BRAIN....I'm hypoglycemic, and my Alan counterpart has type 2 diabetes. While I've learned about managing my hi's and lo's any research I've done essentially treats them THE SAME. I really don't think they are, tho some diet aspects are very much the same others are not. Can you point me to some basics in terms of reference sites? The ADA seems to want you to BUY their books to find out. Rite now, I simply want to 'eliminate' the diabetic no-no's from the house and let him put the blame on 'splurges' elsewhere.

I guess the complication is that slow digesting CARBS an evil word in diabetes are the things that help ME the most....I've no gluten sensitivity issues [been tested and zilch] so, I'm asking, I think, is what alternatives to the potatoes, corn, pastas and breads can I offer as nosh-friendly 'fillers'. Simply put, how/what should be in my fridge aside from the veggies? There have to be some goodies I can entice for noshing....

Maybe this should be under the diabetes thread or gluten, or nutrition, or whatever. But, I not only CRAVE carbs, but more than CRAVE RED MEAT...tho I've had little for quite a while.. Makes me feel like a vampire. Melody and all, thanks in advance for any guidance! - j

Hi.

so what you are saying is that YOU have low blood sugar and your hubby has HIGH blood sugar. And you read that the treatment is the SAME ?? for both conditions???

That's a new one for me.
I've done lots of reading on diabetes type 2, which is what I have and what your hubby has. I'm on lantus and I eat a diet (extremely healthy by the way).
I haven't eaten any red meat for years and I don't crave any (so no vampire here). I also don't crave any carbs whatsoever because, for some reason my body craves protein. I just had two pieces of grilled chicken with a salad just now. In the salad are some tomatoes, some romaine lettuce, a handful of sliced black olives, (well whatever you wish to put in a salad). I then add garlic powder, pepper, basil, and some lemon and some (as Rachel Ray puts it ) SOME EVOO. Extra virgin olive oil.

I prefer this over a piece of cake every time. I guess I'm lucky, I don't get cravings and I don't eat a single thing after 7 p.m. at night. NOTHING. The last thing I eat is that after my dinner, I have a cup of decaf with a little bag of one of those 100 calories cookie things. They have a whole bunch of various ones like chocolate crisps, or peanut butter things). They are little cookie things and the whole bag is 100 calories. I call it my discretionary 100 calorie allotment for the day.

Now you ask what you can put in your fridge to entice you. At least I think it's for you. You want to know what carbs you can eat, right?

Well, unless I don't know what low blood sugar means, can't you eat a piece of fresh fruit (like watermelon (that's loaded with sugar,for example), or a banana, maybe. The idea is to eat small meals during the day to keep your blood sugar stable, right?

Are you doing this. I have a different problem. I had a lot of weight to lose and I'm more than halfway there and I found a plan that works for me but it might not work well for everybody else. There isn't a refined carb to be found in my house. Except for that 100 bag of little cookies that I allow myself after dinner, there is no bread, no corn, and certainly no potatoes.
That would kill my blood sugar.

But since you are not a diabetic, what about a baked potato with your dinner. With a pat of smart balance margarine. Don't see that hurting you.
What is your sugar reading in the morning? does it go down or up during the day?

I assume you have an endocrinologist? I went to Cornell in NYC and they sent me to a nutritionist. Boy did Alan and I learn a lesson. We both eat exactly the same (and he has never been a diabetic or had hypoglycemia).
so what works for us, well, it works for us.

The nutritionist said to us "eliminate red meat from your diet". I told her. "don't worry, haven't had it for years". She said "good you are already ahead of the game." We talked about fruits during the day. I don't eat any because it impacts my sugar. Now Alan. He lives on the stuff.

He eats up until he goes to bed. He eats fat free youghurt, he eats fruit, he takes those whey shakes. I never saw a man eat so much after he went to a nutritionist in my entire life. BUT....he goes to the gym every chance he gets and he pumps iron. I don't do that and I don't think you do that either.

So let me ask you one thing? Because I'm not clear. Are you asking me what snacks you can have in the fridge FOR YOU?? because you are hypoglemic?

If I am right, the main thing is to keep your blood sugar level as much as you can. Eating a good breakfast with some fresh fruit. A good lunch (like my grilled chicken over salad (I've eaten this every single day for 5 years and never got tired of it). And our dinner iis as follows:

Salad
Protein (fish or chicken) or if it's spaghetti night, a dish of Dreamfield's low carb spaghetti). Absolutely delicious with a marinara sauce.
Side dishes of any veggies you like.

Now I don't eat potatoes but Alan eats one potato that I slice up thin and pan fry in PAM. so no fat but does have carbs so I don't go near them.

From what you wrote, I take it you get a lot hungrier than I do. You need snacks right? Well, I don't snack and I'm so used to it, I don't think about it.

But if I wanted a snack, I'd have some sugar free pudding or jello (instead of the 100 calorie cookie thing). In my pantry, you won't find stuff with partially hydrogenated anything, or high fructose corn syrup or sugar. As I indicated the only indulgence I have is the 100 calorie cookie thing which of course has these things but I figure, one 100 calorie cookie thing a day won't kill me and so far it hasn't changed my sugar reading and I'm still losing weight.

But I would think that an occasional cupcake or small dish of ice cream couldn't hurt you right? (because you are not diabetic, right?).

So write me back and tell me exactly what you want to know.

Sorry i'm so dense.

meldoy

--it's not unusual for it to be recommended that hypoglycemia and insulin resistance/impaired glucose tolerance be treated similarly, as hypoglycemia that is not caused by a tumor of the pancreas or some other strucutural disorder--that is, hypoglycemia that happens in reaction to nutrient intake--is often consided the first sign of insulin resistance.

What seems to happen is that the body had started to experience trouble getting glucose past cell walls and has begun to upregulate the amount of insulin it produces to do that, but since this is an early stage, and the feedback mechanism is not exact and has a time lag, the body will often overproduce insulin in a "first spike" to a relatively small amount of glucose being introduced to the bloodstream, resulting in glucose levels being driven down below normal "fasting" levels for that person. Such a sharp drop in glucose levels can often be experienced as the "sugar crash", and typically happens 1-3 hours after eating a meal that is substantially glucose/sucrose/fructose, even if the actual amount of total sugar ingested in not huge. People can experience this on a pint of strawberries as easily as they can on two pieces of lemon pie.

The general advice on this has been to follow a sort of Zone-like diet, with small, frequent meals involving carbohydrate, protein, and a small amount of fat (to keep the glucose from emptying too quickly into the blood stream), as well as to stay away from simple, non-fiber, processed carbs in favor of "raw" ones--the broccoli instead of the bread. Of course, some version of this advice is often given to diabetics, as well; it's two sides of the same coin, in that this kind of post-meal hypoglycemia is often a precursor to more serious insulin resistance/impaired glucose tolerance.

Now, those who by testing show severe fasting hypoglycemia (fast of 12 hours or more) usually have a more organic problem, as mentioned above, such as an insulin secreting pacreatic tumor that is not much affected by the ups and downs of blood sugar levels and eating. In most people, including those with post-meal "reactive" hypoglycemia, a fast will, at least for a day or so, result in a stablilizing of sugar and insulin levels as the body first uses liver glycogen stores, and then fat stores, to keep vital processes going.

See:

http://www.endotext.com/guthormones/...econtents4.htm

http://www.indegene.com/JIACM/indJIA...glycaemia.html

www.emedicine.com/med/topic1173.htm

http://www.lef.org/protocols/prtcls-...prtcl-042.html

Dalek,
This is the best guide to hypoglycemia that I've found. I've had this condition since I was about 24 years old.

http://www.gicare.com/pated/edtot19.htm

Billye

You asked me a question about hypoglycemia. I respond with plain old diet stuff and these guys (who actually know more than I ever could know in my lifetime), respond with actual medical information.

So from now on if you want to hear funny stories, then by all means, I'm here but people like Glen and Billye, well their input could fill an encyclopedia.

I will make you laugh however.....

click on this link and put it in your favorite place. I warn you however, IT'S ADDICTING!!!

Love ya,

Melody
here's the link:

http://www.nbc.com/Deal_or_No_Deal/game/dond.swf

so late in my reply - life was on hold today until my IVIG infusion was done...

I've been border-line hypo-g since a kid [about 7yo], and webbing stuff up I've had incidents of both 'post-prandial/reactive[?]' and 'fasting' hypo-g since then. All random and usually results in the classic 'shakes' and/or fainting spells that last from 2-10 minutes. I've had fasting glucose tests and GTT tests over the years and except for my very first GTT a loong time ago, all has been disgustingly normal. Maybe it's ideopathic???? [joke here!]
Maybe my brain is being a worry-wort, but it's on a track of thinking that since hypo-g is soo close to diabetes, that it's mite have been, and still is a contributor to the neuropathies. You know, cross one other thing absolutely off the list...

I'm going to read deeply each site you've all referenced, and I've questions, lots of them. I've been searching in my area for quick and dirty classes about 'eating for diabetes' to help my husband, but I've a feeling I should be more cautious... I know the carb thing slows, balances or neutralizes the low-parts of the curb tho, and I'm wondering if those extra tests would be worth the effort....Would that mean adding a 'rheumy' to my doc's lists?
I'm beginning to feel like a hypochrondriac w/the multiple things affecting things which affect other things... Lots more to learn and all that chemistry to confuse me! Thank you ALL, lots to learn absorb and process! Feedback tomorrow for sure! - Many pain free moments for each of your!!! - j

"I've had incidents of both 'post-prandial/reactive[?]' and 'fasting' hypo-g "

like I even know what the heck this means!!! See what I mean? I'm hopeless.

I do know what it is like to start going blind in the kitchen and shout out loud "Alan, my sugar is low, I'm going blind". I call it "winking out".

I have no idea where I came up with the term winking out but it fits what happens to me when my sugar goes to 60. It doesn't happen often, but it HAS happened. The first time,I had no idea why my vision started to change. My legs didn't shake (that's what happened to a friend of mine) and because I had no reference point, I never knew that my sugar was low.

I had forgotten to eat lunch one day and I saw pixels floating in front of my face and my vision was distorted and I said "Alan, alan, and he knew enough to pour me some orange juice. I was fine in two minutes flat.

It has only happened to me, maybe 3 times in all my diabetic life.

But I'm a smart enough cookie to know that I have to eat every few hours.

And oddly, I don't eat a stitch after 7 pm. Nothing, NADA, no snacks, nothing.

I asked the guys at Cornell, "is it okay that I don't eat after 7 p.m." and once they made sure that I never had any "low blood sugar episodes", they said "fine, whatever works for you".

I mean, (and this is a good question). Does it ever happen that I could "wink out", during my sleep mode and I wouldn't know it?

I just eat my dinner at 5 or 6 p.m., have my cup of decaf and sometimes I eat those 100 calorie things (I didn't have one last night), and then I'm good to go till the next morning. My sugar was 115 this morning. I am on 34 of the Lantus.

Melody

Fasting means that your glucose levels are seriously lo when you haven't eaten in quite a while ...like 8-12 hours of not eating you bet shaky, fainting, dizzy etc.
Reactive/post-prandial means that you bottom out FAST after a rich meal, for me it means a hefty meal w/dessert. Same symptoms. The dessert thing is now a rare and super treat for me.
From most I've read the hypo-g usually is clumped in w/lo glucose levels in diabetics. But the issue is not a lack of insulin, it's a case of TOO much all at once that then causes the rest of your system to crashe suddenly. Similar, but not identical to Diabetes. Some chemistry differences[we all KNOW how strong I am on the chemistry!]. Other siblings are also hypoglycemic and not one of us shows signs of pre-diabetes or actual diabetes. Thus my confusions.

On to more homework m'dear....'Winking out' is a good term for it all tho!
Hugs and good stuff - j

You said the following:
"Reactive/post-prandial means that you bottom out FAST after a rich meal, for me it means a hefty meal w/dessert. Same symptoms. The dessert thing is now a rare and super treat for me."

Are you saying that if you eat a big meal with a big dessert that YOUR BLOOD SUGAR DROPS???? Never heard such a thing in all my life.

boy, the things I learn on these boards.

Melody

There is an initial blood sugar spike--and it may be a big one--but after that the overproduction of insulin drives blood sugar down to levels below those that individual usually has in a fasting state, thus the hypoglycemia. Levels usally stabilize as the insulin pulse recedes in response to the lower blood sugar, but this whole stabilizing process may take a total of 2-4 hours, and people can have lots of interesting symptoms in that time.

Much of my family is afflicted with this--my brother worst of all, apparently--although I was the first one to monitor the pattern by getting a 5-hour glucose tolerance test, with glucose AND insulin levels taken at baseline and every half-hour. We all show signs of insulin resistance in having relatively high baseline insulin levels, and we all tend to accumulate belly fat in that typical male metabolic syndrome way.