The 140 mg/dl at 2 hours after meal need to be cited carefully. The clinicians use that value because they ask the testers to drink the syrup (almost close to a pure sugary drink) with an empty stomach while people eat their normal meals with other ingredients in them such as fat, protein and vegetables. All those could slow down the time for generation and absorption of the glucose hence elongates the glucose reading which could extend well beyond 2 hours after meals.
The bulk of my glucose load comes from morning gluconeogenesis (glucose made by the liver). T2 diabetic since 1998 controlled with low carb diet. Age 66 now. No neuropathies, retinas perfect, A1c runs in low 5s. Fasting insulin runs 2.5 to 5. Glucose for the day peaks in the AM around 130. Eat one meal day in the early evening. Glucose drops to 90s in the afternoon. After my low carb carnivore meal it usually drops! Yesterday went from 96 to 88. Now if I eat carbs the whole thing goes to hell. Post prandial is over 200 and next morning is 160.
wow thank you for that fascinating perspective. I am glad you have found a way to adjust your lifestyle to supporting healthier glucose levels. Agreed I think some ppl experience quite a big peak in the morning from cortisol/liver providing glucose into the system. I would be curious to see if some glucose sensitizing agent help bring that down. Berberine is meant to act like metformin in that way - telling the liver to stop putting excess glucose into the system. Do you see a decrease in glucose with exercise? Thank you for commenting. :)
Ali, want to compliment you on an excellent presentation. No waffling and trying to sell us something like most do, and your knowledge of how our Liver and fuelling the body works is beyond doubt and overall metabolic health also. Loved your use of graph's it is brilliant. I have a graph of my Blood Sugars from the last 12 months, and seeing it in front of you helps in the understanding of how it all works in together. Well Done, one of the best presentations i have seen. 🥰🥰🥰
I apologize I didn't think this video would be viewed so widely. I am based in the US, hence chose to use US metrics. Thank you for commenting I will include both in future videos.
My fasting is always between 69 and 90. Maybe it will be 94. It never reaches over 100 and not 110 either. I fast myself and i do keto as a diet. Im not a diabetic either. Trying not to be one.
Nice! sometimes fasting in the morning can be elevated due to a rise of cortisol in the AM (thats what wakes us up in the morning) so that might explain the random higher numbers if you are on a lower carb diet. Thanks for commenting and watching!
Hi i am type 2 diabetec since 21 years , my hbA1c was 6.5 since long time but in last 6 months it reach to 10.1, now i remove bread from my breakfast and switched my breakfast to fruits & Veg. salad included cucumber,tomato,letus,green olives,green apple,avocado,pears,orange,dragon fruit,guava,banana etc with 2 boild eggs everyday since 2 months , will it reduce my hbA1c level ??? pls reply
Hi! Thanks for reaching out. If you write down everything you eat & drink for 5-7 days and email that written log I will cover it in a case study - email me at Ali@ParksideNutrition.com It's important to have a little more info to give you adequate advice. Thank you for reaching out and hopefully talk to your soon. -Ali
Hope you are doing well. If you want to improve your hbA1c please cut carbs and breads, as well as dairy. Focus on protein and fats. Check the keto diet
while is it true that glucagon increases BG, I have trouble understanding the rest of the bullet point line @01:08 -- 'stores glucose in liver & muscles', which sounds more like a job that insulin should do. shouldn't it be the other way around? shouldn't glucagon cause glycogen in the liver to be converted into glucose? technically, glycogen, but not glucagon, stores glucose in liver & muscles.
This is a natural response from the body, if we move the body thinks we might need more glucose to sustain our movement and works to increase BG - it does this with many different hormones, cortisol being one of them. High intensity exercise will tend to sharply increase glucose, while steady state cardio will tend to level out after an initial increase. The benefit of lower glucose is usually seen after exercise. Even if glucose increases during exercise, exercise is still beneficial because it teaches the body over time to be more sensitive to insulin and glucose. The more muscle we can build with exercise, also increase our "glucose sinks" that can pull excess glucose out of circulation and hence lowering our blood glucose levels - aka a very good thing :) I typically recommend people make a routine of weight lifting to build more muscle at least 3x per week and includes some cardiovascular exercise on the days you aren't lifting - whether that be fast walking, running, swimming, biking, etc. And walking EVERYDAY. Thank you for commenting Kati! :) I hope that helps.
So if my blood sugar spikes above 140/150 I am diabetic not pre-diabetic. My doctor is not being straight with me. My fasting level (when I first wake up) are 110-120.
Ali, thanks for the video. Have a question. Toward the end of the video, you show a graph of what looks like a glucose range within a sample day, showing that in a normal personal, blood glucose should remain within a range of what looks like 80 to 130 roughly. However, in reality, won't your glucose intraday spikes also depends on what type of food you eat ? For example, a person eating a simple avocado and spiking from 80 to 130 (which is within your range) is unlikely to be considered normal, but probably at least pre-diabetic. And inversely, a person eating a very large bowl of white rice spiking from 80 to 170, may still be considered normal (while spiking out of your 80-130 range). In other words, even normal persons may still spike way beyond 130 and be considered normal: if they have a large quantity of carbs. Or at least, this is my belief. Or, do you believe that to be considered normal, there's just no way around it: a normal person simply SHOULDN'T, under any circumstances, spike beyond the 130 level as per your chart ? Thank you for clarifying. - Jean from Hong-Kong
Hi Jean, Thanks for your comment. I agree with your first sentiments. I think it can depend on the situation to an extent. This is when you need to look more at a longer term marker like - hemoglobin A1c - which tells you your average blood sugar (BS) levels for the last 3 months. If this is elevated this is a more serious reason to alter your diet so your BS doesn't spike that hard. Having a chronically high or a lot of variability in your BS levels through the day are both undesirable situations on a long term basis. Even if it's a relatively "normal" reaction to spike after a lot of carbs the body wants to keep BS in a narrow range (as much as possible) and to do that even after a lot of carbs that will likely lead to large insulin response and potentially a corresponding large drop in BS. This is quite often what happening when people have sugar cravings after high carb meals even if they aren't hungry but they are cravings something sweet. This is also why some practitioners don't agree with the Glucose Tolerance Test usually mandated for pregnant people - it is a large dose of pure sugar and can falsely indicate a problem in blood sugar management. I think it is now becoming more common to use other testing like continuous glucose monitors if there is a concern. Great questions & insights. Thanks for commenting!
@@aliparkersonmsntp7680 Ali, thanks for the response, very clear. Let me explain. I have been diagnosed with CVD a year ago (atherosclerosis to be precise, got a stent) so I'm taking my BS very seriously now. Now, for years I have been doing (i) fasting glucose and (ii) HbA1C tests every year as part of a yearly bodycheck and so far they have always returned good results, more specifically 75mg/dl for my fasting glucose, and 4.5 for my HbAI1. Over the years it is very consistent. But, in my opinion, doing this isn't good enough to get me confortable that I have no problem metabolising glucose and I can eat whatever I want. On the contrary, I bought a BS monitor a few months ago and some of the results surprise me. For example, just last week I experimented with breakfast: had 2 large slices of bread (50g of carbs) with a good spread of jam on them, on an empty stomach. After 1h, my BS was 210mg/dl ! Good news is that after the 2h mark, I was back to 80mg/dl. To me, therefore, this means that this particular breakfast is a big no-no for me. A few days later I re-experiemented but replacing the strawberry jam with slices of avocado and the spike was only to 140mg/dl, so more acceptable especially since on a normal day I take my breakfast before going to the gym for my cardio so in the end on a normal day where I exercise after breakfast I may not even be spiking at all with this break+avocado breakfast (I need to try !). In any case, what I was planning to do is go get a OGTT (Oral Glucose Tolerance Test) done to get a clearer picture of whether I have a BS problem or no. But given what you say above, I'm not sure now. Could you help me clarify "why" you say that OGTT may not give me the answer I'm looking for ? I sense you are raising the limitations of the OGTT but I'm not sure I fully understand. Again, thank you - Jean from HongKong.
lower carbohydrates can help, choosing higher fiber options will blunt the glucose spikes and still provide some carbohydrates for fuel. Exercise, both cardio and weight lifting is very helpful for improving insulin resistance (IR). Even very short intervals of intense movement like 3 mins of as many squats as your can you in that 3 mins, every hour despite being sedentary for your job can be helpful for less IR. Walking after meals can help lower glucose and improve insulin sensitivity. Proper sleep is also crucial to regulate our insulin levels and glucose response. This is why night shifters have a higher risk of developing these chronic diseases. There are some supplements that can help with IR as well. I hope that helps! I can provide you a list of high fiber foods you would like (here: www.parksidenutrition.com/subscribe) after you subscribe you will get access to the subscribers library with lots of nutrition resources.
I can take my blood sugar in the morning and it will be about 100. I can take my blood sugar in the morning (same time) after exercising and it will be about 87. Which is the number I should pay attention to. Am I just fooling myself by getting that low number after exercising?
Thanks for watching & commenting! :) Exercise will definitely lower that number. It is likely that the 100 is the more accurate number but exercising is a great way to lower/balance blood sugar. If note your blood sugar is high in the morning upon waking - then exercise is a great way to help it come back down. Exercise (especially vigorous exercise) can *temporarily* increase your blood sugar while you are exercising. But the overall effect is very positive. To get the best information - I would ask your doctor to run labs, and get a Hemoglobin A1c done - that will tell you the average level of your blood sugar for the last 3 months. In addition to eating well, I would try to be very well hydrated - drinking at least 1/2 your body weight in ounces throughout the day and mostly between meals for a few days. Dehydration can also make our blood sugar look higher. Hope that helps and thanks again for watching. Let me know what other questions I can help with or if you would like me to cover something in a longer video. Thanks!
Hi Paul, Yes I 1-1 nutrition coaching that is catered to the person's specific medical conditions and health goals. :) If you are interested in nutrition coaching please feel free to email me at Ali@ParksideNutrtion.com
you are correct those are also types of sugar. The term Blood sugar refers to the sugar or glucose available in your blood stream. Fructose is another type of sugar - it has a different structure and is processed slightly differently but is still a type of carbohydrate or sugar.
Well done! Best explanation I’ve heard in 30 years. Keeping passing this type of health information on to folks. You make it very understandable. Thx
wow! Thank you so much! Glad it was helpful!
The 140 mg/dl at 2 hours after meal need to be cited carefully. The clinicians use that value because they ask the testers to drink the syrup (almost close to a pure sugary drink) with an empty stomach while people eat their normal meals with other ingredients in them such as fat, protein and vegetables. All those could slow down the time for generation and absorption of the glucose hence elongates the glucose reading which could extend well beyond 2 hours after meals.
The bulk of my glucose load comes from morning gluconeogenesis (glucose made by the liver).
T2 diabetic since 1998 controlled with low carb diet. Age 66 now. No neuropathies, retinas perfect, A1c runs in low 5s. Fasting insulin runs 2.5 to 5. Glucose for the day peaks in the AM around 130. Eat one meal day in the early evening. Glucose drops to 90s in the afternoon. After my low carb carnivore meal it usually drops! Yesterday went from 96 to 88. Now if I eat carbs the whole thing goes to hell. Post prandial is over 200 and next morning is 160.
wow thank you for that fascinating perspective. I am glad you have found a way to adjust your lifestyle to supporting healthier glucose levels. Agreed I think some ppl experience quite a big peak in the morning from cortisol/liver providing glucose into the system. I would be curious to see if some glucose sensitizing agent help bring that down. Berberine is meant to act like metformin in that way - telling the liver to stop putting excess glucose into the system. Do you see a decrease in glucose with exercise? Thank you for commenting. :)
Ali, want to compliment you on an excellent presentation. No waffling and trying to sell us something like most do, and your knowledge of how our Liver and fuelling the body works is beyond doubt and overall metabolic health also. Loved your use of graph's it is brilliant. I have a graph of my Blood Sugars from the last 12 months, and seeing it in front of you helps in the understanding of how it all works in together. Well Done, one of the best presentations i have seen. 🥰🥰🥰
Wow, thank you so much for the kind words and for watching! I am glad I can be a helpful resource! Thank you so much!
You need to put both units of blood sugar levels .
I apologize I didn't think this video would be viewed so widely. I am based in the US, hence chose to use US metrics. Thank you for commenting I will include both in future videos.
My fasting is always between 69 and 90. Maybe it will be 94. It never reaches over 100 and not 110 either. I fast myself and i do keto as a diet. Im not a diabetic either. Trying not to be one.
Nice! sometimes fasting in the morning can be elevated due to a rise of cortisol in the AM (thats what wakes us up in the morning) so that might explain the random higher numbers if you are on a lower carb diet. Thanks for commenting and watching!
@aliparkersonmsntp7680 oh mine are not high. Mine are lower like 80% of the time.
How old are you?
@RC-qf3mp my A1C was 5.4 now its 5.6. . I'm 42. But I walk every morning and fast still.
@@RC-qf3mp I've been earing a bit more barbs but working them off
Good video for people who are not diabetic but are concerned of the dangers of eating bad. But nothing new for T2 diabetics.
Thank you Theresa. Yes definitely nothing new for someone who has manage their BS like T2D. Thank you for watching & stopping by :)
@@aliparkersonmsntp7680 What does "BS Like Like" mean ??
the second like is a typo. BS stands for Blood sugar :) @@theresaotoole9141
Excellent presentation.
Thank you so much! :)
Hi i am type 2 diabetec since 21 years , my hbA1c was 6.5 since long time but in last 6 months it reach to 10.1, now i remove bread from my breakfast and switched my breakfast to fruits & Veg. salad included cucumber,tomato,letus,green olives,green apple,avocado,pears,orange,dragon fruit,guava,banana etc with 2 boild eggs everyday since 2 months , will it reduce my hbA1c level ??? pls reply
Reduce carbs sugar from your meals does help normalise blood sugar. For reverse type 2 diabetes, please check Dr Jason Fung channel.
That is way, way too much fruit.
Hi! Thanks for reaching out. If you write down everything you eat & drink for 5-7 days and email that written log I will cover it in a case study - email me at Ali@ParksideNutrition.com
It's important to have a little more info to give you adequate advice. Thank you for reaching out and hopefully talk to your soon.
-Ali
Hope you are doing well. If you want to improve your hbA1c please cut carbs and breads, as well as dairy. Focus on protein and fats. Check the keto diet
Also.. all the fruits are just sugar. The only fruits they recommend is berries
while is it true that glucagon increases BG, I have trouble understanding the rest of the bullet point line @01:08 -- 'stores glucose in liver & muscles', which sounds more like a job that insulin should do.
shouldn't it be the other way around? shouldn't glucagon cause glycogen in the liver to be converted into glucose? technically, glycogen, but not glucagon, stores glucose in liver & muscles.
Thanks for catching that typo Glucagon releases glucose (aka glycogen) **stored** in the liver to increase blood glucose in circulation. :)
My b.g. Is raising after exercising,why?
This is a natural response from the body, if we move the body thinks we might need more glucose to sustain our movement and works to increase BG - it does this with many different hormones, cortisol being one of them. High intensity exercise will tend to sharply increase glucose, while steady state cardio will tend to level out after an initial increase. The benefit of lower glucose is usually seen after exercise. Even if glucose increases during exercise, exercise is still beneficial because it teaches the body over time to be more sensitive to insulin and glucose. The more muscle we can build with exercise, also increase our "glucose sinks" that can pull excess glucose out of circulation and hence lowering our blood glucose levels - aka a very good thing :) I typically recommend people make a routine of weight lifting to build more muscle at least 3x per week and includes some cardiovascular exercise on the days you aren't lifting - whether that be fast walking, running, swimming, biking, etc. And walking EVERYDAY. Thank you for commenting Kati! :) I hope that helps.
So if my blood sugar spikes above 140/150 I am diabetic not pre-diabetic. My doctor is not being straight with me. My fasting level (when I first wake up) are 110-120.
Excellent
Thank you!
Ali, thanks for the video.
Have a question. Toward the end of the video, you show a graph of what looks like a glucose range within a sample day, showing that in a normal personal, blood glucose should remain within a range of what looks like 80 to 130 roughly. However, in reality, won't your glucose intraday spikes also depends on what type of food you eat ? For example, a person eating a simple avocado and spiking from 80 to 130 (which is within your range) is unlikely to be considered normal, but probably at least pre-diabetic. And inversely, a person eating a very large bowl of white rice spiking from 80 to 170, may still be considered normal (while spiking out of your 80-130 range). In other words, even normal persons may still spike way beyond 130 and be considered normal: if they have a large quantity of carbs. Or at least, this is my belief.
Or, do you believe that to be considered normal, there's just no way around it: a normal person simply SHOULDN'T, under any circumstances, spike beyond the 130 level as per your chart ?
Thank you for clarifying.
- Jean from Hong-Kong
Hi Jean, Thanks for your comment. I agree with your first sentiments. I think it can depend on the situation to an extent. This is when you need to look more at a longer term marker like - hemoglobin A1c - which tells you your average blood sugar (BS) levels for the last 3 months. If this is elevated this is a more serious reason to alter your diet so your BS doesn't spike that hard. Having a chronically high or a lot of variability in your BS levels through the day are both undesirable situations on a long term basis. Even if it's a relatively "normal" reaction to spike after a lot of carbs the body wants to keep BS in a narrow range (as much as possible) and to do that even after a lot of carbs that will likely lead to large insulin response and potentially a corresponding large drop in BS. This is quite often what happening when people have sugar cravings after high carb meals even if they aren't hungry but they are cravings something sweet.
This is also why some practitioners don't agree with the Glucose Tolerance Test usually mandated for pregnant people - it is a large dose of pure sugar and can falsely indicate a problem in blood sugar management. I think it is now becoming more common to use other testing like continuous glucose monitors if there is a concern. Great questions & insights. Thanks for commenting!
@@aliparkersonmsntp7680 Ali, thanks for the response, very clear. Let me explain. I have been diagnosed with CVD a year ago (atherosclerosis to be precise, got a stent) so I'm taking my BS very seriously now. Now, for years I have been doing (i) fasting glucose and (ii) HbA1C tests every year as part of a yearly bodycheck and so far they have always returned good results, more specifically 75mg/dl for my fasting glucose, and 4.5 for my HbAI1. Over the years it is very consistent.
But, in my opinion, doing this isn't good enough to get me confortable that I have no problem metabolising glucose and I can eat whatever I want. On the contrary, I bought a BS monitor a few months ago and some of the results surprise me. For example, just last week I experimented with breakfast: had 2 large slices of bread (50g of carbs) with a good spread of jam on them, on an empty stomach. After 1h, my BS was 210mg/dl ! Good news is that after the 2h mark, I was back to 80mg/dl. To me, therefore, this means that this particular breakfast is a big no-no for me. A few days later I re-experiemented but replacing the strawberry jam with slices of avocado and the spike was only to 140mg/dl, so more acceptable especially since on a normal day I take my breakfast before going to the gym for my cardio so in the end on a normal day where I exercise after breakfast I may not even be spiking at all with this break+avocado breakfast (I need to try !).
In any case, what I was planning to do is go get a OGTT (Oral Glucose Tolerance Test) done to get a clearer picture of whether I have a BS problem or no. But given what you say above, I'm not sure now.
Could you help me clarify "why" you say that OGTT may not give me the answer I'm looking for ? I sense you are raising the limitations of the OGTT but I'm not sure I fully understand.
Again, thank you - Jean from HongKong.
How do I lower insulin resistance? Less carbs or less fat?
Less carbs
lower carbohydrates can help, choosing higher fiber options will blunt the glucose spikes and still provide some carbohydrates for fuel. Exercise, both cardio and weight lifting is very helpful for improving insulin resistance (IR). Even very short intervals of intense movement like 3 mins of as many squats as your can you in that 3 mins, every hour despite being sedentary for your job can be helpful for less IR. Walking after meals can help lower glucose and improve insulin sensitivity. Proper sleep is also crucial to regulate our insulin levels and glucose response. This is why night shifters have a higher risk of developing these chronic diseases. There are some supplements that can help with IR as well. I hope that helps!
I can provide you a list of high fiber foods you would like (here: www.parksidenutrition.com/subscribe) after you subscribe you will get access to the subscribers library with lots of nutrition resources.
I can take my blood sugar in the morning and it will be about 100. I can take my blood sugar in the morning (same time) after exercising and it will be about 87. Which is the number I should pay attention to. Am I just fooling myself by getting that low number after exercising?
Thanks for watching & commenting! :) Exercise will definitely lower that number. It is likely that the 100 is the more accurate number but exercising is a great way to lower/balance blood sugar. If note your blood sugar is high in the morning upon waking - then exercise is a great way to help it come back down. Exercise (especially vigorous exercise) can *temporarily* increase your blood sugar while you are exercising. But the overall effect is very positive.
To get the best information - I would ask your doctor to run labs, and get a Hemoglobin A1c done - that will tell you the average level of your blood sugar for the last 3 months. In addition to eating well, I would try to be very well hydrated - drinking at least 1/2 your body weight in ounces throughout the day and mostly between meals for a few days. Dehydration can also make our blood sugar look higher. Hope that helps and thanks again for watching. Let me know what other questions I can help with or if you would like me to cover something in a longer video. Thanks!
WOW you actually replied; and in short order. Thank you I will take your advice. and subscribe.@@aliparkersonmsntp7680
Do you do personal training on diabetes 1 to 1
Hi Paul, Yes I 1-1 nutrition coaching that is catered to the person's specific medical conditions and health goals. :) If you are interested in nutrition coaching please feel free to email me at Ali@ParksideNutrtion.com
I thought sugar was glucose and fructose.
you are correct those are also types of sugar. The term Blood sugar refers to the sugar or glucose available in your blood stream. Fructose is another type of sugar - it has a different structure and is processed slightly differently but is still a type of carbohydrate or sugar.
bs