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The Question
Sat May 18 16:13:42 UTC 2013

Why such high Glucose levels after a very healthy breakfast?
Asked By: glharrell  

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glucose reading on waking = 127 Glucose 2 hrs after breakfast = 315!! What's this all about. I ate what i thought was a very healthy breakfast: 6 0z V8 Juice 1 container 0% Plain Greek Yogurt 1/2 cup Granola (32 g carbs, 11 g sugar) Why this huge spike? On paper, this breakfast looks great. What's going on with this? Please advise.
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Expert Answers (1)
2014-07-11 09:08:36.0

Dear glharrell,

Thank you for writing dLife!

Great work with checking blood sugars before and 2 hours after a meal. That is the best way to see how something is working — or not working, for you.

Sometimes the foods we think of as “healthy” are not necessarily the foods that are great for blood glucose control. An approximate estimate of the carbohydrate in your breakfast is 46 grams and this includes 20 grams of sugar. This level of carbohydrate is most likely too high for you. Foods such as granola are thought of as “healthy” but in fact are often loaded with sugar. Your particular brand has almost 3 teaspoons of sugar in a serving.

When you check the label for sugar, divide the number listed in grams by 4 to get the number of teaspoons of sugar that it is equal to. Then decide if that is what you want to consume. When comparing like products (yogurt to yogurt for example), choose the one lowest in sugar.

The plain Greek yogurt is a great choice and the V8 is okay but the 10 grams of carbohydrate in the juice may bring you over the limit which your body is able to handle in the morning. My recommendation would be to have a half serving of the V8 and add a protein to your meal. You can stir some almond butter — or any nut butter, into your yogurt or add some whole nuts. This would add protein plus healthy fat.

Then repeat the blood sugar testing and see how this works for you. If it’s still a bit high, you may need to have a primarily protein breakfast and/or a change in diabetes medication.

Good luck!

Accreditations: MSEd, RD, CDE, CDN
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Community Answers (2)
2015-01-27 14:21:01.0

I find that the carbs affect my bg as much if not more than the sugar. It seems to me that the carb count in just your granola by itself is really high and when you add the other items it's even higher. So, if you are anything like me, that's probably what's shooting your count up.
Answered By: onlyi

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2013-08-20 11:09:21.0

My experience has been I am quite sensitive to the carbs in oats. My guess is that your granola has oats in it, and perhaps you, too, are sensitive to oats. When you're totalling your carbs, are you including the carbs in the yogurt (6.8 carbs, all sugar for a six-ounce container)? Are you counting the carbs in your v8 juice (7.6 carbs for a 6-ounce can)? You're already at almost 15 carbs so that when you add in your 32 carbs for your cranola, you're at 47 carbs. My diabetes experience that I can only handle about 20 carbs per meal, despite long-acting insulin, metformin, and glipizide, without having my bgs go up further than I'd like. I was diagnosed a little over 10 years ago and now feel like I have things a bit under control, but again, I have found my upper limit for what I consider good bg control. You'll have to find your limit too.
Answered By: megf

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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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