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When to monitor

I have been pretty successful about managing my diabetes but am puzzled by something. The difference between 1 1/2 hours and 2 hours after meal is big. This morning after a light breakfast 1 1/2 hour reading was 210 and 2 hr reading was 81. This seems strange to me.

  1. Hi , thanks for your question – how interesting! We're not medical experts and everyone's bodies are different, I would recommend checking in with your doctor if you haven't already spoken with them about it!

    However, we do have some information you might find applicable. For your first question in the forum header about when to monitor glucose levels generally, here's an article that explains when to monitor that you might be interested in https://type2diabetes.com/nutrition/when-check-blood-sugar

    As for your glucose reading, here's an article on troubleshooting high glucose levels that might be helpful: https://type2diabetes.com/living/tips-for-trouble-shooting-high-blood-glucose . This particular portion seems applicable: "If you’re checking sooner than two hours after eating, that reading – it’s not telling the real story."

    Also, if this is only happening for breakfast in the morning after you first wake up, you could look more into the dawn phenomenon: https://type2diabetes.com/video/dawn-phenomenon .

    I hope you're able to find some answers soon!

    Best,
    Minel (Team Member)

    1. Hi, brand new here. I graph every 1/2 hour for 2,1/2 hours. 5 years ago, I bought a couple pounds of pure "Dextrose", an ingredient used for baking. But the same stuff, when it's inside you is called glucose (or blood sugar) -quite different from table sugar (sucrose). I started doing my own 100gram Oral glucose tolerance tests (OGTT), as I began my diabetic recovery. BTW in 2017, my fatty liver cirrhosis cost me a liver transplant, so I had been seriously ill from metabolic issues. I was on Ozempic, in 2018. But I weaned off of it by simply reducing my carbs to only "salad stuff", while holding protein and fat the same. Anyway, my home made OGTT results, and several consecutive A1-c readings of 5.0 and below finally convinced my Endocrinologist to very kindly dismiss me as a patient, for being "boring", i.e., normal. On my last visit, I asked her (as I had asked my primary care doctor) "why don't you push lifestyle harder --why did I have to figure this out myself?" "Because people get angry when you tell them that," they both said. I get angry when they don't. Sorry for the long editorial. You (95% of us) can do this with no more serious a drug than metformin. You can now get at least two brands of continuous glucose monitors (CGM) without prescription. Mine costs $100, for 2 two-week sensors. That's spendy but you can learn a lot, if you write down the data and think about it (it doesn't download data, which is a bummer). Anyway, cheers!

    2. Hi . I'm sure protecting that new liver is great incentive. If ever I donate an organ (or my family donates one on my behalf), I hope it goes to someone like you. Congratulations on being too "boring" to treat. That is awesome!
      I can understand why doctors are so reluctant to push their patients too hard. One of my closest friends left family medicine, in part, because too many people demanded prescriptions or surgery without ever trying alternatives, like lifestyle or dietary changes. When she pushed them to try alternatives first, they complained. It frustrated her to no end.
      But I also understand the patients. Food addiction and decades of eating habits can be incredibly difficult to fight and undo, especially for those with debilitating comorbidities or unusual amounts of stress. For many, another major challenge is figuring out how to prioritize themselves and their health without feeling like they are letting others down.
      I hope your story and your success inspire others to give your approach a try. Thanks for sharing your story. I hope you are always able to remain diabetes-medication-free and that your new liver allows you to live a long and full life. - Lori (Team Member)

  2. I was able to go of meds 18 month ago. I mainly check my eAG before and after strenuous exercise like SCUBA diving (I dive for a local aquarium), 60-minute pool aerobics, or 3-5 mile walk. The Diver Alert Network (DAN) has a diabetic diver protocol that recommends an eAG of no less than 150 prior to exercise and recheck after. I find I have a post-exercise level @65-85, and always have some glucose tabs handy.

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