Does 1-hour post prandial spikes affect the nerves?

Hopeless · 11-13-2013, 07:45 PM

Quote:

And some people just lose weight as they get older. (sorry to say I am not one of those types ...sigh).

You are not alone there, mrsD.

And my cardiac issues have made me even more sedentary which has not helped control my weight. I think the only way I will lose weight is when I am decomposing in the ground.

My doc wants to check my thyroid again. I told him ........ waste of time...... I don't think I can use that as an "excuse". Bet it will come back normal. Everything else may be out of whack but my thyroid will be fine.

Idiopathic PN · 11-14-2013, 09:46 PM

[QUOTE=glenntaj;1028858]--I would still think it would be instructive to have a longer glucose tolerance test--four or five hours--with an initial draw for both glucose AND insulin levels and then half hour draws at least through four hours with both glucose and insulin levels being measured.

You want to see how the insulin/blood glucose relationship is reacting much more often then every hour, and when exactly the spikes are occurring--and what the insulin levels are before the spike and in response to it.[/

I dont think the endocrinologist will give me a request for this test. He was adamant giving me a prescription since he does not think that i am even a pre-diabetic. But i would want to take the test, i wonder how much would this cost? Anybody has an idea of the cost?

Idiopathic PN · 11-14-2013, 10:03 PM

Quote:

Originally Posted by mrsD

One of the best ways to gain weight is by eating more fats.

Now this means "good fats" of course. Fats 1) slow down the emptying of the stomach, so blood sugars do not spike so quickly, and 2) provide extra calories, 3), good fats, typically are in short supply in our food chain in the US. So improving them, is a benefit to the whole body.

Nuts are a good way. Olive oil, flax oil, in salads are another option. Foods like Salmon, or other fatty fish.
You will want to avoid Trans Fats of course.

I wonder if you are having "dumping syndrome" ...IdiopathicPN?
Dumping is where the stomach releases food too soon. When this happens, it is not broken down as it should be so then it would
not provide nutrients for you...hence the weight loss?
Could this be a side effect from your lung medications?

http://www.mayoclinic.com/health/dum...ndrome/DS00715
This can happen in anyone, not just the bariatric patients.

It is something to think about. And I like Glenn's suggestions too.

Yes, i like Glenn's suggestion too. I am open to it...i will try to inquire about the cost.

I eat Mrs.D most of the good fats you mentioned except for the flax oil. I eat 3-4x salmon a week but with the cost increasing every week, i limit it now to just 2x a week. At Sam's, the price of salmon has gone up significantly for the past 2 years. I eat peanuts, walnuts, almonds and cashews for my snacks.

I am so glad you mentioned about the dumping syndrome, but when i look it up i dont manifest the symptoms except for a mild bloatedness. I think the probiotics I take helps with most of my GI problems.

My pulmonologist does not think that my lung medications nor my MAC are causing the weight loss. But who really knows.

Idiopathic PN · 11-14-2013, 10:09 PM

Quote:

Originally Posted by mrsD

I would like to know how you are getting such a spike on real food. Yet you do not show this spike on pure glucose in the contrived lab test which would be very quick with glucose.

Food stays in the stomach for at least an hour, to 4 hours in most people. You do not eat pure glucose but have to digest any complex carbs. This is not an instantaneous process. Any fructose would not show on your meter at all for a long time as it has to go thru the liver and be converted to glucose. This evens out any spike so that the sugars show more moderately. (this is why diabetics use fructose supplements in cooking instead of table sugar sucrose. )

I would expect the fast spike on the GTT test. The GTT test is not "real" and cannot really be compared to regular eating. It is used as a statistical test with the results determined based on many years of comparing diabetics to non-diabetics.

I think if you jump on medication at this point, with a normal A1C and no long term elevations showing, you might end up overmedicated and experience low sugar spells. Low sugars are dangerous to the brain and some studies show even one serious low sugar event can lead to dementia.

I urge caution, whenever starting drugs. ALL the diabetes oral drugs carry a pancreatitis warning and potential. I think you should really NEED the drug, to decide to use it. While you are stressing your body with those drugs for your lung condition, adding another would be problematic IMO.

Mrs.D,

During my recent glucose tolerance test - the number after 30 minutes taking the glucose was 157, but when i eat my regular meal, it would be higher than this on the 1st hour. You made me feel a little better when you said that i still produce insulin!!!

Mary

Hopeless · 11-14-2013, 10:32 PM

Dear Idiopathic PN,

If you were not producing insulin, your numbers would be astronomically higher. You are definitely producing insulin, no doubt there.

mrsD · 11-15-2013, 04:59 AM

Are you up for some more testing?

Here are two suggestions to try.
.
1) test your sugars before your meal. See if
they are elevated to begin with. That could
be part of the postprandial spike.

2) for a few days eat more complex carbs
And see what changes if anything. See how
you feel for one thing.

Remember home testing can be off by 10
points either way.

Idiopathic PN · 11-15-2013, 09:25 PM

Quote:

Originally Posted by mrsD

Are you up for some more testing?

Here are two suggestions to try.
.
1) test your sugars before your meal. See if
they are elevated to begin with. That could
be part of the postprandial spike.

2) for a few days eat more complex carbs
And see what changes if anything. See how
you feel for one thing.

Remember home testing can be off by 10
points either way.

There is no further tests that the endocrinologist wants me to take, for now. I inquired from my PCP about Glenn's suggestion but she talked to my endocrinologist and as expected, she politely told me that she has to defer to my endocrinologist thyroid/glucose treatment.

I already did on several occasions the "before and after" test. Since my BS generally goes down to normal on the 2nd hour, the spike at 1-hour post prandial is based on a normal baseline before meal.

I am eating mostly complex carbs and very minimal regular carbs.

Thank you.

Mary

pabb · 11-16-2013, 10:12 AM

are you using any artificial sweetners?

Idiopathic PN · 11-16-2013, 09:21 PM

Quote:

Originally Posted by pabb

are you using any artificial sweetners?

I use it, but very rarely and when I use it, the amount is very little.

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