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07/12/09 02:32 PM

"I have Typ 2 taking 2o units 70/30 bid.I'm trying to lose weight. I get hypoglycemic before, during or after excercise. Can you offer any suggestion "
Asked By:  
Category: Exercise

Background Info Hide
Had Gestational diabetes, and now have Type 2. Blood sugars have been ranging from 60-350. I am trying to gain better control. my BS are better on low carb,low sugar diet. Nutriotionist said i need to eat more carbs. Since I have tried to add carbs back, my BS have been elevated. On a low carb diet my glucose ranges 120-179 without medications. I weigh 196lbs, and 5'1". I need to lose 40-50lbs. I do not have any diabetic complications at this time, and would like to prevent them. Please send diet,exercise, or any helpful suggestions/information.

Expert Answers (1)

10/07/09 08:15 PM

With the premix insulin you are using it is important for you to have set meal times. If your blood sugars are too high or too low before dinner this may mean an adjustment to your morning insulin dose is needed.

If your morning blood sugars are too high or too low an adjustment to your evening insulin dose may be needed.

It is important for you to check your blood sugar a minimum of 2 times per day (before your morning insulin dose and before your evening insulin dose).

However, you may want to check more often (such as before and after meals) to identify which foods trigger your high blood sugars.

To prevent high blood sugars it is important for you to adhere to portion size. Look at food labels and measure your foods when possible.

Follow the plate method... take a 9inch or smaller plate and make half of it veggies, 1/4 of your plate starch and 1/4 protein (lean meat, chicken or fish).

I always tell my patients start your meal with veggies first then eat the protein, and finish with the starch.

Answered By: Christina Persaud
Accreditations: MPH, RD, CDE
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