Latest Lab Results - YUG!

Hello - don't post very often but I do read every day. Think I'll start
asking a few more questions since I seem to be sliding the wrong way. Just
got my lab results back and while I know what caused my A1c to jump I'm not
sure how the other things improved .... except tryglycerides which are much
worse.

Just started Byetta so maybe 3 mos. from now all of this will be better.
I've cut my carbs (total day) and am enjoying the appetite suppression
Byetta seems to cause. I've gained back about 15 lbs. from the 40 I lost
last year and I also seem to have lost some of my drive to be diligent.
You've all taught me enough to mostly know the right things to say. It's
just doing the right things that has been harder the past few months. I
guess a good kick in the seat of the pants is really what I need! (Not too
hard though) :-)

Labs 12/07 7/08
FBG 122 122
A1c 5.9 6.4
Trygly... 136 181
Choles.. 209 198
HDL 39 49
LDL 148 113

Barbara H Type 2, Metformin 1500, Byetta 2x5, dx 7/06

On 2008-08-06, Barbara H <bhenderson26@cox.net> wrote:
> Hello - don't post very often but I do read every day. Think I'll start
> asking a few more questions since I seem to be sliding the wrong way. Just
> got my lab results back and while I know what caused my A1c to jump I'm not
> sure how the other things improved .... except tryglycerides which are much
> worse.
>
> Just started Byetta so maybe 3 mos. from now all of this will be better.
> I've cut my carbs (total day) and am enjoying the appetite suppression
> Byetta seems to cause. I've gained back about 15 lbs. from the 40 I lost
> last year and I also seem to have lost some of my drive to be diligent.
> You've all taught me enough to mostly know the right things to say. It's
> just doing the right things that has been harder the past few months. I
> guess a good kick in the seat of the pants is really what I need! (Not too
> hard though) :-)
>
> Labs 12/07 7/08
> FBG 122 122
> A1c 5.9 6.4
> Trygly... 136 181
> Choles.. 209 198
> HDL 39 49
> LDL 148 113
>
> Barbara H Type 2, Metformin 1500, Byetta 2x5, dx 7/06
>
>
Don't think there is too much meaning in my theory, but when my HDL
go up my Tri also go up; when the HDL go down, the Tri go down a bit;
this is looking at my past lab results.

x-no-archive: yes

Barbara H wrote:
> Hello - don't post very often but I do read every day. Think I'll start
> asking a few more questions since I seem to be sliding the wrong way. Just
> got my lab results back and while I know what caused my A1c to jump I'm not
> sure how the other things improved .... except tryglycerides which are much
> worse.
>
> Just started Byetta so maybe 3 mos. from now all of this will be better.
> I've cut my carbs (total day) and am enjoying the appetite suppression
> Byetta seems to cause. I've gained back about 15 lbs. from the 40 I lost
> last year and I also seem to have lost some of my drive to be diligent.
> You've all taught me enough to mostly know the right things to say. It's
> just doing the right things that has been harder the past few months. I
> guess a good kick in the seat of the pants is really what I need! (Not too
> hard though) :-)
>
> Labs 12/07 7/08
> FBG 122 122
> A1c 5.9 6.4
> Trygly... 136 181
> Choles.. 209 198
> HDL 39 49
> LDL 148 113
>


It's not all bad news, Barbara. Your TGLs indicate either too many
carbs or too many calories (and the weight gain reinforces this). But
the good news is that your HDL went up. I'd say LDL going down is good
news, but with high TGLs and still relatively low HDL, your LDL is
likely the small, dense, atherogenic type.

Once you give yourself that kick daily, you should see better TGLs and
HDL and A1c, too. That 6.4 indicates that your average may still be way
too high.

But good on you for recognizing it!

Susan

On Wed, 6 Aug 2008 14:19:17 -0500, "Barbara H" <bhenderson26@cox.net>
wrote:

>You've all taught me enough to mostly know the right things to say. It's
>just doing the right things that has been harder the past few months. I
>guess a good kick in the seat of the pants is really what I need! (Not too
>hard though) :-)

Well, those trigs tell the story - plus I've just read a post of yours
above that says you're taking 15 - 45g carbs with every meal,
including toast and a peach for breakfast :P

But getting the HDL up is cool.

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.4% BMI 25

"Nicky" <ukc802466929@btconnect.com> wrote in message
news:s97k94hb2aab06b2k4s5sdh4ih5jnri10f@4ax.com...
> On Wed, 6 Aug 2008 14:19:17 -0500, "Barbara H" <bhenderson26@cox.net>
> wrote:
>
>>You've all taught me enough to mostly know the right things to say. It's
>>just doing the right things that has been harder the past few months. I
>>guess a good kick in the seat of the pants is really what I need! (Not too
>>hard though) :-)
>
> Well, those trigs tell the story - plus I've just read a post of yours
> above that says you're taking 15 - 45g carbs with every meal,
> including toast and a peach for breakfast :P
>
> But getting the HDL up is cool.
>
> Nicky.
> T2 dx 05/04 + underactive thyroid
> D&E, 100ug thyroxine
> Last A1c 5.4% BMI 25


Oops - sorry about sending that on a regular reply - I forgot to do a "group
reply". Anyway it was someone else who said they were taking 15 - 45 carbs
with every meal. But, yes it was me eating the peach and toast. :-)

I know, I know. The peach was small ... 10 carbs and the toast was high
fiber whole wheat at 9. Yes, I am having more carbs at breakfast and my bg
has not been higher than 99 after eating. So, even with good bg reading I
should reduce my carbs even more to lower trigs? I can do that, I think.
My noon and evening meal are seldom over 30-35. Other than my fasting all
of my bg readings have been between 90 and 102 for 5 days now. I'm doing
about 80 to 85 carbs per day. Yesterday was 77 total. Not doing any
between meal snacks either. All this "reform" since going on Byetta.

Is there an easy way to calculate the number of carbs one should consume?
Other than testing? Be nice if there was a formula.

Barbara H T2, dx 7/06, metormin 1500, Byetta 5x2, Current A1c 6.4 (eeewww!)

x-no-archive: yes

Barbara H wrote:

> I know, I know. The peach was small ... 10 carbs and the toast was high
> fiber whole wheat at 9. Yes, I am having more carbs at breakfast and my bg
> has not been higher than 99 after eating. So, even with good bg reading I
> should reduce my carbs even more to lower trigs?

Yes, and calories, too, which the Byetta may help with. Thing is, you
may be able to eat a small peach or a low carb piece of bread, but both?
And at breakfast? Just not the wisest way to go about it. Your liver is
going to convert excess carbs and calories to TGLs.

I can do that, I think.
> My noon and evening meal are seldom over 30-35.

30-35 is still really rather high for most type 2s at one sitting.

Other than my fasting all
> of my bg readings have been between 90 and 102 for 5 days now. I'm doing
> about 80 to 85 carbs per day. Yesterday was 77 total. Not doing any
> between meal snacks either. All this "reform" since going on Byetta.
>
> Is there an easy way to calculate the number of carbs one should consume?
> Other than testing? Be nice if there was a formula.

You might start at a number like 100 per day (less is great, too) and
then divide it into 3 meals and two small snacks, so you're not eating
such high amounts at once.

Susan

"Susan" <nevermind@nomail.com> wrote in message
news:6fuoeiFddvgcU1@mid.individual.net...
> x-no-archive: yes
>
> Barbara H wrote:
>
>> I know, I know. The peach was small ... 10 carbs and the toast was high
>> fiber whole wheat at 9. Yes, I am having more carbs at breakfast and my
>> bg
>> has not been higher than 99 after eating. So, even with good bg reading
>> I
>> should reduce my carbs even more to lower trigs?
>
> Yes, and calories, too, which the Byetta may help with. Thing is, you may
> be able to eat a small peach or a low carb piece of bread, but both?
> And at breakfast? Just not the wisest way to go about it. Your liver is
> going to convert excess carbs and calories to TGLs.
>
> I can do that, I think.
>> My noon and evening meal are seldom over 30-35.
>
> 30-35 is still really rather high for most type 2s at one sitting.
>
> Other than my fasting all
>> of my bg readings have been between 90 and 102 for 5 days now. I'm
>> doing
>> about 80 to 85 carbs per day. Yesterday was 77 total. Not doing any
>> between meal snacks either. All this "reform" since going on Byetta.
>>
>> Is there an easy way to calculate the number of carbs one should consume?
>> Other than testing? Be nice if there was a formula.
>
> You might start at a number like 100 per day (less is great, too) and then
> divide it into 3 meals and two small snacks, so you're not eating such
> high amounts at once.
>
> Susan

Thanks Susan. I don't think I'm accomplished enough to snip and post across
the replies. Anyway I'll definitely take a different approach. I didn't
think about spreading the total day carbs across more "eating events" With
Byetta I've not had an appetite so I thought skipping snacks would be a good
thing. However, your point is well taken and makes sense.

You know, I don't even know what triglycerides are other than something to
do with fat. I always think that the good and bad cholesterol are what the
doc focuses on but reading posts here I think I need to learn a little more
about all of these numbers. Guess I'll do some google work soon. I know my
LDL probably came down as a result of my exercise. Just gotta do a bit
more.

Thanks again - I appreciate the point of view that is very prevalent here.
It's pretty hard line - not like any of the other forums I've read. I like
it. It feels right.

Barbara H
T2, dx 7/06, metformin 1500, Byetta 5x2, Current A1c 6.4 (and going down)

x-no-archive: yes

Barbara H wrote:

> Thanks Susan. I don't think I'm accomplished enough to snip and post across
> the replies. Anyway I'll definitely take a different approach. I didn't
> think about spreading the total day carbs across more "eating events" With
> Byetta I've not had an appetite so I thought skipping snacks would be a good
> thing. However, your point is well taken and makes sense.

I think it's a pretty standard recommended approach, to avoid spikes and
troughs in bg by spreading the carbs thinner.

>
> You know, I don't even know what triglycerides are other than something to
> do with fat. I always think that the good and bad cholesterol are what the
> doc focuses on but reading posts here I think I need to learn a little more
> about all of these numbers. Guess I'll do some google work soon. I know my
> LDL probably came down as a result of my exercise. Just gotta do a bit
> more.

Yeah, because those good and bad cholesterol statements are all wrong.
LDL is WONDERFUL because all of our adrenal steroids are made from it.
You never want to be low in it, but you don't want it to be VLDL, the
small, dense atherogenic LDL. HDL is "good" in that if it's high it's a
marker for the good kind of LDL, the large, fluffy, undamaging stuff you
want plenty of.

TGLs are fatty acids your liver stores extra carbs and calories as. And
they are the single most accurate predictor of heart disease, so you
want them low, closer to 100, and HDL high, because low TGLs and high
HDL as a pattern indicate that you're making the good LDL, not VLDL.

>
> Thanks again - I appreciate the point of view that is very prevalent here.
> It's pretty hard line - not like any of the other forums I've read. I like
> it. It feels right.

Hope it works for you. Adjustments in thinking and habits take time.

Susan

On Wed, 6 Aug 2008 14:19:17 -0500, "Barbara H"
<bhenderson26@cox.net> wrote:

>Trygly... 136 181

What did you eat for breakfast today?

Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
Blog http://loraldiabetes.blogspot.com
DLife column http://tinyurl.com/5v74xr
http://loraltravel.blogspot.com (The Taj Mahal)

On Wed, 6 Aug 2008 17:33:31 -0500, "Barbara H"
<bhenderson26@cox.net> wrote:

>Is there an easy way to calculate the number of carbs one should consume?
>Other than testing?

No - testing is the only way to be sure.

Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
Blog http://loraldiabetes.blogspot.com
DLife column http://tinyurl.com/5v74xr
http://loraltravel.blogspot.com (The Taj Mahal)

"Susan" <nevermind@nomail.com> wrote in message
news:6fuq3jFddl23U1@mid.individual.net...
> x-no-archive: yes
>
> Barbara H wrote:
>
>> Thanks Susan. I don't think I'm accomplished enough to snip and post
>> across the replies. Anyway I'll definitely take a different approach. I
>> didn't think about spreading the total day carbs across more "eating
>> events" With Byetta I've not had an appetite so I thought skipping
>> snacks would be a good thing. However, your point is well taken and
>> makes sense.
>
> I think it's a pretty standard recommended approach, to avoid spikes and
> troughs in bg by spreading the carbs thinner.
>
>>
>> You know, I don't even know what triglycerides are other than something
>> to do with fat. I always think that the good and bad cholesterol are
>> what the doc focuses on but reading posts here I think I need to learn a
>> little more about all of these numbers. Guess I'll do some google work
>> soon. I know my LDL probably came down as a result of my exercise. Just
>> gotta do a bit more.
>
> Yeah, because those good and bad cholesterol statements are all wrong. LDL
> is WONDERFUL because all of our adrenal steroids are made from it. You
> never want to be low in it, but you don't want it to be VLDL, the small,
> dense atherogenic LDL. HDL is "good" in that if it's high it's a marker
> for the good kind of LDL, the large, fluffy, undamaging stuff you want
> plenty of.
>
> TGLs are fatty acids your liver stores extra carbs and calories as. And
> they are the single most accurate predictor of heart disease, so you want
> them low, closer to 100, and HDL high, because low TGLs and high HDL as a
> pattern indicate that you're making the good LDL, not VLDL.
>
>>
>> Thanks again - I appreciate the point of view that is very prevalent
>> here. It's pretty hard line - not like any of the other forums I've read.
>> I like it. It feels right.
>
> Hope it works for you. Adjustments in thinking and habits take time.
>
> Susan

Just to add to Susan's terrific explanation in regard to triglycerides~when
you ingest excess carbs, your body converts them to triglycerides. So
although triglyceride is a fat, it's made from carbs. That's what makes
triglycerides a very good indicator on whether or not you are eating too
many carbs. If triglycerides are high your carb intake is too high--overall
or at any one time.

Unfortunately, this doesn't seem to be knowledge that doctor's share with
patients.

Good for you for getting yourself back on track, Barbara!
--
Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

"Michelle C" <bookbug_35@yahoo.com> wrote in message
news:g7dhaq$cvj$1@registered.motzarella.org...
>
> "Susan" <nevermind@nomail.com> wrote in message
> news:6fuq3jFddl23U1@mid.individual.net...
>> x-no-archive: yes
>>
>> Barbara H wrote:
>>
>>> Thanks Susan. I don't think I'm accomplished enough to snip and post
>>> across the replies. Anyway I'll definitely take a different approach.
>>> I didn't think about spreading the total day carbs across more "eating
>>> events" With Byetta I've not had an appetite so I thought skipping
>>> snacks would be a good thing. However, your point is well taken and
>>> makes sense.
>>
>> I think it's a pretty standard recommended approach, to avoid spikes and
>> troughs in bg by spreading the carbs thinner.
>>
>>>
>>> You know, I don't even know what triglycerides are other than something
>>> to do with fat. I always think that the good and bad cholesterol are
>>> what the doc focuses on but reading posts here I think I need to learn a
>>> little more about all of these numbers. Guess I'll do some google work
>>> soon. I know my LDL probably came down as a result of my exercise.
>>> Just gotta do a bit more.
>>
>> Yeah, because those good and bad cholesterol statements are all wrong.
>> LDL is WONDERFUL because all of our adrenal steroids are made from it.
>> You never want to be low in it, but you don't want it to be VLDL, the
>> small, dense atherogenic LDL. HDL is "good" in that if it's high it's a
>> marker for the good kind of LDL, the large, fluffy, undamaging stuff you
>> want plenty of.
>>
>> TGLs are fatty acids your liver stores extra carbs and calories as. And
>> they are the single most accurate predictor of heart disease, so you want
>> them low, closer to 100, and HDL high, because low TGLs and high HDL as a
>> pattern indicate that you're making the good LDL, not VLDL.
>>
>>>
>>> Thanks again - I appreciate the point of view that is very prevalent
>>> here. It's pretty hard line - not like any of the other forums I've
>>> read. I like it. It feels right.
>>
>> Hope it works for you. Adjustments in thinking and habits take time.
>>
>> Susan
>
> Just to add to Susan's terrific explanation in regard to
> triglycerides~when you ingest excess carbs, your body converts them to
> triglycerides. So although triglyceride is a fat, it's made from carbs.
> That's what makes triglycerides a very good indicator on whether or not
> you are eating too many carbs. If triglycerides are high your carb intake
> is too high--overall or at any one time.
>
> Unfortunately, this doesn't seem to be knowledge that doctor's share with
> patients.
>
> Good for you for getting yourself back on track, Barbara!
> --
> Best regards,
> Michelle C., T2
> diet & exercise
> BMI 21.5
>
Thanks Michelle. I feel very well informed and I think that will help me
keep on track.

Barbara H

"Alan S" <loralgtweightandcarbs@gmail.com> wrote in message
news:09fk9492kh6u1ak32op3gag9k2jmlsn246@4ax.com...
> On Wed, 6 Aug 2008 14:19:17 -0500, "Barbara H"
> <bhenderson26@cox.net> wrote:
>
>>Trygly... 136 181
>
> What did you eat for breakfast today?
>
> Cheers, Alan, T2, Australia.
> --
> Everything in Moderation - Except Laughter.
> Blog http://loraldiabetes.blogspot.com
> DLife column http://tinyurl.com/5v74xr
> http://loraltravel.blogspot.com (The Taj Mahal)

Okay - it's been a long day but I looked at my food log and here's the
breakfast:
All mixed up together:
1 low carb Mama Lupe' brand tortilla (diced & grilled crisp) (3 net carbs)
2 slices of crisp bacon crumbled
2 scrambled eggs. (4 carbs)
2 T. hot picante sauce (2 carbs)

And a fresh peach (10 carbs)

1 hour pp = 99
2 hour pp = 91

Yesterday I had basically the same breakfast except that I ate one piece of
Toast (net carbs 7) instead of the tortilla. My bg was just as good.

I've been writing everything down again. One of the things I have let
slide. What would you recommend? I'm open to any good experience here.

Thanks,
Barbara H
T2, dx 7/06, Metformin 1500, Byetta 5x2 Current A1c 6.4

On Wed, 6 Aug 2008 14:19:17 -0500, in <XOmmk.12960$KZ.10948@newsfe03.iad>
"Barbara H" <bhenderson26@cox.net> wrote:

>Hello - don't post very often but I do read every day. Think I'll start
>asking a few more questions since I seem to be sliding the wrong way. Just
>got my lab results back and while I know what caused my A1c to jump I'm not
>sure how the other things improved .... except tryglycerides which are much
>worse.
>
>Just started Byetta so maybe 3 mos. from now all of this will be better.
>I've cut my carbs (total day) and am enjoying the appetite suppression
>Byetta seems to cause. I've gained back about 15 lbs. from the 40 I lost
>last year and I also seem to have lost some of my drive to be diligent.
>You've all taught me enough to mostly know the right things to say. It's
>just doing the right things that has been harder the past few months. I
>guess a good kick in the seat of the pants is really what I need! (Not too
>hard though) :-)
>
>Labs 12/07 7/08
>FBG 122 122
>A1c 5.9 6.4
>Trygly... 136 181
>Choles.. 209 198
>HDL 39 49
>LDL 148 113
>
>Barbara H Type 2, Metformin 1500, Byetta 2x5, dx 7/06

Looking at the combination of things as a wake-up call is a great way to look
at it, as well as is having a 'slide back' - to me anyway - in terms of
lessons for the future.

This is not about any one specific lab result change, but is the Byetta the
only change in meds? You were already taking Metformin 1500, in other words?

We were diagnosed a month apart.

--
DonnaB shallotpeel : ^> USA <*> new WIN Vista user
06-07-06 Diagnosis T2 HbA1c 8.1, D&E & Metformin 500mg
Current ................... HbA1c 6.3

I am having a similar problem with my a1c...i am never above 100 in the day
ever ...so i am thining i am liver dumping in my sleep because my a1c last
test was a 6 when by my calculation it should have been low 5.

I have tried eating before bed different things...taking a timed release met
etc..all not working..i still wake to a higher then i like fasting...

this disease is a pain..

KROM

"Barbara H" <bhenderson26@cox.net> wrote >
> Yesterday I had basically the same breakfast except that I ate one piece
> of Toast (net carbs 7) instead of the tortilla. My bg was just as good.
>
> I've been writing everything down again. One of the things I have let
> slide. What would you recommend? I'm open to any good experience here.
>
> Thanks,
> Barbara H
> T2, dx 7/06, Metformin 1500, Byetta 5x2 Current A1c 6.4
>
>

On Wed, 6 Aug 2008 22:28:13 -0500, "Barbara H"
<bhenderson26@cox.net> wrote:

>
>"Alan S" <loralgtweightandcarbs@gmail.com> wrote in message
>news:09fk9492kh6u1ak32op3gag9k2jmlsn246@4ax.com.. .
>> On Wed, 6 Aug 2008 14:19:17 -0500, "Barbara H"
>> <bhenderson26@cox.net> wrote:
>>
>>>Trygly... 136 181
>>
>> What did you eat for breakfast today?
>>
>> Cheers, Alan, T2, Australia.
>> --
>> Everything in Moderation - Except Laughter.
>> Blog http://loraldiabetes.blogspot.com
>> DLife column http://tinyurl.com/5v74xr
>> http://loraltravel.blogspot.com (The Taj Mahal)
>
>Okay - it's been a long day but I looked at my food log and here's the
>breakfast:
>All mixed up together:
>1 low carb Mama Lupe' brand tortilla (diced & grilled crisp) (3 net carbs)
>2 slices of crisp bacon crumbled
>2 scrambled eggs. (4 carbs)
>2 T. hot picante sauce (2 carbs)
>
>And a fresh peach (10 carbs)
>
>1 hour pp = 99
>2 hour pp = 91
>
>Yesterday I had basically the same breakfast except that I ate one piece of
>Toast (net carbs 7) instead of the tortilla. My bg was just as good.
>
>I've been writing everything down again. One of the things I have let
>slide. What would you recommend? I'm open to any good experience here.
>
>Thanks,
>Barbara H
>T2, dx 7/06, Metformin 1500, Byetta 5x2 Current A1c 6.4
>

Repeating:
>1 hour pp = 99
>2 hour pp = 91

Based on that, my recommendations would be superfluous:-)

However, just in case:
http://loraldiabetes.blogspot.com/20...reakfasts.html

Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
Blog http://loraldiabetes.blogspot.com
DLife column http://tinyurl.com/5v74xr
http://loraltravel.blogspot.com (The Taj Mahal)

"DonnaB shallotpeel" <shallotpeel@comcast.net> wrote in message
news:l2tk94pil8t24q6dag3qgurbdldnraj1me@4ax.com...
> On Wed, 6 Aug 2008 14:19:17 -0500, in <XOmmk.12960$KZ.10948@newsfe03.iad>
> "Barbara H" <bhenderson26@cox.net> wrote:
>
>>Hello - don't post very often but I do read every day. Think I'll start
>>asking a few more questions since I seem to be sliding the wrong way.
>>Just
>>got my lab results back and while I know what caused my A1c to jump I'm
>>not
>>sure how the other things improved .... except tryglycerides which are
>>much
>>worse.
>>
>>Just started Byetta so maybe 3 mos. from now all of this will be better.
>>I've cut my carbs (total day) and am enjoying the appetite suppression
>>Byetta seems to cause. I've gained back about 15 lbs. from the 40 I lost
>>last year and I also seem to have lost some of my drive to be diligent.
>>You've all taught me enough to mostly know the right things to say. It's
>>just doing the right things that has been harder the past few months. I
>>guess a good kick in the seat of the pants is really what I need! (Not too
>>hard though) :-)
>>
>>Labs 12/07 7/08
>>FBG 122 122
>>A1c 5.9 6.4
>>Trygly... 136 181
>>Choles.. 209 198
>>HDL 39 49
>>LDL 148 113
>>
>>Barbara H Type 2, Metformin 1500, Byetta 2x5, dx 7/06
>
> Looking at the combination of things as a wake-up call is a great way to
> look
> at it, as well as is having a 'slide back' - to me anyway - in terms of
> lessons for the future.
>
> This is not about any one specific lab result change, but is the Byetta
> the
> only change in meds? You were already taking Metformin 1500, in other
> words?
>
> We were diagnosed a month apart.
>
> --
> DonnaB shallotpeel : ^> USA <*> new WIN Vista user
> 06-07-06 Diagnosis T2 HbA1c 8.1, D&E & Metformin 500mg
> Current ................... HbA1c 6.3

Yes, Byetta is the new element here. I was already taking the 1500
metformin.

I got up this morning with another 117 fbg so that seems to be slowly
dropping. My lab results are pre-Byetta so if I can stick to the reduced
carbs and spread them thinner across the day things should improve.

Ain't life grand!

Barbara H
T2, dx 7/06, Metformin 1500, Byetta 5x2, Series of A1c's: 9.5, 5.6, 5.7,
5.9, 6.4 ..... I think I see a pattern or rather a trend here.

"Alan S" <loralgtweightandcarbs@gmail.com> wrote in message
news:8eal94115flha88n0lvkc7t2hv1f9lfe65@4ax.com...
> On Wed, 6 Aug 2008 22:28:13 -0500, "Barbara H"
> <bhenderson26@cox.net> wrote:
>
>>
>>"Alan S" <loralgtweightandcarbs@gmail.com> wrote in message
>>news:09fk9492kh6u1ak32op3gag9k2jmlsn246@4ax.com. ..
>>> On Wed, 6 Aug 2008 14:19:17 -0500, "Barbara H"
>>> <bhenderson26@cox.net> wrote:
>>>
>>>>Trygly... 136 181
>>>
>>> What did you eat for breakfast today?
>>>
>>> Cheers, Alan, T2, Australia.
>>> --
>>> Everything in Moderation - Except Laughter.
>>> Blog http://loraldiabetes.blogspot.com
>>> DLife column http://tinyurl.com/5v74xr
>>> http://loraltravel.blogspot.com (The Taj Mahal)
>>
>>Okay - it's been a long day but I looked at my food log and here's the
>>breakfast:
>>All mixed up together:
>>1 low carb Mama Lupe' brand tortilla (diced & grilled crisp) (3 net carbs)
>>2 slices of crisp bacon crumbled
>>2 scrambled eggs. (4 carbs)
>>2 T. hot picante sauce (2 carbs)
>>
>>And a fresh peach (10 carbs)
>>
>>1 hour pp = 99
>>2 hour pp = 91
>>
>>Yesterday I had basically the same breakfast except that I ate one piece
>>of
>>Toast (net carbs 7) instead of the tortilla. My bg was just as good.
>>
>>I've been writing everything down again. One of the things I have let
>>slide. What would you recommend? I'm open to any good experience here.
>>
>>Thanks,
>>Barbara H
>>T2, dx 7/06, Metformin 1500, Byetta 5x2 Current A1c 6.4
>>
>
> Repeating:
>>1 hour pp = 99
>>2 hour pp = 91
>
> Based on that, my recommendations would be superfluous:-)
>
> However, just in case:
> http://loraldiabetes.blogspot.com/20...reakfasts.html
>
> Cheers, Alan, T2, Australia.
> --
> Everything in Moderation - Except Laughter.
> Blog http://loraldiabetes.blogspot.com
> DLife column http://tinyurl.com/5v74xr
> http://loraltravel.blogspot.com (The Taj Mahal)

Okay then. But know that if I have answered your question even a week ago
I
would have had some explaining to do. Gotta stick to the new plan.

Thanks - your web site is excellent. I've even referred people there in the
past.

Barbara H
T2, dx 7/06, metformin 1500, byetta 5x2, Temporary A1c 6.4

"Barbara H" <bhenderson26@cox.net> wrote in message
news:9Htmk.7044$3l5.2415@newsfe06.iad...
>
> "Michelle C" <bookbug_35@yahoo.com> wrote in message
> news:g7dhaq$cvj$1@registered.motzarella.org...
>>
>> "Susan" <nevermind@nomail.com> wrote in message
>> news:6fuq3jFddl23U1@mid.individual.net...
>>> x-no-archive: yes
>>>
>>> Barbara H wrote:
>>>
>>>> Thanks Susan. I don't think I'm accomplished enough to snip and post
>>>> across the replies. Anyway I'll definitely take a different approach.
>>>> I didn't think about spreading the total day carbs across more "eating
>>>> events" With Byetta I've not had an appetite so I thought skipping
>>>> snacks would be a good thing. However, your point is well taken and
>>>> makes sense.
>>>
>>> I think it's a pretty standard recommended approach, to avoid spikes and
>>> troughs in bg by spreading the carbs thinner.
>>>
>>>>
>>>> You know, I don't even know what triglycerides are other than something
>>>> to do with fat. I always think that the good and bad cholesterol are
>>>> what the doc focuses on but reading posts here I think I need to learn
>>>> a little more about all of these numbers. Guess I'll do some google
>>>> work soon. I know my LDL probably came down as a result of my
>>>> exercise. Just gotta do a bit more.
>>>
>>> Yeah, because those good and bad cholesterol statements are all wrong.
>>> LDL is WONDERFUL because all of our adrenal steroids are made from it.
>>> You never want to be low in it, but you don't want it to be VLDL, the
>>> small, dense atherogenic LDL. HDL is "good" in that if it's high it's a
>>> marker for the good kind of LDL, the large, fluffy, undamaging stuff you
>>> want plenty of.
>>>
>>> TGLs are fatty acids your liver stores extra carbs and calories as. And
>>> they are the single most accurate predictor of heart disease, so you
>>> want them low, closer to 100, and HDL high, because low TGLs and high
>>> HDL as a pattern indicate that you're making the good LDL, not VLDL.
>>>
>>>>
>>>> Thanks again - I appreciate the point of view that is very prevalent
>>>> here. It's pretty hard line - not like any of the other forums I've
>>>> read. I like it. It feels right.
>>>
>>> Hope it works for you. Adjustments in thinking and habits take time.
>>>
>>> Susan
>>
>> Just to add to Susan's terrific explanation in regard to
>> triglycerides~when you ingest excess carbs, your body converts them to
>> triglycerides. So although triglyceride is a fat, it's made from carbs.
>> That's what makes triglycerides a very good indicator on whether or not
>> you are eating too many carbs. If triglycerides are high your carb
>> intake is too high--overall or at any one time.
>>
>> Unfortunately, this doesn't seem to be knowledge that doctor's share with
>> patients.
>>
>> Good for you for getting yourself back on track, Barbara!
>> --
>> Best regards,
>> Michelle C., T2
>> diet & exercise
>> BMI 21.5
>>
> Thanks Michelle. I feel very well informed and I think that will help me
> keep on track.
>
> Barbara H
>
>
I know what you mean Barbara. How does the saying go? "Knowledge is
power". :-)
--
Best regards,
Michelle C., T2
diet & exercise
BMI 21.5

On Wed, 6 Aug 2008 17:57:50 -0700, "Michelle C" <bookbug_35@yahoo.com>
wrote:

>Just to add to Susan's terrific explanation in regard to triglycerides~when
>you ingest excess carbs, your body converts them to triglycerides. So
>although triglyceride is a fat, it's made from carbs. That's what makes
>triglycerides a very good indicator on whether or not you are eating too
>many carbs. If triglycerides are high your carb intake is too high--overall
>or at any one time.

Yes and they also seem to be particularly easy to change, they go up
and down like a yoyo depending on carb input at the time.

Trigs/HDL ratio needs to be under 3 so you're not far off!

That relates both to degree of insulin resistance, and to
cardiovascular danger more closely than the total or LDL levels.

>Unfortunately, this doesn't seem to be knowledge that doctor's share with
>patients.

True.

"Alan S" <loralgtweightandcarbs@gmail.com> wrote in message
news:cafk94hgbid0iols29049fq9efbl6onuk3@4ax.com...
> On Wed, 6 Aug 2008 17:33:31 -0500, "Barbara H"
> <bhenderson26@cox.net> wrote:
>
>>Is there an easy way to calculate the number of carbs one should consume?
>>Other than testing?
>
> No - testing is the only way to be sure.

... because we are all so different in our responses to the exact same
foods.

... and because we ourselves get different responses to the exact same
foods
eaten at different times of the day.

this stuff is just nuts, I tell ya :-)

But, if we test enough, we learn more about our own situations and
we can detect a very predictable pattern of responses.



cheers

Paul

>
> Cheers, Alan, T2, Australia.
> --
> Everything in Moderation - Except Laughter.
> Blog http://loraldiabetes.blogspot.com
> DLife column http://tinyurl.com/5v74xr
> http://loraltravel.blogspot.com (The Taj Mahal)

"Trinkwasser" <spam@devnull.com.invalid> wrote in message
news:emmm941f7c46rakb0p8dqcvfef4t123q82@4ax.com...
> On Wed, 6 Aug 2008 17:57:50 -0700, "Michelle C" <bookbug_35@yahoo.com>
> wrote:
>
>>Just to add to Susan's terrific explanation in regard to
>>triglycerides~when
>>you ingest excess carbs, your body converts them to triglycerides. So
>>although triglyceride is a fat, it's made from carbs. That's what makes
>>triglycerides a very good indicator on whether or not you are eating too
>>many carbs. If triglycerides are high your carb intake is too
>>high--overall
>>or at any one time.
>
> Yes and they also seem to be particularly easy to change, they go up
> and down like a yoyo depending on carb input at the time.
>
> Trigs/HDL ratio needs to be under 3 so you're not far off!
>
> That relates both to degree of insulin resistance, and to
> cardiovascular danger more closely than the total or LDL levels.
>
>>Unfortunately, this doesn't seem to be knowledge that doctor's share with
>>patients.
>
> True.

Yes, I recall reading something here about that ratio. Maybe from you and I
think even Quentin?? I also remember reading something about "fluffy ducks"
in Quentin's book. Anyway, I will add it to my tracking worksheets. I
think I was hoping to avoid deep scientific thought ... at least for me.
It's not my strong suit. I am kind of a numbers person so maybe I can
learn the basics of how the numbers happen then play with my charts. :-)

Knowing now that 3% is a good target I think I'll ask the doc in Oct. what
she thinks mine should be. She has a general practice but has told me she
has over 450 patients with diabetes.

Barbara H
T2, dx 7/06, metformin 1500, byetta 5x2, temporary A1c 6.4

On Thu, 7 Aug 2008 15:26:39 -0600, in
<3YCdna-mm8Xi9QbVnZ2dnUVZ_qLinZ2d@comcast.com> "Paul L" <kbtrans@qwest.net>
wrote:

> But, if we test enough, we learn more about our own situations and
> we can detect a very predictable pattern of responses.

Until something changes. <G>

--
DonnaB shallotpeel : ^> USA <*>
06-07-06 Diagnosis T2 HbA1c 8.1, D&E & Metformin 500mg
Current ................... HbA1c 6.3 Byetta 5x2 begun 08-01-08

On Thu, 7 Aug 2008 16:38:53 -0500, "Barbara H"
<bhenderson26@cox.net> wrote:

>Yes, I recall reading something here about that ratio. Maybe from you and I
>think even Quentin?? I also remember reading something about "fluffy ducks"
>in Quentin's book. Anyway, I will add it to my tracking worksheets. I
>think I was hoping to avoid deep scientific thought ... at least for me.
>It's not my strong suit. I am kind of a numbers person so maybe I can
>learn the basics of how the numbers happen then play with my charts. :-)
>
>Knowing now that 3% is a good target I think I'll ask the doc in Oct. what
>she thinks mine should be. She has a general practice but has told me she
>has over 450 patients with diabetes.

Try this:

Ratio of triglycerides to HDL cholesterol is an indicator of
LDL particle size in patients with type 2 diabetes and
normal HDL cholesterol levels
http://tinyurl.com/b9e8t or
http://care.diabetesjournals.org/cgi...resourcetype=1

and this is interesting, but related to IR:

Relationship between Serum Lipoprotein Ratios and Insulin
Resistance in Obesity
http://tinyurl.com/2oql67 or
http://www.clinchem.org/cgi/content/...resourcetype=1


Cheers, Alan, T2, Australia.
--
Everything in Moderation - Except Laughter.
Blog http://loraldiabetes.blogspot.com
DLife column http://tinyurl.com/5v74xr
http://loraltravel.blogspot.com (The Taj Mahal)

> "Trinkwasser" <spam@devnull.com.invalid> wrote in message
> news:emmm941f7c46rakb0p8dqcvfef4t123q82@4ax.com...
>>
>> Trigs/HDL ratio needs to be under 3 so you're not far off!
>> ...

"Barbara H" <bhenderson26@cox.net> wrote in message
news:PXJmk.4345$i15.2481@newsfe01.iad...
>
> Knowing now that 3% is a good target ....
>

That 3 isn't a % it's a ratio.
bj

"bgl" <bjones44@verizon.net> wrote in message
news:juSdnaK_7fFQ0QHVnZ2dnUVZ_i2dnZ2d@giganews.com ...
>> "Trinkwasser" <spam@devnull.com.invalid> wrote in message
>> news:emmm941f7c46rakb0p8dqcvfef4t123q82@4ax.com...
>>>
>>> Trigs/HDL ratio needs to be under 3 so you're not far off!
>>> ...
>
> "Barbara H" <bhenderson26@cox.net> wrote in message
> news:PXJmk.4345$i15.2481@newsfe01.iad...
>>
>> Knowing now that 3% is a good target ....
>>
>
> That 3 isn't a % it's a ratio.
> bj
>
>
>
Sorry - I tend to think in terms of percentages and I know it really
represents a 300% target. Sounds so high that way.
Barbara H

"Michelle C" <bookbug_35@yahoo.com> wrote in message
news:g7dhaq$cvj$1@registered.motzarella.org...
>
> "Susan" <nevermind@nomail.com> wrote in message
> news:6fuq3jFddl23U1@mid.individual.net...
>> x-no-archive: yes
>>
>> Barbara H wrote:
>>
>>> Thanks Susan. I don't think I'm accomplished enough to snip and post
>>> across the replies. Anyway I'll definitely take a different approach.
>>> I didn't think about spreading the total day carbs across more "eating
>>> events" With Byetta I've not had an appetite so I thought skipping
>>> snacks would be a good thing. However, your point is well taken and
>>> makes sense.
>>
>> I think it's a pretty standard recommended approach, to avoid spikes and
>> troughs in bg by spreading the carbs thinner.
>>
>>>
>>> You know, I don't even know what triglycerides are other than something
>>> to do with fat. I always think that the good and bad cholesterol are
>>> what the doc focuses on but reading posts here I think I need to learn a
>>> little more about all of these numbers. Guess I'll do some google work
>>> soon. I know my LDL probably came down as a result of my exercise.
>>> Just gotta do a bit more.
>>
>> Yeah, because those good and bad cholesterol statements are all wrong.
>> LDL is WONDERFUL because all of our adrenal steroids are made from it.
>> You never want to be low in it, but you don't want it to be VLDL, the
>> small, dense atherogenic LDL. HDL is "good" in that if it's high it's a
>> marker for the good kind of LDL, the large, fluffy, undamaging stuff you
>> want plenty of.
>>
>> TGLs are fatty acids your liver stores extra carbs and calories as. And
>> they are the single most accurate predictor of heart disease, so you want
>> them low, closer to 100, and HDL high, because low TGLs and high HDL as a
>> pattern indicate that you're making the good LDL, not VLDL.
>>
>>>
>>> Thanks again - I appreciate the point of view that is very prevalent
>>> here. It's pretty hard line - not like any of the other forums I've
>>> read. I like it. It feels right.
>>
>> Hope it works for you. Adjustments in thinking and habits take time.
>>
>> Susan
>
> Just to add to Susan's terrific explanation in regard to
> triglycerides~when you ingest excess carbs, your body converts them to
> triglycerides. So although triglyceride is a fat, it's made from carbs.
> That's what makes triglycerides a very good indicator on whether or not
> you are eating too many carbs. If triglycerides are high your carb intake
> is too high--overall or at any one time.
>
> Unfortunately, this doesn't seem to be knowledge that doctor's share with
> patients.
>
> Good for you for getting yourself back on track, Barbara!
> --
> Best regards,
> Michelle C., T2
> diet & exercise
> BMI 21.5
>



Michelle:

I've never heard that trig's are made from carbs. That's VERY interesting.
My "good cholesterol, HDL" is too low, about 20 points lower than it should
be, although my LDL cholesterol is fine, but the Doc has me on a cholesterol
med to try and bring up the HDL. He tells me the ONLY way to bring that up
is to exercise, but I just completed lab work after two months with more
physical activity than I can EVER remember, and it still didn't budge a
single point. And my trig's remain a few points high as well. I always
assumed my trigs were high because I tend to lean toward rib eye steaks as
opposed to grilled fish or chicken. Now you've really got me thinking as
the last two months have been VERY LOW carb and yet my numbers didn't change
a whole lot. (And lost 20 lbs in the last two months, so it's not like I'm
over eating by any stretch)

Ah the frustration of getting old and having all these darned maladies!!!!

Willy

x-no-archive: yes

Willy wrote:

> I've never heard that trig's are made from carbs. That's VERY
> interesting. My "good cholesterol, HDL" is too low, about 20 points
> lower than it should be, although my LDL cholesterol is fine, but the
> Doc has me on a cholesterol med to try and bring up the HDL.

I thought statins lower HDL along with LDL and that they'd failed at
trying to develop a drug to raise HDL because doing it with drugs
doesn't improve CVD outcomes?

He tells
> me the ONLY way to bring that up is to exercise, but I just completed
> lab work after two months with more physical activity than I can EVER
> remember, and it still didn't budge a single point.

He's wrong. Most folks are incapable of the intensity of exercise
required to raise HDL, and mine rose from a decade of 34 to now 76
without exercise at all recently. It's due to low carbing. In fact, it
rose from 34 to 68 within two weeks of cutting out starch and sugar.
Your control is going to improve your HDL.

You could try pantethine, though, it does raise HDL and lower LDL and
supports normal adrenal function unlike statins, which suppress it.


And my trig's
> remain a few points high as well. I always assumed my trigs were high
> because I tend to lean toward rib eye steaks as opposed to grilled fish
> or chicken. Now you've really got me thinking as the last two months
> have been VERY LOW carb and yet my numbers didn't change a whole lot.
> (And lost 20 lbs in the last two months, so it's not like I'm over
> eating by any stretch)

Willy, you've been running very high for quite a while, no? This is a
marathon, not a sprint. What took years to develop won't necessarily
all correct itself in a few months, but you've made a good start, right?

Susan

Willy wrote:
> "Michelle C" <bookbug_35@yahoo.com> wrote in message
> news:g7dhaq$cvj$1@registered.motzarella.org...
>>
>> "Susan" <nevermind@nomail.com> wrote in message
>> news:6fuq3jFddl23U1@mid.individual.net...
>>> x-no-archive: yes
>>>
>>> Barbara H wrote:
>>>
>>>> Thanks Susan. I do