u/Megacityone1

Low GI breakfast still caused a spike

I've been trialling low GI foods recently and thought I'd formulated a good breakfast, but I've still gone up to 8.4mmol like 10 mins after eating.

Here's the recipe:

2 tbsp whole organic oats

2 tbsp frozen blueberries

3 tbsp oat milk

1 tbsp mixed seeds

1 tbsp mixed nuts

2 tbsp quark mixed with peanut butter powder and about 1/8 tsp agave

Could it be the oat milk and agave? I had such teeny amounts. When I made this breakfast with pea milk it didn't spike. But I was really hoping I could tolerate a small amount of oat milk!! When I have a splash of oat milk in my tea it doesn't spike. What do you guys think?

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u/Megacityone1 — 1 day ago

Postqualitative MSc research in healthcare?

I'm about to start my MSc dissertation and hoping to bring a new materialist lens to my research, but I feel a bit lost. I know this is a journey that involves embracing uncertainty, but I feel like I need some outside support.

New materialism brings together many threads from my professional practice and personal philosophy - I explored poststructuralism and touched on posthumanism in my undergrad degree and had really enthusiastic lecturers with an interest in the movement and encouraged me to think beyond the recommended reading. I also have a strong interest in indigenous wisdom and eastern philosophy. So I was excited to find a paradigm that encompasses these ideas while focussing on the material.

My current MSc is in a pre-registration allied health course and there hasn't been much space to deviate from the 'curriculum' as such. I've still managed to dig into some interesting things but I can tell that there's less space for this kind of thinking in healthcare than my undergrad subject.

I've talked to a few lecturers about my interest in new materialism, tried to explain my understanding of it and how to practically . The methodology is somewhat fuzzy, and involves making my own choices. I've not really had a chance to delve into it as much as I'd like, I'm not sure it's an area they've given much thought to before - it's definitely not being talked about much in my specific field.

I also can't talk to fellow students about it, our introduction to research paradigms was a very basic 101 about interpretivism etc and if I mention epistemology I get looked at like an alien!

I've requested books an articles, watched videos, done a LOT of reading I can confidently explain the fundamentals and the specific concepts which will shape my research. But a bit of me is worried I don't understand what I'm on about. Sometimes I look at the specific language and I know what it means but I also think hmmmmm, this is complicated. The language feels necessary to reflect the ontological positioning, e.g. I am NOT identifying thematic and analysing them, I am producing knowledge through agential cuts... or am I entangling the material-discursive .. or am I noticing data diffractions... how am I grouping these things I'm producing, and who am I to even say this is a thing worth writing about when really it's all just a mess of becoming that humans can't truly comprehend??!

Any advice welcome, I think I could benefit from trying to explain myself to someone in the know but not sure how to find that at my health-focussed university!

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u/Megacityone1 — 6 days ago

My H1ABC is fine, but CGM shows a lot of spikes and dips with associated hypo symptoms. Did anyone have similar before prediabetes diagnosis?

I've been going to the doctor for a few years about my sudden bouts of shakiness, they seem to occur randomly and can be debilitating. They are basically classic hypo symptoms and when severe I struggle to concentrate and lose motor skills. After lots of tests over the years, including H1ABC and screening for POTS, my GP currently thinks I have some level of dysautonomia related to my unmedicated ADHD. She suggested I get a CGM to get more insight.

I was surprised to see my glucose consistently spikes pretty high after fairly moderate GI meals, and is sometimes going over 10mmol. I can see I'm not staying high often, which is good, but I definitely have high glucose variability. I started to have symptoms on the last two days, and again today, which are directly correlated to a sharp drop in glucose but not actual hypo. I usually snack every few hours as this makes me much less likely to get shaky, but the last few days I've been intentionally trying to wait more than 3 hours between meals, and each time this has triggered the shakiness.

I've done some research into relative hypo, idioathic postprandial syndrome etc, but there's not a lot of info out there on non-diabetic glucose variation. I'm generally fit and active 4-5 days a week, 30F, small waist, vegetarian, varied diet. I have auDHD and a history of panic attacks which I suspect has messed up my autonomic nervous system, I also have mild orthostatic intolerance affecting BP and HR.

The first few days is not a great representation of my regular diet as I was on holiday! I definitely eat processed carbs regularly but I do also eat a lot of veggies and often get spikes from meals like no sugar muesli with yoghurt, or wholemeal carbs with protein. I'm going to trial a low GI and a keto diet for the next few weeks while I have a CGM on then try to get an appointment with my GP. I'm in the UK so healthcare is a little challenging.

So in the meantime I was wondering if anyone else has similar variability, or did before their diagnosis? I'm grateful my H1ABC is ok but also aware that this much consistent spiking probably isn't great. I'm trying to increase my understanding of blood glucsoe variability so I can figure out how important it is to modify my diet. Any help or advice is welcome!

u/Megacityone1 — 8 days ago

I'm 30, late diagnosed audhd, panic disorder, possible cptsd? It's all a bit muddled up but I experienced a lot of bullying from friends in school and started to have panic attacks, since then I've managed to reduce them from daily to just occasional. But I still get these intense emotional flashbacks and panic attacks, often mixed in with sensory overwhelm and big emotions.

The reason I'm mentioning this is because my particular type of panic is SO physical and so upsetting for me and my partner. I hyperventilate and sob, it's very loud, and I often hit/scratch myself violently and compulsively. I get stuck like this for a long time, I struggle to access distress tolerance techniques. An ice pack does seem to help but often I can't go get it bc I'm already in the throws of panic and my partner freezes up and gets frustrated.

I'm generally pretty 'high functioning' but when this happens I can't talk, I'm literally convulsing and hitting myself and I feel almost non-human. I am completely overwhelmed by a sense of fear and anger at myself. I can't even think straight let alone articulate anything. I can be quite loud and repetitive with my sobbing/sometimes almost screeching, it's embarrassing, I'm sure my neighbours hear it too.

I'm just exhausted and I don't want to experience this anymore. This level of dysregulation is mainly triggered when someone is angry at me. My partner has had 10 years of not knowing how to deal with this and doesn't have the tools to work on his own difficulties, he keeps getting angry when I get upset. We have recently started sporadic couples counselling but I think it will take a long time for him to work on it (our relationship is great outside of these incidences).

With this in mind what can I try to manage this? Do I remove myself from him and accept I need to handle this alone? How can I be less loud and convulsive? Are there any other tools similar to ice packs that could help?

(I've got a box of tools including a calm buddi turtle which helps when less overwhelmed, I usually can't access moving around e.g. to the bathroom sink, I can't drink as I'm hyperventilating, I physically feel like I can't breathe even with external reminders. I do a lot of regulation work generally but this still happens once every month or so. I can't afford therapy, I've tried a bunch of meds)

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u/Megacityone1 — 20 days ago

I was only diagnosed in the past year and I'm starting to realise my attention is pretty dysregulated. I switch between intense hyperfocus (forgetting to move, drink, do anything but The Thing) and not being able to focus at all.

This works pretty well for me right now as I'm studying an MSc in a topic I enjoy, so I get good grades, but also don't take proper breaks and end up exhausted from staring intently at the screen. I do it with my hobbies too, I can't plan them in, I just suddenly I get inspired and lock in (great) followed by a crash (not great).

Like, last night I went to a group collage craft session, which was great. But I totally forgot to notice my body, the time that had passed, when my bus home was due etc. This happens a lot when I socialise, I'm so in the moment and engrossed that I don't notice I'm dehydrated, my head hurts, I need a wee, the masking has become too much etc.

I'm on a waitlist for ADHD meds and really hoping it helps with my emotional dysregulation, but also wondering if it will help with managing my focus. I don't want to lose my ability to intently focus but also have no idea how to tune in to my body. Is there some kind of therapeutic activity that will help? Is this just how I am?

(I'm hoping to try non-stimulants like guanfacine as my nervous system is wrecked and I have some dysautonomic issues)

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u/Megacityone1 — 22 days ago