Method: The plasma glucose response to mango, sapota and banana were determined in ten diabetic patients. Results: The results showed that the blood glucose response to these three fruits was not different in terms of area under the curve and postprandial change in blood glucose from baseline. The blood glucose response to equal amounts of dietary carbohydrates varies considerably as a function of specific food ingested1-4. Mango (Mangifera indica) and sapota (Mammee apple; Mammey sapota) are the fruits, much liked in Indian Subcontinent.
The purpose of this study was to evaluate the postprandial blood glucose response to mango and sapota in comparison to banana, a fruit widely available all over the world.
The blood glucose variables that were measured in response to different test meals are shown in table. The blood glucose response to the three fruits in terms of area under the curve and postprandial change in blood glucose from baseline did not differ significantly as is shown in the figure. The results suggest that there is no significant difference in the glucose response to mango, banana and sapota, when eaten by diabetic subjects. One concern always raised is over-indulgence by people with diabetes when they start eating mango. This journal is a member of and subscribes to the principles of the Committee on Publication Ethics. ABCD sponsors treatment for those in need regardless of gender, race or creed, helping them to reach their full potential, to live life with dignity and to take their rightful place in their community. ABCD works through local Palestinian partners, the Bethlehem Arab Society for Rehabilitation (BASR) based in Beit Jala, The Sheepfold in Beit Sahour and two UNWRA Refugee Camps in Jalazone and Nour Shams. Funding is constantly needed for new projects and to update and refurbish existing facilities. The final destination of a journey is not, after all, the last item on the agenda, but rather some understanding, however simple or provisional, of what one has seen. In these modern times, with the plethora of blood-sugar-related diseases, we need tools like GI and GL to help us understand ways to control blood sugar. The self-testing, graphic approach to food testing developed in the balance of the newsletter is a less scientific but a more dynamic way to explore postprandial (post-meal) blood glucose levels (BGLs).
GI measures the blood glucose impact of foods eaten in isolation, yet we rarely consume foods this way. GI readings vary with the individual—blood sugar and insulin reactions are more extreme for diabetics, for example (See Charts 2A and 2B). GIs are calculated in the science lab as the day’s first meal after a 12-hour fast and using a fixed serving that includes 50 grams of carbohydrate.  Most of our daily calories, however, are consumed in combination and throughout the day, when our blood sugar is affected by other foods that we have eaten earlier, as well as by our level of activity. Of the following numbered charts, the first three are based upon scientific research journal articles (Charts 1, 2A, 2B), while the last four (Charts 3-6) are constructed from my own self-testing of foods4 using a simple blood glucose monitor.
Chart 1:  Blood Sugar Curves of White Bread Compared to Bread with Added Fiber, Sourdough, and Vinegar. Chart 3:  Instant Oatmeal, Whole Oats (Soaked and Not Soaked), and Whole Oats Combined with a Protein and Fat.
To fully appreciate the impact of two back-to-back carbohydrate breakfasts please notice that the scale used for Chart 6 is twice that of Charts 3-5. Resetting the Table–to Control Blood Sugar (For a discussion of other strategies, see April 2011). Ramekins filled with condiments like nuts and seeds (GI=0).  Nuts and seeds provide healthy fats, fiber, vitamins, minerals, and antioxidants, while they slow digestion and curb blood sugar.
Sourdough bread or whole-grain bread with whole kernels; butter from grass-fed cows and organic nut and seed butters such as tahini and pumpkin seed butter.
A pitcher of water and glasses for all—sometimes we mistake hunger for what is in fact thirst.  You might flavor the water with a little lemon juice or other flavoring.
For the dressing, mix and whisk together equal parts, shoyu, mirin, and tahini.  Add dressing to quinoa salad, toss and enjoy. Because 12-hour fasting, pre-meal blood sugar reading can vary, all data points at time zero prior to the first morning meal were indexed to zero in order to illustrate the change from a neutral starting point. I use the label “traditional” carbohydrates, just as we call unrefined fats, “traditional” fats.
Gestational diabetes test is something that each mother has to undergo, when she is about to have her baby. Is your Diabetic Heart Killing you softly?Get to know about Diabetes Heart Failure link to more severe complications.
The first consideration is to rule out a fasting hypoglycemia, especially when hypoglycemic symptoms occur several hours after food intake. Unfortunately, diagnosis has not been as simple as the classic OGTT findings just mentioned would imply.
In summary, the diagnosis of postprandial hypoglycemia is clouded by controversy, especially the category of functional hypoglycemia. The term "blood sugar" refers to the concentration of glucose, a simple, sugar, that is found in a set volume of blood. Blood Sugar 101 does not control which products appear in Google Ads or endorse these products.
The objective of this study was to evaluate postprandial blood glucose response to mango and sapota in comparison to banana in patients with diabetes mellitus Type 2. The most nutritive caloric value in fruits is carbohydrates which is in the form of sugars. However, contrary to general belief, the area under the glucose response curve for mango and sapota was less than that for banana. The second factor—the postwar shift from traditional to refined carbohydrates—is largely due to the growing role of the commercial food industry and processed, convenience foods.  Convenience foods must have a long shelf-life, so food companies rely upon refined flours and oils, which do not go rancid.
Visual pictures of postprandial blood sugar behavior, while less scientific than GI measurements, are nevertheless powerful learning tools, providing a real flavor for how our body reacts when we eat different kinds of foods. This chart illustrates the second meal effect– that what we eat at one meal affects postprandial blood sugar behavior at the next.
What we do to our children when we give them a sugary cereal or a Pop-tart for breakfast extends beyond this first meal to affect their blood sugar, hunger, concentration, and desire to overeat throughout the rest of the day.


One of the best herbs and spices to moderate blood sugar.  It can be sprinkled on hot cereals and desserts such as puddings, custards, and stewed fruits.
Each time blood will be taken and the glucose level will be measured.It is called random because you will be tested several times during the day in different time intervals, before, after and during your meals. Alba, What would be the glucose reaction if I eat 2 scrambled eggs with 2 slices of salt-cured bacon and one slice of wholegrain toast? Postprandial Hypoglycemia of gastrointestinal tract origin (sometimes called the “dumping syndrome”) most often occurs after gastric surgery and results from unusually swift or complete gastric emptying of ingested carbohydrate into the duodenum, resulting in abnormally high blood glucose levels and temporary hypoglycemia after hastily produced insulin has overcome the initial hyperglycemia. Some persons with subclinical or early diabetes mellitus of the NDDG type II (noninsulin-dependent) category may develop mild and transitory hypoglycemia 3-5 hours after eating. A few patients with insulinoma or alcoholism may develop postprandial hypoglycemia, although fasting hypoglycemia is much more common. Self-administered hypoglycemic agents are also possible, although for some reason this is not often mentioned when associated with postprandial symptoms. Many investigators have found disturbing variability in OGTT curves, which often change when testing is repeated over a period of time and may change when testing is repeated on a day-to-day basis. There are various kinds of fruits in our region which are different from the fruit of temperate countries. Five subjects were being treated with sulfonylurea, I with biguanides, I with diet alone and 3 with insulin.
The mean change from baseline blood glucose was calculated for 30, 60, 120 and 180 minutes.
From these results one could recommend that in this region mango and sapota should be treated like other fruits and not differently. Comparison of serum glucose, insulin and glucagoii responses to different types of complex carbohydrates in non­insulin dependent diabetic patients.
The glycemic response to meals with six different fruits in insulin dependent diabetes using a home blood glucose monitoring system.
Postprandial glucose and insulin responses to various tropical fruits of equivalent carbohydrate content in non—insulin dependent diabetes mellitus. Thata€™s why finding this disease really fast will help the doctors treat the mother better and more effective. This seems to be an early manifestation of their disease, which often disappears as the disease progresses. The best test would be a blood glucose measurement drawn at the same time that symptoms were present.
In some cases this is related to factors known to influence the OGTT, such as inadequate carbohydrate preparation, but in other cases there is no obvious cause for OGTT discrepancies.
Similarly mean increment in blood glucose and Cmax (maximal postprandial glucose rise) was determined for each test meal.
This is why diabetes and obesity often go hand-in-hand (90% of diabetics are either overweight or obese). David Ludwig regarding high-glycemic foods and overeating, cited in the Recommended Reading section at the conclusion of this newsletter. You will be asked to drink a water solution, which has glucose, which is 50 grams.After that blood will be taken from you, after one hour to determine your sugar levels. In some cases symptoms can be correlated with acceptably low blood glucose values, in which case many physicians make a diagnosis of functional hypoglycemia (although there is controversy on this point, to be discussed later with the 5-hour OGTT). Because symptoms in daily life usually occur at times when blood specimens cannot be obtained, the traditional laboratory procedure in postprandial hypoglycemia has been the 5-hour OGTT. Another major problem is disagreement regarding what postprandial blood glucose value to accept as indicative of hypoglycemia.
There are not many studies in literature about the blood glucose response to mango and sapota5.
However, the test is not proven to be really effective and in most cases Oral Glucose Tolerance Test will be performed after the Screening glucose challenge test.
However, because of the large number of diabetic persons, it may be a relatively frequent cause of postprandial hypoglycemia.
In other cases, probably the majority, symptoms cannot be adequately correlated with acceptably low blood glucose values.
In alimentary hypoglycemia the classic OGTT pattern is a peak value within 1 hour that is above OGTT reference limits, followed by a swift fall to hypoglycemic levels (usually between 1 and 3 hours after glucose).
Bottom lines show Insulin and C-peptide levels at the same time.Click HERE if you don't see the graph. The meals were taken in 5-10 minutes with upto 150 ml of water and then capillary blood samples were collected at 0, 30, 60, 120 and 180 minutes for analysis of blood glucose by Glucometer Elite (Bayer). Initial elevation of blood glucose values may or may not be higher than in normal persons, but the 2-hour postprandial value is elevated.
Either the OGTT serum glucose value is low but no symptoms occur, or (less commonly) symptoms occur at a relatively normal glucose level. In diabetic hypoglycemia, there is an elevated 2-hour postprandial value, followed by hypoglycemia during the 3-5 hours postglucose time interval.
Twenty simultaneous blood samples were also collected in sodium fluoride tubes and analyzed by a glucose oxidase method using a Beckman glucose analyzer.
The patient will have to eat whatever she wants for three days.In addition, there are no restrictions about the patienta€™s movement. The rise in plasma insulin after eating tends to be delayed, and the insulin peak (when finally achieved) may be somewhat elevated, resulting in the hypoglycemic episode. In functional hypoglycemia, there is a normal OGTT peak and 2-hour level, followed by hypoglycemia during the 2 to 4-hour postglucose time interval (Fig.). In some cases it is not clear whether serum or whole blood was assayed (reference values for whole blood are 15% less than those for serum or plasma). The patient is asked to eat at least 150 grams of carbohydrates- bread, rice, chocolate and etc. An additional problem involves the concept of chemical hypoglycemia versus clinical hypoglycemia. After that the patient has to visit the doctor and there she will be given a solution of glucose.She has to drink it and then the blood glucose level will be measured on certain intervals.


A number of studies have shown that a certain percentage of clinically normal persons may have OGTT curves compatible with functional hypoglycemia without developing any symptoms.
This is the best gestational diabetes test, which could be carried out through the pregnancy to find the disease. Moreover, in some studies continuous blood glucose monitoring systems disclosed hypoglycemic dips not evident in standard OGTT specimens. The most informative blood sugar reading is the post-meal blood sugar measured one and two hours after eating. On the other hand, some persons with symptoms compatible with hypoglycemia do not develop OGTT values below reference limits.
Doctors rarely test this important blood sugar measurement as it is time consuming and hence expensive.
To make matters more confusing, some studies have found that when the 5-hour OGTT was repeated after it had initially displayed a hypoglycemic dip, a substantial number of the repeat OGTT results became normal (about 65% of cases in one report). Rarely doctors will order a Oral Glucose Tolerance Test, which tests your response to a huge dose of pure glucose, which hits your blood stream within minutes and produces results quite different from the blood sugars you will experience after each meal.
Finally, several studies have indicated that hypoglycemic values found during an OGTT usually disappear when an ordinary meal is substituted for the carbohydrate dose. Below you will find the normal readings for these various tests.Normal Fasting Blood SugarFasting blood sugar is usually measured first thing in the morning before you have eaten any food.
Since actual patients do not usually ingest pure carbohydrate meals, this casts doubt on the reliability and usefulness of the OGTT in the diagnosis of functional hypoglycemia.
Normal Blood Sugars in PregnancyBecause the blood volume increases greatly during pregnancy, diluting blood sugar, normal blood sugar concentrations for pregnant women are lower than those for everyone else. Instead, what it measures is how much glucose has become permanently bonded to your red blood cells.
From this it estimates how much glucose those red blood cells have been exposed to over the past several months. The Calculator that Shows How Estimated Average Glucose is Supposed to Map to A1cThe calculator you will find HERE uses the formula doctors rely on to show you what average blood sugar is supposed to be connected with your A1c.Unfortunately, the A1c test often gives a misleading result. This is prone to occur if you have anemia, abnormally long-lived red blood cells, or certain unusual red blood cell genes. The test assumes you have a normal number of red blood cells, so any condition that changes your concentration of red blood cells can produce a misleading A1c results. For many years the American Diabetes Association specifically stated that the A1c test should not be used for diagnosing diabetes. They recently changed their recommendations to allow the use of A1c for diagnosis, however the A1c often misses diabetes in people whose red blood cells are not entirely normal.When in doubt about the accuracy of an A1c test result use a blood sugar meter and take a number of fasting and post meal blood sugar tests to determine if you are running blood sugars that are high enough to damage your organs. What A1c is Truly Good Enough for a Person with Diabetes?Doctors have been taught that any A1c below 7.5% is "good control" for people with diabetes. But research published in 2008 that was based on studying a group of 2,442 subjects who were free of type 2 diabetes at the beginning of the study found that fasting glucose tests were a very poor predictor of who in this group would develop diabetes. In contrast, the researchers found that the one hour reading on a glucose tolerance test did a good job of screening for people heading for diabetes. Fasting Versus Postload Plasma Glucose Concentration and the Risk for Future Type 2 Diabetes Muhammad A. More about the Study Whose Results Are Graphed Above This research was conducted using a Continuous Glucose Monitoring System (CGMS) a device that uses a needle inserted into the abdomen to measure blood sugar every few minutes. Christiansen, presented at the Annual Meeting of the EASD.The whole presentation is well worth watching.
This study also found that the same amount of carbohydrate eaten at a meal other than breakfast does not raise blood sugar anywhere near as high as it does at breakfast.A Second CGMS Study that Confirms this RangeA study of CGMS measurements taken in 74 normal people aged between 9 and 65 years old over a period of 3 to 7 days was published in June of 2010.
This is probably because by the age of 45 people with the underlying genetic conditions that lead to diabetes, whose blood sugars would have been normal at younger ages, but who would have been getting higher than true normal readings after meals, would have progressed to where they failed the screening test.
So it is a good bet that the people in the 45 and older age group in this study are truly, physiologically normal.
If you rely only on pills and do nothing else, the only blood sugar levels you will be able to get to are the much-too-high "good enough for a diabetic" levels which, as you can see elsewhere on this site, are "good enough" only if you think neuropathy, retinopathy and a heart attack are "good enough." Though your doctor may think you are too lazy to do the work needed to get normal blood sugars and may not bother explain to you what it takes to achieve normal numbers, people with diabetes CAN and DO attain these normal blood sugar numbers.
Another study of elderly patients treated at VA hospitals found that patients with longstanding diabetes whose blood sugar was lowered aggressively with outdated methods of dosing insulin did not improve their health outcomes. Influential doctors interpreted these studies to mean that lowering blood sugar to normal levels using any means was dangerous and family doctors have been brainwashed to believe this is true.
In fact, subsequent analyses of this data has revealed that in ACCORD the patients in the group that strove to lower blood sugar who experienced slightly more heart attacks were those in the "lowering" study group who failed to meet the lowered blood sugar targets. Those who succeeded in lowering their A1c did better than those who did not.Further analysis linked the increase in heart attacks to the use of the now-discredited drug, Avandia, which raises the risk of heart attack independent of blood sugar level. Without an understanding of how normal blood sugar works, it is hard to understand what is going on in your body as control breaks down and even harder to fix it. If you want to understand your true risk of developing diabetes and what science has learned about process people go through as they develop diabetes, read: The Patterns in Which Diabetes Develops. What It Takes to Get Normal Blood SugarsEducation If you want to avoid diabetic complications, following doctors' orders is not enough. You must put in some time educating yourself about how your body works and what is in the food you eat.
Learn What Foods Your Body Can Handle The simple technique you'll find here: How to Get Your Blood Sugar Under Control has helped thousands of people regain their health, and it will work for you, too. Try this technique for a week and you'll end up with a much better idea of what foods make up an ideal "Diabetes Diet" for your own unique metabolism.
You can print out a handy one-page flyer summarizing this technique and put it on your fridge to help motivate yourself.Eliminate the Toxic MythsIt's time to stop blaming yourself for causing your diabetes.
No matter what you read in the media or what your doctor tells you, diabetes is not caused by obesity. Free yourself of this Toxic myth by reading You Did Not Eat Your Way to Diabetes and learn what scientists have found are the real causes of Type 2 Diabetes.



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Comments

  1. 23.05.2015 at 21:29:23


    Blood sugar concentrations below injecting insulin or compensating with.

    Author: Emrah
  2. 23.05.2015 at 13:21:34


    Often used in the result in temporary hypoglycemia in newborns hypoglycemia in patients.

    Author: xXx_3X
  3. 23.05.2015 at 11:36:12


    The filtered sugar is reabsorbed this means they'll be able to more when taking insulin , you need.

    Author: SMS
  4. 23.05.2015 at 10:47:15


    Challenge at 26-28 weeks in all the cells, the body.

    Author: sladkaya