January/February weight loss thread

[Triskeliongirl]

Triske, hyperglycemia after eating sugars or carbs could suggest impaired glucose tolerance. Or am I completely confused?

Martina

P.S. I find your posts extremely educational and helpful. It makes huge sense to me. Thank you for taking the time and writing it up.

ABSOLUTELY! In fact, in addition to taking the home OGTT, you can then test how you respond to different combinations of food and exercise. The rule of thumb I have is to not eat any meal that lets my blood sugar go higher than 120 at t=60 min and higher than 100 at t=120 min.

In the end for me it meant giving up everything but non-starchy veggies most of the time. But for some of you, it might just be shifting the balance, that is instead of eating a pure carb breakfast, choosing a slower acting carb and then combining it with protein and fat which would further delay the rate at which it turns to glucose in your body. This is where a blood sugar meter can really be your friend. Remember your glucose tolerance always improves in the 1-2 hour window after exercise too, so this is when I get to eat strawberries!

Much of this is missed by docs who won't give you an OGTT if you have a normal fasting blood sugar. But despite my low insulin levels, I also have unusually good insulin sensitivity, so I can maintain glucose homeostasis when not challenged with carbs. So, for me the problem was only picked up following a glucose challenge. Then I had a colleague willing to do a research study on me who took frequent measurements of both my glucose and insulin in a research lab setting to quantify both the kinetics of my insulin response as well as my insulin sensitivity. I think he did it cuz he didn't believe I had the problem I had for the reasons I had it. He assumed I would be insulin resistance like most adult onset diabetics, but his data let us firmly establish what is going on which was already indicated in the less rigourous clinical lab tests.

I worried I gave you guys too much info., so I am glad it helped. It only took me 50 years to figure out!