what do you consider a bg spike?
I only usually test 2 hours after meals with the goal of being below 140. However, I had a little rice and some honey dew with dinner, and I was curious if my bg flew up to some outrageous number afterwards. I took a 1 hour post-meal test and I was at 170. This is honestly my first 1 hour post-meal test, so I don't know if this qualifies as a spike or not. My wife is Chinese and makes white rice almost every day, but I've been trying to get her to switch to brown on the theory that it's less likely to cause spikes. My question is, what qualifies as a spike?
Replies to This Discussion
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Permalink Reply by Gerri on -
Did you test again at 2 hours to see? I don't think that's a spike, especially if it came down within another hour or so. I try hard to be under 140 also, not that I achieve this:)
Brown rice will effect you just as much as white rice. It will just take a bit longer to see the increase.
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Permalink Reply by DanK on -
actually no... i just tested at the 2 hour mark and surprisingly i'm still at 170. i thought it was a mistake at first, but my strips are too expensive to keep testing! oh well, guess i can spend some quality time with my nintendo wii to bring things down a bit
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Permalink Reply by Gerri on
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Have fun with wii!
Fruit hits me hard & fast, so I avoid most fruits except for berries. I can't even look at rice.
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Permalink Reply by Trudy on -
There are reasons to change to brown rice, at least part of the time. There are more nutrients in it, and the fiber in the bran does help to avoid a spike. (I think it tastes better, too.) Maybe your doctor will write you a prescription for more strips; they are so very important that they're worth fighting for.
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Permalink Reply by The Diabetic Welfare Queen on -
I do have to say... Always tread carefully around rice, of any kind. It does spike, no matter the type. I make a stir fry sometimes, and add but about 1/2 cup of rice to the WHOLE stir fry recipe... to enjoy the taste of rice... So it effectively greatly reduces the carbs per serving... but no way am I going to sit down, today, and have a 1/2 cup of rice on my own... I wouldn't be able to have any meat with it, or anything else... It takes my entire allotted total available glucose for a meal in one serving.
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Permalink Reply by Dave In MD on -
Dan, I have found that I can do a little Korean rice, Basmotti and not spike. For the most part we have replaced rice with white Shirataki Noodles http://www.asianfoodgrocer.com/category/shirataki-noodles chopped to about rice length. 0 Carbs and very filling. If you order their lunches, be careful with the Wasabi as it has not been Americanized and it is so hot it will take your breath away if you use the whole flavor package.
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Permalink Reply by Jan on
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Uncle Ben's Converted rice is white rice which has the lowest glycemic index of them all.... I think 32 or 36 on the glycemic index, so probably less spike generated. We were told what is probable as far as spikes go (or what we should aim for) is a BS of 200 one hour after, and 150 two hours postprandial, but we do not restrict carbs as much as some of the adult Type 1s. I think 170 would be considered okay; and surprised you did not come down further at the two hour mark. What was your test before the next meal?
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Permalink Reply by Pauly on -
Agree 100% Alan, Jenny talks about that over on her diabetes 101 as the thresholds. Your damaging organs if it stays that high for extended periods and one should shoot for below 140 bg. At those levels I would be very sleepy, peeing alot, thirsty and so on.
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200 at the one hour mark. 150 at the two hour mark. She does not always spike to 200 at the one hour mark, though. Yes, this is a spike. This is what the endo and another diabetes educator has told us we can expect to realistically see. We are not to restrict carbs excessively as she is a growing young teen. If she is home, and staying home, I overbolus, thereby eliminating the spike and then give a rescue snack (based on IOB at the two hour mark). Children are placed in a Catch 22 situation. They MUST eat the carbs to grow. Their smaller body size means each gram of carbohydrate spikes their blood sugar higher than an adult who has more body mass. Without adhering to a very low carb diet, can an adult realistically expect to keep BS spikes under 140 at the one hour mark, and go back to 120 at the two hour mark, back to baseline at 3 hours? The reason I ask is I know she loves carbs and I doubt she will overly restrict them when an adult.
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Permalink Reply by The Diabetic Welfare Queen on
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Oh, I don't know... :( Maybe other folks with kids can chime in, but I just don't know that loving carbs is a good enough reason to not teach her to at least restrict them... 200 is just not acceptable.
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Carb restriction for a child is anywhere from 40 to 60 grams per meal. Diagnosed at eight years, the meal plan she was put on was for 180 grams per day. She now eats anywhere from 130 to 220 grams per day and is in the 20th percentile for weight (which is very thin). Not a big meat eater. 200 for a brief time at the one hour mark is normal; in fact, most kids spike a lot higher than that and when she was younger and on Novolog her spike was higher. We have cgms so we know she does not often spike higher than 200 for a brief period and I believe we are doing better than most. A1cs usuallly in the low sixes. 200 is not acceptable but unless I want an anorexic on my hands I cannot restrict her carbs and diet further. And, at 13 years of age, she chooses what to eat. Adults do not have the same problem and unrealistic goals that few Type 1s can achieve with a diet they can live with (blood sugar at 140 in one hour, 120 in two hours is unrealistic if a person wants to eat 150 grams of carbs a day, I'm guessing).... P.S. I thought the renal threshhold was 140; not 200, though, so even if you spike to 140 that's a problem. If cgms is not on, I do not know what she is at the one hour mark (with cgms usually 180 to 200 usually); at two hour mark usually not over 160. If home overbolusing gets rid of the spike but she is not always home.
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Permalink Reply by The Diabetic Welfare Queen on
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No.... It's not 140. It's around 160-180.... http://en.wikipedia.org/wiki/Glycosuria
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