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From:
Fran Gillespie <[log in to unmask]>
Date:
Fri, 18 Dec 1998 15:28:40 -0800
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<<Disclaimer: Verify this information before applying it to your situation.>>

Hi Rosalie~ I have a question............

* Are you diagnosed w/ diabetes or just a one time labwork of a 199
blood glucose level?

You wrote:

        I have celiac disease and have been on this diet for 25 years. I
never had a problem before. My last blood test came out 199 in the blood
sugar level. My doctor was very unhappy about that and made a special
call to tell me to watch the carbos and have an 1800 calorie diet until
I see him in 3 mos...


>>>>>>My best suggestion is to start keeping a serious watch on the carb
intake.  ALL carbs are turned into sugar (not just the ones listed under
"sugar").  Take a stroll through the store where you can get GF foods & get
an idea of the carb load.  It's a real eye opener.


I eat lots of salads and veggies.

>>great!

 I do eat rice pasta, chinese bean mung pasta, potatoes, yams and brown rice.
I guess the answer is to cut the carbos?

>>>>You do need to cut the amount of carbos, it's true. Really reduce the
volume.


 That is going to be hard to do, as I am always hungry afterwards when I
don't have it at my supper meal.

>>>Have you tried upping your protein amount?


I have about 2 slices of bread at lunch and once in a while a g/f bagel.
Would appreciate knowing what others eat to keep the blood sugar down.

>>>>When you see commercial GF read, Food for life (brand) for instance,
there are 22 g of carbs per slice, before anything is on the sandwich, you've
got 44 g of carbs.

The rice & corn grains are considered high gylcemic index, and will
wreak havoc on your blood glucose levels.

If I dramatically reduce carbs, and don't add protein, I do find I am
hungry, and crave carbs.

Do I have to starve myself?

>>>>> I think it's important that you don't beat yourself up over this,
Rosalie.  We all have different metabolisms, and if in fact you do have
diabetes, you would be dealing with a pancreas that may be unreliable, or
insulin resistance.  Your system may just not be able to handle the carbs
even if you make sweeping carb intake changes.  Your Doc may not be *happy*
with your lab work, but you may not be able to personally make your body
comply.  You say you are not overweight, and unfortunatly, diabetes is a
companion disease to celiac sprue.  Many have dm first, then sprue, but for
me, it was the opposite....  sprue first, then diabetes, so obviously, it can
happen.

I guess I'm encouraging you to not buy into the *blame game* here.
What you can do is try to reduce your carb intake, read up on diabetes
<library, ADA etc (do get current/recent info & not out of date
material>and see about making sure you get regular exercise. A person
can do everything by the book & still not achieve desirable blood
glucose levels. In that sense, your doctor may be off base.

The other thing that should be done is an A1c blood test-- that will give you
a 3 month snapshot of your overall blood glucose levels, a kind of report
card if you will.  It's not used soley for diagnosis (that would be the 2 or
3 hour fasting glucose test), but it is a telling test of how your levels are
overall.  Hope this helps.

Fran

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