Manianki: I have had as bad outcomes but than I have brought my average blood glucose level of over 285 to less than 140 (HBA1C from 11.6% to 6.5%) without any medicines.
After an initial weight loss, I reduced my carb intake by 60%, increased protein, tripled fiber intake, increased snacks - eat minimum seven times a day (two 20g carb snacks between dinner and breakfast) quit smoking (gave up alcohol in 1997) and i am 61 going onto 62. I have put my daily diet quota on this forum twice and can mail it to you if you do not find it. efar52@gmail.com
I am exactly the same age group as you and shall be thankful if you mail the diet chart to mtosh53@gmail.com . I am diabetic since over 20 years . Usually HBA1C is within 7 but last reading a few days back was 8.5 and i wish to bring it down to 6.5
From your post it seems that your diet is loaded with carbs. For normalizing BS you need to cut down carbs. Otherwise your BS will continue to rise and you will develop complications over the period. Diet and exercise play important role in diabetes and many other deceases. Switch over to LCHF diet. Search on this forum.
You are depending more or less totally on carbohydrates.Suggest you revise your diet plan to include more low glucemic foods.Also,give up those and smoking and it it is noy too early to start exercising.
Sugar levels depend very much on the quantity of food you take.
Do not take more than 2 or three idly 1.5 dosa. Reduce the quantity slowly so as to chieve 100 to 120 fasting 140 to 160 pp. What is your age? Best of luck to have a good control.
Since your PP blood glucose levels are high, I feel you must be taking delayed dinner / going to bed as after dinner / you might be taking solid foods for dinner.
As you are a smoker, with your profile I feel that you might be consuming less water; (approximately 1.5 lit) which means that your Serum Triglyceride must be very high.
My advice to you:
1) Drink atleast 4 lit of water (not more than 500 ml at a time)
2) LCHPHF - Low carbohydrate - High Plant Protein - High Fat - DIET
3) Your eating plate should be of 50% carbohydrate / 25% Protein / 25% Oil & Fat at any point of time. Any vegetable / Fruits at the expense of Carbohydrate.
4) Avoid too much of fibers (max 10 grams per day is fine): you get this with mere 100 grams of vegetables daily.
This is first time heard of such LCHF diet. Can you please explain why wheat and rice have no relevance to BS? What is meant by vegetable/fruit at the expense of carbohydrates? How water affects TG? I don't drink the quantity of water you have mentioned but my TG level is 52.
You might have heard / tasted typical Indian ethnic sweets; they are significantly rich in GHEE; this clearly indicate that Cholesterol is antidote for sugar. When we change ghee to Oil / vanspathi / thin oils the problem of control of sugar gets complicated.
The above narration explains the importance of High fat; you should understand that Ghee is consisting of a very limited quantity of cholesterol (300 mg in 30 grams) and mostly saturated fats. These saturated fats eases our liver in production of cholesterol.
Liver does two importance jobs, in particular to T2DM, apart from other major works. 1) Production of Cholesterol 2) Reduction of Sugar. The list shows the priority. When liver is limited to production of Cholesterol, it fails to control sugar.
When our medical doctors starts hating Cholesterol and Oil, suggest you to avoid these, how in this world we can come out of T2DM.
When you have just increased level of sugar it is not a big concern. But the condition of High Triglyceride and High Sugar is really complicating the solution; but still there is solution for both.
There are only 2 options available to reduce high triglyceride. 1) Water 2) Omega 3 Oil.
What Medical doctors prescribe statins for control of cholesterol cannot reduce Triglyceride as cholesterol and triglycerides are chemically different. Kindly recollect that Triglyceride is contributing only 20% of it to the total Cholesterol.
Do you think TG level of 52 is still high? I am not afraid of saturated fat or cholesterol. I don't consult doctor for my diabetes. My diabetes ( Hba1c 5.6) and lipids are well in control. Even in march 2014 I tested more imp. cardiac markers, all of which were negative.
I already follow LCHF. Though my carb consumption is slightly higher (120gm) I am steadily reducing it.
Whatever you are talking about is true only in case of trans fats and the commercial oils not in case of VCO or VOO.
Levers priority depends on situation. If one is drinking alcohol or consuming too much fructose then lever can do hardly anything other than processing alcohol or fructose. As medfree has suggested reducing carbs is best solution for reducing TG.
Kindly leave your complete serum lipid profile. Because we cannot be talking a few aspects on speculation. we are not writing a book. we are discussing a typical case of T2DM.
Please be noted that your profile and your habits are linked.Here I am only high-lighting the which food is control what and its contribution towards T2DM.
Following are required to add value to your question:
I have to comment only one thing looking at your profile. I sure that your profile is wrongly reported. Kindly confirm back whether you have tested in the same lab you used to get tested? If yes please check again in a new lab.
Secondly when your have very good HDL-C and low TG You cannot, I repeat You cannot have T2DM.
Let me know when this profile was taken.
When you are not Diabetic, and continue to take diabetic medicine is detrimental.
Sorry, I am not here to get diagnosed from you if I am diabetic or not. I am diabetic since last two years and at that time my Hba1c was 8.9 and PPBS 287 and lipid profile was nearly the same only HDL was 59. You might have different criteria for diagnosis but I don't. I am 100% diabetic and have gathered sufficient knowledge to control it.
When you have good profile and still self-declare that you are diabetic, the information is contradictory by it-self. If you are happy with continuing medicine, we have nothing to discuss.
As you asked for my profile, FBG 91 mg /dL; PPBG 173 mg / dL; TC - 196 mg/dL; TG - 130 mg/ dL; HDL- 62 mg/dL; LDL - 108 ; VLDL-c 26;
I am 52 years. I take Rice for all 3 meals; I do not go for walking; My profession restrict me for any physical activities.
I am very happy with my profile and this is the reason I am advocating this "Password For Complete Health"
I am not self declared diabetic. Hba1c of 8.9 and PPBS of 287 (both test carried out in diff. labs.)are by any standards sufficient criteria for diabetes.My family doctor and endo has confirmed it. I take only metformin 500SR with breakfast and supplements as per need.There is no any pleasure being diabetic. For diabetes I definitely put my efforts to control my BS levels. But for lipids I don't do anything specific. It may be result of my diet and whatever exercise I do. And may be my genes are programmed that way.
Very good control maintained by yourself I think recently blood test reports is o k It shows Your figures i sgood reference to most of the members Please post a separate discussion for your diet plan and blood test details as I am posted in early discussion Thanks in advance to early posting
Please try to keep the difference between PPBG and FBG around 75 to 80. If tried to bring down the difference to "Zero" or to "Near zero", Serum Triglyceride would go-up.
PPBG at 160 levels make sure that you do not need to have / eat anything till your next meal time. If PPBG is less at 120 you may be compelled to have mini meal after 2 hours.
The frequent meals / snacks we have, more is the insulin we are producing; ultimately more glucose is stored and very difficult to control the blood sugar once we encounter T2DM.
Our body is nicely designed to have meals every 4 to 5 hours. which means that after 2 hours our insulin would have come down and all glucose by this time has been stored. Once our blood glucose level goes down there is another hormone called Glucagon is produced; this Glucagon acts just opposite to the functions of Insulin; Glucagon works on stored Glycogen / Triglyceride to produce glucose which keeps us going till next meal. In diabetic control no-one is working on function of glucagon. Glucagon is produced by alpha cells of Pancreas, while Insulin is produced by beta cells of Pancreas. Pancreas is unique tissue where we find cells of different types (alpha and beta) are associated close to each-other (embedded), unlike any other tissue of our body.
In our body whenever Insulin is present, Glucagon is absent; conversely whenever Glucagon is present insulin is absent.
Naturally we should allow glucagon to be produced and utilize the stored glucose.
When we try to control blood sugar only through Insulin / stimulant of insulin, it is impossible to control Diabetes.
I think you are not taking seriously your disease. I hope you are not aware about the complication of sugar can be done in a later stage. you have not mentioned anything about your medication.if you have not started any medication, please go to an allopathic doctor and consult in detail and start medicine. he will advice you how to take the food and quantities and time gap
Pl. dont play with diabetic condition in this modern time since, every remedy as well as information is available to you in your fingertips.
Diabetic Diet: 6 Foods That May Help Control Blood Sugar
While there's no substitute for a balanced diabetic diet, adding certain foods may help those with diabetes keep sugar levels in check.
Reviewed by John A. Seibel, MD
Coffee and cinnamon have made headlines recently as foods that might be able to cut the risk of diabetes or help to improve blood sugar levels. But don't get the idea that such foods are magic bullets for your diabetic diet, experts warn.
"None of this is a magic potion for diabetes," says American Dietetic Association spokeswoman Cathy Nonas, RD. It's still important for people with diabetes to eat a balanced diabetic dietand exerciseto help manage the disease, she says.
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Nevertheless, some foods, such as white bread, are converted almost right away to blood sugar, causing a quick spike. Other foods, such as brown rice, are digested more slowly, causing a lower and gentler change in blood sugar.
If you are trying to follow a healthy diabetic diet, here are six that may help to keep your blood sugar in check.
Oatmeal
Oatmeal can help control blood sugar -- but don't get the sweetened kind.
"Even though it's a carbohydrate, it's a very good carbohydrate," American Dietetic Association spokeswoman Marisa Moore, RD, LD, tells WebMD. Because it's high in soluble fiber, "it's slower to digest and it won't raise your blood sugar as much or as quickly. It's going to work better at controlling blood sugar over time."
Not only does this high-quality carbohydrate offer a steadier source of energy than white bread, it can also help with weight loss. The soluble fiber in oats "helps to keep us feeling fuller longer," Moore says.
That's important for people with type 2 diabetes, who tend to be overweight. "If you reduce the weight, you usually significantly improve the glucose control," Nonas says.
Barley isn't as popular as oats. But there's some evidence that barley, which is also high in soluble fiber, may also help with blood glucose control. Kay Behall, PhD, a research nutritionist at the USDA Beltsville Human Nutrition Research Center, has studied barley, and she suggests that people try eating boiled pearl barley in place of rice.
Besides oats and barley, Moore adds, "most whole grains are going to be a great choice for a person with diabetes."
Broccoli, Spinach, and Green Beans
Add plenty of nonstarchy vegetables, such as broccoli, spinach, and green beans, to your diabetic diet, diabetes experts say. These foods are high in fiber and low in carbohydrates, which make them ideal for people with diabetes.
In contrast, starchy vegetables include peas, potatoes, corn, winter squash, and lima beans. There's no need to cut them from the diet, Moore says. "They do give us additional nutrients. We want to maintain balance." But because starchy vegetables have more carbohydrates and raise blood sugar more, it's important to stick to proper portion sizes, she says.
There's new evidence, too, that vegetables are healthy for people with diabetes.
10 Dangerous Foods for Diabetes
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Candy
Not only do high-sugar foods like candy, cookies, syrup, and soda lack nutritional value, but these low-quality carbohydrates also cause a dramatic spike in blood sugar levels and can contribute to weight gain, both of which can worsen diabetes complications. Learn to satisfy your sweet tooth by snacking on high-quality carbohydrates such as fresh fruit. Apples, berries, pears, grapes, and oranges all have sweet, juicy flavors and are packed with fiber to help slow the absorption of glucose, making them a much better choice for blood sugar control. When snacking on fruit, pair it with a protein food, such as a string cheese, nonfat yogurt, or handful of nuts, to further reduce the impact on your blood sugar. (For more sweet ideas, see my list of 20 Low-Sugar Snack ideas).
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Raisins
Eating raisins or other dried fruits may be a better option than snacking on cookies, but it'll still spike your blood sugar. Why? During the dehydration process, fruits' natural sugars become very concentrated, causing an unhealthy elevation in blood sugar when they are rapidly absorbed by the body. Just one more reason to stick with whole, fresh fruit options like grapefruit, cantaloupe, strawberries, and peaches.
10 Dangerous Foods for Diabetes - Pancakes and Syrup
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Pancakes and Syrup
A plate of pancakes with syrup is a total carb explosion and one of the absolute worst breakfast choices for someone with diabetes. Most pancakes are jumbo-sized and made with junky white flour, so downing a stack of three large flapjacks can be the equivalent of eating seven slices of white bread! Of course, the toppings make matters worse. Butter is loaded with artery-clogging saturated fat, and a typical half-cup pour of gooey pancake syrup adds 16 teaspoons of straight sugar to your breakfast! This starch-and-sugar overload will send your blood sugars into a tailspin (not to mention, help you pack on the pounds). Next time you're at a diner, bypass the pancakes and instead order a low-carb, protein-rich egg white omelet stuffed with vegetables.
10 Dangerous Foods for Diabetes - Bacon
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Bacon
In addition to whole-fat dairy foods, fatty or marbled cuts of meat also carry a hefty amount of saturated fat, which initiates inflammation in the body and raises cholesterol levels. Since those with diabetes are already at an increased risk of heart disease, eating high-fat meats puts them at an even greater risk of heart disease than the average person. Instead of feasting on fatty bacon, hamburgers, bologna, hot dogs, or spare ribs, fill your plate with lean protein choices like skinless chicken and turkey, fish and shellfish, or lean pork tenderloin
10 Dangerous Foods for Diabetes - Fruit Juice
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Fruit Juice
While whole fruits are a healthy, fiber-rich carbohydrate option for diabetics, the same can't be said for fruit juice. They may offer more nutritional benefit than soda and other sugary drinks, but fruit juices — even 100 percent fruit juices — are chock full of fruit sugar, and therefore cause a sharp spike in blood sugar. Skipping the glass of juice and opting for the fiber-packed whole fruit counterpart will help you maintain healthy blood sugar levels and fill you up on fewer calories, aiding in weight loss. For a refreshing and healthy drink alternative, choose zero-calorie plain or naturally-flavored seltzer and jazz it up with a wedge of lemon or lime.
10 Dangerous Foods for Diabetes - French Fries
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
French Fries
Overdoing it on greasy, fried foods can lead to weight gain and wreak havoc on your blood sugar. French fries, potato chips, and doughnuts are particularly bad choices for diabetics because they're made with carb-heavy, starchy ingredients, which can cause blood glucose levels to shoot up. Fried foods soak up tons of oil, leading to lots of extra calories — and some, like fried chicken and many fried appetizers, are coated in breading which increases the calorie count even more. Many fried foods are also laden with unhealthy trans fats because they've been deep-fried in hydrogenated oils, which will raise your bad cholesterol and increase your risk of heart disease. Whether you already have diabetes or are working to prevent it, no amount of trans fats can be safely incorporated into your diet, so it's best to check labels and keep hydrogenated oils far from your plate
10 Dangerous Foods for Diabetes - White Bread
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
White Bread
Refined starches — white bread, white rice, white pasta, and anything made with white flour — act a lot like sugar once the body starts to digest them. Therefore, just like sugar, refined starches interfere with glucose control and should be avoided by those with diabetes. Whole grains are a better choice because they're richer in fiber and generally cause a slower, steadier rise in blood sugar. Instead of white bread or a bagel for breakfast, opt for a toasted whole grain English Muffin (topped with a slice of reduced-fat cheese or scrambled egg for protein). At lunch and dinner, replace white carbs with healthier whole grain options such as brown or wild rice, barley, quinoa, and whole-wheat bread to minimize the impact on your blood sugar. Even high-quality, whole grain starches elevate blood glucose to some degree, so it's still important to limit portions — stick with ½ to ¾ cup cooked grains or just 1 slice of bread at meals.
10 Dangerous Foods for Diabetes - Snack Cakes and Pastries
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Snack Cakes and Pastries
It's common knowledge that packaged snacks and baked goods are loaded with sugar, sodium, junky white flour and preservatives. Their dangerous combo of sugar and refined flour spikes blood sugar and promotes inflammation, which interferes with insulin's ability to function properly. If that isn't enough to turn you away from the vending machine, you should know that these highly-processed sweet treats often contain trans fats. These toxic fats raise your cholesterol and risk of heart disease, and are by far the most dangerous of fat types for diabetics. Check labels carefully; always choose packaged products that list 0 grams trans fat and do not include any partially hydrogenated oils (a major source of trans fats) on the ingredients panel. By ditching these packaged desserts, you'll save calories and cash and get a better handle on your blood sugar control.
10 Dangerous Foods for Diabetes - Whole Milk
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Whole Milk
Saturated fats in dairy products have racked up a laundry list of negative side effects including raising "bad" (LDL) cholesterol and promoting inflammation throughout the body. But for those with diabetes, a diet high in saturated fat can cause another serious problem: Studies have shown that saturated fats can worsen insulin resistance. Keep whole milk out of the fridge, and pick up 1% low-fat or skim milk instead. Also, try your best to avoid whole-milk dairy products like cream, full-fat yogurt, regular cheese and cream cheese; instead, choose their reduced-fat counterparts whenever possible.
10 Dangerous Foods for Diabetes - Take Our Type 2 Diabetes Quiz
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Take Our Type 2 Diabetes Quiz
The food you eat can help you control your diabetes and lose weight. But everyone is different — and your food cure may vary, depending on your lifestyle and health. To get the best, most effective food cure for your diabetes, take our quick Food Cures Quiz.
10 Dangerous Foods for Diabetes - Pretzels
If you have type 2 diabetes, steer clear of foods that can spike your blood sugar levels or increase your risk of diabetes complications. These 10 foods are among the worst offenders.
Pretzels
Pretzels have a healthy image, but a glance at the ingredients list reveals that their wholesome reputation is grossly undeserved. Nearly every brand is made from the same basic ingredients: white flour (wheat flour that's been stripped of its nutrients and fiber), yeast, salt, and maybe some vegetable oil or corn syrup. It's obvious from its subpar ingredient list that this popular snack is pretty much devoid of nutrition. Pretzels are baked, not fried like potato chips, which saves you a few calories, but the white, refined carbs do a number on your blood sugar and do little to satisfy your appetite. Skip the carb-fest and opt for a more balanced and filling snack that includes some protein to help steady your sugars. Great choices include a rice cake with reduced-fat cheese, a handful of pistachio nuts in the shell, or a nonfat Greek yogurt.
My TG and VLDL levels are constant since last two years. Since Sept. 2013 to Mar 2014 LDL went up by 10 and HDL by 3. I will test again by June end or first week of July. I have also started Merit VCO Earlier I tried local CO which is cold pressed without any processing. But I decided to discontinue with it as it is manufactured from copra.
No discussion about it with the doctor. Year ago I consulted endo when my PPBS was near 150-160 then he had prescribed me pioglitazone. I never bought a single pill and decided to go with diet, metformin and exercise.
Please understand that PPBG should be more than random. If it were to be less than random why in the world we should go for PPBg specifically?
When we eat, sugar Blood glucose should go up and over period of time it should normalize. Do not get panic the moment BG goes-up. The difference in FBG and PPbg indicates what of food are you taking / whether in right quantity / level of peptic acid production / level of digestion / dosage of diabetic medicines.
If the difference is very minimal, blood glucose is stored as triglyceride. This what most of diabetic medicines do.
* Food high in fibre content like vegetables, whole pulses, fruits, etc.
Ideal combination of diabetic diet should be:--
Carbohydrates: 55-60%.
Fat: 30%.
Proteins: 15-20% (0.8g /kg /body wt).
Fibres 40 g/day.
DIABETIC DIET
Do not eat at all:--
Sugar, jam, syrups, honey, sweets, chocolates, fruit juices, ice creams, cold drinks, glucose drinks, cakes and pastries, sweet biscuits, puddings and protein powder with sugar.
Foods to be avoided:--
* Refined starch products like corn flour, commercial jelly products, custard powder, arrow root powder, sago, etc.
* All shell fishes like prawns, clams, lobsters, oysters, shrimps, etc. Red meats like mutton, beef, pork, organ meats like liver, kidney, brain. Processed meats such as sausages, bacon and pickle meatand fish, canned fish.
* Fruits like avocadoes, banana, sweetened cherries and dates, raisins etc, Fruit juices , tender coconut water..
* Whole milk and its products, cream, ice cream, pudding, condensed milk, etc. Burfi, peda, gulabjamun, rasagolla, etc.
* Butter, ghee, vanaspathi, Dalda, blended vegetable oil, coconut, palm oil, all fried and oily foods.
* Avoid coconut milk, nuts like almonds (badam), cashewnut etc.
* Vegetables (cabbage, baigan, lady fingers, french beans, methi, palak).
* Fruits (except banana, chockoo, pineapple or mangoes).
* Sprouted beans and pulses.
* Marie biscuit (with less sugar).
* Clear soups, Lemon juice, Buttermilk
Here are some other ways that alcohol can affect diabetes:--
* While moderate amounts of alcohol can cause blood sugar to rise, excess alcohol can actually decrease your blood sugar
level -- sometimes causing it to drop into dangerous levels.
* Beer and sweet wine contain carbohydrates and may raise blood sugar.
* Alcohol stimulates your appetite, which can cause you to overeat and may affect your blood sugar control.
* Alcohol can interfere with the positive effects of oral diabetes medicines or insulin.
* Alcohol may increase triglyceride levels.
* Alcohol may increase blood pressure.
* Alcohol can cause flushing, nausea, increased heart rate, and slurred speech.
MayoClinic.com indicates that B vitamin deficiencies directly affect nerve health and lack of these vitamins as well as vitamin E and niacin, contribute to polyneuropathy. Additionally, excessive use of alcohol can reduce vitamin absorption leading to symptoms of polyneuropathy.
Fasting blood sugar must be less than 100 mg/dL and post-prandial blood sugar must be less than 140 mg/dL.
Adopt DASH diet (Mediterranean diet). Eat a low-cholesterol, low-fat diet, which includes cottage cheese, fat-free milk, fish, vegetables, poultry, and egg whites. Use monounsaturated oils such as olive, peanut, and canola oils or polyunsaturated oils such as corn, safflower, soy, sunflower, cottonseed, and soybean oils. Avoid foods with excess fat in them such as meat (especially liver and fatty meat), egg yolks, whole milk, cream, butter, shortening, pastries, cakes, cookies, gravy, peanut butter, chocolate, olives, potato chips, coconut, cheese (other than cottage cheese), coconut oil, palm oil, and fried
foods.
Over time, people who have diabetes and high blood sugar can develop serious or life-threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems. Taking medication(s), making lifestyle changes (e.g., diet, exercise, quitting smoking), and regularly checking your blood sugar may help to manage your diabetes and improve your health. This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes-related complications such as kidney failure, nerve damage (numb, cold legs or feet; decreased sexual ability in men and women), eye problems, including changes or loss of vision, or gum disease. Your doctor and other healthcare providers will talk to you about the best way to manage your diabetes.
You should avoid cigarette smoking and consumption of alcohol.
Exercise is a must for reduction of blood sugar and lowering cholesterol.
Check your blood sugar level daily and try to reduce to a normal level by diet, exercise and medications.
TG is not indicator of IR but the ratio of TG:HDL-C is. A person might get into higher fasting sugar on many factors; but generally the ratio being low it is rare that that person is diabetic. (You may refer this condition as pre-diabetic)
In case of any doubt on confirming a person is diabetic or not, kindly do Oral GTT.
Diabetic through referred to high serum sugar level, the cause of it cannot be referred in isolation to blood sugar / glucose only. It is the results of deviation of profile.
Here I am not talking of about how much carb need to be taken; rather you may agree to me that what max carb be taken (along with other macro nutrients) such that I do not get into T2DM. Because most of people are fond of carb. Because of T2Dm compulsion, they are enjoying their food/ life.
Of course my idea is also not to get into any medicine for T2DM.
What I notice is in addition to high carb diet, you are not taking action to shed the extra sugar through exercise/yoga/pranayam. Further alcoholic drinks are to be minimized since it has no place in either of the religions or medical systems. Your submission taking twice or thrice a week, on its face value, appears moderate yet your body is not ready to accept in spite of training you are imparting on this account. So make it zero or in order to reduce the interval be stretched to fortnight thereafter month and so on. So also smoking that is regularly professed as dangerous not only to one's own health but also of those nearby (passive smoking). Since you noticed of absence of any other complications, first take out of your mind that diabetes is a disease rather it is deficiency - like not knowing any other Indian language, not knowing any other system such as engineering, medical, accountancy, tax practice etc other than your own perfect qualification and knowledge. I am not speaking of medicines, since it is the prerogative and expertise with experience of Medical Profession. Medication, to my mind, should start from the mind and travel through religious prescriptions, exercising the soul and body and of course available three systems of medical profession viz., Homeopathy, Ayurveda, English system etc. but not mixture since people are yet to know cross contrast indications
Only limitation of OGTT is that fasting sugar cannot be too high. Otherwise anybody can undergo this. A person who got gall bladder removed normally is confirmed diabetic only by OGTT.
Here we coin new terms only to distinguish the stages of diabetic; when no-one has understood the causes of diabetics any-one can try explain in their terms.
Secondly the stage of pre-diabetic can be the one which can be reversed much faster. When i say no need to have any medicine for even T2DM, why should we imagine medicine for pre-diabetics.
Most of the people are of the view that HDL-c is a part of cholesterol; actually it must be a measure of protein as it constitutes more than 55% protein.
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