Effect of certain foods on blood glucose level.

[patliputra]

1. Carbohydrates

Of all the three sources of energy from food (carbohydrates, protein, and fat), carbohydrates affect my blood glucose the most. Accurately counting carbs is very difficult, and getting the number wrong can dramatically affect blood glucose. The type of carbohydrate also matters – higher glycemic index carbs tend to spike blood glucose more rapidly.

2. Fat

Fatty foods tend to make people with diabetes more insulin resistant, meaning more insulin is often needed to cover the same amount of food relative to a similar meal without the fat. On my pump, I typically use temporary basals or extended boluses (square and dual-wave) to cover high-fat meals. This effect is most notable if you eat a lot of fat at one time – for instance, when snacking on nuts, I’ll observe a steady rise in blood glucose over many hours.

Wolpert et al., Diabetes Care 2013

3. Protein

 

If you’ve ever eaten a protein-only meal with very few carbs (e.g., salad with chicken), you may have seen a noticeable rise in blood glucose (~20-50 mg/dl). Though protein typically has little effect on blood glucose, in the absence of insulin, it can raise blood glucose. When I’m eating a carb-free, protein-only meal, I still take a bit of insulin to cover it (usually an equivalent of about 10-15 g of carbs)

Franz, Diabetes Educator 1997

 

Smart et al, Diabetes Care 2013

 

4. Caffeine

 

Many studies have suggested that caffeine increases insulin resistance and stimulates the release of adrenaline. Personally, I know that if I have a cup of coffee, I’ll see at least a 20-30 mg/dl rise in blood glucose, particularly in the morning when I’m more insulin resistant.

Lane, Journal of Caffeine Research 2011

5. Alcohol

   

  

 

Normally, the liver releases glucose to maintain blood sugar levels. But when alcohol is consumed, the liver is busy breaking the alcohol down, and it reduces its output of glucose into the bloodstream. This can lead to a drop in blood sugar levels if the alcohol was consumed on an empty stomach. However, alcoholic drinks with carbohydrate-rich mixers (e.g., orange juice) can also raise blood sugar. When drinking alcohol, make sure you test your blood glucose often and that someone responsible nearby knows you have diabetes.

American Diabetes Association

 

 

 

MEDICATION

Factor

Typical Effect on Blood Glucose

Comments

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[dialife]

Important information, thanks! 

[amitkul]

I don't agree with many recommendations in the article. Most important one are as below.

01. Good fat such as omega 3 fatty acids improves your insulin resistance. Therefore a diet rich in omega-3 fatty acids such as EPA and DHA improve your glucose tolerance and you need less insulin They are found in oily fish. MUFA rich oils such as olive oils are also good for diabetic persons. However, total calories shall be kept within limits (1600 to 2000 Calories a day for less active people as a thumb rule). Hemp oil is also good for diabetics

02. Protein shall be taken as per your body requirement thumb rule for protein is

 protein in gm= 0.8x Body weight in Kg per day of protein.

However, you may require somewhat higher protein if you exercise a lot and you may require slightly lower protein if you have less muscles and more fat in your body. females may require slightly lower protein because of that.

03. A cup of green tea contains about 25 mg of caffeine. A spoon full of cocoa powder contains about 12 mg of caffeine  However, drinking green tea and cocoa improves your glucose tolerance as  they contain antioxidants which improve your insulin resistance.

04. Not all alcohols are bad for diabetics. having red wine in moderate quantities  improves insulin resistance.

[Hidden]

 However the article  gives some  tips  but fully not acceptable.

  Caffeine that is coffee there is so much difference opinion about this

  In India the Ayurvedic  Doctors or  followers     not recommonded coffee   they treat it is not good for health Recently some of the blogs mostly foreignerblogs may  take coffee it is good for diabetic  andalso heart problems.While drinking coffee some of the Blood sugar spikes slightly Even in  Intermitting fasting they recommonded coffee or tea in between  2 meals

   Protein used by the vegetarians moong dal or channadal  have 60 % of carb also However it  is good  when comparing to grains which is carb of 70-80  gms in  100 gms

 Even protein consumed is became glucose of 58 % and fat converted 10 % of glucose  after more than 10 hoursa consuming the food.

  Alcohol by consuming it may became addict to the person   and it is too dangerous  it may  became liver problems and also kidney problems in later.

  The blood sugar maintaining is not easy job it depends upon several aspect and it may not possible  to  given  all people in single tips.

  Even  Doctors   re not to do this  They  firstly given metformin and next sulfunalurea  by changing the brand    If not control then he may given pioglitazone together with all sulfunalurea and metformin  and vobligose also prescribed .

  some of the Doctors  not  diagnoised properly with patience  and recommonded injected insulin doses

[Hidden in reply to Hidden]

Nowadays Dr jump directly to DPP4 drugs first and then use the combination with metformin 

Recent trend is to start with SGLT2 inhibitors as they claim to be beneficial in reducing insulin resistance. So the trend now changing to SGLT2 and then it's combination with metformin or DPP4 and then it's combination with metformin 

[Hidden]

 How the poor  person  spend the money for SGLT 2 can you share the cost of drugs SGlT2 tablets  Even injected insulin may also  costly ?

[Hidden in reply to Hidden]

Rs 30 to Rs 50 per tab 

Who is bothered about poor? 

Anyway if a patient really cries then he is put in metformin and sulphonlyureas which are cheaper 

[Hidden]

 I think   you are  really known the poor peoples problems So by going with metformin and sulunalurea tablet  is good and select for  less cost tablets

 But most of  Doctos recommonded  Janumet  and SGLT2 tabletsand some  one even  slight raising  BS   prescribed  insulin also

[Hidden in reply to Hidden]

My brothers driver's wife was rxed costly DPP4 tabs

I told him that he can request his dr to switch to Tenegliptin which is cheaper at 5Rs per tab. It's a japanese molecule. Less research but cheaper 

He of course is afraid to try LCHF 

So I recommended the cheaper version 

But all SGLT2 are costly