One "trick" that I use is that if I eat something carb-heavy (for me, I really enjoy pancakes and muffins haha), I only eat those in the morning so I have the whole day to burn them off. I actually only eat pancakes on the weekend, and after I have a nice "cheat" breakfast, I make sure I walk 3-4 miles after....usually within an hour of my last bite. I was able to get off diabetic meds a few months ago yet have my occasional treats. I'm a 45 year old male and I actually am fairly active; I walk minium 2 miles a day.
That can work if you follow the meal with activity. The “trick” is also only effective depending on much time it takes for your BG to return to normal. If your post meal (post prandial in medical terms) doesn’t return to normal two hours after a meal, it’s going to have bad consequences on your health in general. So it’s not simply a matter of eating a high carb breakfast so you have all day to burn it off. It’s the effects of how long sugar remains circulating in your blood and insulin levels that should be noted. I’d use almond flour as one commenter suggested. Not just for flavour but because it’s healthier than flour and lower in carbs. On a positive note, there are hacks that actually work to lower BG levels. Just search for BG lowering hacks. Lastly, I’d be careful about the apple cider vinegar one. It’s not good to drink it as can damage teeth and oesophageal lining. Best to have it in a salad before meals. That way you’ve also reduced your appetite and put some much need probiotics and fibre in your gut.
Oops! My apologies. I got distracted after reading the first bit and proceeded to reply without finishing reading the rest. That’s good that you walk within one hour after meals . That’s good. But half an hour is even better.
I threw away all my meds,lost 13lbs in two weeks and my body is beginning to function the way it was created to function along with low carb and good exercise regimen
Thank-you so much for explaining the difference between "low carb" and "keto" diets! I didn't know there WAS a difference. This is very helpful, since I have not wanted all that fat, and have been hesitant about starting a plan!
20 - 30 carbs per meal spikes blood sugar. The repetion of spikes is not good for the health. Therefore I try to keep my blood sugar even through the day.
Thank you for so many wonderful videos. I'm 68yrs old and I resistance train quite intensely 3 time a week. I've been dealing with type 2 diabetes for 20yrs. The longer I have it, the more difficult it is to control and the more difficult it is to stick to an extremely strict diet. I feel like I'm on a roller coaster ride with A-1c 6.1 then 6.8. I take Glargine, Victoza, Metformin, Empagliflozin, and Acarbose. I'm not a small man at 6'3" tall and dieted from 285lbs to 231lbs. Sometimes, even though I've dealt with it for as long as I have, and know people who have suffered and died from it, I just get tired of it. I'm trying to keep as much muscle as I can to absorb the glucose, but as I age I also fatigue and it takes my nerves system longer to recover. Doesn't seem like there's an easy way to go through this.
@@tserevenad thanks for the reply. I done low carb many time, including now where my per meal amount was 20 grams. I can't seem to hold that amount for more than 3 months. My energy level is low most of the time and its even worse on low carb. The numbers for my blood work are get, but it just doesn't seem to be sustainable for me.
@@MrJudo2go I am sorry to hear of your struggle. I wish you success in your search for a solution. I am 62, all we can do is try as hard as we can. Also we can only count in ourselves to be our best advocate and it is essential that we dig deep to learn all we can about our health. Keep at it!
Yeah, maybe try low carb with beans and greens. And stop counting after 21 days. I wish I knew how long I was on a diet? Um, no I don't! 40- 60 carbs a meal should be sufficient Also no process foods of any kind?
Thank you Dr.for the info's I am 64 yrs.old hyper and diabetic,I learn how to cut the carb I' am eating it help me a lot,with your video's less hassle,thanks Dr.and God bless.
230 is kind of obese???? Wow, and now 130 is " normal" blood sugar??? I guess no one is taking this epidemic seriously...thanks Doc, I see you trying....I'm a strict Carnivore. Never diagnosed with T2D, but never going to be either. The struggle is real for ALL of us. Love that you care about your patients.. don't see that much these days!♡♡♡♡♡
Someone said that diabetes is really an eating disorder. You eat way more than what you need. It may not be 100% true but it's really about your food intake vs your physical activity.
As always Dr. I get all my questions answered everytime I watch your videos, please keep up the great work. I am not in any doctors care anymore and no meds just my BP monitor and my diet oh and ofcourse my vitamins for dietetics, thanks to you and your videos. I feel like these are my best years 67 years a1c 5.5 to 6 now and again, thanks a million
Just diagnosed with and need to know how many carbs a day max for me. I am 70 years old very overweight and sedentary. Basic 2 meals daily plus a snack. My main thing is sweet drinks, I am always sipping on something
Oh I love this sounds good on paper but it doesn't take an effect someone like myself who's diabetic. Also has colon cancer in the cancer has got into my kidneys and liver. Even a smallest amount of exercise is very tasking on my body
I have found keto to be unsustainable for me. I am 64, type 2 diabetic for 17 years, mildly active and on only 1 medicine. Oh, and yes, I am quite "fluffy". Twenty carbs per meal is much more reasonable.
As low as possible since I have healthy fat for my energy. I am a swimming coach. I am on Keto diet. Even I need to teach 4 - 5 hours per day. I still practicing very low carbs, I burn fat for my energy. And, I have been practicing for 10 years.
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I was recently diagnosed when I was hospitalized for another issue (long story...). The Dr came into my hospital room and simply said "blah-blah, numbers, kidney values, white blood cell counts...blah-blah...oh, by the way, you're diabetic now. A nutrition Dr will be in shortly to explain things to you". and he left....I as like...um...wha? huh? Oh...OK. The Nutritionist gave me a binder with a ton of papers in it with meal plans, dos and don'ts and a lot of words that still were a shock to my still ringing ears. But because my diabetes wasn't extreme...I think my A1C was 9.7...She said that for breakfast and dinner, I can consume 60 grams of carbs per meal. She said "4 units of carbs per meal" with one "unit" being 15 grams of carbs...so yeah...math...She gave me a meter, some strips and finger poking things and a book to keep track of my glucose. I looked at that 60 grams, or 4 units of carbs as the absolute maximum and worked to stay way under that... but 60 grams of carbs is going to be difficult. I have to say, my average carb intake *PER* meal was probably 150 to 200 grams because most of my meals were strictly meat and potatoes with bread and some kind of cake or cookies or pastry for desert. So, going to under 60 is going to be tough. This was 6 months ago. I'm averaging about 20-30 grams of carbs for dinner. Zero carbs for breakfast (usually only eggs or Magic Spoon cereal) and about 20 grams of carbs for lunch. In less than 3 months, my weight went from 220 to 190 and has stabilized at that. My A1c went down to 6.1 and that's with 1,000mg of Meformin twice a day and zero exercise. I go and get tested for my A1c again in about 2 weeks and I've been pretty good, although with the holiday season upon us, I am cheating more than I want to admit. I'm still severly reducing my carbs...dinner tonight was meatloaf and riced cauliflower. So, zero carbs...but being German, I did get a box of Lebkuchen for xmas from Germany from my mother (made in Neurenberg Germany)...I can't say no to those traditional German xmas ginger breads. So, we'll see....I don't expect my A1c to go down...but hopefully, it won't go up too much!
We all have hard choices to make I hope you find someone to share your Mum's treats with are you able to think of someone worthy of your sacrifice. I have made a batch of my family's traditional Christmas bread that my great grandmother Louisa Knorr made after her eldest daughter married a Cornfield his family were Bakers . I made it for my son he shares it with friends coworkers and his wonderful wife and amazing daughter . We usually make it together but schedule conflicts mean we will make more after Christmas and I am now feeling guilty putting them in harm's way with the level of carbs😲🤔🖖👍🖖🇨🇦👋🙋🏼♀️👋
33 grams if carbs per meal is acceptable which is most 100 carbs a day..I do 50 carbs a day and lost weight in 4 months my A1C was 10.1 now its 4.8 I did it with no exercise cause i cant I have MS really bad neuropathy in my feet and legs..very painful.. I hope my info helps you, beWell❤
I have a question about insulin in general. I've been a type 1 for 53 years. Are there any studies showing the effects of high dosages of insulin over time? My diabetes is under very good control presently but not in my younger years. High dosages of insulin due to excess carbs. Teenage rebellion. Pizza, chips, etc.
As you say there are many factors involved when trying to work out a sensible range of daily carbohydrate intake (or per meal if the number of daily meals are defined). So the examples given will not match all viewers. What would have been nice would be some kind of equation where one could plug in relevant values and come up with good ballpark figures. At present I've simply taken from the video the low values for someone who is in a much more serious position than myself. I'm hoping just to get back to normality without it being vtal to become more active, nor take prescription medication, and hopefully not going overboard trying to cut everything desirable out.
People asked me how I can stay on a keto level of carbs and I just replied, ‘No choice. It’s either that or severe joint pain.’ So I’m very low carb and it works beautifully. Dr. Anthony Chaffee himself is even a carnivore and states recent research does not link this diet to heart disease. As a Layman, I find the contradictions in advice very disturbing! There is a real divisive in the medical fraternity. Still, I enjoyed this balanced video.
What is considered physically active? I work a sedentary job but walk for an hour after work every day and am very active on the weekends. I was diagnosed with T1D 5 years ago at 50. I limit my carbs to 40g a meal but am not in control.
0:19 19 seconds in, I was already crying. I've been feeling so desperate with Information Overload with no really good advice. I've been attempting low carb on my own, using keto as inspiration. Today I found out that my glucose was 115 (admittedly, I had eaten about an hour before, unaware I was getting my blood drawn) and my potassium is high - not quite to hyperlalemia (sp?), but enough to know that I'm probably diabetic. My urologist (unrelated to diabetes) recommended I follow up with my regular physician about these labs, since they aren't part of the kidney function she was looking for. (Metabolic label was cheaper than specific kidney tests!) Aware now that my terrible eating last year put me in a serious situation now, I went looking for help. I am so grateful that there is such a straight forward video, for once, that can tell me what to do to start, beginning tomorrow morning! Respect and love to everybody reading this. God bless 🙌
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After losing 100 lbs my dr says that based on my numbers she can no longer say i have diabetes, however i now have “severe rebound (reactive) hypoglycaemia.” Is there anything i can take for that. Just to put it into perspective…rice, i can take it or leave it but if i even have 1/2 cup of it my blood glucose spikes and crashes. It crashes usually anywhere between 3.4 and the lowest was 1.7. Is there something i can take so that i can eat some carbs (ie half of English muffing with egg and cheese). I don’t eat a a lot. I fast everyday between 12-20 hours and make sure my first meal is high protein but as soon as i have carbs i suffer for the next 3 hours.
It happens because you are diabetic already, it is just that your high blood sugar is under control, but you are either missing on beta cells or your body cells do not accept insuling , dont starve, you better switch to a healthier lifestyle, change your diet to a low cab high fat and protein that should help.
Question I have type 1 but I keep my a1c in a good 6.6 range, but I am young and active and eat lots of carbs per meal around 70-100, are high spikes to let’s say 200-240 bad even if they go down to 130- after 2 hours?
As 28yr old and 3 months ago as new diabetic patient i am also very sport active every week(football) and i sadly i am type 1. My question is, as i am on insulin, before eating pizza sometimes(like 1, 2 times a month) before eating it how much would u recommend to take insulin? So far i using dexcom 7, and my results are between 89-99%-last 30 days 94-99% in green as very good result(as my diabetic nurse told me i am still in honeymoon🤔-and also was only 2 times that i was 89% never before bellow that) atm tresiba i am on 4 units and rapid 2units. So my q is, how many units u would recoment to eat small /medium/ size of pizza? So that wouldn't be very high spike in my blood sugar? Thanks doc and your videos are great !!☝️ Cheers from Ireland🇮🇪
Read and listen to this topics : 1.(indivisual) carb and insulin ratio . So you can know how many one unit of insulin is going to be equavalent to how many grams of carbohydrate you consume and after that start to calculate the carbs in whatever meal and do the math 2. Correction dose . So if its up the normal you can easily bring it back to normal range After all its journey for the whole life and you have to live and educate yourself with all that complications.
Thank you for saying sometimes its your bodies fault. I started out on metformin many years ago,my body couldnt tolerate it. Then they tried other meds. I got nauseous and couldnt eat,was sleeping all the time,etc. They immediately took me off all meds and started me on insulin. After many years i was told my bodys barely producing any insulin of its own Guess i feel better knowing its not my fault but my faulty body
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The idea is to prevent sugar spikes. 20+ carbs at one sitting may spike too high. Try more meals per day, evening out your carb distribution. The lower the carbs, the fewer spikes, and less damage.
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Thank you for the reminder to write a comment thank you for posting the video thank you for the smiles thank you for the information and thank your Mum and Dad for bringing you into our world thank you for getting a good education and thank you for inspiring people to take action to find what works for their health. Thank you for being you. Thank you for the reminder that it is alright to eat fruit.thank you for the care you give thank you for being a fountain of information .thank you for being so inspirational. Thank you for your time and efforts thank you for your patience with me if you have made it this far in my comment. Oops I forgot to award you my daily award for meritorious service to little old ladies like me who are trying to better their lives I gift you my 💜 sad to say my Mum agreed with my grade five teacher who told her Linda is trying, very trying and at times extremely trying. Laughing is the best medicine or is it food in the right dosage? Live long and prosper 😘💞💕💝💞💕🤷🏼♀️👋🙋🏼♀️👋🌟🥇🌟
@@teresa985 Not if your peak is very high. Peak is measure at least at one hour after eating. Frequent peaks higher than 140 for non diabetics are considered a problem in the works already. For a better picture you need to check your BG before and two times after eating. Reactive hypoglycemia can develop if b drops too low too quick. This is when the CGMs are shinning; they minimize the finger poking and gives you a close to real time information with fair accuracy.
@@200Nora Thank you for the response. I actually do wear a CGM. I am constantly working to understand how my body responds to certain foods, Exercise, and supplements. I do not take any prescription medications or Insulin. Dr. Ergin is clearly not a fan of Keto diets and he does recommend eating some carbs every day. I was looking to understand at what level of a blood sugar spike begins to cause damage (even in the long term). Personally i try to keep my blood sugar spikes no higher than 140, but was looking to understand if that is too aggressive a target or should i be striving to keep it even lower. thanks again ken
