Are You Eating Too Many Carbs? (continued)
What you can learn from postprandial blood-sugar testing
Self-monitoring blood glucose is another way to tell if you are eating too many carbs. Testing blood glucose before and after a meal will give you an idea of how certain foods are affecting your blood sugar. A blood glucose reading taken after a meal is referred to as a postprandial glucose. Testing after meals can give you information in regard to how different foods (and the amount of food) affect your blood glucose.
Also, if you are always testing before meals and getting a blood glucose level within your goal, you might be surprised to find out that your postpranidal blood glucose readings are elevated. For a reading two hours after a meal, the American Diabetes Association recommends a limit of <180 mg/dl, and the American Association of Clinical Endocrinologists recommends a postprandial glucose of <140mg/dl. If you are consistently running above 140mg/dl before meals it is going to be difficult to reach these postprandial recommendations. In that case, it's probably a good idea to talk to you doctor about your treatment plan. In addition, if you are not overeating carbs, but are having difficulty reaching blood glucose goals, it's important to talk to your doctor as your medication may need to be adjusted.
Here is how you might experiment with postprandial glucose testing. Try eating two different breakfast meals and taking glucose reading before and after both meals. Breakfast #1 could contain 30 grams carbohydrate -- one-half cup of old fashioned oatmeal and a veggie omelet. Breakfast #2 could contain about 45 grams carbohydrate with one-half cup of old fashioned oatmeal, a veggie omelet and one cup of blueberries.
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As I mentioned in an earlier post, one of the benefits that made it cost-effective for me to go with the real healthcare (HSA) plan rather than the phony (HRA) plan is that my company is now covering "preventative" medicines at $0 copay. The formulary for these, as stated by CVS/Caremark (my pharmacy benefits provider), covers all test strips, lancets, and control solutions. I dutifully get my doctor to write up prescriptions for all of my testing needs, submit...