To KMMac, I do understand most of what you are saying and went back to your first reply on this thread, where you said your A1c was down, but your fasting blood sugar remained about 100 and you were wondering why.
I have decided in my own case where my fasting was normal, but my A1c was in the prediabetc range, after much testing on my own and tracking precise carbs, that I am low in the phase 1 insulin response. My blood sugar will go up much higher than a non-diabetic's and that accounts for the average being higher than an occasional tester might catch. My phase 2, or slower releasing insulin would usually bring the dinnertime meal glucose back into normal range by breakfast time, but ONLY if I quit eating by 7 PM, or in the case of a larger meal, took a long brisk walk of at least a mile after dinner. I would guess that this indicates that my phase 2 insulin might also be lacking, and as you say, only the muscle uptake which does not require insulin (and watch everybody here HOPon this statement) keeps my sugar in a lower range. If I ate a normal meal, or ice cream, or pasta, or a sandwich with normal bread, I would be over 225 fast and often.
The book, "Dr. Bernstein's Diabetes Solution" goes into a lot of info on phase 1 and phase 2 insulin and precise management of type 1 diabetics with a very low carb diet which then needs a reduced amount of insulin to control. His patients suffer very few complications. He also recommends a high level of exercise, especially weight training.
In my case, also, constant exercise is mandatory to bring down the blood sugars. I eat only 1200 total calories a day, less than 100 total carbs of ANY kind, around 70 grams of protein (or less), and some added good fats. The proportion of my macronutrients according to the ZONE eating plan, which works for me, is 40 % of calories - carbohydrates, 30 % protein, and 30 % fat. Remember that this is a % by calories, so 30% fat does not add up to much when you look at in on a plate. Fat has 9 calories per ounce, where protein and carbs have only 4 calories per ounce which of course you knew, but others might not have.
This is all very interesting to me. Please keep on posting. The amazing thing to me, is that I have to buy all my testing strips out of pocket and that my doctor says I will never need medicine. She can't possibly be convinced that I have to work so hard to keep it that way.View Thread