Doctor insights on:
Post Workout Insulin Spike
Why imight an insulin spike be good after a workout to gain muscle but not good at night while you sleep?
I have type 1 diabetes and I am into natural bodybuilding.Im great at taking care of it. A1C 6.1 question is, is it ok to take insulin after workout?
Yes, it's OK: Hi. You are probably well aware that either aerobic exercise or weights can influence your insulin (Ins) requirements over the next 12-24 hours, so be cautious of hypoglycemia of course. Yes, it's fine (and probably frequently quite necessary!) to take Ins after a workout. I try to get all my type 1 patients to exercise regularly. I'm type 1 and exercise regularly. We all take Ins after exercise. ...Read moreSee 1 more doctor answer
I know it's common for diabetics to need more insulin with breakfast, but I find that I spike more at dinner. Is this normal? How could I help this?
Normal: People "spikes" at different time depends on what they eat. In general, dinner is where the "spikes" occur because they eat different foods or eat out more at this time and are not familiar with how to cover. Most people eats the same breakfast and a small lunch so there is less variability for these two meals. ...Read moreSee 1 more doctor answer
I've nesidioblastosis, for a strange reason liver meat is the only protein that doesn't trigger insulin spikes. Is it dangerous to eat too much liver?
Rare!: Hi. Wow, adult nesidioblastosis is RARE! How confident are you in the diagnosis? Usually only endocrinologists even know about or consider adult nesidioblastosis. Have you had bariatric surgery? That diagnosis is SO rare, you've got to take it with a degree of skepticism. I've only got TWO people in my practice with it. Treatment is medical, not surgical. Oh, and liver SUCKS! ...Read more
Seemingly ironic but are some foods such as breads and/or potatoes more likely to give you an insulin spike versus straight sugar (like a soda)?
It varies: Calorie for calorie, soda with high fructose corn syrup will increase your sugar and insulin levels more than pasta. However, eating 500 calories of pasta could spike your glucose and insulin levels more than 50 calories of soda. So lots of pasta can have more effect than a little soda. It is related to the glycemic index of the food and the calories consumed. www.glycemicindex.com has numbers. ...Read more
I am not new to diabetes & hav rapid weight gain since starting insulin & work out what can help weight gain with using insulin.
Insulin: And lowering your blood sugar are good, but they can stimulate appetite and weight gain. Make sure you're on as low a dose as possible, and pay extra attention to restricting calories and exercising more to lose weight rather than gaining. Also ask about glp-1 agonist therapy which can reduce glucose, lower Insulin requirement, and help w/weight loss. ...Read more
Had ketoacidosis and pancreatitis. Could "diabetes" just have been temporary due to stress of illness? A1c is 5.3, 1x daily shot insulin, no spikes?
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