Home  |  Contact Us  |  Site Map  |  Staff Tools  |  Classes  |  Newsroom

  Chat Transcript
Open Q & A - Dr. Rajamani, May 7, 2013

 juanitajolley:
 Dr. Rajamani, thank you for this opportunity. I seem to have found a correlation between meat consumption and fasting glucose levels. Is this a valid observation?
VJ: 
 I have been on Novolog for a long time. Can I develop some kind of resistance to it?
 jack34:
Hello, good doctor. Question – for the past several months, my morning "fasting" readings have been averaging 138. My past two A1C readings have been 7.5. Should I be concerned about these numbers? 
Dr. Rajamani @ Unity:  
Hi Juanita, Sorry for the delay in answering the question. I am not sure if meat consumption will raise fasting blood glucose. Meats generally are low in carbs and depending on how they are cooked, should not raise the blood glucose as much as a similar amount of carbs. 
 Dr. Rajamani @ Unity:  
 Hi VJ, People can develop some increased requirement of insulin. It depends on what you mean by resistance. The requirement can increase for several reasons including increase in weight, illness or other hormonal problems.
Dr. Rajamani @ Unity:   
Hi jack34, the fasting BG is slightly high. The A1c of 7.5 indicates that your average BG over the last 8-10 weeks is 165. 
 Dr. Rajamani @ Unity:  
jack34, if you can get to a lower level without risk of low BG and if you do not have any serious heart disease, then aiming for a lower BG and A1c would be preferable. 
 VJ:
Thanks, Dr Rajamani. I have been having severe Vertigo finally diagnosed as an Inner Ear problem. Can that have any impact on my blood sugar levels?  
 wood64elm:
 Hi Dr Rajamani .... It's Madeline .... I don't have any questions, I just wanted to watch the chat.
 Dr. Rajamani @ Unity:
VJ, conversely, some people may develop decreased insulin requirement. This again could be due to other hormonal problems, decreased weight, development of renal insufficiency or decreased food intake. 
Dr. Rajamani @ Unity:  
Hi Madeline, Welcome to the chat.  
jack34:  
Another problem, in addition to my type 2 diabetes, I have back problems. They are not severe, but I do wake up each morning with a backache. Question – does pain tend to elevate blood glucose readings in any way? 
 Dr. Rajamani @ Unity:
VJ, inner ear problems or any type of illness or stress can change insulin requirements. 
 Dr. Rajamani @ Unity:
 Pain can raise "stress hormone" levels, and these in turn may cause a rise in blood sugars. Some people in a lot of pain lose their appetite and cannot eat, which can cause a decreased insulin requirement
Dr. Rajamani @ Unity: 
 Stress is very common out there. Some people appear to handle stress better than others in terms of blood glucose control.
Dr. Rajamani @ Unity:  
 jack34, some patients with back problems also get steroid injections. This can raise BG levels.
Gboydfishin:  
 Can you explain what Hemochromatosis is and what to do about it?
 VJ:
Dr Rajamani – when I talked about resistance earlier, I eat the same food, but seem to seem more insolent... 
Dr. Rajamani @ Unity:  
Juanita, was there a particular instance of a food raising your BG level? 
VJ:  
 I meant insulin on my question...
Dr. Rajamani @ Unity:  
 VJ – I think what you may be alluding to is probably the hardest thing in diabetes management. The same food may sometimes be absorbed differently, Our meters are often not the most precise. The insulin absorption may not always be identical.
juanitajolley:  
Yes. I normally avoid meat, but when I recently took a trip, I enjoyed BBQ. Afterwards, my glucose was elevated a couple of days. 
jack34:  
Can drinking too many "diet" soft drinks in the course of a day have any adverse effects on BG levels? 
Dr. Rajamani @ Unity:  
BBQ is often a nice food. I am not sure what the fat content was, but lean meats may be better.  
Dr. Rajamani @ Unity:  
 jack34, diet sodas by themselves may not raise BG. I think a lot of diet sodas have artificial sweeteners. The precise effect of artificial sweeteners on weight and other "gut hormones" is still being worked out and debated.
juanitajolley:  
Thanks for your responses, Dr. Rajamani. Your input has given me food for thought. 
 jack34:
Many thanks, doctor, for the information you have provided to all of us this evening. It was a pleasure chatting with you. 
 Dr. Rajamani @ Unity:
 Some "gut hormones" may have effects on appetite and satiety and also influence fat metabolism which in turn can affect weight and possibly BG.
 Dr. Rajamani @ Unity:
You’re welcome, jack34.
VJ: 
Thanks. 
Dr. Rajamani @ Unity:  
 Thank you everyone for joining in today. Please join us for our next chat on May 21 at 8 p.m.
 
 
Diabetes events and classes to help you get the support you need. Diabetes classes and diabetes events
August 04, 2014
5:30 p.m. - 7:30 p.m.

 
Monday – Friday, 8:00 a.m. - 4:30 p.m.
Phone: (585) 368-4560
© 2013 Unity Health System, Rochester, N.Y.