Her blood glucose level goes higher after she eats than at any other time. Flexible eating and flexible insulin dosing in patients with diabetes. Before the advent of home blood glucose monitors, the only way to monitor or check for high sugar levels was by urine testing. This type of peak is a normal part of digestion. Very few of us even had blood glucose meters 25 years ago. Training in flexible, intensive insulin management to enable dietary freedom in people with type 1diabetes: dose adjustment for normal eating (DAFNE) randomized controlled trial. The A1C is an accurate way to measure how well your diabetes is being controlled.
After you eat these carbs, digestive enzymes break them down into simple sugars, which are absorbed into your bloodstream. If it’s low before exercise, you run a risk of going too low during or after your workout, particularly if you use insulin or one of the sulfonylurea drugs. The Bucharest-Dusseldorf Study. The recommended target for most people with diabetes is an A1C of no more than 7.0%. After a balanced meal containing protein, fat and fiber, blood sugar peaks about one to two hours after eating. But until the beginning of this century besides exercising we had few if any other ways to prevent our blood glucose levels from spiking after any meal that includes carbohydrates. Diabetes Care 1999; 22: 667– 73.
Carbohydrates that do not contain fiber, such as products made from processed white flour and white rice, cause high blood sugar. High-carb beverages, such as sugar-sweetened drinks, have a significant effect. But most people who have diabetes use pills instead of insulin to control it. Weyman-Daum M, Fort P, Recker B, Lanes R, Lifschitz F. You can also keep blood sugar better balanced by eating meals at regular intervals. The glycemic index is a rating system used to show the impact of carb-containing foods on blood sugar. Dr.
Effects of different glycaemic index foods and dietary fibre intake on glycaemic control in type 1 diabetic patients on intensive insulin therapy. Scores of 70 to 100 indicate high-glycemic foods. A score of 55 or less goes to low-glycemic foods. That means their A1C results is 7.0 percent or less, the target set by the American Diabetes Association (ADA) and most other organizations. Diabetes Res Clin Pract 1986; 2: 35–41. Eating too many high-glycemic foods, such as white bread and baked potatoes, increases your risk for weight gain, type-2 diabetes and heart disease, according to Harvard School of Public Health. The rate at which food leaves your stomach, called gastric emptying, affects the amount of sugar in your blood after you eat.
Who Needs to Test after Meals We can now control blood glucose spikes after meals. Nansel TR, Gellar L, McGill A. When healthy adults drank a beverage containing protein and glucose, they had slower gastric emptying and lower blood sugar levels than adults who drank plain glucose, reported a study in the “American Journal of Clinical Nutrition” in November 2007. In another study, people with type-2 diabetes who consumed whey protein before a carbohydrate meal had the same results, according to a report in “Diabetes Care” in September 2009.