Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
Blood glucose often in the 120-140 range but if careful with post prandial insulin under 120 at 2 hours
OR
avoiding carbs but having to resort to higher protein 40-70mg/ day to do so.
Which causes the most damage to the kidneys and heart?
I guess you realize, you should be asking your nephrologist this question....?
You're in a tough situation, which isn't that uncommon among diabetics. I watched a friend go through this. He ended up not being able to eat much of anything; mostly greens. (Yes, this left him hungry all the time.) He was told to avoid protein. He was in Stage 3 kidney failure.
You say you need to "resort" to higher protein; is that in order to feel satiated? If so, try substituting fat for some of the protein. Fat will help give you a feeling of satiety, plus it will help keep your blood sugar stable. For example, put half and half in your coffee/tea, or even heavy cream (whipping cream), like people on the keto diet do. That alone will keep your blood sugar steady to the point where you'll be able to skip breakfast, and just hum along on coffee or tea with full cream. (I did this on the keto diet. I'm pre-diabetic, so need to keep blood sugar stable, and this worked like a charm.) That's one protein meal out of the way.
Watch your insulin and see how you do in the mornings that way. There shouldn't be any insulin spike at all, so you may not need it, or will probably need less than usual. The cream will have a gram or so of carb, and an equal amt. of lactose, and similar (negligible) amt. of protein. Depending on how much you use, of course; with 2 mugs of coffee or tea, it adds up, but is still minimal.
I guess you realize, you should be asking your nephrologist this question....?
You're in a tough situation, which isn't that uncommon among diabetics. I watched a friend go through this. He ended up not being able to eat much of anything; mostly greens. (Yes, this left him hungry all the time.) He was told to avoid protein. He was in Stage 3 kidney failure.
You say you need to "resort" to higher protein; is that in order to feel satiated? If so, try substituting fat for some of the protein. Fat will help give you a feeling of satiety, plus it will help keep your blood sugar stable. For example, put half and half in your coffee/tea, or even heavy cream (whipping cream), like people on the keto diet do. That alone will keep your blood sugar steady to the point where you'll be able to skip breakfast, and just hum along on coffee or tea with full cream. (I did this on the keto diet. I'm pre-diabetic, so need to keep blood sugar stable, and this worked like a charm.) That's one protein meal out of the way.
Watch your insulin and see how you do in the mornings that way. There shouldn't be any insulin spike at all, so you may not need it, or will probably need less than usual. The cream will have a gram or so of carb, and an equal amt. of lactose, and similar (negligible) amt. of protein. Depending on how much you use, of course; with 2 mugs of coffee or tea, it adds up, but is still minimal.
so,all soybean products are protein?
I use my air fryer to fry tofu and then braise them with mushroom and veggies in beef or chicken broth,it can be filling,try it.
****ake mushroom,King mushroom,lion mushroom,oyster mushroom ,they are all delicious.
BTW,watercress cleanse your kidneys,you have to buy them in Asian supermarket,now it is $1.45 a bundle
so,all soybean products are protein?
I use my air fryer to fry tofu and then braise them with mushroom and veggies in beef or chicken broth,it can be filling,try it.
****ake mushroom,King mushroom,lion mushroom,oyster mushroom ,they are all delicious.
BTW,watercress cleanse your kidneys,you have to buy them in Asian supermarket,now it is $1.45 a bundle
I'm in the same boat as the original poster, type two and I also have high blood pressure and have a pacemaker. My doc never warned me that both high blood sugar and hypertension would damage my kidneys not to mention cause a heart attack, so I'm pretty sore at him.
I've been on NPH insulin, and was injecting 10 units at bedtime for the past year. Early on I woke up in the am with low blood sugar and my quack doc advised me to have a snack at bedtime to raise my bs readings into the teens mmol/L (13 mmol/L = 234 mg/dl) I've taken control now and inject 8 units at bedtime and 10 units in the morning, keeping my readings between 4 and 10 mmol/L. I also have my blood pressure under control.
One cup of soybeans has 13.3 grams of carbs, 8 grams of fiber and 18.4 grams of protein.
Extra firm tofu, 1/2 cup has 3.5 g carbs, 2.9 g fiber and 21.8g protein.
Green Giant mixed vegies are also a good choice. Especially Italian mix, 1/2 pkg. (250 grams) = 12 grams carbs, and Japanese mix 1/2 pkg. (250 grams) = 10 grams of carbs.
I'm in the same boat as the original poster, type two and I also have high blood pressure and have a pacemaker. My doc never warned me that both high blood sugar and hypertension would damage my kidneys not to mention cause a heart attack, so I'm pretty sore at him.
I've been on NPH insulin, and was injecting 10 units at bedtime for the past year. Early on I woke up in the am with low blood sugar and my quack doc advised me to have a snack at bedtime to raise my bs readings into the teens mmol/L (13 mmol/L = 234 mg/dl) I've taken control now and inject 8 units at bedtime and 10 units in the morning, keeping my readings between 4 and 10 mmol/L. I also have my blood pressure under control.
One cup of soybeans has 13.3 grams of carbs, 8 grams of fiber and 18.4 grams of protein.
Extra firm tofu, 1/2 cup has 3.5 g carbs, 2.9 g fiber and 21.8g protein.
Green Giant mixed vegies are also a good choice. Especially Italian mix, 1/2 pkg. (250 grams) = 12 grams carbs, and Japanese mix 1/2 pkg. (250 grams) = 10 grams of carbs.
about injecting insulin at bed time.
I am sure you have read about "dead in bed" syndrome? the cause of a lot of diabetic deaths.
It would be super if the readers here could actually try to answer the question posed in the OP.
But I guess that's hoping for too much.
1 - You are asking a question that is best answered by a medical professional.
2 - The answer you have basically received is ‘I haven’t sorted this out myself’, which given #1 is about what you should have expected.
All that said, my brother was told to up his “good” fat percentages. He is on a modified diet that is low carb, limited protein, non-grain, and as unprocessed as reasonably possible. He only drinks water and will not use any sweeteners except monk fruit or stevia. He is basically condiment free and essentially eats food in their natural state. It’s not a fun diet, for sure. But, it has seemed to help him, if nothing else he no longer swells so alarmingly like he used to.
__________________
When I post in bold red that is moderator action and, per the TOS, can only be discussed through Direct Message.
Moderator - Diabetes and Kentucky (including Lexington & Louisville)
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.
Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
ok and thanks
