Diabetes - Type 2 Community
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Avatar universal

Diebetes---is 281 too high

I am a type 2 diabetic--non-medicated.  I had breakfast, Honey Oats, at 10:00am and tested my blood sugar at noon, with a result of 281, which I have not seen before.  What do I need to do?  Thank you.
8 Responses
141598 tn?1355675363
First, educate yourself on diabetes prevention, foods to avoid, and what you must do to prevent diabetes from progressing. A lot can be learned by reading other forum posts/comments. Also go here for a wealth of information on diabetes http://alturl.com/c2gky

"I had breakfast, Honey Oats, at 10:00am and tested my blood sugar at noon, with a result of 281, which I have not seen before."

You ate a bowlful of sugar. Honey oats on average contains 6 grams of sugar per 3/4 cup. Add 12-14 grams of sugar with an 8oz glass of milk. What this equates to is 3 heaping Tablespoons of refined sugar.
Care to share what levels you have seen before? Also, test postprandial 2 1/2 and 3 hours after a meal to see if your levels drop considerably from the 2 hr test period.
Avatar universal
This is where Wave rider and I seperate.

yes you eat 6 gr of sugar  but you eat 25 gr of carbohydrates, carbs ALL carbs get converted to BG. that is what your body does with carbs

You had 25 gr of carbs (3/4 of a cup) most people eat much more than 3/4 of a cup of cereal  Plus Milk ~12 gr of carbs  thats 37 gr of carbs that your body converts to BG.  

you need to eat to your meter  count carbohydrates test before you eat and 1 hour and two hours after you eat to see how that food affected you.

remember every time your time BG goes over 140 you are taking baby steps to toward complications ( a nice word for going blind, loosing tows,feet,legs) its a long journey,  but you have a ling time to live so the smaller the steps the better.
141598 tn?1355675363
Poster Satu234 consumed close to 21 grams of sugar, not 6. And, 37 grams of carbs is not high and not all carbs ride around on RB cells as excess glucose. The liver and muscle cells take carb sugar and converts it into glycogen. Glycogen is released for energy when needed.

Furthermore, a danger of too low carb diet can cause the body to go into a dangerous metabolic state called ketosis since your body burns fat instead of glucose for energy. During ketosis, the body forms substances known as ketones, which can cause organs to fail and result in gout, kidney stones, or kidney failure.

Yes, carb intake should be limited to a minimum but at the same time complex carbs should not be restricted from ones diet. Eat foods high in fiber, whole grains, low fructose fruits, fish and lean poultry and more vegetables.
Avatar universal
Ketosis is NOT a dangerous.

ketoacidosis is dangerous and caused by VERY high BG,  not from eating low carb.

the two are different things
141598 tn?1355675363
"Ketosis is NOT a dangerous."

Please reread or talk to a doctor -  " During ketosis, the body forms substances known as ketones, which can cause organs to fail and result in gout, kidney stones, or kidney failure."

"the two are different things"
Not entirely. Ketoacidosis is an increase in fat metabolism because of a shortage of insulin, mostly associated with t1's. Ketosis is an elevated level of ketones. High levels of ketones, which left untreated, CAN lead to ketoacidosis.

Do not misinterpret the dangers of a low carb diet. For t2's a low carb diet is highly recommended, but the danger lies with a too low carb diet, or a low carb and high protein diet, which can lead to ketosis. To say ketosis is not dangerous is dangerous to forum readers.

External User
You need to learn to read nutritional information that is provided on the labels of the foods you eat. What matters most is how many grams of carbohydrates are in a portion. And you need to learn what a portion is so that it correlates! Most people in this country consume way too much food and think a bowl full of cereal is normal. It is not! Read the label and most cereals will tell you that a serving consists of 1/2 to 3/4 of a cup. Now, you read the label and see how many carbs are contained in that portion. Plus, remember that you are adding a 1/2 c. or more of milk to that cereal and you need to add in the carb count for the milk. If you add fruit, once again you need to figure out the carbs and remember that a portion would be 1/2 of a banana or 1/4 c. of berries. The way most people eat their cereal, they are easily consuming over 100 gms. of carbs in one bowl!!!! The most you should have per meal is 45-60 gms. The low end is for women and the high end number is for men. My doctor insists that her patients eat no more than 30-45 gms. per meal; very tight control of carbs leads to success.
231441 tn?1333896366
I'd like to clarify here.

Keytones occur in the body when fat is burned for energy. This is called ketosis.  They happen overnight in most people (due to the extended fast) in small amounts.  They also occur during weight loss.  They also are seen in people eating a low carb diet where fat rather than carbohydrates are being used for energy.  They are not dangerous in the presence of normal blood sugar levels.

Ketoacidosis is a very dangerous condition that can happen in persons with diabetes.  This is the presence of high levels of keytones simultaneous with high blood sugar levels.  It reflects that the body is burning its own fat (regardless of how many carbs are eaten) because insulin is not able to work.  This can be life threatening.

A low carb diet can be very effective in controlling blood sugars.  The more extreme carb restriction is recommended by Dr. Richard Bernstein (Diabetes Solutions) of 35 g of carbs per day.  He has proven that this can be safe long-term, and many persons with diabetes have also foundthis to be true.  Such a low carb diet as this can cause ketosis (presence of keytones), which is the natural byproduct.

Moral again is that it is very important to keep blood sugars well controlled. whether this be low or medium or high carb diet, and with exercise and meds and other lifestyle measures.
Avatar universal
Bottom line 281 is way too high. In most sliding scale references, when sugar is over 150 you treat (with insulin) whne applicable.  Everyone has to remember that Diabetes is a progressive disease.  If one was diagnoses 2 years ago with blood sugars lingering around 140, it's totally possible that 2 years later they could be at 281.  I think it's great to have forums and on line info but the best bet is to see a doctor and get into diabetes self management classes.  Hope this helps.
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