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Hey Thanks for comment Any suggestions you’d like to see to improve it?

@@diabetesdietguy and don't ever recommend watermelons, grapes, or bananas to diabetic dudes... have a nice day

@@shirleystevenson5878 correct Shirley Apologies if ya feel left out This video is in the type 1 playlist made for type 1,s. Unfortunately I can’t cover every eventuality in each video or they would all be very long videos. For future reference, What would you like me talk about for type 2’s on this subject?

Hey Amalie Did they not do a HbA1c test? The fasting is a bit high but then it’s not really moving when you eat. So it’s a bit of a mismatch. I’d ask for a HbA1c and take the guess work out the equation. That’ll tell you if you have diabetes or not

You're very welcome!

Hey Donny It doesn’t But you should eat with metformin normally to help it settle But if you have medications in play you can prob eat a few more carbs without getting as high a blood sugar

@@diabetesdietguy ok thank you

Hi Dihelson Thanks for the comment But what you say isn’t accurate High carb diet doesn’t cause diabetes at all. Poor overall lifestyle and being overweight causes type 2 diabetes for the majority of people. In fact, the evidence is very clear. If you choose the right type of carbs and follow a general Mediterranean style diet the incidents of type 2 diabetes go down - basically every study looking at this shows this time and time and time again.

Glad it was helpful!🙏

Hi thanks for the comment Caffeine can raise some people’s glucose levels but rarely is it a big rise. But otherwise coffee and nuts should be fine 👍

Hey thanks for the comment That’s correct it is weighted for the most recent month. But why over complicate it when explaining it to patients ? Sometimes just keeping it simple is easiest and ultimately it doesn’t make much difference as regardless you wouldn’t repeat it more regularly than every 3 months as a minimum.

@@diabetesdietguy Perhaps they should consider doing it more often! I had an infection driving my A1c to 12. Hospital IV for a week when my infected wrist went septic. 3 months later including 3 weeks one in the hospital when my daily Blood sugar was coming down from 400 to <150. My A1c was 5.3. If done sooner perhaps they would have never put me on Metformin! I waited until the Endocrinology Center said yeah, drop the Metformin nearly a month later. 2 more A1c's below the pre diabetic range...

Glad it was helpful!

Hi Melanie All insulin has a small anabolic effect - makes you gain some weight. It’s hard to advise on specific circumstances over TH-cam as I know nothing about your case. I can only do that in a formal appointment unfortunately. It’s not safe and would likely violate our code of conduct. As a general rule, high fat will help you gain weight but if you’re reducing carbs at the same time, you may find the calories balance out. So to gain weight, typically you need to eat more overall. But I wouldn’t want to tell you that only to find I then make your diabetes worse for example So id need full context I do offer 1:1 appointments because it’s the only way I can advise specifically to you. The services are published in my website

Any protein based food, any vegetable. Ideally not full of fat and processed.

Whatever works best for you Louise. So long as it’s about the same time every day. If you’re alseep it sounds like the evening might be a better time to take it as you’re awake? Then you can have an undisturbed sleep? Or take it in the morning when you get home before going to sleep. There’s no optimal time really. If you need to move the dose speak to your diabetes team however one easy way to do this it is to take it 2 hrs earlier each day until you arrive at the desired time. But make sure you get some advice on this first if you’re not confident. 👌🏻

@@diabetesdietguy thank you so much

Another question, im so sorry. I take my fast acting insulin at 7 before breakfast. So what time should i take the long acting?

@@iamlouiseluis7878you can take them together if you want. Long acting doesn’t affect food. They’re both insulin but they have different jobs so they can be taken back to back

@@diabetesdietguy thank you

Hey Alex Thanks for the comment. I’d say each to their own. Which I think I say in either this or other videos. The key is finding what your body does. These are general guidelines. We wouldn’t recommend starting at 100 here as general advice. Leaves very little margin of error if the sugars do anything unexpected. Yes they may rise initially after more intense exercise but what’s the benefit of having them so tight? I can’t think of a reason why you’d need such tight control going into the session so for me the downside (hypo) is much greater than the upside (trying to maintain air tight glucose control) when in reality if your sugars were even as high as 216 for a short time due to intense exercise, it’s going to make very little difference clinically. Especially as after exercise, the exercise effect will start to bring them back down afterwards. So for us, we’d recommend as a rule, Starting a bit higher as highs, even if the glucose shoots up, are generally easier and more comfortable to deal with than lows and especially unexpected lows. And if you start tight in the first place, there’s more potential for hypos after exercise when the inevitable decline comes later. Then you’re having to feed yourself. Of course, if you’re on pump, this advice could be different as you can adjust the pump more accurately - though even pumps on exercise mode aim for around 8 150ish) and the hybrid closed loops even turn off your insulin if you go near a hypo and they still run your glucose a little higher around exercise. So it’s fine tuning for yourself which is what you’ve done by the sounds of it 👍

Hi Melanie Thanks for the comment. I hate to say it but I can’t advise on this over TH-cam I’m afraid. Not without a detailed view of your case. So I’d speak with your endocrinologist. If you’re not on insulin yet and walking around ok, you’ve overwhelming have type 2 diabetes. A c-peptide isn’t always needed as sometimes the presentation of the diabetes is fairly obvious. However, if your presentation is a bit more precarious, then it may very well be justified. So yes, have a chat with ya team. And the fact your body weight is fairly low, it may very well be justified👍 One thing I would say is I wouldn’t use insulin as a mechanism to gain weight I.e. don’t just go on insulin to gain weight if there’s other options available. However, if your glucose levels have been high for a while, then yes, going on insulin does help gain weight as all those glucose calories start to be absorbed. Whereas before, they would have been peed out Keep us updated 🙏

Thanks for the comment. 6.3 sounds pretty good to me but if you want to confirm 100% either look at the predicted HbA1c. Or actually get a test with your GP/doctor 👍

Hey Jaca We don’t use Mg/dL I’m afraid It’s after the fact I’ve discovered people from other places than the UK watch my videos So going forwards I’ll cross reference once I can commit to doing more videos again 👍

Suggest speaking with your doctor or medical team on this one 👍

Hey Thanks for the comment In my opinion I don’t think your doctor should really be diagnosing off point of care finger prick tests. They can form an idea of where your glucose levels might be on average it no one will know for sure until you get a HbA1c. This is the best way to diagnose where your glucose levels are 4-11 also depends on when you test your glucose levels, there are reference ranges for fasting and 1-2 hrs after eating - which would be considered normal - but even people without diabetes can have higher readings 1 hr after eating if they really carb load So my advice Get a HbA1c and then you’ll know exactly where you It’s a bit disappointing they’ve made you get a glucose meter and test your sugars - to have to prick ya finger regularly when they could just do a HbA1c Hope that helps

@@diabetesdietguy Thanks for the swift reply. I went for my annual checkup. He was reading my returned results. Got the usual about cholesterol, PSA etc then tutted away about blood results being pre diabetic. Think it’s worth checking as you suggest. I have no “symptoms” as such. Lead a pretty active life. But will go and see another doctor closer by and ask for the test.. mostly looking at the results they peak after one hour after my meals to around 7 x 8 then go down to 5,8 - 7.4. Thanks again for the swift reply. Good luck with your efforts, love the “white board” reminds me of uni. How hard is it to convert figures for some people here. There must be other websites to use if they see. My machine gives me the both. 😉

Hey Charlie 90 is pretty normal so is it dropping lower than this regularly?

@diabetesdietguy sometimes yes it go to 80 sometimes 75 but not all the time

⁠got you I wouldn’t worry Charlie These are normal glucose levels 👍

Glad it helped!

Hey standom Eating carbs doesn’t cause T2dm Overall dietary patterns and lifestyle lead to it for 80% of people that get it. But there’s also other reasons you get it - like age and genetics (not everyone that is elderly or overweight has t2dm) Plenty of healthy people - elite athletes being one - eat carbs just fine

@@diabetesdietguy Hmm, I've seen people quit carbs, switch to red meat and fat, and their diabetes disappears. I myself was 115 kg, when I cut out all of them I dropped down to 75 kg. No more fatty liver and RA; the BG is between 3,3 -5,5.. Labs are fine. Moderately active, able to exercise as never before.. Cravings are gone.. Before I was showing signs of so called "pre-diabetes" My n=1

@@standom2390 good job mate that’s awesome But also appreciate I’ve seen probably a lot more people thank most - as it’s my full time job and has been for a decade and I’ve seen the same results with Mediterranean, paleo, vegan, vegetarian, durken and the list goes on. I’ve also seen millions of people not develop diabetes who eat carbs but they have an overall healthy lifestyle. So being metabolic unhealthy is a reflection of the overall dietary pattern. Not this food or that food in isolation

Not sure that’s accurate Bob. Would love to see the doctors rationale on that one 👍

Thats diabetes UK recommendation if we’re going to put a number on it Vegetables don’t have much in them but you can’t say 150/200/250g or whatever number you want really and then just ignore some sources of carbs. That said, if vegetables were the main food group for you at most meals - half the meal, you’d be doing just fine

I personally would focus on the overall quality of the diet rather than worry too much about numbers

@@diabetesdietguy Thank you! Diabetes type2: I need to lose weight but can't. I eat about 200g carbs/day. I was eating 150g/day but felt really crappy. I don't eat any very high glycemic carbs. Basically, my main carbs are whole wheat bread and pasta, a little rice, and beans. I fill up on vegetables and chicken broth. I eat a lot of protein. Don't we need to eat complex carbs to avoid low blood sugar and going hypoglycemic?

@@seans7228hard to advise really Shaun as there’s a lot of individual circumstances going on here. If you feel better on 200g and your glucose levels are good, then carry on. 150g would normally be enough to sustain you but it depends on what else you’re doing. For reference the normal amount of carbs outside of diabetes is around 280g a day. That helps ensue you hit your fibre targets but you wouldn’t want it at the expense of high sugars. No guarantees you get high sugars on that though. It’s very individual. It also depends on your meds if any. Especially with regards to hypos. So it’s hard to give specific advice outside of a consultation where I’d spend an hour specially getting too now you’re individual circumstances. Then it’s easier to tailor advice. Not a sales pitch, but if you would want that, check out my website diabetes diet guy.com. But it’s just difficult I’m afraid to advise specifically over TH-cam.

Still had potential to spike levels but really it’s about the potion and how susceptible you are to glucose spikes. But you can still eat all the food groups and we encourage it

Incorrect For type 1 = match insulin to carbs Type 2 = eat an overall balanced diet including carbs and you’ll be fine Carbs aren’t bad. If you have type 2 diabetes for 90% of people, being overweight and/or unfit is the reason your body might struggle with carbs So to just say - oh it’s the carbs fault - doesn’t address the reason diabetes happens in the first place Carbs causing high glucose glucose is wrong unfortunately. If most people were normal weight, exercising an healthy carbs would cause no problems So to cut out carbs is to accept the diabetes diagnosis as if it’s inevitable which for 90% is wrong. Address the reason for diabetes in the first first place (minus the 10% for old age or surgery - and you can eat carb like everyone else) And so you can eat meal like this as long as you’re consistent with your diet and being healthy overall