blood sugar control

[mickeyba1]

having trouble controlling after breakfast bs spikes. Take metformin and glimepiride but am spikes frequently around 215. Any suggestions??

Last a1c was 6.3 so overall bs has improved.

[Bassetmommer NKF Ambassador]

HI Mickey,What do you eat for breakfast? My husband has cereal, Cheerios, with milk. This always spikes him. The Doctor told him to eat something like eggs for breakfast. So I bought him an microwave egg cooker which will cook 2 scrambled eggs which he has on an English muffin with a slice of cheese. Higher fat than maybe he should but less sugar bounce. He was eating the frozen egg and sausage muffins and he loved those. I did not love the salt and fat. When you eat a high carb, pair it with a protein.

The best thing you can do is see a dietician. Since I do not know your medical history, we cannot tell you what to eat. But a renal or even diabetic dietician will be able to help you.

[mickeyba1 in reply to Bassetmommer]

My go to breakfast is a cup of cauliflower, now with cheese sauce and 1/2 english muffin with cream cheese and oz of jam. Sometimes bs stays below 170, other times it goes over 170? My dietician thought morning spikes might be result of excessive carbs the day before supper. Saw my nephrologist face to face for the first time since March, covid phobia.Told him I had dc'd my ozempic and glyxambi. He said he was okay with that as long as I controlled my a1c and htn, doubled my norvasc. He said metformin is also hard on kidneys. Truth seems to be all their meds are hard on kidneys. Lipitor about killed my liver 10 years ago so I am sort of paranoid and anxious about the down side of meds which my doctors do not have the guts or brains to talk about. So at times I am hesitant to take all my glimiperide and all my metformin, if its overkill. My spikes run around 215 and last for about one hour.

Dietician wants protein less than 55 g per day. Other dietician wants my carbs under 200/day, but my pants keep falling off so weight gain/loss is a major issue for me. Thanx for letting me rant.

[Bassetmommer NKF Ambassador in reply to mickeyba1]

Hi Mickey, Wow, that is a interesting breakfast. Is the jam sugar free? That's a sugar bomb usually if not sugar free. My fellow posters have made great recommendations. Remove a food and see if still spikes. The thing is this. NO matter what you eat, you are going to get a spike. That is what the body does. It raises glucose in response to food. Does the Doctor seem to think these are outrageously high spikes. If your spike is right there after you eat, that's normal. But if they are gone within two hours, then let it be. Do you take any insulin? I see you stopped Ozempic....curious as to why? I am on it after being on Januvia for years. I have VERY controlled sugar now. Used to get crazy high readings in the am if I ate high carbs for dinner or popcorn later. Now, never above 100.

With losing weight, how often do you hit the 55 level for protein? Maybe more cheese and fat will help you not lose weight without carb increase. Do you like avocado? That's a good fat. Add real butter to your veggies. Snack more often also. Apples with nut butters are great. Popcorn is a highly recommended diabetic snack. Have yours with real butter and make it with oil the old fashion way. Just some recommendations

[jodaer]

I agree with Bassetmommer, try for a high protein, low carb breakfast. My usual is boiled egg, small slice of ham, sprouted wheat bread with PB. I used to have V8 with it but now suffer with high potassium so that is out.

[RoxanneKidney]

I was watching a dr. talk about how certain food that one would normally think would spike the sugar, like rice, do not, while other food, that one would normally think do not...DO. He said to use those glucose strips and find out which food spike yours and which do not. The studies he was quoting etc. were pretty interesting. I am not a diabetic, but plenty in my family, but like many other diseases, it is often treated like a one shoe fits all, when in fact that shoe does not. So switch up your foods and test your blood and figure out which foods are causing the spike.

[900312611]

Hello:

"Research" the over the counter supplement: chromium picolinate...I'm 75 yo, and have taken it for past 30 years, and so far luckily not diabetic; I too eat cereal (high fiber) with 2% milk with added vanilla protein powder in the morning; the added protein is an important nutrient to get you going in the morning and somewhat counters the carb/sugar spike of the cereal as does the chromium picolinate... the key word is: research... 'your millage may very'

[Ragbaby88 in reply to 900312611]

I use Curalin to control my diabetes. A1C used to be in the high 7’s with metformin. The metformin ruined my intestines. Now on Curalin and my A1C is 5.8. CKD stage 3b

[Bassetmommer NKF Ambassador]

My husband does not need the butter and needed something simple and fast. Why do you say do not microwave. It makes a nice fluffy egg of you do not over cook it.

[jodaer]

Amazing, not for me but amazing anyway

[Sammi_n_Munk]

Hi Mickey! As Bassetmommer suggested, my blood sugar also tends to spike in the mornings if I have consumed a high carb dinner the day before (pizza, pasta, potato, etc.). I also notice that when I’m feeling under the weather, or if I don’t accompany my one slice of toast and butter with a couple of eggs in the mornings (sometimes even three eggs), my glucose goes off the charts.

I try to do my walking shortly after breakfast if time allows it, and that seems to help. Then I don’t eat again until about 3 or 4 o’clock pm, and it’s usually some cooked vegetables with one or two chicken drumsticks, or just veggies alone. I make that my last meal of the day (trying to drop some weight - not easy as I have fluid retention going on). The veggies can sometimes also raise my glucose depending on the carb content, but usually, it doesn’t stay high for too long when the carbs come from veggies, unless it’s beans. Lol!

I hope you’ll find this somewhat helpful. I wish you the best of luck with your blood sugar levels. God bless. 😊👍🙏