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sublingual B12

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I had an interesting experience this morning. I'd used some Humalog before

breakfast to deal with both the dawn rise and the fact that I was going to

toast a couple of pieces of LC bread. I got sort of sidetracked after the

shot, though, and though I didn't keep track of the time, it was probably

about 10-15 minutes before I actually ate.

After breakfast I sat to refill my weekly pill box and also took a couple

of the sublingual B12's I use (300mg a pill). Then I went to put on makeup

'cause I was heading for the store. I felt a little lightheaded while doing

that and finally decided that maybe the delay in eating breakfast after the

Humalog shot might have made me a bit low. Checked BG and it was

149! Checked three times and each time it was in that same range. This is

just an hour after my morning fasting BG test and during a time when my

BG's should have been on their way DOWN towards 80. I still had some of

the sublingual pills under my tounge and finally got smart enough to check

the bottle of B12 and yep, it contained " dextrines " , which sounded a lot

like " dextrose " to meeee.

I just looked " dextrines " up and it's apparently a modified starch

(generally from potatoes). The modification makes it " easy to digest " . It's

hard to find any good article on them---everything seems to tell about

their use in paints, glue for envelopes or pet food. Oh here, I searched

" dextrin " instead of " dextrines " and found something:

http://www.wholefoods.com/healthinfo/dextrin.html

So I need to find some B12 that doesn't have that in, which probably

removes the sublingual sorts from the list. I know that B12 isn't processed

very well if you take a tablet that goes through the digestive system. For

those of you who take B12, what sort do you take? Darn, and here I've been

using that sublingual stuff for months!!

It also occurs to me that sublingual B12 might be a LOT faster than glucose

tabs if you're having a low. I should test this sometime when my BG's are

lower and I've had nothing else to eat and no insulin. Seems to me that a

small sublingual pill might also work well for someone who's so hypo that

they can't chew a pill. Maybe a product could be developed from this...just

the dextrine in sublingual form. Now that I've looked up " dextrin " instead

of " dextrines " I'm seeing a LOT of info. There's more research to be done.

If anyone here knows about dextrin I'd be happy to hear what you know.

I didn't use insulin to adjust the high from the B12 'cause I don't really

know how long it will last and don't need to start on a rollercoaster ride

when I'm heading for the bank and the grocery store.

sky

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Sky,

I used to take Trivita sublingual B-12 tabs. You have me wondering now

because I quit taking them this past summer and funny thing is that was

the time frame I started getting BG control. I just thought it was due

to diet. But here's the ingredients on the Trivia version:

B-6 5 mg

folic acid 400 mcg

B-12 1000 mcg

biotin 25 mcg

other ingredients:

mannitol

sorbitol

alphaketoglutarate

starch glycolate

natural cherry flavor

silicon dioxide

magnesium stearate

www.trivita.com for more info

I know I did get good homosycteine levels while taking it. If I start

taking them again I will check my BG. Glad you mentioned it. Not sure

how the ingredients compare with the one you are taking.

> For

>those of you who take B12, what sort do you take?

>

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At 04:27 PM 1/10/06, wrote:

>Sky,

>I used to take Trivita sublingual B-12 tabs. You have me wondering now

>because I quit taking them this past summer and funny thing is that was

>the time frame I started getting BG control. I just thought it was due

>to diet. But here's the ingredients on the Trivia version:

> (snip)

>other ingredients:

>mannitol

>sorbitol

>alphaketoglutarate

>starch glycolate

, mannitol and sorbitol are both sugar alcohols called isomers and

often used in " sugar free " products. They are absorbed very slowly and have

less impact than regular sugars. This can also cause a laxative effect. I

don't *think* they'd do much with raising BG's though.

The starch glycolate has a potato base but I don't know if it's high in

carbs or not...still searching for info.

Alphaketoglutarate is also called AAKG but I can't figure out if it might

cause BG rise or not.

sky

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> The starch glycolate is self-explanatory... a *starch.*

Yes, but it's been chemically modified. Just as Sucralose is chemically

modified sucrose. I don't know if the starch glycolate is digestible or not.

Anyway, those B12 tablets are so tiny that I can't imagine that any starch

or even glucose would raise BG very much.

Apparently starch glycolate is in a lot of pills.

Gretchen

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Okay now that's interesting. Hadn't thought of it that way. I can

remember asking them about if these were okay for diabetics to use and

they were recommended for that. Never thought about the starch in other

pills.

>Yes, but it's been chemically modified. Just as Sucralose is chemically

>modified sucrose. I don't know if the starch glycolate is digestible or not.

>

>Anyway, those B12 tablets are so tiny that I can't imagine that any starch

>or even glucose would raise BG very much.

>

>Apparently starch glycolate is in a lot of pills.

>

>Gretchen

>

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Hi Sky,

Both Bricker and Vitamin Shoppe make a liquid B12 that doesn't affect my bgs. I

don't have any available at the moment, but they are easy to take. You might be

able to get info on liquid B12 either from iherb or Vitamin Shoppe.

Hugs, Dianne

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At 07:30 PM 1/10/06, Midlash wrote:

>Mannitol and sorbitol and sugar alcohols. Some can eat them without a big

>rise. I can't. The starch glycolate is self-explanatory... a *starch.* Not

>sure about the natural cherry flavor... might have fructose.

Yeah, the starch glycolate is a starch but I found very little about it in

relation to raising blood glucose. Seems it, like the dextrines, has a lot

of non-food uses.

sky

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At 08:01 PM 1/10/06, Gretchen wrote:

>Anyway, those B12 tablets are so tiny that I can't imagine that any starch

>or even glucose would raise BG very much.

Still, my FBG was 112. I shot for a goal of 80 (which I know I can't

maintain with just humalog, but if I have to use it, that's my goal number)

and for 12 carbs of bread. It was just an hour later when I felt

lightheaded and found my BG's at 146, 143 and 149 in three tests. I made

sure to rewash my hands after the first test, so there was nothing sugary

on my fingers. Since I'd used the insulin my BG's should have been on

their way DOWN.

sky

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Sky, you might have found a more realistic picture if you had tested

again at two hours PP. Since I have been on insulin, I do not test at

one hour, there is nothing I would do with that number, except maybe

aggravate myself. I am not going to have my A1c suddenly rise in an

hour, and if I have a heart attack, that won't help anything. My goal is

to be around 100 in two hours, I generally eat the same kinds of foods,

in terms of carb numbers, their GI and their GL, so I know I am not going

sky high in one hour. If I need a correction - unless I am really high,

I wait another hour, just in case there is still juice left in that insulin.

I have been using Trader Joe's sublingual B12 for several years. The

ingredients are lactose and acacia gum. That tiny pill probably has less

lactose than the cream I put into my coffee. I take mine after lunch and

my PP numbers are fine. Unless, of course, no numbers are fine.

I am still stabilizing after adding Lyrica and stopping Byetta; tho I

believe I am almost there.

Helen

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> Still, my FBG was 112. I shot for a goal of 80

I understand that something made your BGs go up, but it could have been due

to other things. Sometimes, depending on exactly where you inject, the

insulin isn't absorbed as fast as it usually is.

The only way to tell for sure is to test sometime when you know your BGs are

stable and then eat nothing but put the B12 pill under your tongue. Because

it's supposed to be absorbed through the skin, it's possible that a tiny

amount would raise BGs faster, but I really don't know. So test after doing

that and you'll know the answer.

Gretchen

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At 10:33 AM 1/11/06, Gretchen wrote:

> > Still, my FBG was 112. I shot for a goal of 80

>

>I understand that something made your BGs go up, but it could have been due

>to other things. Sometimes, depending on exactly where you inject, the

>insulin isn't absorbed as fast as it usually is.

You may have a point. The two slices of bread equalled 12 effective carbs.

That would raise my BG's about 30 points which would put me at 142. If for

some reason the fiber carbs were also working in there (I've always seemed

to be able to subtract the full fiber amount) then that could explain the

high-140's readings. Injecting in the abdomen is a wide range of " areas "

but since my " spare tire " area seems less sensitive, that's normally where

I inject and is where I injected that morning.

>The only way to tell for sure is to test sometime when you know your BGs are

>stable and then eat nothing but put the B12 pill under your tongue. Because

>it's supposed to be absorbed through the skin, it's possible that a tiny

>amount would raise BGs faster, but I really don't know. So test after doing

>that and you'll know the answer.

Yes, that's a good idea, Gretchen. I mentioned in that first message that

I'd have to do some testing of it sometime when my BG's were stable and not

very high. I plan on doing that...just need to remember to do it!

sky

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Hi Sky,

I'd bet on the bread myself. A single low carb corn tortilla once bounced my

bgs over 200.

I believe that it had something like 7 grams of carb, so it was probably the

corn rather than the carbs. Even low carb wheat bread causes me problems,

although regular rye is much less of a bounce.

Dianne

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