Replies to This Discussion

Permalink Reply by jrtpup on April 11, 2011 at 10:20am

I drink coffee all day, with maybe 2g of 'stuff'' in it. Never a problem, but I think it's built into my basal LOL

Permalink Reply by Sandy Palmer on April 11, 2011 at 10:25am

That is funny. I think maybe that was some of my problem. My basals were figured out SOO TIGHT that whenever anything went on my sugars were affected. Sometimes I think leaving some room for err and snacking if there is no err is the better route to go. I raised all my basals by 0.5ish Still the coffee makes me spike like nothing else.

Permalink Reply by Sindhilicious on April 11, 2011 at 10:24am

I never have an issue with caffeine...

Permalink Reply by Yadie on April 11, 2011 at 10:25am

I have a bit of a problem with coffee also. I stopped using milk and started on half and half cause it has less carbs but I still spike in the morning. I haven't thought of doing a combo bolus before so I'll check if that helps. One thing I have noticed is that my sugar only spikes in the morning because sometimes for my night snack (9-10 pm) if I have some coffee my sugar doesn't spike.

Permalink Reply by Sandy Palmer on April 11, 2011 at 10:27am

It's really interesting. My morning coffee can make me go from the 80s to the 300ds if I only bolus for the actual milk carbs I put it.

Permalink Reply by Zoe on April 11, 2011 at 10:33am

Wow, you really do seem sensitive to the milk and/or the coffee, Sandy! No, I don't have that experience. I generally have part of my cappuchino when I first get up and don't bolus for it. Sometimes I go up 10 or 15 points at the most. Then I have breakfast and finish the rest of the capp iced. I count 5 carbs for the 1/3 cup of milk that I split between the capp and a little for my scrambled eggs. I bolus for my usual breakfast ratio, which unfortunately has gone down from 1:7 to 1:6. Occasionally I will have another cappuchino in the afternoon. If I'm tending a bit high I'll give a small bolus for the milk, but otherwise I don't bother.

Permalink Reply by marti w on April 11, 2011 at 10:29am

i keep having this discussion at the endo's office when i go in for labs. they always ask why i have my coffee with me and haven't started drinking it yet. "oh, but black coffee is ok"
not for me, it's not a true fasting glucose value if i've had coffee. one cup of the stuff i buy at home is the same as 15 grams of carbs. the office coffee is equivalent to 20 grams of carbs. at a restaurant i just have to guess.
and a can of coke says it's 37 grams of carbs and i have to count it as 45 instead to cover the caffiene.
when i was diagnosed it involved hospitalization and the nurses wouldn't let me have caffiene. one of them told me that they noticed it messes with blood sugar so they took caffiene off the diabetic diet at the hospital.

Permalink Reply by Sandy Palmer on April 11, 2011 at 10:33am

Thank you Marti for sharing. I swear some providers will know it and others will say I'm crazy but I as you have to bulus seriously for my coffee. Even without carbs. I don't drink reg coke and recently stopped drinking diet coke. That didn't really make me shoot up as much but made it more difficult to bring down. I'm glad I asked.

Permalink Reply by marti w on April 11, 2011 at 10:41am

i did tests on black coffee, black tea and green tea when i was first diagnosed. they all affect me enough to bolus. enough that if i'm low in the morning when i wake up, i don't even have glucose, just coffee.

Permalink Reply by Sandy Palmer on April 11, 2011 at 10:42am

Oh wow you sound exactly like me. I actually drkink coffee to treat mild lows. :)

Permalink Reply by Zoe on April 11, 2011 at 11:04am

Coffee definitely seems like one of those real YMMV things. I'd heard that milk was good for lows early in my diagnosis, and I do like an excuse for an extra cappuchino, but don't really care for eating any kind of sugar even glucose tabs. It did absolutely nothing, or if it did it did it was too slowly to be of any use and I still needed glucose tabs.

I think the diabetes gods give us all a little freebie at the same time they take away something else...or several something else's!

Permalink Reply by marti w on April 11, 2011 at 3:02pm

i have a glass of milk [whole milk] before bed every night to prevent what used to be uncontrollable overnight hypos. the fat content and the low-ish carbs are just enough to keep me stable all night

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