Category Archives: Postprandial abnormalities

One hour blood sugar: Key to carbohydrate control and reversing diabetes

Diabetics are instructed to monitor blood glucose first thing in the morning and two hours after eating. This helps determine whether blood sugar is controlled with medications like metformin, Januvia, Byetta injections, or insulin. But that’s not how you use … Continue reading

Posted in Blood sugar, Bloos glucose, Low-carb diets, Postprandial abnormalities | 27 Comments

Glycemic gobbledygook

The concept of glycemic index is meant to help determine what foods raise blood sugar a lot vs. what foods raise blood sugar a little. Dr. Jennie Brand-Miller’s searchable database can be found here. I have to admit that glycemic … Continue reading

Posted in Glycemic index, Low-carb diets, Postprandial abnormalities | 14 Comments

Glucophobia: The Novel

Just kidding: No novel here. However, there is indeed a story to tell that should scare the pants off you. If you haven’t yet gathered that carbohydrates are a macronutrient nightmare, let me recount the list: Carbohydrates increase small LDL … Continue reading

Posted in Blood glucose, Low-carb diets, Postprandial abnormalities | 25 Comments

LDL glycation

The proteins of the body are subject to the process of glycation, modification of protein structures by glucose (blood sugar). In the last Heart Scan Blog post, I discussed how glycated hemoglobin, available as a common test called HbA1c, can … Continue reading

Posted in Blood glucose, Glycation, Postprandial abnormalities | 11 Comments

High HbA1c: You’re getting older . . . faster

Over the years, we all accumulate Advanced Glycation End-products, or AGEs. AGEs are part of aging; they are part of human disease. AGEs are the result of modification of proteins by glucose. AGEs form the basis for many disease conditions. … Continue reading

Posted in Blood glucose, Glycation, Postprandial abnormalities | 16 Comments

Normal fasting glucose with high HbA1c

Jonathan’s fasting glucose: 85 mg/dl His HbA1c: 6.7% Jonathan’s high HbA1c reflects blood glucose fluctuations over the preceding 60-90 days and can be used to calculate an estimated average glucose (eAG) with the following equation: eAG = 28.7 X A1c – … Continue reading

Posted in Blood glucose, Blood sugar, HbA1c, Postprandial abnormalities | 24 Comments

Can you handle fat?

No question: Low-carbohydrate diets generate improved postprandial lipoprotein responses. Here’s a graph from one of Jeff Volek’s great studies: Participants followed a low-carb diet of less than 50 g per day carbohydrate (“ketogenic”) with 61% fat.   The curves were … Continue reading

Posted in Postprandial abnormalities | 19 Comments

The most important weight loss tool

Question: What is the most effective tool available to help you lose weight?  A pedometer (walk 10,000 steps, etc.)? A treadmill?  A bicycle? No. None of the above.  The most important tool you can use to achieve weight loss is … Continue reading

Posted in Blood sugar, Bloos glucose, Low-carb diets, Postprandial abnormalities | 15 Comments

Timing of blood sugars

Because different foods generate different blood sugar (glucose) responses, the timing of your blood sugar is an important factor to consider. This question has come up a number of times. Commenters have asked whether the one-hour postprandial glucose is timed … Continue reading

Posted in Blood glucose, Blood sugar, Postprandial abnormalities | 5 Comments

Gastric emptying: When slower is better

When it comes to the Internet and Nascar, speed is good: The faster the better. But when it comes to gastric emptying (the rate at which food passes from the stomach and into the duodenum and small intestine), slower can … Continue reading

Posted in Blood glucose, Blood sugar, Postprandial abnormalities | 18 Comments