Construct your glucose curve

In a previous Heart Scan Blog post, I discussed how to make use of postprandial (after-meal) blood sugars to reduce triglycerides, reduce small LDL, increase HDL, reduce blood pressure and inflammatory measures, and accelerate weight loss.

In that post, I suggested checking blood glucose one hour after finishing a meal. However, this is a bit of an oversimplification. Let me explain.

A number of factors influence the magnitude of blood glucose rise after a meal:

–Quantity of carbohydrates
–Digestibility of carbohydrates–The amylopectin A of wheat, for example, is among the most digestible of all, increasing blood sugar higher and faster.
–Fat and protein, both of which blunt the glucose rise (though only modestly).
–Inclusion of foods that slow gastric emptying, such as vinegar and fibers.
–Body weight, age, recent exercise

Just to name a few. Even if 10 people are fed identical meals, each person will have a somewhat different blood glucose pattern.

So it can be helpful to not just assume that 60 minutes will be your peak, but to establish your individual peak. It will vary from meal-to-meal, day-to-day, but you can get a pretty good sense of blood glucose behavior by constructing your own postprandial glucose curve.

Say I have a breakfast of oatmeal: slow-cooked, stoneground oatmeal with skim milk, a few walnuts, blueberries. Blood glucose prior: 95 mg/dl. Blood glucose one-hour postprandial: 160 mg/dl.

Rather than taking a one-hour blood glucose, let’s instead take it every 15 minutes after you finish eating your oatmeal:

In this instance, the glucose peak occurred at 90-minutes after eating. 90-minute postprandial checks may therefore better reflect postprandial glucose peaks for this theoretical individual.

I previously picked 60-minutes postprandial to approximate the peak. You have the option of going a step better by, at least one time, performing your own every-15-minute glucose check to establish your own curve.



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24 Responses to Construct your glucose curve

  1. Anonymous says:

    This blog post is so full of Fear, Uncertainty, and Doubt. People asking questions due to being scared by Dr. Davis' suggestion of "constructing your glucose curve", so they ask him questions in the comments, like what their "glucose curve" should look like. People thinking now they better be jabbing themselves 15 times after a meal. Thinking about a meal for hours after a meal. Guilt for eating that meal.

    So Dr. Davis' response? IGNORE THEM and put up a new blog post with MORE scare-mongering:

    Now you should fear the banana!
    http://www.heartscanblog.org/2011/02/american-heart-association-diet-makes.html

    "Would you like a banana?"

    What a joke. Show us a single person who got fat off of bananas OR potatoes, or any whole food carbs.

  2. Might-o'chondri-AL says:

    Hi Peter,
    Up-regulate is an action on a gene that makes it do more of what it's capable of doing. And down-regulate is when a gene is being acted on in a way that it will do less of what it's capable of doing.

    A gene can be overactive or underactive. Depending on the dynamic, of how a specific gene ideally should be doing, regulation up or down is desired.

  3. eye lift guide says:

    Here is giving nice tips. Thanks for its. I the way you explain us.

  4. Dr George says:

    Hey there Dr Davis,

    Created my own glucose curve as part of my own research and actually got a bit of a scare!

    I was doing a high carb meal to try and demonstrate an early carb spike then drop.

    While I didn't get the response I was looking for I got something a bit scarier. A fasting glucose indicitive of pre-diabetes reading instead. I am amazed how one bad meal was able to send my sugar awol over night.

    Back onto low carbs for me.

    Thanks for helping open my eyes to my potential diabetes.

    Dr George

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