#360 Defining Diabetes: Fat and Protein Rise
Scott Benner
Scott and Jenny Smith define diabetes terms
Defining Diabetes: Fat and Protein Rise. Scott and Jenny Smith, CDE define the terms that are at the center of your type 1 diabetes care.
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DISCLAIMER: This text is the output of AI based transcribing from an audio recording. Although the transcription is largely accurate, in some cases it is incomplete or inaccurate due to inaudible passages or transcription errors and should not be treated as an authoritative record. Nothing that you read here constitutes advice medical or otherwise. Always consult with a healthcare professional before making changes to a healthcare plan.
Scott Benner 0:00
This episode of defining diabetes is brought to you by Omni pod, the tubeless insulin pump, and dexcom, makers of the dexcom g six continuous glucose monitor. Find out more at my Omni pod.com Ford slash juice box and dexcom.com Ford slash juice box on the pod we'll even send you a free no obligation demo. In this episode of defining diabetes, Jenny Smith and I will be defining fat and protein rise. Now you know Jenny, she's an all the pro tip episodes and defining diabetes and ask Scott and Jenny. She's also a person who's been living with Type One Diabetes for over 30 years. Jenny holds a bachelor's degree in human nutrition and biology from the University of Wisconsin. She is a registered and licensed dietitian, a certified diabetes educator and a certified trainer on most makes and models of insulin pumps, and continuous glucose monitoring systems. Jenny services are for hire, check her out at integrated diabetes.com.
We're gonna get started in just a moment. But before we do, please remember that nothing you hear on the Juicebox Podcast should be considered advice medical more. Otherwise, please always consult a physician before making any changes to your health care plan. or becoming bold with insulin.
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Let's do protein rise. Because as you know, and these are separate episodes, so you would have heard me say on one of these other define diabetes, but I got the chance to wear a glucose monitor for 10 days. And I ate pizza. And hours later, my blood sugar started to go back up again. I was like oh my god, this is the thing. You could see it. It's not as bad as if you have diabetes nowhere near and I guess for context what it meant what I meant by that was I ate pizza. I was in like that it was at the end of the day. So my blood sugar was more like 95 or I'd been snack. I was listening. I made the pizza from scratch. So you know there might have been some pepperoni and cheese going in. And maybe I was stepping in the sauce along the way while I was working. So I had some food going. I was snacking a little bit made the pizza I ate the pizza. About eight o'clock at night I had two slices of homemade pizzas. So you know, basic ingredients, not giant slices. And it midnight, my blood sugar tried to go off. And I was like what sorcery is this? You know and it and I'm texting Jenny the next day. I'm like, I gotta fat and protein rise yesterday was the weirdest text our text while By the way, Jenny and I will do an episode at some point that just is me talking about wearing a glucose monitor because it's frying my mind. But But anyway, a protein rice, can we say fat and protein rice here? Do you think it's worth just describing them that way together?
Jennifer Smith, CDE 4:11
I think they're both.
They're both food specific. They both happen or start to happen in about the same timeframe in the aftermath of a meal. They both have a little bit of a different impact and a little bit of a different strategy for managing them or preventing them really. But yeah, I think they they go Okay,
Scott Benner 4:32
so we're really good. This is going to be short. We're really just going to define it here because Jenny and I have already done what I think is an exceptional pro tip episode about fat and protein rise. But for those of you who are newer to diabetes and are hearing people say Oh, that looks like protein to me. And that doesn't make any sense to you because your endo told you that protein doesn't have carbs and it does your car. Yeah, capture carbs, you'll be fine. It's not the case. So like I said deep dive in the pro tip episode, but for defining purposes, when you hear someone say that looks like a protein rise, or a fat rise, or a fat and protein rise, Jenny's gonna explain to you what it is right now, because she's better at this than I am.
Jennifer Smith, CDE 5:10
Yay. So protein and fat do have impact on blood sugar, it all is relative, essentially, to portion and sometimes the content of what you're eating at a mealtime, right. So protein and fat rise, usually, you're going to see it started about the same time in the aftermath of a meal sometime between about two to three hours after the meal, sometimes a little bit later. Like your example with the pizza started a little bit later, like the four hour kind of mark, probably because it was a little bit both of protein and fat. Yep, kind of happening, right. But protein typically will raise blood sugar into scenario is one, you've had a really large amount of protein more than the typical three to four ounce, you know, portion at a meal time, or you've eaten a really low, almost no carb containing meal. And so then what ends up happening is the body breaks down protein, in both scenarios, into Google's starts to happen hour and a half to two hours after the meal, you get this like slight rise that happens, if you don't compensate for some of the protein at the end of the meal. With insulin in one way or another, you're going to get a rise, and then you're going to end up correcting to get it back down.
Scott Benner 6:22
And so if you're looking for a very simple way to wrap your head around that concept, you know, when you see somebody market something that's pure sugar, and they say it's fat free. There, and technically they're right, there's no fat in the sugar, and then you eat the sugar and your body goes, What should I do with the sugar? Hmm, you know, don't turn it into fat. So, technically, you're right, there was no fat in it when you ate it, but it all became fat afterwards. So similarly, you eat this protein, and there are no carbs in it. But then your body begins to break the protein down, and all of a sudden, your blood sugar starts going up. And for most people, it makes zero sense because you'll think I ate like zero carbs at my last meal. This doesn't make any sense. But it does. And it's real. And it's always going to happen. It's not, it's not not going to happen. So when I look at Arden's food. And I'll be like, oh, there's, you know, I don't know, a roll. And I always throw in. I don't know, I don't want to give people a number because what I do is completely random. But when I see some meat on
Jennifer Smith, CDE 7:30
random for artists, right, right for art,
Scott Benner 7:34
yeah, six or seven carbs, I add for for the protein if there's cheese involved, or a lot of butter or something like that. And sometimes I go to 10. But, you know, there it is, it's going to happen now, like Johnny said, but pizza, and this will be explained in the pro tip episode. But there's the cheese in the pizza slows down your digestion, which pushed basically, for me pushed off the digestion of the crust, way out into the future. Because as a person without diabetes, I don't think I was getting much of a rise out of the protein or the fat I was, I just my body didn't, quote unquote, get to the dough until a significant time later. So that's what a fat rise or a protein rise is. If you really want to understand it, Jenny did an amazing job of explaining it. And I pretend that I knew what she was talking about in that episode. So I'll put the episode number at the end so people know it. But it's it's game changing. There's also a couple episodes around keto eating, or low carb eating that that go deep into this idea as well.
Jennifer Smith, CDE 8:44
Yeah, the person who had on for the keto was very, very, they were very good. Well explained,
Scott Benner 8:49
oh my god, she's going to just be giddy when she hears you say that just so you know. She's, I will get a note at some point. So I'm talking to you in the future. Now, I'm gonna get a text that said, Jenny just said I did a really good job of my bike months from now and I'll be like, What did she
Jennifer Smith, CDE 9:07
was great. It was it was good.
Scott Benner 9:09
She really understands it now in a different way. To learn more about how fat and protein can affect your blood sugar, check out Episode 263 diabetes, pro tip, fat and protein. It's with me and Jenny. It's a much longer description of what we talked about here. Friends, it's time to get yourself a free, no obligation demo of the Omni pod sent over to the house. Okay, let's talk about the Omni pod tubeless insulin pump, besides being absolutely spectacular, is the insulin pump that my daughter who was about to turn 16 has been wearing every day since she was four years old. That's a long time. Every day on the pod comes through exactly the way we expect it to and in a myriad of ways By being unobtrusive by being tubeless by helping us with extended boluses Temp Basal rates and just being what's the word I want really just it's there, it's solid. You don't I mean, like it does, it does what I think it's going to do when it's going to do it, I get what I expect. And what I expect is a quality insulin pump. That gives me the delivery and the wearability for my daughter that we need. And that means that she can stay attached to her insulin, when she's playing sports without being obtrusive, while she's taking a shower, sleeping, running around in the backyard, jumping on the trampoline, riding a bike, swimming, all of the things that your body still needs insulin for, you know, when you hear people saying, Oh, I disconnect for that? Well, they don't have insulin during that time. And that's very likely gonna cause a high blood sugar. Now, I understand that two pumps need to be disconnected sometimes. But the Omni pod never needs to be disconnected. It's tubeless. Wonderful. And you don't have to take my word for it. Because on the pod will be thrilled, happy, elated, delighted to send you a free, no obligation demo that you can try on yourself. Find out if what I just said is true. But you notice, but still try my on the pod.com Ford slash juice box. Check it out, get the demo, decide what you want to do. If you want to keep going with Omni pod, it'll be easy. And if you don't, no harm, no foul. You were just trying. That's why they call it no obligation. Now I have an obligation to tell you about the dexcom g six continuous glucose monitor. This application is both business oriented because their advertisers and moral because I think everyone should know about the dexcom g six continuous glucose monitor. Here's why. I'm going to use an example from this morning. Arden wakes up her blood sugar is 106 I see it on her Dexcom nice and steady. I hear her moving around upstairs. No big deal. She's getting her facewash getting dressed getting ready to actually go out right now. All of a sudden her blood sugar diagnol up starts moving up. 106 turns into 115 turns into 118 all of a sudden 125 Well,
we bolus right we're trying to stop that rise before it happens. Arden's trying to go out she's trying to do things she needs to eat. She doesn't need to walk into this day. 5060 7080 points higher than she needs to. But imagine had she woken up and tested her blood sugar with a meter boom, she would have saw 106 and thought, Hey, I'm doing great. And then she never would have seen anything that happened next. And then a half an hour 40 minutes later when she's sitting down to eat and tests again, you know in a world without a CGM. Who knows what she is to 25 now suddenly, the first meal is in jeopardy. It puts the rest of the day in question. You're looking at roller coaster going up and down up and down or skipping a meal. Instead, beep beep Arden's blood sugar hits 120 she gets a little insulin right back to where we need to be ready for that meal ready for the day. That uniquely happened. Because Arden has a dexcom g six continuous glucose monitor. Now that's just one example. Imagine all of the other ways that technology can be used for you. Imagine that the way I found out about it wasn't because I was bugging Arden while she was getting dressed. It's because it popped up on my iPhone. Because the dexcom g six has Sharon follow. And that works on Android and iPhone. So Arden CGM told her app or app, put it up in the cloud came back down on my phone. And just like that, we averted a high blood sugar, a burden a problem at a meal. save the day Dexcom g six is gonna save more than one day for you. That's for certain. Find out how you can get a dexcom@dexcom.com forward slash juice box. There are links to Dexcom Omni pod and the other sponsors at Juicebox podcast.com. If you can't remember them, they're also right there. in the show notes of your podcast player, you can click on them right there, like click Like with your finger. But very much appreciate when you support the sponsors because it supports the podcast, whether it's on the pod Dexcom the Contour Next One blood glucose meter or touched by type one. When you check out the links. You're telling those sponsors. I listen to the Juicebox Podcast I heard about you there may keep sponsoring you keep getting the podcast for free. Seems like a good deal.
Unknown Speaker 14:49
All right, a little
Scott Benner 14:50
bit of music, and we're out of here. Do I have any announcements here? Maybe one Hold tight. You can find the rest of the defining diabetes series as well as ask Scott Jenny and the diabetes pro tip episodes at diabetes pro tip comm you can find them too at Juicebox podcast.com. But, you know diabetes pro tips pretty easy to understand notice after the P, so just the P no si p a.com diabetes pro tip.com. Also, if you have a great doctor or need one, for type one diabetes, check out juicebox Doc's calm, do cs juicebox Doc's calm and ever growing list of Type One Diabetes health care professionals that listeners of the podcast have recommended. Let me give you a couple of examples. For instance, right there in Australia, Rachel Baker, Rn and CDE he does some amazing work. How about up in Canada? Dr. Jeremy Gilbert over in Ontario, that's Toronto. You understand Toronto, Ontario, right? Like Canada does their places weird? I mean, compared to how we do it? How about Melissa and tonic? in Fairfax, Virginia alfonzo Armstead, Nashville, Tennessee, and many, many, many more. And people put in effort when they send in their doctors to give real examples of why, for instance, someone wrote in that Elizabeth Harris in Chapel Hill, North Carolina, she said about Elizabeth. I've worked with Dr. Harris for close to a decade and she's taking care of me through many different stages of my diabetes from the disengaged teenager to the engaged but struggling young adult to well controlled debate goes online. Check it out, juice box Doc's calm. It's not a pay service. None of the doctors are paying me to be there. It's just me trying to take your good experiences and putting them in one place to somebody else can get the advantage of what you've learned about your doctor.
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