Post lunch and HbA1c: Is it possible to have... - Diabetes India

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Post lunch and HbA1c

Is it possible to have HbA1c under 5.3 with post lunch glucose between 160-180 and fasting less than 80?

Because my post lunch always hover around 160- 180..

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Such wild swing unlikely unless one is type 1.

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I Am type 2

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Agree with Praveen, such a Spike in blood glucose post meal can be controlled through diet and exercise.

You need to check your blood glucose pre / post meal. You may do some physical exercise/ walking post meal for 30-45 mnts.

Not sure if you are taking any heavy dose medications which whips your pancreas to produce insulin!

In such a situation , your blood sugar could fluctuate wildly !

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Pranam786

It would be pure guestimate to predict HbA1c value based on this limited information. HbA1c depends on the average of the whole day for up to 90 days. It will depend on what is the blood sugar levels on rest of the times which is much longer than the ones you are referring to.

Having said that, there is every possibility to reduce your post-meal blood sugar level. If your pre-meal BS is 80, the post-meal of 160 - 180 is very high, almost 100 point rise. This only means your meal contains too much carbohydrate. Reducing the carb can bring your post-meal BS number by 40 points or more. Even if your HbA1c is 5.3, it is better to keep BS at any time less than 140 if possible.

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My random sugar always stay less than 110

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What about 180 then?

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180 is post lunch

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Please try to understand this clearly. Random BS can be anything from fasting to post-meal. It does not have any time specific value. That is why, it is not of much importance for diabetes control.

Random is only used to crudely see if a person may be having high blood sugar so that he/she can be tested further.

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We need to understand the basic and fundamentals of blood testing.

HbA1C is a test over 90 days.

Where as finger prick test is any time of a day, fasting is before breakfast. No food for 12 hours, the test number is lower, soon after any meal stomach is full of food and sugar spikes!!!!!

May be you need to discuss this with your doctor.

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And yeaa today i had 3 chapaatis..after one hour of lunch my glucose was under 100 but with in next one hour i was in 180s

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If chapaati gives your BS such a high spike, you have to eat something else. It is that simple, isn't it? Managing T2D is all about developing a new relationship with food!

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180 is that high than why ADA is recommending to keep below or upto 180 for diabetics?

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ADA is also recommending to eat lot of carb and then take medications to lower BS. If you want to follow that route, it is up to you.

I had the same choice about three years ago. I decided to go dietary route and I keep my BS under 140.

You are young, you should be more careful about such recommendations and not make high end of such recommendation your BS target.

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What medicine u take to control?

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FOOD IS MY MEDICINE.

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If 50 % is the pass mark in a test and 80 % is excellent grade, what will you make your target?

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Agreed but i am underweight! I weigh around 49kgs ..if i will cut dwn carbs than i will loose my weight..

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Why do you carry such notions that you will lose weight if you reduce carb? I am not suggesting to reduce calories.

Other thing, if you are underweight and T2D you should get tests done to rule out any possibility of LADA. Though it seems you should be okay based on your low fasting number. Did I suggest you about this before?

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But its been 2 years my diagnosis..i dnt think I have LADA

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That is good. I suggested because of your young age ( 25?) and being underweight.

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You need to eat lot more healthy fat and protein-rich food. A well formulated diet for you can keep your blood sugar in control and allow you to gain weight also, if you wish. It would be far more tastier than what you are used to eating.

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Can you tell me what kind of food should i eat ?

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Please give me some more information about yourself:

Your height, your dietary preference ( Vegetarian, non-vegetarian, eggs yes or no, dairy or no dairy).

Could you list your typical food that you eat in a day?

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Morning breakfast- one khakhra ( hope u know it)

Lunch - 3 chapaatis, sabzi and daal or als curd and cucumber

Dinner - same as lunch

But the most interesting fact that i dont take any tablis now for dinner than also myBgs come under 160

Milk while sleeping time

No Rice no refined grains no sugary stuff

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What about vegetarian and plant based eating. Healthy protein and fats?

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Veeee

Is this question for me?

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Yes.

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Veeee

I understand that you are vegan and would like to follow a low carb vegan diet. Could you please share some more information about you:

1. Reason for going low carb, have any goal in mind, any medical condition like T2D?

2. Your age, height and weight

3. Do you have any macros ratio you would like to go for?

4. Any intolerance to particular food?

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Hi

I have type 2 diabetes controlled with medication.

I have been a vegetarian all my life.

I have recently given up eggs.

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Consider low carb diet as suggested below in this post to Pranam786. That is pure vegetarian diet without any eggs.

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Reduce carbs and increase fat. That will work if you are worried about your weight

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The numbers can vary depending on the person and what you’re eating/drinking during the day. Do you count carbs. for each meal and snack?

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I have one more doubt..

My ppbg after one hour was within 100 but in next one hour it was 180.. is that possible?

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Did you have anything with lots of carbs./protein? Some foods can raise the blood sugars faster than others.

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Thank you. I fully understand all your food items and I also have a fair idea why you are underweight.

I have to go out just now. I will send you my diet proposal to you hopefully tonight. You did not mention your height. Weight - 49 kg.

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Tell me what kind of food I should eat

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1. Eliminate/reduce GPS in your diet as much as possible.

GPS: Grains, Potatoes and Sugar.

2. Use generously in your food preparations: Butter/Ghee/Olive oil/Coconut oil.

3. Include nuts and seeds in your diet: Almond soaked in water for few hours or overnight, boiled peanuts, walnuts, Chia seeds, flaxseeds, pumpkin seeds, fresh coconut, Peanut/Almond butter.

4. Dairy: Hung curd ( Curd which is used to prepare Shrikhand), Panner, Cheese, Fresh whipping cream, Sour cream.

5. Sprouted methi seeds, sprouted moong beans

6. All vegetables including local varieties that grow over ground. Examples:

Cauliflower, Broccoli, Okra( Bhindi), Bitter gourd ( Karela), Palak, Cucumber, Dudhi,

Brinjal ( Baigan) etc.

7. If you must include chapaati, experiment with long wheat/Emmer wheat flour chapati. Measure blood sugar rise to see how you respond. You can try mixing flaxseeds after grinding, with the wheat flour in 1:1 ratio. You can try basmati rice also to see if it spikes your BS.

8. You can use almond flour in many preparations.

Example:

Breakfast: Upma prepared using almond flour fried in butter at low heat with onion and vegetables of your choice.

+ 1/2 cup of hung curd.

Lunch: Butter fried paneer + vegetable salad, salt and pepper to taste and olive oil and lemon juice as dressing.

Dinner: Chapati/rice as said in 7 above + Vegetable curry added with cream cheese.

Snacks: Roasted nuts/seeds, fresh coconut, cheese, peanut/almond butter as and when needed.

Do not limit the quantity except for chapaati/rice.

EAT WHEN HUNGRY.

STOP WHEN FULL.

Do not force yourself to eat.

Do not remain hungry.

You can make variety of dishes using the above ingredients. It is up to you. You will gain weight and your BS will remain in control.

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Thanks for the valuable information Mr Praveen.

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Include some exercise (strength training) also in your routine. Three days in a week is good for strength training.

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Height 5.4 inches but i lost around 7-8 kgs because of high sugar since than i couldn't put on my weight.

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Pranam786 , you need to review the medicines you take. Please consult your doctor. I'd suggest you to depend more on the diet as suggested by Praveen55 than medicines.

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Yes. Possble. If you remember that both are different instruments. Do not measure the same and hence not comparable

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