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[IP] Re: Breakfast & High bgs


Glad to hear that some of this makes sense and you can actually see it
being put to good use.

The Glycemic Index offers some interesting insights into why you might
experience high BG readings after counting carbs correctly. I don't use
this info as "gospel", but it does help maintain what's left of my sanity.

Some of the details are interesting. For example, my instincts tell me that
a bowl of Wheaties is "better" for me than a bowl of Sugar Frosted Flakes.
Wrong - OOO!! According to the GI of these foods, the opposite is true (I
hope I got the details on these two cereals right - I don't eat a lot of
cereal, so I might need to change this statement when I get home and look
this stuff up).

Learning a bit about the Glycemic Index showed me that a baked potato with
sour cream might affect my BG less than if I had omitted the sour cream
(the fat in the sour cream can help stem the rise in BG caused by the high
GI baked potato).

As you've noted, it might not be too much of an issue if you are able to
use Humalog to correctly match the carb content and rate of rise in your
BG. You might be able to come up with a close match. If you are using a
"slower" insulin like Velosulin or Regular, you will likely see a
significant effect on your post prandial BGs when eating high GI foods,
*especially* if you have not bolused sufficiently in advance of the meal.

Sara sounds like she is one of the "fortunate ones", since Velosulin works
quickly for her. I'm envious. I know another person who boluses with
Velosulin as soon as she eats, maintains 2 hour post prandial readings
averaging 160 and A1c levels between 6 and 7. I'm very envious.

I require a significant lead time with Velosulin - usually 1 hour before
eating. In my case, the GI of foods is important - too bad I can't remember
all the details when I really need to ;-(


>    Bottom line- especially for the younger pumpers: This "problem-solving"
>approach is a life-long skill which will benefit the kids throughout their
>lifetime- as opposed to the frustrating, inflexible, mandated  MDI & diet
>approach still being advocated by far too many health professionals today.


The first diabetic specialist I ever saw, about 35 years ago, took one look
at me and said to my mom, "My god, he looks like he's been in a
concentration camp". The first thing this doctor did was change my diet,
our thinking and our approach to solving problems. His approach was much
more flexible than the current thinking at those times. He was a hero to
our family for many years ;-)

Bob Burnett

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