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I eat pretty much anything I want but no refined sugar and minimal processed grain. But it comes to portion size. I enjoy pasta. But no more than a cup. But I get good Italian pasta, cook it right, use lots of spices and vegetables with it and lots of EVOO. Again, ONE cup.
@@chidi401 Life is not black or white. Just listen to the what doctor is saying carefully. He did not say dont eat protein, he said watch out and dont pig out basically.
If you are at all overweight, stopping eating as much as possible is a good way to go. But once you are at your fighting weight it doesn't work as well...
Early in my TY2 comtrol program I started testing with glucose strips. Found 3 to 4 ounces of red meat made an inital spike but dropped within 3 to 4 hours. However 8 to 10 ounces would spike but continue to rise 4 or more hours. I reduce my portion size and frequency. Today my diet is 40 to 60% fat, 20 to 30% protein and 20 to 30% carbohydrates. No refined sugar with minimal refined grains. Have to watch fruit intake. And walk 10 to 15 minutes after every meal. Have started the Advanced Glucose Support supplement taking one tablet at my evening meal. On my second week. Morning fasting has dropped from 125/130 to 115/120. Six months ago it was 140/150. August 1 will start 2 AGS tablets a day and September 1 will reduce my Rybelsus from 14 to 7.5. Will increase my monitoring to 4 times a day to be sure it is working. My goal is to be off Rybelsus by December. Wish me luck!
Good luck my man! You are on it. If you like to share your journey on a video interview with me and publish it on RU-vid email me at videos@sugarmds.com. It should be less a 10 min video. People like you are inspiration to others so I would recommend sharing your journey in a video here on this channel.
Hi doc, I'm recently diagnosed at the mild end of prediabetic(A1c was 5.7)and although mild, definitely a big wake up call. Thank you for this information. It's difficult to navigate the world of nutrition , with so many inconsistencies out there and a lot of hype in between. Although I had a semester of nutrition(eons ago!) and I'm an RN, even I find it a challenge. I used to refer my patients to their provider to ask for Diabetic Health educators or RN Diabetes case managers, knowing they would be a great resource and patients would get more thorough information. Thank you again,Jen.
Wow!!! I never knew that! I have always been a big meat/protein eater all my life. I wondered why my blood sugar read higher in the morning after eating what I considered a low carb meal! That's crazy! I have been good with carbs so I have now a pre diabetic AIC percentage from my recent physical. I will try to do more on portion control on meat and chicken and fish. Ironically, I have been eating more veggies/ salads with a little meat lately. Thank you sooo much! No one ever told me not to! So glad I found you!
I definitely experienced raised bg level post high protein low carb dinner, exactly as you described. It is a slow ramp but by midnight it could be 200 for several hours. Now I know why.
Yes, me too. And in my case the high glucose spike (always between midnight and 2am) was followed by a very low glucose drop resulting in severe Hypoglycemia. This released cortisol and adrenalin and raised my blood pressure (sometimes as high as (200/110) to wake me up so that I didn't slip into a coma. Most disconcerting and worrying!
I was diagnosed LADA in 2017, with a gene that caused destruction to my pancreas, causing me to need insulin and digestive enzymes. My A1/c was 10.8. I immediately gave up rice, bread, pasta, sugar, and processed foods. I also went low-carb (50 grams per day). I also kept up my regime of 60 minutes of resistance training per day, 6 days per week. Withing two months, my A1/c was 5.6 and currently is 5.4. I only recently, as a result of getting a continuous glucose monitor, realized that my dinner protein has been spiking my blood sugar around 2 hours after dinner, while I was asleep. Therefore, I am experimenting with basil a bolus prior to dinner, and this is helping. I am in a constant struggle to keep my blood sugars low while attempting to gain muscle. My goal is an A1/c below 5.
Congrats on your progress, @TES-bt8sv! Continue with your regime and keep checking your blood sugar levels. It's all about finding the balance that works for you. Keep me posted on your progress!
Glad it was helpful! Always stay tune for more videos. Don't forget to subscribe and turn on the notification bell so that you will be updated for new videos.
T1D for 58 years. Diet varies and is generally low carb/high fiber. Cold grilled salmon is a favorite and I eat it 5 or 6 days a week, usually with steamed beets, carrots and a salad. I wear the t:slim X2 with Control IQ and notice that larger portions of salmon (e.g., 1/3 to 1/2 pound) often spike BG 3 to 5 hours after a meal. I've been using extended boluses (67/33 ratio) and it helps, but sometimes I still need to take small boluses if BG rises above 150 mg/dL Endo and PA question the need for additional boluses. TIR dropped from 94% 6 months ago to 92% a few weeks ago, and last two A1Cs were 5.6% and 5 7%, so I should not complain. Salmon is high in protein and fat. Thanks for pointing out that doctors and patients need to recognize that it's not just carbs that affect blood sugar.
I wish you would have explained in more detail WHY protein can spike blood sugar. You mentioned Gluconeogenesis but not much more than that. Does all protein get converted this way or only excess protein? Is some protein also eliminated via urine/feces? Does Gluconeogenesis also convert excess fat or just protein?
I gotta say, other doctors on RU-vid are saying the exact opposite of what he's saying. So much conflicting information. I'm meeting with a nutritionist who deals with diabetics, will be interesting to see her take on this.
The best way to stop gluconeogenesis for type 1 diabetics is R insulin therapy. The onset of action for R insulin mimics the conversion of amino acids to sugar. I only use R insulin for meals and my blood sugars never creep up like that. Another thing at least for type 1 diabetics is that protein does not take 5 hours to digest. For me its approximately 2 to 2.5 hours. Perhaps since I do not eat carbohydrate.
My sugar was always around 110 in the morning when I ate more fatty foods, but when I changed the macros to a little more protein than fat, the morning sugars started coming down. I agree its portion control for sure.
Thank you for sharing. Always stay tune for more videos. Don't forget to subscribe and turn on the notification bell so that you will be updated for new videos.
@@SugarMDs I responded and received a reply email asking for my cellphone but the appointment was bogus. The phone numbers on the website were not in service or went to vm. I am not happy.
Protein is far more better to eat than all those high glycemic carbohydrates in processed food and fruit juices, etc. But this dude is correct to limit the amount of protein. Low Carb high fat works just fine for me.
Good day doc so for a type 2 diabetic who is not eating carbs unless it's from vegetable like cabbage etc but still having high level reading especially in the morning
This is exactly what happens to me. I really don't have a lot of protein any time of the day, no read meat, no bread, I do have a slice of flour-less bread with plant base butter and egg white for breakfast with coffee. I never have three meal a day, I do have dinner about seven o"clock, which consists of some brown rice,not everyday, vegetables with fish, no meat, no soda, no juice. I do drink a lot of water, which is why I don't understand the spike in my sugar. I am definitely going to see an Endocrinologist to help me understand my diabetes. Thanks Dr, for life lesson
I just recently made high protein pancakes. I’d been having lots of problems with my sugars and dropping. I eat two pancakes with sugar free syrup and take 7 units of novolog and i don’t have a big spike. It stays pretty even and last me for 4 hours without having a bottom out. It’s crazy but my blood sugar stayed good and I felt better.
I ate only protein and my sugar went up after 4 hrs...was confused....but when i eat lots of veggies first then follow up with a conteolled portion of meat then my sugar stays decent and my neuropathy pain doesnt go crazy either....moderation, portions, order of eating, water to dillute. So many factors but the meter is your guide.
Thank you for all your very informative videos. Regarding protein I have a question. Is there any difference in the level of glucose after the meal if you eat animals raised in intensive farming who eat a lot of grains compared to animals raised in a more natural environment like grazing cows or chicken allowed to roam around?
I am curious. I understand the message you are trying to send... but in looking at the printout you showed us this individual's blood glucose levels were well within the normal range (the grey shaded area of the printout). So I am not sure really what to make of this message. Is it just to show that protein does in fact raise blood glucose levels - but not by any significant amount? It would help if this individual let you know and you let us know just how much protein they were eating at these measured times.
I know it may be harder for some more than others...But a simple 10-15 min. walk after meals has drastically reduced my #'s...Of course that's following a moderate protein and complex carb diet...Give it a try
Wow no wonder my blood sugar went hella high. I was eating lots of meat and not much veggies. I am fasting going into 21 hrs. It doped but still is high thanks.
For the last two years, I have eaten 200 grams of protein a day, 50 grams per meal, 20 grams of carbs, and around 100 grams of fat per day. My A1Cs have been about 4.4, and fasting averages around 92. With 120 mins of resistance training per week and 10 min walks after meals, I am down 75 lbs and 15% body fat. Get your body as strong and lean as you can, and you will be harder to kill.
Actually that is true in regards to weight loss. Since I eat more complete protein like eggs and reduced my total protein intake I lost 7 more Ibs. It is obvious for me now that protein spikes my insulin even I am not diabetic
@@maiaallman4635 No problem. Dr. Sten Ekberg has good videos in you tube. In one of his videos he explained that how we turn protein to sugar if we eat more protein in our diet.
Explain this...im 150 lbs I eat a carnivore diet 2700 calories per day split between 5 meals. Weight train 2 days per week low volume high intensity 0%carbs 75% fat and 25% protien. Went from being pre-diabetic to normal ranges. Infact all kinds of health problems went completely away after starting to eat this way.
I was told that large amounts of protein can affect blood sugar under certain conditions. Specifically, if you eat less than 20 grams of carb in any one meal, then I have to count 50% of the protein in that meal as carbs; if I eat more than 60 grams of protein in a meal, regardless of how much carbs I eat, I have to count 30% of the protein as carbs. It’s hard to remember all these rules because there are other things to keep in mind about blood sugar if you eat large amounts of fat in your meal! So I think the bottom line is to distribute your carbs evenly among your three meals and don’t overeat protein and fats in any one meal.
What protein powder is safe or okay to take as type 2 diabetic? What do you think about Vital Protein supplement powder ? The popular blue can or bucket.
Hi Dr Thanks for your videos it really help me lots. I have a question for you I have changed my eating from bad to good my blood sugar is high it 9 I’m not sure why it going up. Can you please help me out? Thanks
Type 1 for 45 years. On Keto. Protein raises my blood sugar slowly over several hours. Much less of a BG jump than with carbs/sugars. I wait for my BG to begin rising after a protein/fat meal and then take some humalog insulin (insulin pump) to return it to around 100. On a related topic, I can eat nothing and still have my BG rise during intermittent fasting. I assume my Keto adjusted body is turning fat into glucose?
@@SugarMDs When I see my blood sugar rising to 125+, I take a unit or two of insulin to bring it down again. My insulin use is way down since I started Keto. Weight is down 30 lbs. and A1C is down to 6.3.
You're very welcome! It's great to see that you found the information helpful. If you have any more questions or need further advice, feel free to reach out anytime. Stay healthy and take care! 😊
Hello Dr When you say 20 - 30g of protein, are you referring to the actual weight of the meat that you are consuming or does that equate to the protein macro? I usually consume a baked chicken thigh (150g) or a baked salmon (130 - 150g) with a salad for a meal. Is that too much ?
Thank you Wanda Andkiddos for the comment! I appreciate it! Please feel free to share this content with more people for them also enjoy and learn. Also please visit my Facebook page facebook.com/sugarmdsonline to interact with the community and visit website(sugarmds.com) for more free educational content and diabetic supplements that may interest you.
Hi , thanks for the information. Helpful enough . I have one question which is circulating in my brain every day. So , i have a high insulin resistance. ( bot not diabetic ) . May i use low sugar low carb protein ? Thanks in advance !
When I am on keto the meat is limited to small portion only, usually it consist of salads I only eat meat when I had medicine to lessen or slow down my low blood sugar. But now I usually eat salads and little meat my fat, I get it to avocadoes.
Doctor- Thanks for all the informative content that is so helpful! I have a question and I’m unsure if others have asked. From my observation it appears women are ahead of curve taking better care of their health than men and I was curious if theres any content you may consider that addresses diabetes in males and how this can affect us in long term. For example- my doctor told me once that if glucose goes untreated, this can cause impotency issues over time. Is there any truth to this?
Nice vide, i just have a question i am a type one diabetic and as you said the protein slowly rise your blood sugar but how we deal with that if we take rapid acting insuline
There seems to be so much conflicting advice from ALL of the RU-vid docs: Mediterranean, keto, carnivore, etc., etc, etc. How is a lay person suppose to know who is right and who is chasing clicks for RU-vid dollars?
Two things John: 1. U have to learn to be patient with whatever personal goals u have regarding diet/health. There is no quick fix and no single advice provides that silver bullet. 2. Like many of us with chronic illnesses, u have to try ur own experiments by eliminating, adding, combining, and separating as much as possible. None of what u see/hear on these channels are cast in stone. They are just evolving stories of persons -both patients and doctors trying to make the best of what they have and are learning. Stay blessed.
Hi John. Each person is unique. I have stabilized my blood sugar and been off all meds for a year now. I listened, I tested, used my glucometer faithfully before and after any NEW meal, and so I learned what MY BODY needs and this channel is 1 of those I can attest to. I have been a huge meat eater all my life and gradually reduced red meat and I am 55 with a metabolic age of 59 and now a visceral fat of 8 down from 12. So healthier than ever before
I recently had to adjust my diet. For years I was so fixated on a protein/carb balance I read about in an insulin diet book. So I would eat a a lot of meat protein to balance out carbs I ate. I started incorporating more plant proteins, beans/legumes, increasing my fiber, and just learning ways to manage blood sugar through the glycemic index. I've lost weight, my LDL went down and HDL went up, A1C is 5.8. My doctor is really happy. ^-^
Looks like your guessing on the meals of your patients. I have no diabetic. when I had a CGM and did omad around 6 in the evening, my bloodsugar ALWAYS had a spike in the morning. had nothing to do with protein meal.
Here's a helpful video for you: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-JQN6LRjAupA.html ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-6uoI2hXh7V4.html
You're welcome. Always stay tune for more videos. Don't forget to subscribe and turn on the notification bell so that you will be updated for new videos.
As a T1D, this high BS level hours after a hi protein meal can be further exacerbated by an overdose of SA insulin to compensate for the volume of food being consumed. Hypo will set after about 2 hrs due to the low sugar release from the protein meal compared to a carb meal of similar portion. U will then be forced to eat some carbs to correct the hypo. Panic or inexperience can even lead to overheating on carbs or having refined carbs. The BS will correct short-term but will be added to the already rising levels later. Grief! The insulin overdose with the protein meal coupled with alcohol consumption makes it even worse. As the alcohol will make u hypo even faster and lower resulting into even greater panic for carb consumption to correct the hypo emergency. In the morning or a few hours later the BS level will be sky-freaking hi. Pure grief × double.
It's not so much the spike but how long it last. After 1 or two hours if it is still climbing, then that is not a food YOU can have. If it spikes but starts dropping after the first hour and is back to baseline within 2 hours that food and portion is OK. I found out with oatmeal I got a spike but it just kept climbing. It took over 6 hours for it to plateau and another 4 to start dropping. That is plain old fashioned with butter and salt. I don't eat oatmeal any more! Cheap pasta made with American wheat cooked done will do the same. High quality Italian pasts pasta cooked aldente will not. But I use my glucose meter when introducing new foods to see how my body either reacts or responds.
If your body fails to handle glucose or protein you have to take action. Either reduce portion size or increase exercise or take vitamins, supplements and medication if needed.
Glad it was helpful. Thank you for watching. If you like this video, this playlist might be helpful too: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-VnE6fiKDWTg.html
Yes. But the pateints have diebetes thus are not producing enough insulin to keep the glucogenisis stable. Question is? How about a non diebetic person. Does protein still create a sugar spike or does the greater insulin been produced keep it in check.
All patients from Florida and New York can be seen virtually/telemedicine. Other states can see our diabetes coach only. For more info www.sugarmd.com. Phone number for office is 561-462-5053 It is virtual.
I responded and received a reply email asking for my cellphone but the appointment was bogus. The phone numbers on the website were not in service or went to vm. I am not happy.
@@keelyguillot4184 Go get a blood test and then see a nutritionist. What might work for you will not necessarily work for someone else. This video is for people who are probably not active. I lift weights, so I don't have much of an issue with protein and glucose since my body synthesizes them for both energy and growth.
