Diabetes Talking

Question:

I’ve written up a page about blood sugar targets and supplemented it with a second page that summarizes and links the relevant research articles supporting the target. http://www.geocities.com/lottadata4u/bloodsugartargets.htm — Jenny  - Low Carbing for 5 years. Below goal for weight. Type 2 diabetes, hba1c 5.7 . Cut the carbs to respond to my  email address! Jenny’s new site: What they Don’t Tell You About Diabetes http://www.geocities.com/lottadata4u/ Jenny’s Low Carb Diet Facts & Figures http://www.geocities.com/jenny_the_bean/ Looking for help controlling your blood sugar? Visit  http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

Some research is now suggesting that ninety minutes is the optimum time for testing post-prandial bgs. The study used diabetic women … CONCLUSION: The time interval for postprandial glucose peak in diabetic pregnancies is approximately 90 minutes after meals throughout the day and is not affected by the level of glycemic control.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&… stract&list_uids=15343240&itool=iconabstr – Hide quoted text — Show quoted text – I will give it a go just for a change. What level to aim for – none is really suggested ?

Response:

Some research is now suggesting that ninety minutes is the optimum time for testing post-prandial bgs. The study used diabetic women … CONCLUSION: The time interval for postprandial glucose peak in diabetic pregnancies is approximately 90 minutes after meals throughout the day and is not affected by the level of glycemic control. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&… I will give it a go just for a change. What level to aim for – none is really suggested ?

I notice that this study was limited to diabetic *pregnancy,* and a very small sample was used (total of 65 — 26 treated by diet alone; 19 received insulin therapy, and 20 had type 1 diabetes mellitus).  It’s an interesting study, but I hope there will be a follow-up with a larger sample and one involving the general diabetes population (that is, not restricted to pregnancy). MaryL

Response:

Some research is now suggesting that ninety minutes is the optimum time for testing post-prandial bgs. The study used diabetic women … CONCLUSION: The time interval for postprandial glucose peak in diabetic pregnancies is approximately 90 minutes after meals throughout the day and is not affected by the level of glycemic control. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&… I will give it a go just for a change. What level to aim for – none is really suggested ?

Response:

Some research is now suggesting that ninety minutes is the optimum time for testing post-prandial bgs. The study used diabetic women … CONCLUSION: The time interval for postprandial glucose peak in diabetic pregnancies is approximately 90 minutes after meals throughout the day and is not affected by the level of glycemic control. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&… I will give it a go just for a change. What level to aim for – none is really suggested ?

That IS interesting – and I’m glad some other people got tied up to a continuous monitor so I wouldn’t have to : )   I’d assumed that when the peak happens was a YMMV thing, and would be moderated by fat – but these guys are pretty definite about the 90 minutes not varying. Interesting! I might give it a go also – after I’ve done some 15-min intervals around the 1-2 hour peiod and check it works for me. I’d guess you’d want to stay with the usual 1-hour peak figure, which for me is 7.5 just now. Nicky. — HbA1c 10.5/6.4/<6  Weight 95/79/72 1g Metformin, 75ug Thyroxine T2 DX 05/2004

Response:

Some research is now suggesting that ninety minutes is the optimum time for testing post-prandial bgs. The study used diabetic women … CONCLUSION: The time interval for postprandial glucose peak in diabetic pregnancies is approximately 90 minutes after meals throughout the day and is not affected by the level of glycemic control. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&… I will give it a go just for a change. What level to aim for – none is really suggested ?

They tested *pregnant* *women* only. Their suggestion was for pregnant women only. I’ve done a lot of peak-hunting myself, and have found that in my case the peak occurs between 40 and 100 mins after starting to eat. Since my highest peaks always occur at 40 mins, and in general the longer it takes to peak the lower, my own testing is at 40 mins, plus another test 10-20 mins later to see if it’s rising or falling. If it’s rising I keep checking until it falls. I have also noticed that some meals have two distinct peaks, due to two main components with different glycemic indices, but again the early peak is always the highest. Why do we always have to read a research report and then speculate endlessly about these things? We’ve all got meters. We can find out for ourselves. One thing I found out very quickly is that my meter often tells me a different story than research reports, and I know which I prefer as a guide to my own BG control! — IPAB,  Informatics,  JCMB, King’s Buildings, Edinburgh, EH9 3JZ, UK [http://www.dai.ed.ac.uk/homes/cam/]

Response:

I’ve written up a page about blood sugar targets and supplemented it with a second page that summarizes and links the relevant research articles supporting the target. http://www.geocities.com/lottadata4u/bloodsugartargets.htm Yes we aim for 7.7 at 1 hr pp and 6.7 at 2 hrs. What shall I do for 90 minutes – split the difference at 7.2 ?

No, it’s saying that the peak occurs at 90 mins, so go for <7.7 Nicky. — HbA1c 10.5/6.4/<6  Weight 95/79/72 1g Metformin, 75ug Thyroxine T2 DX 05/2004

Response:

I’ve written up a page about blood sugar targets and supplemented it with a second page that summarizes and links the relevant research articles supporting the target. http://www.geocities.com/lottadata4u/bloodsugartargets.htm

Yes we aim for 7.7 at 1 hr pp and 6.7 at 2 hrs. What shall I do for 90 minutes – split the difference at 7.2 ?

Response: