Hello everyone. I have posted in other threads that my mom was diagnosed with Type 2 in January. We can't see a nutritionist until late April. I have been following ADA recipes to the "t". We eat breakfast, usually cereal and milk (everything always low fat, low cal's, etc.). A mid morning snack, lunch, a mid afternoon snack and dinner.

Mom's blood sugar keeps dipping into the 70's in the afternoon. So I have been trying to increase the amount of carbs with this in mind. Anyway, it seemed like everything is FINALLY starting to smooth out..(this has been a roller coaster ride, as I'm sure most of you know). But the afternoon dips have been a concern.

She called her doctor today, and they "chastised" her for losing too much weight in a short period of time. Well, that is what they told her to do - lose weight!

She was told to "bulk" up on carbs this weekend. Other than pastas and potatoes, what would be a good option? I'm just worried her blood sugar will go up too high.

By the way... thanks to everyone who has been so kind and helpful these last few weeks. It has been a Godsend to have people who can answer my questions! :wave:

.... Mom's blood sugar keeps dipping into the 70's in the afternoon. So I have been trying to increase the amount of carbs with this in mind. ..... She was told to "bulk" up on carbs this weekend. ....
Mmmm .... advising a diabetic to eat more carbs is very questionable, to say the least. A diabetic, by definition can't process carbs properly. So wouldn't the common sense response be to minimise carb consumption?

The dip in the blood sugar in trhe afternoons is possibly the result of eating too many carbs for lunch. It's call Reactive Hypoglycemia. The blood glucose spike after lunch causes the pancreas to over-produce insulin, which eventually causes a substantial drop in blood sugar.

So try minimising carbs at lunchtime and see what happens. Losing weight is good, and it makes sense to do it by cutting carbs. In addition to reducing calories, it also weakens carb cravings.

Cheers,

Mark

Thanks Mark! We have been averaging around 20 carbs at lunch. Since Jan 15 she has lost around 26 lbs., and I have lost 45 lbs. Averaging 1000 to 1100 cals a day.

I thought we were doing great until "they", i.e., doctors office said it was too much weight loss.

Wow! That is fantastic weight-loss progress. I can understand your doctor's concern about it not being sustainable. But as long as you both feel well and and don't feel hungry all the time, you will be fine.

Sounds like your Mom isn't overdoing carbs at lunch.... What meds is she on? If she is injecting insulin or taking pills that increase the Pancreas' production of insulin, that could be causing the afternoon lows. The weight loss will most likely have reduced insulin resistance and it is probably time to review the meds.

Cheers,

Mark

She is on Glyburide. sp?

They have already reduced it once (from twice a day to once) because she kept dipping so low.

We also had to swtich doctors. The first one said basically you have diabetes and high blood pressure. Take these meds and go home. That was it.

We found another doctor who seems to be more on the ball. The first thing he did was reduce both the Glyburide and bp med's.

Glyburide makes the pancreas produce more insulin. And this is what is making your mom go low. It could be that, because of the weight loss, your mom doesn't need glyburide anymore. Another problem with this type of drug is that it stresses the beta cells, which eventually burn out. A better option may be to switch to a drug that only increases sensitivity to naturally produced insulin, like Metformin or Actos. Your mom wouldn't go low on this type of med. Because her pancreas won't produce more insulin than she needs.

Cheers,

Mark