Diabetes News: Re: When To Test. One-hour or Two-hour?

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Re: When To Test. One-hour or Two-hour?

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Subject:	Re: When To Test. One-hour or Two-hour?
Poster:	rk
Date:	Thu, 22 Mar 2007 20:04:20 -0500
Related Postings:	1 2 3 4 5 6 7 8
"Kurt" wrote in message news:1174605185.195208.204900@e1g2000hsg.googlegroups.com... > On Mar 22, 2:29?pm, Alan S wrote: >> Was: OATMEAL ... can any of us type 2's eat it ??? >> >> On Thu, 22 Mar 2007 13:36:55 -0400, DonnaB shallotpeel >> >> wrote: >> >In alt.support.diabetes on 19 Mar 2007 19:40:21 GMT in Msg.# >> ><568795F2721k...@mid.individual.net>, Chris Malcolm >> > >> >wrote: >> >> >> You're allowing the T2s who respond to self-define what is a BG >> >> spike. There's not only the question of levels, there's the question >> >> of when the reading is taken. There's a large difference between >> >> testing one hour after starting to eat, as some do, and two hours >> >> after finishing eating, as others do, for example. >> >> >Hmm, I always thought that timing began after finishing eating. >> >Interesting. >> >> This is an important subject for newbies and comes up >> regularly. >> >> It really comes down to why you are testing - who is going >> to use the information you are gathering? >> >> I'll copy from my blog something which I originally wrote >> mostly here. >> >> When we first received our brand new blood glucose meter the >> majority of us were told by our doctor or qualified diabetes >> educators totesttwice daily - before breakfast, also known >> as "fasting" and before the evening meal. Some, not many, of >> us were also told totestoccasionally two hours after >> meals. >> >> The "us" I speak of are the thousands of newly diagnosed >> type 2's I've met in cyberspace over the past four years. >> Over that time, in three diabetes usenet newsgroups, eight >> Yahoo diabetes newsgroups and a couple of others via the >> web, I have yet to meet a single newby who was told by their >> doctor totestone hour after every meal or snack. In fact >> I've only recently met a few who were advised totestone >> hour after any meal at all. >> >> So, why do I recommend that we should? Well, I must admit - >> it wasn't my idea; I learnt it from Jennifer and >> herTest,test,testadvice >> athttp://www.alt-support-diabetes.org/NewlyDiagnosed.htm. I >> also learnt from Derek Paice and his e-book Diabetes and >> Diethttp://www.mendosa.com/DiabetesAndDiet.pdf >> >> Anytestis wasted if it neither informs nor confirms some >> information. The tests prescribed by your medics are >> designed to help them analyse your progress, to assist in >> their decisions for your treatment - but they do very little >> to help you personally manage your diabetes. The doctor >> wants to see your "static" numbers, not the ones that might >> be very high or low as a result of the carbs you ate, or >> ignored, at your last meal. >> >> And that's why I add those one-hour post-prandial >> (after-eating) tests - they help me directly. They are the >> "dynamic" numbers that showed the direct effect of the food >> I ate and the exercise I did. I call them one-hour, but the >> real term should be "peak" or maximum "spike"; mine is >> one-hour but you'll have to find your own. >> >> I don't think the timing of the spike is as important as >> it's peak level and duration. >> >> Think about it logically. Why would a spike of 10(180) >> affect you any differently if it occurred at 30, 60, 90 or >> 120 minutes? It's duration would be a factor - but >> post-prandial timing of the actual peak should be >> irrelevant. It still got to that peak, no matter when it >> occurred. >> >> So, I learned to find my peak. That is slightly different, >> but reasonably predictable, with different foods and meal >> mixtures. Drinks, like OJ, spike me very quickly within 30 >> minutes and drop just as quickly. Which is why some people >> use them as hypo treatment. Starchy carbs, without much fat, >> will spike me in 30-45 minutes. But add fat - and it's about >> 60 minutes. A normal meal combining moderate fat, protein >> and low GI carbs leads to a peak at 45-75 minutes for me, >> and so on. That's why I settled on using the 1hr >> post-prandialtestas my guide, but I occasionally do a 30 >> minute one if the food was low-fat and high-GI. >> >> As to whether a brief spike causes damage - not enough >> research has been done. There appears to also be a >> possibility that spikes have a damaging effect at lower >> thresholds for type 2 than type 1, partly from anecdotal >> discussions I've followed over the past four years and >> partly from the slight differences in results in studies >> like the DCCT and UKPDS. Let's face it - only type 2 have >> beta cells to lose anyway. Therefore I am swayed by the >> reports here, on Jenny's excellent >> web-pagehttp://www.phlaunt.com/diabetes/14045678.php; there >> enough evidence to convince me that staying under 8(140) is >> worth the effort - no matter when it occurs: Research >> Connecting Organ Damage with Blood Sugar Level >> >> Of course, I tend to always aim a little tighter, so these >> days I set the level at 7(126) for my one-hour post-prandial >> maximum. What you do is up to you. >> >> Cheers,Alan, T2, Australia. >> d&e, metformin 1000mg, ezetrol 10mg >> Everything in Moderation - Except Laughter. >> >> http://loraldiabetes.blogspot.com/ > > Alan, > > Do you ever post links to professional sites? Since there aren't any > listed above and you might be sending newbies to read opinions posted > by amateurs I think that should be pointed out. > > The main answer to the question at hand should come from one's doctor, > of course. There are so many variables when it regards when a > diabetic should test based on their individual needs and lifestyle. > For instance, if someone reads that diabetics should test as soon as > you finish eating, or is told to do so 1 or 2 hours from the start of > eating, that doesn't take into account how fast one eats, what kind of > activity they are doing afterwards (going for a walk vs. sitting and > watching TV), how much food is being consumed, the kind of food eaten > at the meal (fast acting vs. slow acting), what kind of medication are > they on and the timing of that medication, etc. > > But in lieu and/or in addition to asking their doctor one should do a > little research online as to what professional medical people have to > say about it. > > GIYF > > Kurt > > P.S. Please stiop changing the names of the thread titles to suit your > personal posts. Thank you. > Well Kurt, I have to agree with you about the "personal links" and none that are medical from a reputable clinic. I have read several online medical sites/journals. My old Endo was a Professor that taught at OSU. Several books that I have, one from my Endo states testing should happen at the start of the meal. My Minimed "Optimal Pumping" book states to test at the start of the meal. John Walshes, "Pumping Insulin" states testing should be at the start of the meal. The ADA states several times in "Diabetes Forecast" as well as on their site, testing should be at the start of the meal. For anyone that is going doing MDI, and carb counting they definately should test at the start of the meal to be able to adjust their insulin correctly. Well unless one wants to run higher and do a correction instead. :) And nope.. not going to dig out any medical site links right now.. this is a quicky post..as we're heading out for our nightly walk and I don't have time.. ya'll have google too and have fingers and feel free to look it up. -- Reisa, T1 dx-5/00 asd-7/00 Animas IR1250 pumper Currently taking a pump vacation Daily CHO: 100-130gm TDD: 36-38u Last A1C: too damn high!

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