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Acceptable range? Conflicting messages....

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Posted 5/13/2010 1:12 AM (GMT 0)
Okay, some confusion here...

My doctor wanted my fasting BGL to be under 120 (I have reached this with fasting BGL from 90-110) and 2 hour PP below 160 (I have reached this with most 2 hour PP being below 130).  Now, I go on some diabetic forums and read and find so many people who feel that this is not acceptable and the ranges should be at or below 100 most of the time.  Today I was fighting to stay above 70 much of the afternoon and after a snack of a half a small bun (9 mg carb)  and about 2 tsp. peanut butter and it raised to 100 at an hour PP.  I did not feel good in the 70's but even so,  lets say my bgl was at  70, I can't imagine how little I would have to eat to keep it under 100 all day. I am already eating as little as I feel I can and stay healthy.  I know exercise would help but I am still recovering from surgery 3 weeks ago and am still restricted on activity.  I have cut out most carbs and can count on my one hand how many pieces of bread I have had in the past month.  I get most carbs from veggies/fruit and stay at 4 or less carb servings a day.  A couple of days I had more servings, like 6 or 7 and I could tell in my bgl readings as they were much more elevated on those days.  What are your thoughts on this?  To me, I will follow my doctor's orders but feel like maybe I am not doing as well as I should/could after reading other's posts.

Posted 5/13/2010 1:58 AM (GMT 0)
You're right about confusion but it's not your doing; it's because doctors, labs and professional medical organizations cannot agree on one standard for blood sugar.  This is why you're reading one thing and hearing something different from others or your doctor's office.  I'm not sure what to tell you since you are on insulin and other meds for diabetes.  A very-low-carb eating plan might make someone on diabetes meds (insulin or others) go low and you need to be careful about that.  For reference, a non-diabetic would hover around the 80's most of the time, but after meals his/her blood sugar would rise and probably by 2 hours after eating, the blood sugar would be back down in the 80's.  In your case, you need to balance your food choices and the meds to keep a relatively level blood sugar.  Remember that I'm not a doctor, ok?  It appears that your doctor is going by guidelines used for many years for diabetics.  In my opinion, after reading a lot about blood sugar, I think our blood sugar should be kept to more "normal" levels for our present and future health, which is why I follow a low-carb plan.  I don't take meds because I'm still able to control my blood sugar by this diet and some exercise.  Maybe you can have a good talk with your doctor about blood sugar levels and ask him why he suggests the higher parameters.  You don't need to eat so very little that you're not eating enough!  Eat more vegetables with your protein!
Posted 5/13/2010 2:08 AM (GMT 0)
The major clinic in our town has those guidelines on big posters all over the clinic too. I was eating more vegetables up until a week ago and when I took more carbs away, my numbers dropped more and I didn't spike so much. I do make one of my carbs V8 juice because I just couldn't give that up and i guess I get some vegetable that way. I guess sometimes I just feel like I am not doing "good enough". I really would rather lower numbers with lifestyle changes so I don't really want to eat more and have to go up in insulin dosage. I guess I need to look at the bright side...I have now lost 34 lbs. since April 1, 2010 and my numbers have dropped from 300-450 to under 120. I guess that is progress.
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