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Question: From Allentown, Pennsylvania, USA: In previous responses, you suggest 2-3 hours after a meal, the blood sugar should be 50 points higher than the premeal blood sugar (which should be under 120 mg/dl [6.7 mmol/L]). What percent of fat calories is suggested for a meal to keep consistency with the 50 point swing? My meals vary with regard to fat content, and sometimes I am much lower than 50 points and end up with hypoglycemia, and other times I eat high fat meals where my blood sugar is higher than 50 points. Answer: I would like to clarify your answer before I answer it. I hope you meant to state that 2-3 hour postprandial blood sugar should be no higher than 50 mg/dl over the preprandial blood sugar. That is usually a good rule of thumb for people with diabetes to abide by. As you have seen personally, a higher fat meal can slow down absorption of a meal and cause spikes later after eating (not timing absorption of meals with timing of faster acting insulins). Most registered dietitians will develop a diabetes meal plan with approximately 30% of calories from fat, a majority of that from monounsaturated and polyunsaturated fats. JMS Additional comments from Dr. Jim Lane: There is some room for variation, but the usual recommendation for fat content in the diet is roughly 30-40% of the total caloric intake. JTL DTQ-20040129124736 Original posting 6 Feb 2004 Posted to Meal Planning, Food and Diet

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Tuesday April 06, 2010 15:09:52
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