Rien

Hi Ken,

Thank you for describing in detail what you eat and why. The snacks information is also quite useful. 

How do you take care of your omega-3 needs? I take flaxseed meal and chia seeds.

I've modified my exercise routine in order to achieve a better A1c. I still walk 6km (one hour) before breakfast every morning. It is lovely to watch the new day break over the Coral Sea. I used to eat some bread before the walk, but that spikes much more than a banana. A banana is a mere pimple on my Freestyle Libre graph. 

The post breakfast bike ride I've had to halve. I used to ride about 2 hours at high intensity. Now I do just over half the distance at a more leisurely pace. Now that I inject rapid insulin to take care of the breakfast spike, I will go much too low mid-ride. In addition, after injecingt rapid to take care of the lunch spike, I get the mother of all hypos mid afternoon. This is well after the rapid action should be finished. I figure it is the so-called post exercise late onset hypoglycaemia phenomenon, where the liver scavenges all available glucose to replenish the stores that I so inconsiderately depleted during the ride.

Before starting the 'both ends' method I was injecting 6 units of slow acting Levemir once a day, no rapid at all. The bike ride would take care of the 500gm of carbs I eat every day, and give me an A1c of 5.8%. But, that requires high blood sugars after breakfast before the ride, and after lunch when the liver rebuilds its stores.

Exercise may be beneficial, but it seems pointless that it requires high sugars for 8 hours of the day. So I'm reducing both the distance and intensity. 

I currently inject 12 units of Levemir and about 15 of Novorapid per day. I keep a detailed log and tweak insulin dosages. They seem to be trending up.

My diet is similar to yours, very much starch focused. I do eat more grains, oats, rye and barley. I really love the starch diet and am thriving on it. Is there a reason why you don't seem to eat much grains?

Every day I get a little better at following your method. My biggest issue is learning to catch the lows in time, and when I do have one (usually mid afternoon), to be calm about it and not eat the fridge empty.

Thanks again for your information and enthusiasm. You inspire me.

Rien.