Ok, so the wife has gone back to Thailand, so I am spared the daily delicious Thai food. Its starts now.
The plan is to crash, to get the sugar down, then step up the exercise, and slightly increase carbs
The day started badly. 2 bits of left over cold pizza for breakfast.
Morning empty stomach blood glucose was 6.6mmol/l. There has been a small decline in morning glucose over the last week or so from 7.5… 2 hours after this breakfast of champions, it was 8.8.
I had ordered a month of food-in-bags from “Shake that Weight”, mainly because the menu sounded the most interesting. Its basically Astronaut food. I’m opting for the 1000kcal/day plan, which means, for breakfast, a 200kCal milkshake, porridge or some sort of bacon-and-omlette in a bag, for lunch, a 200kcal soup/noodle stuff and for dinner a 400kcal wet food MRE pouch, which I probably substitute, in the short term for something like a lonely kipper and a couple of cold new potatoes (relying on the resistant starch theory). Augment with green veg. That’s 800kcal. In the Shake-the-weight plan, they want you to get the other 200kcal from their mostly chocolatey energy bars. I’ve opted to sort my own snack out; maybe a packet of pork scratchings, if I fancy a savory, and a slice of wholemeal sourdough with jam, which should be less than 120-130kcal all told (sour dough has a higher RS content than other bread) if I want sweet. After the first 4 weeks, if I am bored of astronaut food I should have worked out some Thai soups; I’m a fan of Tom Yum and Moo Deng soups, and can forgo the noodles.
This kicked off with “Mexican Taco”. Looked like Cupasoup mix, but with all the vitamins etc. Cooked, it didn’t look all that, like brown slime. But it was tasty, and was basically taco filling without the taco. Next time, a cracker with it. Quite filling.
5 hours later, I did a blood glucose. I expected it to flatline from the post-Pizza number. But it was 5.7mmol/L, the lowest I’ve had since a freakish 2.5 a few days ago.
For dinner, I opted for a wet meal, chicken curry with brown rice. Again, it did’t look great in a bowl; the rice was all mixed in, but there were lumps of chicken. I had a poppadom with this. Quite tasty and filling.
I take my 500mg of metformin in the evening, with the evening meal, a minimal dosage with a half life of about 4-5 hours. From tomorrow, I am directed to increase this to 1000mg, though no instruction if this is 2x500 in the evening, or split between morning and evening. NHS advice is to take in the evening, to mitigate side effects. In 2 weeks, subject to side effects, I increase this to 1500mg and then 2000mg. Obviously I will pay close attention to my sugar levels.
My BP continues to average 125/80, so in the moderately elevated range, AM 121/78, PM 130/79. I expect this to fall with weight loss and exercise, without recourse to further medication.