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My Diabetes counselor does not like my fasting blood sugar? Help wanted.

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  • My Diabetes counselor does not like my fasting blood sugar? Help wanted.

    I am new to the Primal diet, but in three weeks I have stabilized my blood sugar levels, cut my medication way down, and lost 6 lbs. The only thing I am not happy with is my fasting blood sugars. I wake up with blood sugar levels of 120 to 130. Ideally, I should be below 100. I have moved my metformin dose to dinner time hoping that it would "slow" my liver from releasing sugar into my system with little effect. During the day my sugars run from 110 to 120. This is being done while eating a lot more fruit (my main source of carbs).

    The primal diet itself has helped me to not feel hungry and I have good energy levels. My theory is that the extra fat I am ingesting, is being converted into glucose by my liver. My plan, until I get some ideas from the Forum, is to;

    1) Catalog what I eat trying to stay within 483 Calories of Protein, 300 Calories of Carbs, and 1519 Calories of fat (This based on Marks books and my goal to lose 8 lbs a month) and
    2) Experiment up/down with my Metformin dose to see if that has an effect.

    Any advice or actions that have worked for others would be welcomed. Thank you.

  • #2
    The natural levels of fructose in your "mostly fruits" is why your blood sugar is not coming down. Limit yourself to ONE serving of fruit per day and go vegetables for the remainder of your carbohydrates and fiber. After about two weeks of dropping the fruit habit you should see a corespoding drop in fasted blood sugar.

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    • #3
      Peas, carrots, brocolli, and quite a few other vegetables have plenty of carbohydrates...
      Making adventure out of this thing called life

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      • #4
        Karma & alg2435,
        Thank you for the info, I will see my diabetic counselor in two weeks and hopefully, with your advice, I will have better numbers to report.
        JimN

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        • #5
          Originally posted by Karma View Post
          The natural levels of fructose in your "mostly fruits" is why your blood sugar is not coming down. Limit yourself to ONE serving of fruit per day and go vegetables for the remainder of your carbohydrates and fiber. After about two weeks of dropping the fruit habit you should see a corespoding drop in fasted blood sugar.
          +1

          Once you have insulin problems, fruit is an indulgence(I train diabetics). I would go off them could turkey and just do vegetables. You'll probably improvements very quickly.
          Lifting Journal

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          • #6
            As it turned out, I only had 1.5 fruits yesterday (1 apple and 1/2 orange) and my fasting blood sugar was 106 this morning. Hopefully it will keep improving by keeping a low fruit intake. Thanks for the advice.

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            • #7
              Hey Jim

              Please keep sharing your experiences and how your blood sugar levels react to diet. I for one find people sharing these sorts of things to be the most valuable aspect of this board. I take the opinions with a grain of salt, but do pay attention when folks report "when I do X, Y happens". Sounds like in your case the fruit was problematic. When I was losing weight, (I went from ~320 to 165) I found that any more than a couple of pieces of fruit a week would stall weight loss for me and ANY dried fruit would make me gain weight.

              Good luck on your journey
              Apathy is tyranny's greatest ally.

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              • #8
                What's stopping you from ditching fruit?
                Eat fruit on days that start with S only, then, if you love fruit so much you can't give it up.

                You don't seem like you're too concerned about your fasting blood sugar after all. Your counselor might not be happy, but to me it sounds like you're perfectly happy.
                My smartphone makes me about $100 per month
                Updating my journal again after a 2 year break.

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                • #9
                  As the day has progressed, my highest blood sugar has been 97 (other than my 106 fasting). That is even after a banana in my protein shake this morning and (Grok Forbid) one chocolate crinkle cookie (my wife is making them for a party and thought they tasted funny - she has been eating primal longer than my 3 weeks, so I had to ease her mind. It tasted very good but gave me a headache too much sugar).

                  And Yes, my counselor is more worried than I am, but I knew my fasting sugars were too high. I am just glad and amazed that my sugars came down so fast, this is just day 2 limiting the fruit. My ultimate goal is to get off of all the med that I have been prescribed since being diagnosed as diabetic (I did skip all metformin last night and today with good results). Now have to get off the ACE inhibitor (BP med) and cholesterol meds. Just have not got up the courage to not take them. I will have my Dr. do my blood work in February and am thinking I need to do it soon to see what happens to my labs.

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                  • #10
                    Nice work Jim, glad its working out for you. Avoiding fructose will be your #1 job for the next few months as your hormones re-balance after a time in full on confusion. As you get metabolicly less deranged, a little fruit now and then won't be nearly as much of an impact. I just can't pass up a fully tree ripened summer peach, but I treat is as a special occasion food not a three a week habit. Your diabetes counselor will try to steer you to conventional wisdom of lots of whole grains so watch out for that, it will overturn the progress you are making rather quickly.

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                    • #11
                      Not to enable, but if you're really craving fruit have you tried berries to see what they do to your numbers?

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                      • #12
                        Originally posted by Karma View Post
                        Nice work Jim, glad its working out for you. Avoiding fructose will be your #1 job for the next few months as your hormones re-balance after a time in full on confusion. As you get metabolicly less deranged, a little fruit now and then won't be nearly as much of an impact. I just can't pass up a fully tree ripened summer peach, but I treat is as a special occasion food not a three a week habit. Your diabetes counselor will try to steer you to conventional wisdom of lots of whole grains so watch out for that, it will overturn the progress you are making rather quickly.
                        Yes, she is not real happy with my diet decision - she is a vegetarian and a firm believer in CW - but she is a very nice lady and is willing to let me do this until I get my labs done in February. At that time I will look at my numbers and see where I will go from there. But right now, this is working for me and I can't see any reason to stop at this time.

                        As a side note, after I posted that I had not got up the courage to drop my other two diabetes meds, I decided that I might as well do it and let my blood work tell me how I am doing in February. So now I am off all my prescriptions - that will probably really get my Dr. going when I see him next! Oh well, it isn't the first time I have been in trouble with him.

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                        • #13
                          Originally posted by sapphire_chan View Post
                          Not to enable, but if you're really craving fruit have you tried berries to see what they do to your numbers?
                          I have not tried them yet but I had thought of them. Right now I figure I am making progress and am not having any major cravings so I will hold off and use the Fruits and berries as a treat.

                          Thank you all for the advice and encouragement.

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                          • #14
                            Jim,

                            BE CAREFUL dropping medications cold turkey. You may want to reduce the dose over time a little bit each week. Seriously, you should be doing so with the approval of your doctor as a trial test, not behind their back. If you have to do stuff like that behind their back, you seriously need a new doctor. Also, your cholesterol may go up a bit on Primal (total) and often the equation used to calculate your levels of HDL and LDL won't work anymore due to triglycerides under 100. My advice would be that when you get the testing done in February, skip all of the BS calculated tests and go right for a VAP test. Search VAP test on this forum and you will see some good stuff about them. Basically, its a DIRECT MEASUREMENT of cholesterol particles and in particular PARTICLE SIZE, and that matters a TON. Best of luck on your journey.

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                            • #15
                              Originally posted by Karma View Post
                              Jim,

                              BE CAREFUL dropping medications cold turkey. You may want to reduce the dose over time a little bit each week. Seriously, you should be doing so with the approval of your doctor as a trial test, not behind their back. If you have to do stuff like that behind their back, you seriously need a new doctor. Also, your cholesterol may go up a bit on Primal (total) and often the equation used to calculate your levels of HDL and LDL won't work anymore due to triglycerides under 100. My advice would be that when you get the testing done in February, skip all of the BS calculated tests and go right for a VAP test. Search VAP test on this forum and you will see some good stuff about them. Basically, its a DIRECT MEASUREMENT of cholesterol particles and in particular PARTICLE SIZE, and that matters a TON. Best of luck on your journey.
                              I agree that generally quitting cold turkey would be a bad idea. I made the decision to do so for 3 specific reasons; 1) I am on a very low dose for both meds, 2) my Dr. put me on the cholesterol med to raise my HDL - my overall cholesterol has always been low and the ratio between good and bad is OK but my good cholesterol was running in the high 20s and he wanted it up in the 40s at least. For the last 6 years, the med had not had any significant impact to good or bad cholesterol, 3) My BP (even at 265+ lbs) was generally 130/80. At the 230 lbs that I have maintained since being diagnosed in 2006 and on the BP med, my BP has typically been 117/75. So it has gone down, but I am not sure how much was due to the weight loss and how much to the med. As I am now at 225 and going down, I am hoping that both numbers will be OK for the February Labs.

                              Bottom line is I do agree with your initial statement, however, I did base the decision on the above facts. I did not put it in my initial posting and I should have because there could be serious complication on certain medications if you don't ween yourself off of them slowly. I would not want someone else to do that and have a major problem based on a lack of information or understanding of the medications and the condition they are treating.

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