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Hack my Blood Sugar

Commented on January 30, 2014
Created January 29, 2014 at 6:44 PM

Are these numbers normal for someone on AIP or a sign of a larger problem? fasting glucose 92 insulin <2.0 Hemoglobin A1C 5.4

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 07:06 PM

By the way, you're quite lucky your significant other is a chef. I would give anything for my girlfriend to cook awesome paleo stuff for me lol.

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 07:05 PM

You do not need to consume protein at every meal, once or twice a day is enough. If you were a vegan I'd be worried about protein deficiency but if you eat meat at least once a day you have very little risk of having a protein deficiency. Your green juice sounds quite healthy, but if you use cruciferous vegetables (kale, broccoli, collards, etc) try to add a little bit of iodized salt, as raw cruciferous vegetables are goiterogenic and make it harder to absorb iodine. As for supplements, they should only be taken when you have a deficiency, other than that they mainly act as placebos.

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 01:48 PM

Best of luck, I hope all turns out well. I am confident it will, to be honest you seem very healthy for your age.

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 01:47 PM

The green juice, what's in there? Is it like one of those store bough green smoothies, or do you make it yourself? The store bought ones are essentially sugar water with some reconstituted vegetable juice, so I would avoid those.

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 01:44 PM

Not a terribly bad diet on the surface. I would say I am not surprised by your numbers now that I see this.

I like the fact that you consume a lot of veggies, this is very good.

You eat quite a lot of fruit. For someone who has somewhat high-ish normal A1c and glucose values, eliminating this could make a noticeable difference, fructose does go straight to the liver and in your case this might not be good.

A few things, you eat meat/fish three times a day? That's a lot of protein, given that you are rather petite, I don't see why you need that much, excess protein turns to glucose

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:50 PM

Yes if you want to purchase a glucometer I would definitely suggest it. They sell them at very affordable prices these days. Your numbers do not indicate early autoimmune adult diabetes by any means. Could you be in better shape? Sure, but then again a lot of healthy people fall into the "could be better" category, however I would definitely stop worrying if I were you, there's no need. Also, when you check your glucose you might find a few strange things, pay attention to it and to what it tells you about the foods you eat and how they affect your blood glucose, it is very instructive.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:29 PM

Nevertheless, you are not at risk of becoming type 1 by any stretch of the imagination. If you were your blood glucose levels would be astronomical (> 400mg/dl and A1cs above 10). If anything you might develop type 2 DM 20 years from now but for the moment you are in the clear and in seemingly good health.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:25 PM

Exercise activates (adenosine monophosphate kinase) AMPK which in your case is very much needed since activation of AMPK increases glucose transport into the cell. Metformin, a common medicine prescribed to diabetics, works very much in the same manner, by activation of AMPK and thereby simulates the positive effects of exercise. Whoever told you that in your condition you should stop exercising should be held accountable for negligence. Continue to diet and exercise, it is beneficial for individuals in your condition. Also, try to reduce your carbohydrate intake.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:21 PM

The constant snacking and the sweet potatoes might be influencing your A1c. Adrenal fatigue desn't make much sense from a physiological perspective. The adrenal glands usually do not simply stop working, but if they did this would imply they would stop making epinephrine and norepinephrine which would actually lower your blood glucose not raise it since these hormones work to raise blood glucose levels. Hence "adrenal fatigue" if it was a true medical condition, would improve your condition. You should not stop exercising over a pseudoscientific assertion that you have adrenal fatigue.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 09:22 PM

I see. Yes you are quite lean. I would not be overly concerned about the fasting glucose as it seems to be normal for your age, the A1c is slightly more concerning as it implies a somewhat high average blood glucose. It does make sense that you have a family history because for someone your weight I would expect the numbers to looks somewhat better. By the way, do you eat multiple times throughout the day, like snacks and that sort of thing? And are you on a low-carb diet, or do you prefer carbs (specifically rice and potatoes)?

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7 Answers

0
B6b0af6b7dd01ef58131b36a3da7d362

on January 30, 2014
at 05:08 PM

@TheGastronomer I definitely have issues curbing my fruit / carb intake. Although I eat clean, the restrictivenmess of the autoimmune paleo protocol makes fruit and sweet potatoes my "treats" and I admittedly go overboard and sometimes late at night. I need to find a way to control my cravings and not go too low carb in the process, which has been difficult. Any suggestions on supplements or strategies? My doctor recommended trying gymnema syylvestre or chromium, which I could attempt. I typically have meat or fish twice a day, but I could try to watch my protein intake. I don't have other sources of protein at my disposal, since nuts and seeds are restricted, so I rely on meat as my main source. My understanding is that we should consume protein at every meal, so I'm a bit confused about the adequate amount of protein I should be eating daily. I also drink bone broth regularly and when I drink green juices they are either homemade or prepared at a juice place only using organic greens and maybe a little lemon and ginger. I am committed to making whatever changes necessary in order to protect my fragile immune system. I'm also lucky to have a boyfriend who is a chef and enjoys finding creative ways to make my restrictive diet a bit more exciting.

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 07:06 PM

By the way, you're quite lucky your significant other is a chef. I would give anything for my girlfriend to cook awesome paleo stuff for me lol.

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 07:05 PM

You do not need to consume protein at every meal, once or twice a day is enough. If you were a vegan I'd be worried about protein deficiency but if you eat meat at least once a day you have very little risk of having a protein deficiency. Your green juice sounds quite healthy, but if you use cruciferous vegetables (kale, broccoli, collards, etc) try to add a little bit of iodized salt, as raw cruciferous vegetables are goiterogenic and make it harder to absorb iodine. As for supplements, they should only be taken when you have a deficiency, other than that they mainly act as placebos.

0
B6b0af6b7dd01ef58131b36a3da7d362

on January 29, 2014
at 11:53 PM

@TheGastronomer I am going to have a few more test run to see if I have the antiobodies for latent autoimmune diabetes, but your info has certinly put my mind at ease. Thanks so much for your time and patience!

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 01:48 PM

Best of luck, I hope all turns out well. I am confident it will, to be honest you seem very healthy for your age.

0
B6b0af6b7dd01ef58131b36a3da7d362

on January 29, 2014
at 11:49 PM

@thegastronomer I definitely stopped exercising because of lack of energy, my dr definitely recommended I get back into shape, sorry I didn't mean to imply someone else advised me to stop! That is encouraging information and I will certainly ease back into yoga and go from there, running might be difficult, but I am excited to try other activities and do whatever I can to prevent another autoimmune disease. Should I avoid eating sweet potatoes a couple times a week too? Going to low carb has not been good for my thyroid historically. I do snack, but definitely not excessively, a typically day looks like:

green veggies and/or squash cooked in some kind of animal fat or coconut oil with some sort of grass fed meat

a green apple / some tea

more cooked veggies

a green juice, sardines or some sea snacks

some sort of fermented veggie or kvass

more veggies (maybe a starch) and grass fed meat or fish

some fruit

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 01:44 PM

Not a terribly bad diet on the surface. I would say I am not surprised by your numbers now that I see this.

I like the fact that you consume a lot of veggies, this is very good.

You eat quite a lot of fruit. For someone who has somewhat high-ish normal A1c and glucose values, eliminating this could make a noticeable difference, fructose does go straight to the liver and in your case this might not be good.

A few things, you eat meat/fish three times a day? That's a lot of protein, given that you are rather petite, I don't see why you need that much, excess protein turns to glucose

Be157308a0438e382b88d9db4c12ab30

on January 30, 2014
at 01:47 PM

The green juice, what's in there? Is it like one of those store bough green smoothies, or do you make it yourself? The store bought ones are essentially sugar water with some reconstituted vegetable juice, so I would avoid those.

0
B6b0af6b7dd01ef58131b36a3da7d362

on January 29, 2014
at 11:39 PM

@thegastronomer I have HPA axis deregulation issues more specifically, sorry, I realize adrenal fatigue is the popular, but incorrect way of addressing such issues. I stopped exercising for a while mostly b/c of significant fatigue related to Hashimotos and am slowly easing back into it. I'm definitely not totally sedentary, I live in NY, so just getting to and from work feels like a marathon. I used to run 5 miles+ per day, so it's been an adjustment and I wonder if this has had some impact on insulin. My ultimate question is if my numbers indicate early stages of something more serious, specifically latent autoimmune adult diabetes. I suppose it would be prudent to purchase a glucometer to get a clearer picture. Thanks!

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:50 PM

Yes if you want to purchase a glucometer I would definitely suggest it. They sell them at very affordable prices these days. Your numbers do not indicate early autoimmune adult diabetes by any means. Could you be in better shape? Sure, but then again a lot of healthy people fall into the "could be better" category, however I would definitely stop worrying if I were you, there's no need. Also, when you check your glucose you might find a few strange things, pay attention to it and to what it tells you about the foods you eat and how they affect your blood glucose, it is very instructive.

0
B6b0af6b7dd01ef58131b36a3da7d362

on January 29, 2014
at 10:41 PM

@TheGastronomer

I definitely eat throughout the day, I'm always hungy (but always have been since childhood) and I follow the autoimmune paleo protocol for hashimotos. I am low carb, but I eat low glycemic fruit, squash and sweet potatoes daily, so I'm not VLC. I'm very concerned that I'm in the early stages of latent autoimmune adult diabetes. I was keep reading that low insulin levels are common for low carbers, so I wasn't alarmed until my doctor started talking about a beta cell defect and so forth, at which point I stopped concentrating completely and become fixated on the idea of developing type 1. I should mention, that I stopped excercising for a year, after developing adrenal fatigue, which I'm sure has not helped matters.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:21 PM

The constant snacking and the sweet potatoes might be influencing your A1c. Adrenal fatigue desn't make much sense from a physiological perspective. The adrenal glands usually do not simply stop working, but if they did this would imply they would stop making epinephrine and norepinephrine which would actually lower your blood glucose not raise it since these hormones work to raise blood glucose levels. Hence "adrenal fatigue" if it was a true medical condition, would improve your condition. You should not stop exercising over a pseudoscientific assertion that you have adrenal fatigue.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:25 PM

Exercise activates (adenosine monophosphate kinase) AMPK which in your case is very much needed since activation of AMPK increases glucose transport into the cell. Metformin, a common medicine prescribed to diabetics, works very much in the same manner, by activation of AMPK and thereby simulates the positive effects of exercise. Whoever told you that in your condition you should stop exercising should be held accountable for negligence. Continue to diet and exercise, it is beneficial for individuals in your condition. Also, try to reduce your carbohydrate intake.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 11:29 PM

Nevertheless, you are not at risk of becoming type 1 by any stretch of the imagination. If you were your blood glucose levels would be astronomical (> 400mg/dl and A1cs above 10). If anything you might develop type 2 DM 20 years from now but for the moment you are in the clear and in seemingly good health.

0
B6b0af6b7dd01ef58131b36a3da7d362

on January 29, 2014
at 07:10 PM

@TheGastronomer

I'm 33 and weigh 95Ilbs (I'm petite). My doctor's concern was a potential beta cell defect since both my parents are diabetic, one type 1 and the other type 2.

Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 09:22 PM

I see. Yes you are quite lean. I would not be overly concerned about the fasting glucose as it seems to be normal for your age, the A1c is slightly more concerning as it implies a somewhat high average blood glucose. It does make sense that you have a family history because for someone your weight I would expect the numbers to looks somewhat better. By the way, do you eat multiple times throughout the day, like snacks and that sort of thing? And are you on a low-carb diet, or do you prefer carbs (specifically rice and potatoes)?

0
Be157308a0438e382b88d9db4c12ab30

on January 29, 2014
at 07:06 PM

That's fine, and by fine I mean not diabetic. I guess it depends on who you are as well. If you're an older individual, in your 60's for example, these numbers would be great but if you're in your teens these are probably not optimal. Also your weight, if these are your numbers and you are overweight, then they'd be pretty good for an overweight person.

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