The Glycemic Index Laboratories located in Toronto, Canada, performed tests on four different sweeteners to demonstrate the postprandial (after consumption) blood glucose and insulin responses. The study consisted of 15 healthy subjects between the ages of 18 and 75. Blood glucose levels after the non-nutritive sweeteners were significantly lower compared to sucrose at 15, 30 and 45 minutes. Postprandial incremental serum insulin measurements after four different sweeteners balanced for sweetness.
Self monitoring of blood glucose (SMBG) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good SMBG record is maintained by the patient. Normally we check fasting and 2 hr post prandial blood sugar levels in lab for routine follow up. In practice I have seen several patients who had fasting and post prandial blood glucose lab tests in normal range but HbA1c levels below 7 is not achieved because they might have high blood sugars in other post meals which has got unnoticed. To achieve best blood glycemic control it is important to control blood sugar levels within normal limits during entire day and not just fasting or post breakfast levels.


In the above image of SMBG chart I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day. This seven point SMBG charting approximately covers entire day glucose fluctuations to some extent (ofcourse  not as accurate as CGMS). I have also mentioned a comment column in the above SMBG chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if Hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mentioned that. You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control. Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and SMBG charting of glucometer readings helps a lot to patient.
If you find that some of the post meal or pre meal readings are high or low, please consult your diabetologist with SMBG chart to adjust your medication or insulin dosage.
As demonstrated in the chart below, Swerve is non-glycemic and does not raise blood glucose (blood sugar) levels.
Glucose levels were also significantly lower after both Swerve products compared to high potency sweetener at 15 minutes.


Results are expressed as Mean±SEM, and using ANOVA for main effects of time and test meal and the time?meal interaction.
Consult with your doctor, dietician or nutritionist to know if the recipe is appropriate for a diabetes diet.
To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in entire day. There is bright chance of sugar excursions in the other post meal readings which gets unnoticed. If the time?mean interaction was significant, then ANOVA was conducted for each time point using Tukey-Kramer method to adjust for multiple comparisons.



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Comments

  1. 03.11.2014 at 13:51:46


    Hypoglycemic symptoms and blood pressure (see the.

    Author: Premier_HaZard
  2. 03.11.2014 at 20:24:54


    More prone to hypoglycemia and are advised.

    Author: XA1000000
  3. 03.11.2014 at 17:42:47


    With Diabetes who was fasting for a period of 8-10 (glucose) for.

    Author: Samira
  4. 03.11.2014 at 10:47:24


    C-section and type-2 diabetes necessary for kids to fast (not both these factors damage your.

    Author: narko
  5. 03.11.2014 at 12:11:16


    When the body does not finnish.

    Author: EPPO