members of my family die due to diabetes or I should say due to the lack of care they either received or gave themselves. So, I don't care what my doctor said. I am going for a second opinion with and endocrinologist. I'm praying he will be proactive and help me attain NORMAL readings and not just okay for me type readings. I'm not waiting 2 years for my beta cells to completely kick the bucket because of lack of interest by the medical community.

Someone above mentioned how some diabetics don't put in the effort and that is one reason we get this response from doctors. I can't ell you how many diabetics I've spoken to and heard - "oh no, I'm not giving up bread, sugar, "fill in the blank". Now maybe a very low carb diet is difficult for many and perhaps not even needed but, it's your life! These people wouldn't give up large sums of bread to live a healthy long life? SAD IMO

I've learned not just more from this forum and others but, everything from the forums and a select few books and websites.

To your health,
~Danielle

[Superjew78]

Yes my grandmother died from complications due to diabetes as well (my doctor was hers also). Plus my grandfather is currently on dialysis cause his kidneys arent the greatest.

I also have been reading and doing research. I am down 4 pounds already and my blood sugars (fasting) have come down alot since i started this new diet.

I called my family doctor cause i needed a referral to go see an endo, his response was "we will talk about it at your next appointment". That was step one towards finding a new doctor. Whats the harm in seeing a endo? Finally after alot of *****ing to them on my part they sent the endo my file and i have an appointment to see her in october!

I just got a phone call from a new family doctor, one who specializes in diabetes. I go to see her on the 29th. So i am pretty excited about that.

[Noturningback]

Originally Posted by Superjew78

Yes my grandmother died from complications due to diabetes as well (my doctor was hers also). Plus my grandfather is currently on dialysis cause his kidneys arent the greatest.

........

Oh, good for you because the statement above answers your original question IMO -

I'd have moved on too. It certainly can't hurt.

~Danielle

[ericm31]

I was suprised at the lack of concern from my family DR also. I've since found a more responsive and interested DR, and he has Two Certified Diabetic Educators in his office. I see one on the 12th of Sept.

[matingara]

Originally Posted by Superjew78

Well before i ate breakfast this morning my reading was 132, not bad but could be better. Well i tried a flat bread wrap to see how my body reacted to the 6 net carbs. My blood sugar spiked to 256 after 2 hours of my first bite.

RULE OF THUMB. One gram of carb will raise your BGL by about 5 mg/dl. (YMMV).

if you went from 132 up to 256, that rise of 124 points suggests that you ingested about 25 grams of carbohydrate.

i don't hold with this "nett carb" thing. how many grams of carbs are in that wrap? also mushrooms are low carb - not ZERO carb.

i reckon that you must have had somewhere in the region of 15-25 grams of total carb to get that spike.

look back on what you had and this might well be the truth.



-- Joel.

[GeishaGirl]

Originally Posted by matingara

RULE OF THUMB. One gram of carb will raise your BGL by about 5 mg/dl. (YMMV).

if you went from 132 up to 256, that rise of 124 points suggests that you ingested about 25 grams of carbohydrate.

i don't hold with this "nett carb" thing. how many grams of carbs are in that wrap? also mushrooms are low carb - not ZERO carb.

i reckon that you must have had somewhere in the region of 15-25 grams of total carb to get that spike.

look back on what you had and this might well be the truth.



-- Joel.

Not necessarily true. I had something with 20 carbs once, which should have given me a 100-point rise. Well, it shot me up over 200 points. Spikes like this can happen, especially when the meds may need adjusting for a new diabetic.

[matingara]

Originally Posted by GeishaGirl

Not necessarily true. I had something with 20 carbs once, which should have given me a 100-point rise. Well, it shot me up over 200 points. Spikes like this can happen, especially when the meds may need adjusting for a new diabetic.

well i did say "YMMV" -

what i gave was a "Rule of Thumb" - approximately 5 mg/dl per gram of CHO. that may stretch much higher or lower depending on all sort of factors (stress, medications, time of day etc).

i have measured this on myself and find that it is "relatively" accurate most of the time.

what i wanted to highlight is that a statement was made about 6 grams of "Net" Carbs. i would like to know the actual "gross" carbs in what was eaten. using "gross" carbs is simpler and probably just as accurate as trying to deduce "net" carbs.

by keeping it simple with the "gross" carbs listed on food packaging, one can get a general idea of what sort of spike one may be in for when consuming certain foods.

-- Joel.

[Superjew78]

yeah the mushrooms had 1 carb, the wrap had 15 total. Like i said it was just something i tried. it failed. Live and learn.

[matingara]

Originally Posted by Superjew78

yeah the mushrooms had 1 carb, the wrap had 15 total. Like i said it was just something i tried. it failed. Live and learn.

actually, it didn't fail. it proved that you react to carbs pretty much the way you would expect.

reading the egg beaters site, these are not carb free.

so we could guesstimate: wrap=15g, egg beaters=2g, mushrooms=1g, cheese=2g. Giving a total carb count of 20 grams. this would lead to a spike of between 70 and 130 mg/dl (if you allow a 30% margin for error).

your rise of 124 mg/dl fits right within that ballpark.

just FYI, i find i am much more sensitive to carbs in the morning and at lunchtime.

if you take away the wrap your breakfast would have had 5g of carbs. this should lead to a BGL rise of between 18 and 32 mg/dl. the law of small numbers works out in your favor if you leave out the high carb foods.



-- Joel.