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Re: [IP] for those who have high blood sugars during pms
At 09:19 PM 12/11/01 -0500, you wrote:
>i was just wondering for those girlies out there who get higher blood sugars
>around pms time.... do u get cravings as well?
>i read today that the reason we get higher blood sugars is because we eat
>sweets, crave more food... etc..
>do any of you see this as the reason?
I think attributing this to cravings or eating more sweets is analogous to
telling us we are non-compliant. It's the lazy physician's way to explain
what he/she doesn't understand. Why assume that just because we might have
cravings we are giving in to the craving? Or that if we do give in to them
we are not covering the food with insulin?
I know how to cover the food I eat with insulin pretty well, and I'm
conscientious about doing it. But a few days before my period starts I
always have to raise both my basals and my carb to insulin ratio in order
to maintain stable blood sugars. This isn't because of what I eat, it's
because of the hormonal activity going on in my body.
There is pretty good evidence that the elevation in progesterone and
estrogen prior to menses can cause problems with blood sugar. Both of
these hormones are elevated prior to your period. Progesterone tends to
decrease your insulin sensitivity (elevate blood sugar), while estrogen
tends to increase your insulin sensitivity (decrease your blood
sugar). You'll see a different effect depending on the ratio of
progesterone to estrogen levels in your particular cycle.
There's a very good article on this subject on the IP website at
BTW I usually see a sudden decrease in my blood sugars once my period
starts. I figure it's the estrogen kicking in. And the cravings I get
beforehand don't require insulin. ;->
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