Blood sugar increase with fasting
My early morning glucose=110. A1C=5.9. Normal weight=115. Current weight 140. BMI=25.6 Pre-diabetic. No meds for diabetes.
I would like to loose 20 pounds (gained after illness several years ago).
I am on atorvastatin, losarin for those problems.
I do intermittent fasting for a year and I fast from 8pm to 1pm (17 hours). I have not lost any weight (gained it with steroids) and my blood sugar is 130-140 when I test after the 17 hour fasting.
1) Is it ok that blood sugar is high after fasting? Doc says ok.
2) Doc would rather I eat many small meals a day but causes me to gain weight.
3) Doc won't prescribe weight loss meds because my bmi is too low (but it is in overweight category), even tho I have high cholesterol and family history of strokes.
Any input appreciated.
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Hi,
I have been told for years that my glucose level is OK by successive Doctors. The reality is it was not and I now suffer CSVD. I try to keep between 72 and 120,(4 to 7 mmol/l). Two hours after eating the target would be below 162, (9 ). I use insulin after reacting to every known pill going. With insulin peaking at 4 hours after injection and tapers slightly after that, so in order to keep my peaks of 360 (20) down from evening meals I inject at 1 pm to benefit from the slight high of the insulin curve.
High blood glucose after fasting in not right, normally you would expect a low reading after fasting. Fasting would be nothing but water for that period. I understand that fasting one day per week can help with weight problems. Slowly off and it is easier to keep it off.
If you are gaining weight from many small meals then there is something wrong with what you are eating or how much you are eating per day. Consult a dietitian for help.
High cholesterol can be from the type of food you eat. I had extreme cholesterol levels for many years being a big red meat eater, until I was forced to modify my eating habits for CKD and T2 diabetes. Suddenly my cholesterol levels fell to high levels around 6.8 and have remained in the region ever since, forty years in the region of 9.8 cholesterol levels. Frankly I don't pay much heed to the "desirable" cholesterol levels as there are ethnic groups of people around the world surviving on either high or low cholesterol levels, for generations.
I have gone to salt and sugar free, well 95% of the time, don't buy pre packaged food and tend to make my own from raw ingredients so I know exactly what is in my food. I seldom eat red meat and eat chicken grilled or fish steamed or grilled instead, in small amounts. It is easier to cut down the size than it is to eliminate a food. It takes around 6 months to retrain the brain to not crave sugar. When next your eyes get the better of you the chocolate tastes sickly sweet and is a good deterrent not to be tempted.
There is a lot of self management controlling diets, but that is the way to deal with diabetes first. When that fails it is time to medicate. This is likely what your Dr is attempting to get you to do first. I tend to look at food as a way to stay alive, not a source of pleasure. Remove the temptations from the pantry and then you can't eat what is not there without an effort to go get more. I'm too lazy to go get more and let it slide, temptation averted! until next time!
I admit it is not a lot of fun but the question surely has to be, do you want to improve your health or not.
Cheers
Thank you for taking the time to write all that down. My cholesterol is very high but it is inherited. I do not eat meat or processed food. Almost all vegatables. My diet is great. But I am immune compromised and take steroids and a weekly blood transfusion all leading to weight gain that just won't come off. The cholesterol is high but the ratio is very low (2.5) with very high hdl and low tri.
I read that intermittent fasting makes blood sugar go up about hour 14-16 because the body is taking more sugar from the liver. I feel fine at the level but take the readings anyway. I have hypoglycemia and have to watch that. It comes on fast and I have to catch it at the very beginning (around 70) so that I can fix it without any sugar.
I agree, treatment is not fun. I am on a lung machine many hours of the day and do daily infusions as well as weekly and monthly. Eating is not a "pleasure", it is a necessity. I don't eat for pleasure. I am used to that. I eat so that I don't get worse.
I am really looking for someone who has the inability to loose weight from treatments (steroid or medications that increase weight). I don't get hungry. Sometimes I have to force myself to eat. I try to get about 1000 calories a day. I also don't do salt. My labs look great except for high ldl (which is counteracted by the high HDL) and fasting glucose of 110.
I am also looking for someone who does the fasting to see what their level is after the fast.
Here is what I ate in the last 24 hours: 2 cups mixed vegetables that were frozen. 2 oz of boiled chicken breast. 1/2c milk, 1 green apple, 1/2 c walnuts, 1/4c blueberries. Lots of boiled water). I usually have spinich and salad stuff but didn't this week. Walked 2 miles (less than usual).
Meant to say I don't eat red meat. I have chicken breast or salmon. Maybe 2 oz a day.
Hi,
I only have 4 slices of wholemeal bread per day with shaved ham x2, thin enough I can see through each slice. Once a week I have chicken or fish once and a very small portion. No vegetables mostly and no potato. Then fill up with cups of tea and an occasional boiled eggs or 2 egg omelet. My diet is forced on me due to IBS constraints, CKD and T2 diabetes. Each diet impacts the others so pretty much eat little. Don't exercise at all as it drops my BP uncontrollably due to Autonomic polyneuropathy (ANS), but am up moving around most of the day. I try to keep active which diverts the attention away from continual hunger pains. This has been the only way to survive for over a year now. My journey started 13 years ago and has steadily gotten worse with no likely answers and little help. Simply a case of self management to survive as best I can.
I never stop asking questions of doctors ever seeking a solution, knowing there isn't one, yet.
Cheers
Not enough protein imo. 30 grams at each meal is the target.
sorry to hear you have difficulties. I also have IBS and a kink which has its own problems. I have lung damage and am on a lung machine hours a day. Is the ANS anything like dysautonomia? Sounds like we have lots in common.
Hi,
Yes ANS is dysautonomia, but I also have diabetics neuropathy which is the poly part of polyneuropathy meaning both. In other words both major nervous systems are compromised, no cure and no treatment. Dysautonomia is usually refered to when the effcts are random, I have both random daily effects and permanent effects from it. Luckily I have been dealing with a lot of pain for the last 12 years and built up a good amount of tolerance to pain so don't often have to resort to opioid based medications. I usually just tuff it out praying for a better day to follow. On a bad day I literally stumble about, don't have too many good days anymore. It has been a matter of finding my own way through this nightmare and refusing to give up. Fortunately the threat of instant death is no worse than anyone dropping dead, besides which we all die sooner or later so it doesn't bother me too much. Each day I wake up I deal with the day ahead as best I can, the day I don't wake I won't care about! At least while I still have some hope of something better it keeps me going despite knowing "fool" well there is no help in my situation! Until then I play a waiting game trying to fill each day with something useful to do thinking of other things other than my health.
Cheers
As someone in early eighties, I make sure what is most crucial for health: proper diet, adequate physical exertion for all body parts, and for mental health a sense of purpose to help with, 'why live?'
It seems it has worked for all my life with a reasonably healthy, fit body and mind-- without having to count, measure, test, adjust, even not seeing my GP for only a visit once every few years, the last one over ten years ago.
I believe our bodies signal when it's time for Challenging play, satiety, sleep. What seems to help me is to reach for Optimal vitality. I can walk up all 13 floors, panting at pulse more than twice my at-rest rate of in lower sixties.
I eat equivalent of ten whole wheat slices each day -- with a plate that CDC or Harvard Health or any other governmental website shows.
I wish you have an enjoyable life without having to worry about numbers.
(I don't think I've excess body fat (a pinch near navel measures about half inch; I can do five push ups, the last one w/ trembling arms. Of course we're stronger in our younger years, that's life)
I agree that mental health is part of this battle. I have lots of specialists, I know I have extreme conditions, and half of my day is working on my body so that i will exist tomorrow. It is a struggle but also a privilege. I do have several doctor apts each month. I even have the cell phone numbers of some of my specialists (immunologist and pulmo). And I have to weigh the precautions with having a life.
My body has no immune system so even a scratch is a major problem for me. 6 feet from other people. Perhaps others here don't have to be careful of their food or others around them. But for some of us, what we do today will determine if we are here in a week.
Hi,
It must be great to be perfect, for the rest of us not so lucky people, facts and figures are a way of life. I have long restled with, would I have been better not to have known about my state of health, or not. The reality is at least knowing I can take steps to correct what is possible and don't come crashing down with a rude awakening in my journey to the finsh line. It really doesn't matter one way or the other I can assure everyone we all meet the same fate, eventually! As one who has work hard physically all my life I can only wish I had been a pen pusher instead. Now in my seventies and wrecked with health issues I can still walk 10 Km non-stop, that's what bloody mindedness can do, while clinging on to the ragged edge of life.
Cheers