I eat about 15 carbs and still get a spike of about 180. I want it to get to as close to 120 as possible. I was able to do that on insulin. With a spike of 180 I get a low in the 60's and any spike higher than that can send me into the 30's and 20's. Lowest I have gone is 10 which usually results in coma, seizure or death. I now carry a glucagon emergency kit and ordered a medical alert bracelet. Before acarbose I would spkine ovr 200 with about anythng I ate. So it is working. I tend to eat alot of homemade hummus (I don't like the bitter flavor of store bought, and I can add alot of olive oil for the fat)...high fat proteins that slow down the uptake of carbs. Peanut butter and whole grain crackers. I find Arnold Deli thins are ok as long as I eat a good dose of protein with it, it doesn't spike too high. Tuna and Egg salad are good for me. They told me to stay away from Low Fat products. We need the fat to slow things down. Hummus and carrots is one of my favorite snacks. They suggested I eat berries because they don't spike BS's as much. As well as an apple with peanut butter. Their are these extend bars that are sold at Walgreens. They are kinda sweet for my taste and not that good, but they get me through the night without crashing. I think I might have had a seizure in my sleep a few nights before starting the acarbose. I woke up in the am with huge gashes I bit into my cheeks on both sides. There is a bread they mentioned to me that I wasnt to find ...its made out of bean sprouts. They suggested real unmilled cooked oats with almonds...but I'm a maple syrup or brown sugar on Oats fan. I can't do plain...I tried. Butternut squash fares ok with me. I check the glycemic index for low value veggies. Carbs I stick to whole grains...Oh and DREAMFIELDs pasta has been a gret trick...it works for me but doesn't for everybody. I make a pasta with sauteed spinach chicken and roasted garlic that is delishous. I use alot of roasted grlic. it is very healthy and can reduce blood sugar levels. I buy the huge container of peeled garlic cloves at Sams Club and use a 13 x 9 pan to roast it in olive oil for 1 1/2 hours on 300 degrees. I blend it into a paste and freeze it in ice cube trays...when its frozen you can take it out and put it in ziplock bags. I obsess with carbs and checking my blood sugars.

How many carbs per meal can you eat now? Is it scary for you to up your carb intake? I am afraid to do it. I wore a glucose monitor all week last week and my doctor encouraged me to eat more complex carbs combined with protein and I did that for a number of meals throughout the week. It will be interesting to see the results from the monitor.

I can be obsessive about counting carbs and use a scale and Spark People website to put in recipes and see what the carb count is. I also have an app on my phone for counting carbs. I was surprixed that with a very dry meal I could eat maybe 15 carbs. I found that a spinach casserole made with cottage cheese, swiss, eggs and spinach and 1/3 slice of sprouted whole grain toast didn't provoke a swing. I was shocked. I tested myself with finger *****s before and 15 mins, 30 mins, 1hour and 2 hours after meals like that to see what my sugar did. However, this week I find myself afraid again to push the carbs and plan on waiting until I am on the full dose of Acarbose before going up as high as 15 carbs again. What are you eating?

Sorry about those gastro issues. It seems like the remedy for one thing causes a problem for something else.

I am glad you saw Dr. Patti. A number of endocrinologists around the country seem very intrigued by our illness. How much Acarbose are you taking? I just started it on Monday at 25mg per meal, to increase to 50 mg per meal in a week and 75 mg per meal the third week. That is to mitigate gastrointestinal distress. I hope it works. I have been starving myself of carbs too. I hope your brain fog gets better; my endo says the nerves in the brain can repair themselves overtime. At least that's how I interpret what she told me. Did she mention a takedown? My plan is to see how well meds work before attempting surgery. I don't like the idea of being on meds at each meal for the rest of my life because I am afraid of what would happen if I didn't have health insurance and couldn't afford my medicine. On the other hand, what new problems might come up with a takedown. I am not to afraid of weight regain as I have learned so much discipline following this low, low carb diet. I bet you have to be hyper disciplined too. Is it hard for you?

You do know that 110 after a meal is NORMAL right?
A1c of 5.5 is NORMAL not Diabetic.