The Science Of Diabetes Reversal
In 2019, the American Diabetes Association stated that reducing carbohydrate intake was the most effective nutritional strategy for improving blood sugar control in those with diabetes.18
Research shows that low-carb diets are a safe and effective option for treating type 2 diabetes. This body of evidence includes systematic reviews and meta-analyses of randomized controlled trials .19
A meta-analysis from 2017 found that low-carb diets reduced the need for diabetes medication and also improved certain bio-markers in people with type 2 diabetes. This included reductions in hemoglobin A1c , triglycerides, and blood pressure; and increases in high-density lipoprotein cholesterol, sometimes called the good cholesterol.20
Additionally, in a non-randomized trial from Virta Health, the intervention group of subjects with type 2 diabetes followed a very low-carb diet and received remote monitoring by physicians and health coaches. After one year, 94% of those in the low-carb group had reduced or stopped their insulin use. Furthermore, 25% had an HgbA1c in the normal range without needing any medications, suggesting their disease was in remission, and an additional 35% did the same with only metformin.21
At the two-year mark, a high proportion of subjects continued to demonstrate sustained improvements in glycemic control.22
This evidence suggests that type 2 diabetes does not have to be a progressive and irreversible disease. It is clearly a treatable disease.
What Is The Fasting Blood Sugar Test Used For
The fasting blood sugar test is also used to test the effectiveness of different medication or dietary changes on people already diagnosed as diabetic
Fasting blood sugar levels are measured by taking a blood test after a period of fasting, usually of 8 hours without food. Typically, fasting blood glucose levels are taken in the morning before any breakfast is eaten. When having your fasting blood glucose levels take, you should not have any drinks apart from water during the period of fasting.
A fasting blood glucose test can be useful to see how well the body is able to manage blood sugar levels in the absence of food. When we do not eat for several hours, the body will release glucose into the blood via the liver and, following this, the bodys insulin should help to stabilise blood glucose levels.
A fasting blood glucose test therefore shows:
- Whether the body is able to bring down the raise in blood glucose levels from the previous meal
- How effectively the body copes with its own release of glucose
The target for fasting blood glucose levels are the same as the targets for before meal readings.
- For adults with diabetes, the target level is between 4 and 7 mmol/l
- For children with diabetes, the target level is between 4 and 8 mmol/l
However, ;some people may be set individual targets, by their doctor, that differ to the above levels.
Other Blood Tests That Require Fasting
People may be asked to fast for:
- Basic or comprehensive metabolic tests: Tests for blood sugar, electrolyte balance, and kidney function. Typically, people will be asked to fast for 10 to 12 hours before having one of these tests.
- Renal function panel: Tests to see how well the kidneys are working. Typically, people are asked to fast for 8 to 12 hours before these tests.
- Vitamin B12 test: Tests for the levels of the vitamin B12 in a persons blood. Typically, people are asked to fast for 6 to 8 hours for these tests. They must also let the doctor know what medications they take, as some can interfere with the test.
- sugar
Measuring the levels of these substances is crucial to diagnose certain conditions, such as:
- diabetes
- high cholesterol
- liver disease
For correct diagnosis of these conditions, it is important that a person fasts. Eating or drinking before the test may raise the levels of a particular substance in the blood, leading to inaccurate results. Incorrect results could lead to a wrong diagnosis.
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Where Does This Blood Sugar Come From
You may be wondering how your fasting blood sugar can become elevated if you have only been consuming high-fat meals and very little carbs. Well, your body has a built-in mechanism to create its own glucose. This is because there is a small proportion of the body that can only burn sugar as an energy source.
While the rest of the bodys cells are burning ketones for energy, your body will actually use amino acids, lactic acid, and glycerol to manufacture the necessary sugar for those cells. This process is called gluconeogenesis. Additionally, the body will store a small supply of glucose in the liver and muscles in the form of glycogen.
This is why some people are able to stay in ketosis for long periods of time with no consequences, they are still getting all the sugar they need! Some people do seem to do better with a cyclical ketogenic diet, however.
Ways To Lower Your Blood Sugar Naturally
- To lower your blood sugar, it’s important to exercise regularly and lose weight.;
- You should make sure to drink lots of water, eat less unhealthy carbohydrates, and increase your fiber intake.
- It’s also important to manage stress if you want to lower blood sugar and keep it under control.;
- This article;was medically reviewed;by;Jason R. McKnight, MD, MS, a family medicine physician and clinical assistant professor at;Texas A&M College of Medicine.;
- This story is part of Insider’s guide to Diabetes.;
High blood sugar occurs when your body cannot convert sugar in the blood to energy for cells. This is a common issue for those with diabetes, or those at risk. If you don’t lower your blood sugar, you will be at an increased risk for serious health complications such as heart disease, kidney disease, and vision loss.
That’s why, if you already have diabetes, it’s important to frequently check your blood sugar to make sure your levels stay in a normal, healthy range.
Plus, about one-third of Americans have prediabetes or elevated blood-sugar levels and 84% of them don’t know they have it. If you have prediabetes, it’s also important to lower your blood-sugar levels to reduce your risk of developing Type 2 diabetes.
Here are six ways you can lower your blood sugar over time:
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How Can I Treat High Blood Sugar
Talk to your doctor about how to keep your blood sugar levels within your target range. Your doctor may suggest the following:
- Be more active. Regular exercise can help keep your blood sugar levels on track. Important: dont exercise if ketones are present in your urine. This can make your blood sugar go even higher.
- Take medicine as instructed. If your blood sugar is often high, your doctor may change how much medicine you take or when you take it.
- Follow your diabetes meal plan. Ask your doctor or dietitian for help if youre having trouble sticking to it.
- Check your blood sugar as directed by your doctor. Check more often if youre sick or if youre concerned about high or low blood sugar.
- Talk to your doctor about adjusting how much insulin you take and what types of insulin to use.
Can You Drink Coffee If Youre Fasting Before A Blood Test
Even if you drink it black, coffee can interfere with blood test results. Thats because it contains caffeine and soluble plant matter, which might skew your test results.
Coffee is also a diuretic, which means that it will increase how much you pee. This can have a dehydrating effect. The less hydrated you are, the harder it can be for the nurse or other medical professional whos doing your blood test to find a vein. This can make the blood test harder or more stressful for you.
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How To Reduce High Fasting Blood Sugar Levels
You feel something doesnt add up properly when your fasting blood sugar levels are high! You took all your diabetes medications, exercised, and opted for a diabetes diet plan, but those morning sugar levels are still high.
Before you get depressed, and think your diabetes treatment at home isnt working, here are a few things you need to know about fasting blood glucose levels.
S To Reduce High Fasting Blood Sugar Levels
Reducing the morning highs largely depends on how high your insulin levels fluctuate. Your diabetes doctor may recommend the following:
- Switching to a different medication
- Adjusting medication or doses of insulin
- Changing the time of the person taking long-acting insulin in the evening
- Switching to an insulin pump to help regulate the insulin dose
- Avoiding eating heavy amounts of carbs before bedtime
Apart from these, you gain diabetes control by regular monitoring. Get a glucometer preferably a smartphone glucometer so that you can get immediate inputs from the care team.
Most of diabetes care happens with self-care, which means with your vigilance and lifestyle modification you get diabetes treatment at home. However, you are not alone. For diabetes home healthcare: Enquire Now.
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Food Fitness And Prevention Of Diabetes
Bottom Line: There is much we can do with a healthy lifestyle alone, no medications needed, to prevent diabetes, states Dr. James Barnard, Distinguished Professor Emeritus at UCLA and author of more than 200 studies on the relationship between lifestyle habits and chronic diseases like diabetes.
In fact, a healthy lifestyle has proven more effective than medication in staving off diabetes.
Lifestyle changes, like those taught at the Pritikin Center, are nearly twice as effective as medication in preventing pre-diabetes from turning into diabetes.
In a landmark study, the NIH-sponsored Diabetes Prevention Program2, scientists followed 3,234 men and women with pre-diabetes for three years.
One-third of them adopted lifestyle changes that were similar to the Pritikin Program: a daily eating plan of low-calorie-dense, high-fiber foods; exercising for at least 30 minutes five days a week; and a 7% weight loss.
Another third of these pre-diabetics took a drug metformin .
The remaining third, the control group, took a placebo.
The results? Those on the lifestyle-change plan reduced the progression to full-blown type 2 diabetes by 58% compared to the control group. The reduction was even greater 71% among those aged 60 years or older.
Treatment with the drug metformin reduced the progression to type 2 diabetes by just 31%.
Put simply, lifestyle changes were nearly twice as effective as medication in preventing pre-diabetes from turning into diabetes.
How Is It Determined If The Dawn Phenomenon Or Somogyi Effect Is Causing The High Blood Sugar Levels
Your doctor will likely ask you to check your blood sugar levels between 2 a.m. and 3 a.m. for several nights in a row. If your blood sugar is consistently low during this time, the Somogyi effect is suspected. If the blood sugar is normal during this time period, the dawn phenomenon is more likely to be the cause.
Some additional clues that the Somogyi effect may be the cause include nightmares, restless sleep and overnight sweating as these are all signs of low blood sugar levels.
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Benefits Of Intermittent Fasting
A few small human studies have shown evidence that intermittent fasting can have health benefits for those with diabetes. These include:
- Weight loss
- Lowering insulin requirements
A long-term study, published in the New England Journal of Medicine, revealed that a fasting state can support several benefits including:
- Lessening inflammation
- Dehydration
- Sleepiness during the day
- Low energy levels
- A significantly increased risk of low blood sugar
- High blood sugar resulting from a surge of stored glucose from the liver when low blood sugar levels result from fasting
Its important to note that more research is needed to definitively back up the claims of side effects from intermittent fasting and to confirm the severity of such untoward reactions.
Because of the likeliness of side effects from fasting when a person has diabetes, its important to consult with your healthcare provider before deciding to start any type of fasting diet.
What Do The Results Of The Blood Glucose Test Mean
Normal fasting blood glucose or blood sugar is between 70 and 100 milligrams per deciliter or mg/dL for people who do not have diabetes. The standard diagnosis of diabetes is made when two separate blood tests show that your fasting blood glucose level is greater than or equal to 126 mg/dL.
However, if you have normal fasting blood sugar, but you have risk factors for diabetes or symptoms of diabetes, your doctor may decide to do a glucose tolerance test to be sure that you do not have diabetes.
Some people have a normal fasting blood sugar reading, but their blood sugar rapidly rises as they eat. These people may have impaired glucose tolerance. If their blood sugar levels are high enough, they may be diagnosed with diabetes.
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Avoid Eating Large Meals
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One way to keep carbs under control is by eating in moderation. I always tell my patients to spread their food out over the day, Weisenberger says. Dont eat small meals to save up for a big dinner. Feeding your body throughout the day helps regulate your blood sugar levels and prevents highs and lows, Crandall Snyder says.
Both Weisenberger and Crandall Snyder say to keep an eye on carbs, even while snacking. Classically, less than 15 g of carbs per snack is a good standard approach, Crandall Snyder says. Thats about whats found in 1 cup of fruit, she says.
Get A Handle On Stress
When youre stressed out, your blood sugar tends to rise, Crandall Snyder says. According to the Diabetes Teaching Center at the University of California in San Francisco, when youre stressed, insulin levels fall, certain hormones rise, and more glucose is released from the liver, which ends up in the blood stream and can cause disruptions for up to eight hours.
How can you burn off tension? Yoga and meditation can help people lower their blood sugar levels, Weisenberger says. A December 2014 study published in the Journal of Physical Therapy Science involving 27 nursing students and found a combination of yoga and meditation practiced for one hour once a week led to reduced levels of stress and lower blood glucose levels after 12 weeks.
Crandall Snyder also suggests taking a few deep breaths, going for a walk, playing with your dog for a few minutes, or listening to a fun song. Basically whatever you can do to distract yourself for a few minutes and just lower your breathing rate will help, she says. Indeed, the CDC notes;that less water in your body is liked with a higher blood sugar concentration.
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Learn To Manage Your Stress
We all have stress. However, some people can manage it better than others. Personally, Im a Type-A, and Ive had to work hard and learn ways to manage stress.
Chronic stress takes a toll on your immune system. It makes you more likely to contract a cold or flu, or even develop a chronic autoimmune disease. Stress also raises your cortisol levels, which in turn raises your blood sugar. Its a major cause of high fasting blood sugars.
To manage stress, try any or all of these things:
- Yoga or tai chi
- Meditation
- Keep a gratitude journal
- Use adaptogenic herbs like Tulsi or one of my favorites Ashwagandha
Adaptogens are class of herbs that help your body adapt to various types of stressors. They have long been used in Ayurvedic medicine. ;Tulsi is one of my favorites and it happens to be another ingredient in Herbaly Wellness Collection tea. Tulsi been shown to enhance your immune system, reduce cortisol levels, and improve blood sugar.
Vinegar Ingestion At Bedtime Moderates Waking Glucose Concentrations In Adults With Well
Given the importance of maintaining acceptable blood glucose concentrations, there is much interest in identifying foods and diet patterns that will help individuals with diabetes manage their condition. Based on previous data indicating that vinegar ingestion at mealtime reduces postprandial glycemia , the aim of this pilot study was to examine whether vinegar ingestion at bedtime reduces the next-morning fasting glucose concentration in individuals with type 2 diabetes.
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How Do I Keep My Blood Sugar Stable
Oh, the words blood sugar.
Does it conjure up visions of restrictive eating, diabetes medications, or insulin injections?
Blood sugar is the measure of the amount of sugar in your blood. You need the right balance of sugar in your blood to fuel your brain and muscles.
The thing is, it can fluctuate. A lot.
This fluctuation is the natural balance between things that increase it; and things that decrease it. When you eat food with sugars or starches , then your digestive system absorbs sugar into your blood. When carbs are ingested and broken down into simple sugars, your body keeps blood sugar levels stable by secreting insulin. Insulin allows excess sugar to get out of your bloodstream and into your muscle cells and other tissues for energy
Why keep my blood sugar stable?
Your body wants your blood sugar to be at an optimal level. It should be high enough, so youre not light-headed, fatigued, and irritable. It should be low enough that your body isnt scrambling to remove excess from the blood.
When blood sugar is too low, this is referred to as hypoglycemia.
When blood sugar is too high, it is referred to as hyperglycemia. Prolonged periods of elevated blood sugar levels can lead to insulin resistance.
Insulin resistance is when your cells are just so fed up with the excess insulin that they start ignoring it, and that keeps your blood sugar levels too high.
Insulin resistance and chronic hyperglycemia can eventually lead to diabetes.
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