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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Years before I was diagnosed with type 2 diabetes, The Other Half came out of a doctor's appointment with a diagnosis of "borderline diabetes" and an ADA exchange diet sheet. His health insurance agency followed up on the diagnosis with a glucometer and test strips. After a year or so of trying to follow the diet plan and test his glucose levels, things appeared to be back in "normal" range, and stood there until a couple of years after my own diagnosis. Shortly...