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I have been Paleo now for just over a week and could not feel better. However my blood sugars have really changed. I am Type II diabetic and am now worried about low blood sugars. Before going Paleo, I was averaging around 180 (even on medicine and insulin). Yesterday my fasting blood sugar was 97 and this morning 77. I have a call in to the Doc about lowering my insulin dosage.

Now I am worried about going hypoglycemic and was wondering what I should have on hand.....

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7 Answers

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I'm a type I diabetic and what I do is check my blood more frequently. If you are low then eat something carb, protien, and fat. I generally try to avoid getting to the point where I need a fast acting glucose. When its not avoidable, I carry organic raisins in the little boxes. Dehydrated fruit has a higher fructose and glucose load. The little boxes are portable and make sure I don't over consume fructose. Small amounts of organic juice or milk may be other options. Snickers and processed foods are not necessary as there are plenty of paleo options.

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Thanks, raisins completly skipped my mind... Great idea. I will stop by whole foods and get some organic – TorMag Feb 3 2011 at 19:33
Yeah Raisins are a good choice, but if your relying on them daily then talk to the Doc about reducing medication or change your eating to match your medication. Its a tough gig. Sleep, Inflammation, Stress, Exercise and Food itself can all impact your blood glucose levels. Find what works for you and keep it consistant. Its like running an experiment you only want one variable changing at a time, but rarely does that happen. I logged food, sleep, medication dosages and exercise for a long time to see if I could establish patterns. Eventually intuition takes over and you get good at it. – Caveman formally known as Dan Feb 4 2011 at 2:03
Caveman FKAD: Blood sugars were 77 again this AM after dropping the insulin 5 units. I will go a few days at this dosage, if still low will drop another 5 units. I am amazed that at only one week of eating Paleo, my sugars have dropped over 100 points. I really shows how WHAT we eat affects us. BTW I am also doing P90X with this.... – TorMag Feb 4 2011 at 13:17
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Same thing you kept on-hand before. Sugar, juice, snickers, whatever you used. You want it to bring up your blood sugar fast, and sugar is the fastest. I don't think there is a "paleo" answer to this one. Don't play arond with it. You did the right thing by consulting your doctor, especially if you are on insulin. That makes it a different ballgame.

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Thanks Matt, funny thing in the last couple of years I have not had to worry about it..... I was really jazzed this morning when the meter said 77, but thought ah oh!!!! – TorMag Feb 3 2011 at 18:21
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TorMag, You should definitely reduce your metformin or whatever diabetic meds you are on. Many former II and some I diabetic folks have weaned themselves off of their meds and now have fasting BG readings in the morning on 95 to 100. The fact that you are down in the 70s strongly suggest weaning yourself also.

And it is just absolutely amazing that the mainsteam medical community treating diabetics do not alter their patients diets to paleo before sticking them on medicines. I just big pharma has got their claws into the physicians in to believing that diabetes must be treated with only a pill.

Truly sad.

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Hey Dex, my doc is having me drop 5 units of the insulin tonight and said to watch it the next couple of days. If still below 100 in the AM, drop another 5 units. One of my biggest motivators for this process is getting of all of the Toxins my Doctors have put me on. Just saw an article last week saying that the insulin I take may be linked to cancer... Great!!!!! – TorMag Feb 4 2011 at 1:53
Keep the group updated. You may be one of those Type I cases that can go almost zero carb and get completely off of the insulin. – Dexter Feb 4 2011 at 19:07
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I think you are seeing good advice that seems to contradict but actually doesn't. If you are going sorta low, but it's not an emergency, I agree some potato or fruit would be a healthy addition and then keep an eye on yourself to make sure it is working. But if you are very low, dropping fast, or feeling shaky, ie potentially an emergency, then it's time to pound down some pure glucose tabs or something very very sugary, like sugary drinks, table sugar, etc. You want to go straight for the big guns if it's getting dangerous because going too low if far more dangerous than a few doses of sugar will ever be. Once you get yourself sorted out and balanced on the healthier diet and lessened medication, then you probably won't have to worry as much as you will get a routine down again. But if you are taking insulin, my advice would be to always have a few glucose tabs on you just in case. With any luck, they will just sit there unused, but sugar doesn't go bad so that's just fine!

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Thanks Eva, I appreciate the advice. I found myself carrying around to packets of sugar in my pocket yesterday from the breakroom at work. Didn't use them, but they were there.... – TorMag Feb 4 2011 at 13:12
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I was diagnosed Type II six months ago and have religiously avoided anything sweet. Last week I fudged and drank about 1/2 cup orange juice. My BG shot up from 110 to 180 in a matter of minutes. I now keep a small bottle of it both at home and work.

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Read Dr. Berntein. As a Type 3...I was Type 2 then burned out betas to push me to Type 1(Insulin Dependant). Use glucose Tabs and glucose gel. All the fruit etc are too impresice and will spike you too high then you are back on the insulin rollercoaster. 4 grams tabs bring me up EXACTLY 20 points. Break in half...10. 2 tabs...40. See how good I am getting at math? Exactly. Nothing brings you up faster than glucose. Carry your tabs in your pocket, purse, car etc. The idea is to never sky high again because you overshot on carbs. Bernstein's Law of Small Numbers...big numbers, big mistakes, small numbers, small mistakes. I only make small mistakes now. Whew.

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Thanks Andre, I got to get a copy of Dr. Bernsteins book. Too many people have recommended it to me in the last week...... – TorMag Feb 4 2011 at 13:11
You read that and then get his CDs on Type 1. Listen to them in the car etc. Memorize. You will know more than your endo. Bernstein is all about normal blood sugars. Then read Dr. Ron Rosedale on why to bring your insulin levels down as well. Together they give you a complete picture. life-enthusiast.com/index/Articles/Rosedale/… biblelife.org/rosedale.htm Dont know the webs but the papers are good. – Andre Chimene Feb 4 2011 at 14:40
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Skip the fructose and just have mashed potatoes on hand.

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If your blood sugar's crashing, are mashed potatoes (in a handy dandy pocket container for the road?) a fast enough source of carbs? – James Feb 3 2011 at 19:53
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I used to have reactive hypoglycemia when I had a standard diet and potatoes worked better than anything else to restore my blood sugar. Seems like a proper diet should make exogenous insulin obsolete in no time. – Travis Culp Feb 3 2011 at 20:00

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