2

votes

help! blood glucose going up with paleo!

Answered on August 19, 2014
Created November 28, 2011 at 8:56 PM

I am a 62 year old woman with a constant weight of about 185 for last few years. My blood glucose readings were always in the high 90's, and A1c was 5.8 - 6.0ish. I had coronary bypass in 2005 and have always eaten "healthy" meditteranean diet with grains, beans, cereals, etc. In June of 2011 I switched to Paleo after reading Mark's daily apple. I haven't eaten any sugar, bread, pasta, cereals or flours since that time. My weight has stablized bet. 172 and 175. Fats are Olive oil, coconut oil, some butter. Breakfast is either vegies and protein or 2 soft boiled eggs with macadamia nuts and olive oil. I do eat nuts in late afternoon and often berries with homemade whipped cream at night. My previous blood glucose was 107 when I started this, and I just got a reading of 119 today, which means i am in pre-diabetic range. My A1c was 5.8 as well. My cardiologist told me to stop eating fat, that saturated fat is causing my problem. I am so confused, not sure what to do. My LDL particle size is also higher, which is what made my arteries so clogged to begin with. My trigs are very low at 34, and my HDL is 100 (great). Help!

3a567c1637db69f1455ce35e78201a2c

(1054)

on November 29, 2011
at 05:52 PM

Is the 119 a 12 hour fasting or post prandial reading. At home? And the actual LDL particle count is less important than the percentage of small dense LDL particles to the large bouyant no problem LDL particles. I would suspect you have majority sdLDL which is what caused your CAD. No, sat fat is not your problem. You continue to eat paleo with coconut oil. 6 months is not enough time to reverse the effects of a lifetime of eating SAD. Your fasting BG will drop. You should not do dairy at all because it contains lots of sugars...specifically lactose...a sugar which will spike your BG.

27361737e33ba2f73ab3c25d2699ad61

(1880)

on November 28, 2011
at 09:40 PM

How tall are you?

0bd9775b305d2a602d496649982bc614

(252)

on November 28, 2011
at 09:10 PM

http://paleohacks.com/questions/76550/impaired-ability-to-digest-sat-fat/79505#79505

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4 Answers

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27361737e33ba2f73ab3c25d2699ad61

(1880)

on November 28, 2011
at 09:51 PM

If you are skipping meals, this could raise cortisol/stress hormones and result in higher fasting glucose.

Too much protein can raise fasting glucose in some people.

Too much fruit at night could raise fasting glucose.

Are you on any meds? Certain meds such as statins raise blood sugar. Certain herbal and vitamin supplements have that potential as well.

Very large meals can elevate blood sugar.

Maybe post a typical day's menus to help see what's going on.

0
559a1bf85bfe38a0fbbf56377c7278b4

on November 29, 2011
at 04:59 AM

Do you check your own blood glucose levels? Dr Bernstein's website http://www.diabetes-book.com/ is a great resource for diabetes/pre-diabetes and in particular, explains how and when to test blood glucose levels at home. This is important with diabetes/pre-diabetes as everyone's reaction to particular foods seems to be unique to them.

0
96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on November 28, 2011
at 09:32 PM

You didn't mention specific meats--are you a non-meat paleo? If so, I wouldn't be comfortable offering advice because I eat meat every day.

I'm 64 and, so far at least, I'm not having this problem. I eat a lot of meat every day, but I don't' go out of my way to add extra fat. I do cook bacon or fatty beef, but then I dilute the fat into a large skillet of veggies and broth, add the meat back in and eat the whole lot.

In addition to my cooked skillet meals, I eat raw veggies and fruit and I also have full-fat yogurt every day. I don't usually eat nuts.

My thought is, perhaps you could rotate the fats and try avoiding nuts for a while if you eat meat. If you're worried about fat, I definitely wouldn't add extra fat like butter on top of the natural fat in your meat.

0
0bd9775b305d2a602d496649982bc614

(252)

on November 28, 2011
at 09:07 PM

I also get blood glucose spike with saturated fat. Like many paleo followers, I didn't want to believe that to be true, for a long time. When I started out paleo diet I ate medium to high fat, low carb, medium to high protein. I check my blood sugar daily and every time I eat high fat, I will get worrisome number of blood sugar along with many of the common diabetes' symptoms. dizzy, sleepy, confused, high, tired, all that.. What I realized is that, if not for everyone but at least for me, fat does spike blood sugar. Well, sugar spikes my blood sugar too. So, now I take easy on fat intake as well as sugar/carb.

0bd9775b305d2a602d496649982bc614

(252)

on November 28, 2011
at 09:10 PM

http://paleohacks.com/questions/76550/impaired-ability-to-digest-sat-fat/79505#79505

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