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From: Nirvana on 24 Oct 2005 18:13 Hi After finding out 3 months ago I am type 2. My doctor sent me to a dietician. After doing a few calculations using my weight and age. She put me on a 2200 calorie a day diet. She told me I should eat 90 g of carbs each meal. Does this sound right? I had been talking metformin and my BG lowered a lot, but my tests still averaged in the 220's. Now I am on metformin and glyburide. My BG is even better. But sometimes goes to 200, but usually 160's, 170's after meals. before meals it is usually in the low 100's or lower. What am I doing right or wrong? Am I eating too many carbs at each meal? Any advised would be helpful n
From: Julie Bove on 24 Oct 2005 18:21 "Nirvana" <dcalaniz(a)verizon.net> wrote in message news:P%c7f.12391$Io4.4999(a)trnddc06... > Hi > > After finding out 3 months ago I am type 2. My doctor sent me to a > dietician. After doing a few calculations using my weight and age. She put > me on a 2200 calorie a day diet. She told me I should eat 90 g of carbs each > meal. > Does this sound right? > > I had been talking metformin and my BG lowered a lot, but my tests still > averaged in the 220's. > > Now I am on metformin and glyburide. My BG is even better. But sometimes > goes to 200, but usually 160's, 170's after meals. before meals it is > usually in the low 100's or lower. > > > What am I doing right or wrong? Am I eating too many carbs at each meal? > > > Any advised would be helpful Sounds like waaaay too many carbs per meal. Your numbers should be <110 fasting, and <140 at two hours after eating. Some would say <120 at two hours after eating. If your numbers are higher than this you need to cut back on some carbs. I used to be able to eat 30g of carbs for breakfast and bedtime snack. 45g for lunch and dinner. No more! I've had to cut back from that. -- See my webpage: http://mysite.verizon.net/juliebove/index.htm
From: naneklund on 24 Oct 2005 18:29 Right or wrong depends on YOUR body and what testing tells you. It takes time to establish YOUR pattern and needs. Some can eat corn; some can't. Some can drink orange juice; some can't (that's one of MY problems'; I can't drink juice but can eat a whole orange). We all learn over the months and years and don't forget there is interaction between medication, age, exercise, and diet. The two things I've learned in 15 years with diabetes and nearly that many with this group: YMMV (Your Mileage May Vary - that is, you and I are different) and TEST, TEST, TEST. That's how you'll learn what YOUR body needs. Nan, Type 2 since 1990 or so
From: Sarah on 24 Oct 2005 19:15 "Nirvana" <dcalaniz(a)verizon.net> wrote in message news:P%c7f.12391$Io4.4999(a)trnddc06... > Hi > > After finding out 3 months ago I am type 2. My doctor sent me to a > dietician. After doing a few calculations using my weight and age. She put > me on a 2200 calorie a day diet. She told me I should eat 90 g of carbs > each > meal. > Does this sound right? > > I had been talking metformin and my BG lowered a lot, but my tests still > averaged in the 220's. > > Now I am on metformin and glyburide. My BG is even better. But sometimes > goes to 200, but usually 160's, 170's after meals. before meals it is > usually in the low 100's or lower. > > > What am I doing right or wrong? Am I eating too many carbs at each meal? > > > Any advised would be helpful > > n > Your post meal numbers, 160-170, are not real bad but many T2's here would like to keep them under 140. The thinking is that under 140 will give the best chance of avoiding complications. To do this you could either increase your meds or lower your carbs. You should talk this over with your doctor. You should follow his instructions for a while and test to get some good data for your doctor to make his decision. Sarah
From: oldal4865 on 24 Oct 2005 21:52
Nirvana wrote in message ... >Hi > >After finding out 3 months ago I am type 2. My doctor sent me to a >dietician. After doing a few calculations using my weight and age. She put >me on a 2200 calorie a day diet. She told me I should eat 90 g of carbs each >meal. >Does this sound right? > >I had been talking metformin and my BG lowered a lot, but my tests still >averaged in the 220's. > >Now I am on metformin and glyburide. My BG is even better. But sometimes >goes to 200, but usually 160's, 170's after meals. before meals it is >usually in the low 100's or lower. > > >What am I doing right or wrong? Am I eating too many carbs at each meal? > > >Any advised would be helpful > >n > > That's about the old-fashioned carb recommendation for a 200 lb., muscular, male diabetic engaged in heavy labor. It's not working for you; you want to stay below 140 at all times. My dietician said about the same when I took the general purpose training course. I don't know where they get these numbers; they're deadly. Some remarks on your meds: 1. The U.S. PDR asserts that 1500 mg/day is the recommended therapeutic dose of metformin. However, you have to start low and walk up the dose in order to minimize some G.I. effects. I hope your doc is planning to go that route. 2. Glyburide is a beta cell stimulator. It forces your beta cells to manufacture extra insulin. That is not a well-favored approach by the better docs. Beta stimulators such as glyburide are thought to contribute to the premature death of beta cells. You already have way too many dead beta cells; that's why you are in this condition. Lose enough beta cells and you go on multiple daily shots of insulin. 3. Glyburide + high carb diet is a recipe for a lousy cholesterol profile in a diabetic. (Lousy = causes premature death) I hope you have a copy of your latest cholesterol values. Diabetics should be very aware of their cholesterol. Some numbers you are interested in: Total Cholesterol: at least less than 200 mg/dL HDL: higher than 45 mg/dL if male, higher than 50 if female LDL 130 or lower, preferably lower Triglycerides: 150 or lower, preferably lower The above aren't final targets, you really want to beat them. Also, there are some very important ratios: Triglycerides/HDL ratio less than 3.0 if in mg/dL (lower is better) Total Cholesterol/HDL ratio less than 4.0, better yet, less than 3.0 Keep coming back. This is one of the odd diseases in which the patient does all the work and most of the management. Knowledge = life when dealing with it. Reading the diabetes newsgroups every night has resulted in significant improvements in my health, my quality of life, and, I'm sure, my life expectancy. Regards Old Al |