The Traveling Diabetic

Knysna

Someone decided that the August running challenge should include hills. 2,500m of hills to be exact.
Not that we have a shortage of hills in our part of paradise, with every route heading up mountains to some extent.
However, my normal route is along next to the estuary which only has 72m change in elevation. This is because it has good street lights, which although summer is approaching most of my running starts in the dark, and because its a pretty route with the moon shining on the water on the way out, and the start of the sunrise on the return.
I’m also a tad cautious when it comes to hills as I strained my achilles tendon a few years ago training up hills, which took a painful eighteen months to heal.
A real surprise listening to a podcast by Dr. Tim Noakes (1) talking about the findings of research tracking athletes who are using his Low Carbohydrate, High Fat (LCHF) lifestyle where tendonitis has disappeared, or healed rapidly on a low carb diet.
As high blood sugars seem to stir up a bunch of tendon trouble (tendons thicken with blood sugar and more likely to tear), regulating blood sugars is probably the key factor. Which, I do through an ultra low carbohydrate diet and plenty of exercise.
Perhaps I’ll include hills once a week and see how my body responds.

Blood sugars

Fasting 5,4 mmol/L (target 4 – 6mmol/L)

2 hours after meals 5,3 mmol/L (target, less than 7.8 mmol/L)

Weight 87Kg

Diabetic Carbs 27g (ideal daily target, less than 20g)

The Traveling Diabetic

Knysna

Higher than expected fasting BS levels.

Insides churned to mush from the jarring cycle along the contours through the forest.

Nothing in my daily food tracker that should have pushed my blood sugars to such levels. Nuts with a couple of glasses of wine at friends and the cappuccino after the cycle being the cause of my daily carbs being above the 20gram level I’m trying to maintain.

It does mean a day of vigilance and while the colder weather may have been an excuse to hide in the studio (read, lazy), I will need to schedule vigorous exercise into the day.

Perhaps it’s the moon?

Blood sugars

Fasting 7.4 mmol/L (target 4 – 6mmol/L)

2 hours after meals 6.4 mmol/L (target, less than 7.8 mmol/L)

Weight 87Kg

Diabetic Carbs 48g (daily target, less than 50g)

The Traveling Diabetic

Knysna
Headaches, with a tad of grumpiness and more than the usual clumsiness that resulted in knocking over my coffee cup that scared, an already sensitive, Border Collie.
Colder weather increasing my insulin sensitivity? At least that’s the excuse I’m using for my tougher than usual cycle up the hills to Buffels!
Nuts on my new list of foodstuffs to be careful about as I look to get my average daily carb count down to below 30. The target level (rather than the 50 I have been using) indicated in a new study on diabetic control through lifestyle changes.
Despite the red warning zone around milk, a cappuccino is still special.

Blood sugars

Low 3.4 mmol/L (Fasting target 4 – 6mmol/L)

High 5.9 mmol/L (2 hours after meal target, less than 7.8 mmol/L)

Weight 87Kg

Diabetic Carbs 23g (daily target, less than 50g)

The Traveling Diabetic

Nieu Bethesda – The Ibis Lounge

One of those rare restaurant meals where we could relax completely, as Barbara designs her dinner menu according to your dietary needs (In my case, the diabetic no sugars, including the hidden ones, or carbohydrates) and what is seasonal in the harsh Karoo climate. Local ingredients that include herbs guided by Nevil, the herbalist, and his generations of knowledge.
Limited seating, with staggered eating times ensure a personalised experience. The creamed mushroom spinach, delicious.
Stopped at the ‘Two Goats’ craft brewery. A beer (even with its loaded carbs), irresistible in the heat with my mouth dry after walking the dusty streets. The beer, sort of, balanced by the cheese platter. Skipping the bread basket. Tried their version of an IPA, as on the few occasions I drink beer, its that or a bitter beer where available. The beer wasn’t too my taste and there were too many sweet bits with the cheeses.
I did get a bunch of photo’s for painting inspiration!

Blood sugars

Low 5.8 mmol/L (Fasting target 4 – 6mmol/L)

High 6.7 mmol/L (2 hours after meal target, less than 7.8 mmol/L)

Weight 87kg

Diabetic Carbs 53g (daily target, less than 50g)

Traveling diabetic

Knysna

Hi,

Jan here.

A tad listless. Can’t imagine the spare ribs with their bbq basting had that much of an impact? Certainly my fasting sugars were a bit elevated at 6.5mmol/L, but nowhere near crazy levels.

Thrilled that the ‘lifestyle’ management of my diabetes is handling the occasional food that I know is off the the rigid dietary guidelines without flying outside the safe limits.

It did mean that instead of heading out for my morning run (the day grey with a slight chill), I did the Border Collie meander, with Prince, around Harbour Town visiting the important ‘sniff spots’. Tea to warm my cold hands.

Tea is not my best, and certainly hasn’t been able to excite like a glass of good red wine does! However, at East Head Cafe I had a cup of TWG rooibos (Crème Caramel Tea), which is blend of delicate French spices and red tea/rooibos. Delicious. I’m hunting a supply.

Blood sugars

(30 day averages)

Low 5.7 mmol/L (Fasting target 4 – 6mmol/L)

High 6.0 mmol/L (2 hours after meal target, less than 7.8 mmol/L)

Weight 87kg

Diabetic Carbs 38g (daily target, less than 50g)

Traveling diabetic

The Table
De Meye Estate, Stellenbosch

Hi,

Jan here.

The utmost care is taken to source the highest quality organic ingredients for the country cuisine served at The Table restaurant. Limited seating under ancient oak trees ensures that the service matches the care taken with food preparation.

While the Beetroot Tarte Tatin starter wasn’t an option for me, the green and sour-cream salad was tasty, and the olives delicious. It’s accompanying stone-ground bread very tempting!

I didn’t understand the slow roasted Karoo lamb, with a cold aubergine tagine and roasted veg dish. While perfect for my diabetic needs, the cold veggies made the tender lamb ‘soapish’. Something even the delish Merlot couldn’t sort.

The panna cotta with raspberry gelato looked amazing and there were a bunch of takers to ensure my serving wasn’t wasted.

Blood sugars

Low 5.0 mmol/L (Fasting target 4 – 6mmol/L)

High 5.8 mmol/L (2 hours after meal target, less than 7.8 mmol/L)

Weight 86Kg

Diabetic Carbs 45g (target, less than 50g)

BEETROOT TARTE TATIN (serves 4)
ingredients:

  • 8 – 10 small to medium sized beetroots
  • 60g butter
  • 120g brown sugar
  • 2 tablespoons red wine vinegar
  • 2 cloves garlic, crushed
  • fresh thyme leaves or oregano
  • sea salt and black pepper
  • ready rolled puff pastry
  • sour cream to serve

method:

  1. Place the beetroots in a saucepan and cover with cold water. Bring to a simmering boil over medium heat and cook until a knife pierces through the beetroots easily. Drain from the water and allow to cool before peeling and cutting in half.
  2. Preheat oven to 200C. Melt the butter in a heavy based 24cm pan or skillet. Add the sugar and cook until golden and caramelised. Add the red wine vinegar (be careful of hot steam!) as well as the garlic and fresh herbs,
  3. Arrange the beetroot halves evenly over the caramel. Season with salt and pepper. Trim the pastry into a disc or square big enough to cover the beetroots. Tuck in any excess pastry edges, and prick the pastry lightly with a fork.
  4. Bake for 20 minutes or until puffed and golden. Cool in the pan for a couple minutes, then carefully turn out onto a serving plate. Top with sour cream.

Traveling diabetic #27

Knysna

Latest painting from the studio

Hi,

Jan here.

Great news with my HbA1c blood tests(An indication of blood glucose control over the previous 2–3 months) showing a decrease in blood sugars from 18 to 5.7

No adverse effects from a week without Metformin slow release tablets, used to increase the absorption of insulin in my system. Insulin also reduced as I creep towards the target of totally relying on diet and exercise to control my diabetes. The ‘carb tracker’, while a nuisance to keep updated, ensuring that I’m aware of how I’m managing to stay within the carb limits for each day.

The cooler weather as Autumn approaches does mean that I’m back to cold fingers and copious quantities of tea to keep my hands warm. I do have warmer gloves for running and cycling that I now keep in my ‘grab-bag’ to wear whenever I start to get cold hands.

Blood sugars

Low 4.1 mmol/L (Fasting target 4 – 6mmol/L)

High 6.2 mmol/L (2 hours after meal target, less than 7.8 mmol/L)

Weight 85Kg

Diabetic Carbs weekly average 38g (50g target)