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Can I eat if BG is over 130?
by itsaholliday, Dec 07, 2004 12:00AM
I am a newly diagnosed type 2 diabetic (female, aged 49, very overweight, otherwise in good health. I do circuit training/aerobics 30 minutes, 3x/week). My doctor wants me to attempt to control my blood sugar through diet, increased exercise, (and weight loss, of course), before starting me on medication. (Recent Hg a1c test was 5.9). My blood sugar is very slow to fall to desireable levels after a meal. A recent fasting plasma glucose level was 116 after a 20 hour fast. What do I do if my fasting or before meal blood glucose is above 130? Do I eat something anyway, or wait until my blood glucose drops below 130, or perhaps below 110? Sometimes my before meal number is 145-185, but I still feel hungry (happens usually if I have eaten a carb heavy meal the night before... I'm trying to stop doing that). Should I exercise before meals in an effort to bring my before-meal blood sugar down enough for it to be OK to eat something? (I do not experience low blood sugar, even when I fast for a few days).
Doctor's Answer
by JDRF-Team-SS, Dec 07, 2004 12:00AM
Hello itsaholliday,
First I want you to know that I am not a medical professional, so my input is based on personal experience and knowledge.
My son was diagnosed with type 1 over 6-1/2 yrs. ago at the age of 3. My sister was diagnosed with type 1 8 yrs. ago at the age of 24.
To be completely honest with you, I do not feel qualified to answer your question. I am only familiar with type 1 and needing to give insulin to cover meals.
Please call your physician about this matter. 130, 145 or even 180 isn't that bad, HOWEVER, I am unsure what the advice would be considering you have type 2. With my son, we have to give insulin to cover his food. I do know that before he went on the insulin pump, if he was on the higher side and hungry, he would eat what we call a "free food" such as cheese or a hotdog without a bun, chicken (no breading).
Please ask your doctor about this matter because I do not know enough about type 2 to give you an adequate answer.
I am certain that others will comment in regards to your question.
Please take care of yourself and I do apologize that I could not answer your question.
First I want you to know that I am not a medical professional, so my input is based on personal experience and knowledge.
My son was diagnosed with type 1 over 6-1/2 yrs. ago at the age of 3. My sister was diagnosed with type 1 8 yrs. ago at the age of 24.
To be completely honest with you, I do not feel qualified to answer your question. I am only familiar with type 1 and needing to give insulin to cover meals.
Please call your physician about this matter. 130, 145 or even 180 isn't that bad, HOWEVER, I am unsure what the advice would be considering you have type 2. With my son, we have to give insulin to cover his food. I do know that before he went on the insulin pump, if he was on the higher side and hungry, he would eat what we call a "free food" such as cheese or a hotdog without a bun, chicken (no breading).
Please ask your doctor about this matter because I do not know enough about type 2 to give you an adequate answer.
I am certain that others will comment in regards to your question.
Please take care of yourself and I do apologize that I could not answer your question.
Post Comment
In general, I think you are not heading down the right path in not eating or exercising vigorously in order to "bring down your blood sugar so you can eat something".
I am not an expert either, but from general knowledge as a nurse I would expect you to follow your diet plan as given, eating perhaps 4-5 small meals a day (if that is what your doctor has instructed you) and keeping near the 20 gm net carb limit, no matter what your blood sugar is. Just keep a log of what you eat and when, and a log of when and what your blood sugar is. That may help the doc figure out what YOUR body needs.
You might not see much in the way of changes in your blood sugar until you have followed this diet for a month, or even several months. Losing weight may help your blood sugar control in the long run, but don't expect immediate results.
Again, don't focus on what your blood sugar should or shouldn't be at this point, and don't try to affect it by fasting or vigorous exercise right before eating. Eat when and what you need to. Keep the log, complete with times, results, and meals eaten to give to your doctor in a month or so.
Good luck! And if your doctor has instructed you to do something different than what I have suggested, it goes without saying you need to follow your doctors advice.