Official diabetes diet misinformation - any candidates for the Darwin Awards?

13468914

Replies

  • RalfLott
    RalfLott Posts: 5,036 Member
    Yep, @MarieFromOz and @KaseyDH83, here it is, fittingly on an ADA page on diabetes "myths":
    Myth: People with diabetes should eat special diabetic foods.

    Fact: A healthy meal plan for people with diabetes is generally the same as a healthy diet for anyone – low in saturated and trans fat, moderate in salt and sugar, with meals based on lean protein, non-starchy vegetables, whole grains, healthy fats and fruit. Diabetic and "dietetic" foods generally offer no special benefit. Most of them still raise blood glucose levels, are usually more expensive and can also have a laxative effect if they contain sugar alcohols.

    Myth: If you have diabetes, you should only eat small amounts of starchy foods, such as bread, potatoes and pasta.

    Fact: Starchy foods can be part of a healthy meal plan, but portion size is key. Whole grain breads, cereals, pasta, rice and starchy vegetables like potatoes, yams, peas and corn can be included in your meals and snacks. In addition to these starchy foods, fruits, beans, milk, yogurt, and sweets are also sources of carbohydrate that you need to count in your meal plan.

    Wondering how much carbohydrate you can have? A place to start is about 45-60 grams of carbohydrate per meal. However, you may need more or less carbohydrate at meals depending on how you manage your diabetes. You and your health care team can figure out the right amount for you. Once you know how much carb to eat at a meal, choose your food and the portion size to match.

    The ADA burned through over $50m in "charitable" fundraising expenses in a recent year, and that's using the ADA's own figures. If the ADA is spending that kind of cash on fundraising, it's probably not because it's getting a poor return on the investment....



  • Dragonwolf
    Dragonwolf Posts: 5,600 Member
    anglyn1 wrote: »
    Week before last my mom spent two nights in the hospital. She was given what was supposedly a diabetic meal plan....

    Breakfast: eggs, bacon, toast, corn flakes, milk, orange juice. Lunch: Roast, mashed potatoes, green beans, roll, and a piece of cinnamon cake. Dinner: Pasta with meat sauce, garlic bread, a slice of lemon pie!

    Right before she was released her reading was 262! They were trying to give her 4 units of insulin when she's never needed insulin before, she takes pills. She opted to forego the insulin and just go back to the eating plan I encourage her to be on. She complains but her two days off plan at least showed her my plan works for her!

    Hospitals are a joke!
    My daughter went into ICU for DKA with blood sugar over 400... We were completely unable to bring it down. She had taken so much insulin with no progress and naturally became acidotic. Anyway, upon being admitted, patients are immediately restricted from eating or even drinking anything because vomitting is expected. But, you're so thirsty it's like your a zombie and water is the only thing you can think about. So, I always sneak her water. (We've been through this several times). Even when blood sugar is normal again and blood ph is normal again too, they still won't let you eat any food at all. But, they will deliver glucose via IV... To counter the fact that they have you on an IV drip of insulin... I always thought that was so stupid. Like, if blood sugar is going too low, turn the damn drip down! Duh!
    Anyway, so you're starving for like 24-36 hours before you're cleared to eat from that lovely diabetic menu. Funny thing is, I sneak her no carb foods, like meat, while she's on restriction and nothing happens to blood sugar, of course and she doesn't need to suffer like the first times this happened before I understood how it all worked.
    Her first DKA was actually how I discovered Keto. I was researching how it all worked and came across it. lol

    But that makes sense!

    That reminds me of when I went into labor. As soon as I was admitted, I wasn't allowed food, and could only have ice chips for water. Because apparently the likelihood of needing surgery is so high that it warrants forcing healthy women to basically run a marathon on no fuel... And I had made the mistake of not eating before going in, so I had eaten at about 7am, was in the hospital around noon, and didn't get anything to eat until midnight (and this was before I went keto). And they wondered why labor stalled...

    Of course, we're also talking about the same people who, until about 40 years ago, didn't think blood sugar could be controlled at all, so there's that. Should we really get into the logic (or rather, lack thereof) of their assertion that carbs are the body's preferred fuel source? (Seriously, if it's the preferred one, why is storage of it limited in favor of virtually unlimited fat storage?!)
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    Dragonwolf wrote: »
    anglyn1 wrote: »
    Week before last my mom spent two nights in the hospital. She was given what was supposedly a diabetic meal plan....

    Breakfast: eggs, bacon, toast, corn flakes, milk, orange juice. Lunch: Roast, mashed potatoes, green beans, roll, and a piece of cinnamon cake. Dinner: Pasta with meat sauce, garlic bread, a slice of lemon pie!

    Right before she was released her reading was 262! They were trying to give her 4 units of insulin when she's never needed insulin before, she takes pills. She opted to forego the insulin and just go back to the eating plan I encourage her to be on. She complains but her two days off plan at least showed her my plan works for her!

    Hospitals are a joke!
    My daughter went into ICU for DKA with blood sugar over 400... We were completely unable to bring it down. She had taken so much insulin with no progress and naturally became acidotic. Anyway, upon being admitted, patients are immediately restricted from eating or even drinking anything because vomitting is expected. But, you're so thirsty it's like your a zombie and water is the only thing you can think about. So, I always sneak her water. (We've been through this several times). Even when blood sugar is normal again and blood ph is normal again too, they still won't let you eat any food at all. But, they will deliver glucose via IV... To counter the fact that they have you on an IV drip of insulin... I always thought that was so stupid. Like, if blood sugar is going too low, turn the damn drip down! Duh!
    Anyway, so you're starving for like 24-36 hours before you're cleared to eat from that lovely diabetic menu. Funny thing is, I sneak her no carb foods, like meat, while she's on restriction and nothing happens to blood sugar, of course and she doesn't need to suffer like the first times this happened before I understood how it all worked.
    Her first DKA was actually how I discovered Keto. I was researching how it all worked and came across it. lol

    But that makes sense!

    That reminds me of when I went into labor. As soon as I was admitted, I wasn't allowed food, and could only have ice chips for water. Because apparently the likelihood of needing surgery is so high that it warrants forcing healthy women to basically run a marathon on no fuel... And I had made the mistake of not eating before going in, so I had eaten at about 7am, was in the hospital around noon, and didn't get anything to eat until midnight (and this was before I went keto). And they wondered why labor stalled...

    Of course, we're also talking about the same people who, until about 40 years ago, didn't think blood sugar could be controlled at all, so there's that. Should we really get into the logic (or rather, lack thereof) of their assertion that carbs are the body's preferred fuel source? (Seriously, if it's the preferred one, why is storage of it limited in favor of virtually unlimited fat storage?!)

    Actually, the original treatment for type 1 diabetes - before insulin was discovered - was to feed very low carb and to have lots of alcohol (in order to prevent glycogen release). Of course, type 1's would still die but this method kept some patients alive for years during most of the "honeymoon period" (the time it takes for our immune system to completely kill pancreatic beta cells).
  • RalfLott
    RalfLott Posts: 5,036 Member
    @Dragonwolf
    Dragonwolf wrote: »
    Should we really get into the logic (or rather, lack thereof) of their assertion that carbs are the body's preferred fuel source? (Seriously, if it's the preferred one, why is storage of it limited in favor of virtually unlimited fat storage?!)

    The typical answer I get from flat-earthers in the health professions is that ketosis is an emergency state that evolved to allow you to survive long enough to find food, and that it's not designed for daily life. (Of course, you're not exactly going to be carb-loading after you kill that bear or whale, unless it just snacked on chips and you go straight to its tummy.)

    And there are probably plenty of health professionals around who don't view childbirth as an emergency or even a marathon.

  • Dragonwolf
    Dragonwolf Posts: 5,600 Member
    Dragonwolf wrote: »
    anglyn1 wrote: »
    Week before last my mom spent two nights in the hospital. She was given what was supposedly a diabetic meal plan....

    Breakfast: eggs, bacon, toast, corn flakes, milk, orange juice. Lunch: Roast, mashed potatoes, green beans, roll, and a piece of cinnamon cake. Dinner: Pasta with meat sauce, garlic bread, a slice of lemon pie!

    Right before she was released her reading was 262! They were trying to give her 4 units of insulin when she's never needed insulin before, she takes pills. She opted to forego the insulin and just go back to the eating plan I encourage her to be on. She complains but her two days off plan at least showed her my plan works for her!

    Hospitals are a joke!
    My daughter went into ICU for DKA with blood sugar over 400... We were completely unable to bring it down. She had taken so much insulin with no progress and naturally became acidotic. Anyway, upon being admitted, patients are immediately restricted from eating or even drinking anything because vomitting is expected. But, you're so thirsty it's like your a zombie and water is the only thing you can think about. So, I always sneak her water. (We've been through this several times). Even when blood sugar is normal again and blood ph is normal again too, they still won't let you eat any food at all. But, they will deliver glucose via IV... To counter the fact that they have you on an IV drip of insulin... I always thought that was so stupid. Like, if blood sugar is going too low, turn the damn drip down! Duh!
    Anyway, so you're starving for like 24-36 hours before you're cleared to eat from that lovely diabetic menu. Funny thing is, I sneak her no carb foods, like meat, while she's on restriction and nothing happens to blood sugar, of course and she doesn't need to suffer like the first times this happened before I understood how it all worked.
    Her first DKA was actually how I discovered Keto. I was researching how it all worked and came across it. lol

    But that makes sense!

    That reminds me of when I went into labor. As soon as I was admitted, I wasn't allowed food, and could only have ice chips for water. Because apparently the likelihood of needing surgery is so high that it warrants forcing healthy women to basically run a marathon on no fuel... And I had made the mistake of not eating before going in, so I had eaten at about 7am, was in the hospital around noon, and didn't get anything to eat until midnight (and this was before I went keto). And they wondered why labor stalled...

    Of course, we're also talking about the same people who, until about 40 years ago, didn't think blood sugar could be controlled at all, so there's that. Should we really get into the logic (or rather, lack thereof) of their assertion that carbs are the body's preferred fuel source? (Seriously, if it's the preferred one, why is storage of it limited in favor of virtually unlimited fat storage?!)

    Actually, the original treatment for type 1 diabetes - before insulin was discovered - was to feed very low carb and to have lots of alcohol (in order to prevent glycogen release). Of course, type 1's would still die but this method kept some patients alive for years during most of the "honeymoon period" (the time it takes for our immune system to completely kill pancreatic beta cells).

    There was a point in time between the discovery of insulin (1920s) and the admission that glucose could be controlled in a meaningful, meal-by-meal basis (1980ish, according to Dr. Bernstein, who lived through it), during which low carb type diets for diabetics were abandoned.
    RalfLott wrote: »
    @Dragonwolf
    Dragonwolf wrote: »
    Should we really get into the logic (or rather, lack thereof) of their assertion that carbs are the body's preferred fuel source? (Seriously, if it's the preferred one, why is storage of it limited in favor of virtually unlimited fat storage?!)

    The typical answer I get from flat-earthers in the health professions is that ketosis is an emergency state that evolved to allow you to survive long enough to find food, and that it's not designed for daily life. (Of course, you're not exactly going to be carb-loading after you kill that bear or whale, unless it just snacked on chips and you go straight to its tummy.)

    And there are probably plenty of health professionals around who don't view childbirth as an emergency or even a marathon.

    Emergency? Generally speaking, no (it can become one, but labor in and of itself, is not an emergency).

    Marathon? Only someone who hasn't actually given birth (or perhaps someone who was fortunate enough for it to be quick and easy) would claim that it's not, especially in light of objective evidence that says it is.
  • canadjineh
    canadjineh Posts: 5,396 Member
    @Dragonwolf
    "Marathon? Only someone who hasn't actually given birth (or perhaps someone who was fortunate enough for it to be quick and easy) would claim that it's not, especially in light of objective evidence that says it is."

    Forget pregnancy... That's why I've always stuck with really vigourous sex.... I prefer 10k's. LOL
  • RalfLott
    RalfLott Posts: 5,036 Member
    canadjineh wrote: »
    @Dragonwolf
    "Marathon? Only someone who hasn't actually given birth (or perhaps someone who was fortunate enough for it to be quick and easy) would claim that it's not, especially in light of objective evidence that says it is."

    Forget pregnancy... That's why I've always stuck with really vigourous sex.... I prefer 10k's. LOL

    Relay?
  • canadjineh
    canadjineh Posts: 5,396 Member
  • RalfLott
    RalfLott Posts: 5,036 Member
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
    Practicing wellness does not cover hospital overhead costs. Type 2 diabetes that manage to get off meds by eating LC is a major set back income wise for the health care industry up front and a real set back when the secondary effects of high blood sugar sets in down the road.

    However with the masses eating the way they do the health care industry will do just fine as long as insurance is paying the bills.
  • RalfLott
    RalfLott Posts: 5,036 Member
    Here's some keto-hostile, ADA-derived, low-fat drivel from Dr. Oz:

    Dairy: Don’t deprive yourself of dairy. Low-fat or Greek yogurts are delicious ways to get your daily calcium and vitamin B-12. Studies have shown that people who eat yogurt daily are less likely to get diabetes, and it can help promote healthy digestion. Just watch out for added sugars and check out our Greek yogurt cheat sheet to find the best yogurt for you. Reduced-fat cheeses, 1% milk, and cottage cheese are other healthy options for diabetics.

    Lean proteins are the best choice. Try to eat fish at least twice a week – especially fatty [I thought you said.....] fish like salmon that will give you heart-protecting omega-3s. Other meats such as chicken and turkey (remove the skins) and lean cuts of beef or pork (pork loin and sirloin tend to be leaner cuts) are also good in moderation. Bake, broil or grill meat to keep it healthier. Other great sources of protein include eggs, tofu, and baked or stewed beans.

    Breads and grains: Carbohydrates are the main culprit when it comes to rising blood sugar. But complex carbohydrates are absorbed more slowly than simple carbs, and won’t cause you to spike and crash as fast. Aim for whole-grain or multi-grain breads and cereals, brown rice and oatmeal.

    Treats: Just because you’re diabetic doesn’t mean you can’t enjoy your snacks. Stick to baked snacks, like baked potato chips, corn chips and puffed rice. Popcorn is also a tasty high-fiber snack – just skip the buttery and sugary toppings. A little bit of reduced-fat mayo and low-fat or citrus-based salad dressings can keep your sandwiches and salads satisfying. If you can’t seem to kick your soda habit, tried flavored sparkling water or unsweetened tea with lemon. Light beer and small amounts of wine are also okay.

  • RalfLott
    RalfLott Posts: 5,036 Member
    edited August 2016
    This isn't necessarily wrong, but completely avoids that most type 2's are overweight. In fact, it enables the behavior that led to becoming overweight and type 2 in the first place. I truly believe that the PC concept of avoiding telling type 2's they need to lose weight is a major part of the continued rise in obesity and the rise in type 2 patients here in the U.S.

    @midwesterner85 - Well, I'll give you that taking insulin is not necessarily wrong for every T2D, but it's certainly not the best general advice for folks who are motivated, intelligent, overweight, and/or relatively new to dealing with T2D. (The author is T1D.)

    Also, telling people to get their A1c under 7.0 to be "in range" to avoid complications - but then advising that drops in A1c will reduce the risk of complications - sends a confusing message.

    I would have preferred to read one of your posts, but unfortunately, your insights aren't distributed to thousands of diabetes patients!

  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    RalfLott wrote: »
    This isn't necessarily wrong, but completely avoids that most type 2's are overweight. In fact, it enables the behavior that led to becoming overweight and type 2 in the first place. I truly believe that the PC concept of avoiding telling type 2's they need to lose weight is a major part of the continued rise in obesity and the rise in type 2 patients here in the U.S.

    @midwesterner85 - Well, I'll give you that it's taking insulin is not necessarily wrong for every T2D, but it's certainly not the best general advice for folks who are motivated, intelligent, overweight, and/or relatively new to dealing with T2D. (The author is T1D.)

    Also, telling people to get their A1c under 7.0 to be "in range" to avoid complications - but then advising that drops in A1c will reduce the risk of complications - sends a confusing message.

    I would have preferred to read one of your posts, but unfortunately, your insights aren't distributed to thousands of diabetes patients!

    The better advice for most type 2's would be to eliminate the underlying metabolic condition (i.e. lose weight). It bothers me most that 1. This is never mentioned, and 2. It is considered to be inevitable that most type 2's will just end up on insulin someday. Taking insulin should be a temporary solution for an overweight type 2 patient.

    The author is suggesting to accept defeat while trying to avoid eye contact with the elephant in the room even though we all know it can't get out without help.
  • Sunny_Bunny_
    Sunny_Bunny_ Posts: 7,140 Member
    kmn118 wrote: »
    When I was in the hospital, the doctor put me on insulin because it was more "convenient" than pills as a treatment option. When I left hospital, my PCP said to stay on the insulin and added statins to lower cholesterol. After 17 months of this new drug combo, my weight increased by 40 lbs, my BG and cholesterol were HIGHER, and my hips and knees weren't functional enough for me to walk up the 6 steps into my house. So, I started LCHF and stopped both insulin and statins. Now, 5 months later, I have lost 47 lbs. and the hip and knees are recovering. I will have bloodwork done in the next 2 weeks to see what effect these changes have wrought. Still, toeing the party line felt like it was killing me!

    I am so sorry to hear how your health declined. I'm sure all you heard was how you just needed to eat less and move more right?!?
    Infuriating!
    I can't help but feel like scenarios like yours prove that people are being victimized by big pharmaceutical. And with their trusted health care providers help! All the while having no idea!
    It makes me so sad to think about all the people that are suffering unnecessarily in exactly the same situation. Geez! Some of these people suffer like this by choice simply because the mere thought of not eating a cake, candy or bread on a daily basis is a more difficult life to imagine living. This is my sister. She puts on blinders to everything I share with her and simply cannot deny herself her soda and snacks. All while she can barely get around and adds about 10-15 pounds a year.
  • RalfLott
    RalfLott Posts: 5,036 Member
    I can't help but feel like scenarios like yours prove that people are being victimized by big pharmaceutical. And with their trusted health care providers help! All the while having no idea!

    As if to prove your very point about the interests of Big Pharma, I just got another obnoxious email from those scheming scalliwags at Diabetic Connect (see previous example above).

    This email generously offers us poor diabetics a break on Glucerna. It provides a link to the Glucerna sign-up page hosted by the manufacturer, Abbott Labs - which just happens to have Freestyle and Precision blood glucose meters and Tricor, a medication for combating low HDL and high triglycerides, among its many products.
    https://glucerna.com/signup

    Glucerna products (like Ensure, another Abbott brand) are not exactly low-carb. For example, here's info about Glucerna Advance Shakes:
    https://glucerna.com/nutrition-products/glucerna-advance-shakes-chocolate

    In an 8 oz. container, there are 200 cal, of which 27g (over half) are from carbs, and 6g of those are from sugar.

    Or take Glucerna Snack Shakes - the first 3 ingredients are "Water, Corn Maltodextrin, Fructose."
    https://glucerna.com/nutrition-products/glucerna-snack-shakes-rich-chocolate

    Fructose is a good carb fit for diabetics? Yep, according to Abbott Labs:
    The Glucerna portfolio contains blends of carbohydrates which include modified maltodextrin (a portion of the maltodextrin has been modified so the body is not able to digest it), fructose, maltitol, soy fiber and fructooligosaccaharides. This helps minimize the peak in blood glucose. This carbohydrate that is not digested may be fermented in the large intestine. These ingredients, in combination with the other carbohydrates listed above, produces a lower blood glucose response compared to a higher glycemic carbohydrate.

    So it's better than straight apple juice spiked with fructose...impressive.

    Note also at the sign-up page that Abbott gives you the opportunity to have a "private" Chat With A Dietitian.
    https://glucerna.com/contact-glucerna

    I may have to give Dietitian Chat a whack when I get stuck in the Throne Room from consuming too much sugar alcohol in those low-glycemic Glucerna products I got at such a bargain.....
  • canadjineh
    canadjineh Posts: 5,396 Member
    Bwahahaha! :p You will have to send transcripts of your 'conversation' to the rest of us interested parties, @RalfLott. I'm sure it will be quite the *kitten* fight, lol.
  • RalfLott
    RalfLott Posts: 5,036 Member
    Haha. Well, please do feel free to feed me any *kitten* lines you think might be..er.. productive! (Even if only in the sense of coughing up phlegm.)
  • RalfLott
    RalfLott Posts: 5,036 Member
    Not at all off-topic. Kudos to you for standing your ground!

    Ensure is a disgusting pseudo-food not fit even for healthy youngsters...

    My dad tried a few when he was terminally ill with stomach cancer. He found use for 1 canister - to flick his ashes into when he smoked outside. Highest use for those da*n things.
  • LauraCoth
    LauraCoth Posts: 303 Member
    But what really burns me is that it is served with every meal in the hospital - a whole can of it -- and it's everywhere you look; in the ward fridge, in the chemo unit, even in the cafeteria, for gosh sakes, because, you know, the world at large needs to get themselves some Ensure, too. It's as though the whole medical profession has been lulled into a nice, cozy sleep about this horrible stuff.
  • RalfLott
    RalfLott Posts: 5,036 Member
    And you see its stablemate, Glucerna, outside of the hospital in places where people should know better (like blood banks....).
    Another finky family of crappy carb bombs from Abbott Labs (see above for how Abbott markets Glucerna - boo!).
  • RalfLott
    RalfLott Posts: 5,036 Member
    edited September 2016
    Here's another piece of garbage (finder's fee to @KetoGirl83).

    idfbbhm6mqd7.jpg

    Here's Dr. Bernstein's chart, for comparison. Note where A1c levels of 6 and 8 fall on the two charts:

    3090c3c8635952f990530cdb9893933c.jpg

  • Gallowmere1984
    Gallowmere1984 Posts: 6,626 Member
    It's not just Ensure either. Most premixes are garbage; even those made by companies who make good protein powders otherwise. You just have to do so much crap to Whey and Casien in order to make them stable in liquid for a period of time that covers shipping, storage, etc. Add to that, the fact that most people who buy premixes are nutritionally retarded, and won't consume a shake that doesn't taste "good", and that explains the sugar content. Honestly, Muscle Milk is the only premixed that's worth a damn, and it's borderline.
  • T1DCarnivoreRunner
    T1DCarnivoreRunner Posts: 11,502 Member
    RalfLott wrote: »
    Here's another piece of garbage (finder's fee to @KetoGirl83).

    idfbbhm6mqd7.jpg

    Here's Dr. Bernstein's chart, for comparison. Note where A1c levels of 6 and 8 fall on the two charts:

    3090c3c8635952f990530cdb9893933c.jpg

    Bernstein's chart indicates a bit higher BG for A1C's than most other charts I've seen. There are other factors that affect A1C, so there really isn't a one-chart-fits-all for average BG to A1C anyway. Keep in mind too that about half of your A1C is just for the 7-10 days prior to testing it. From my own experience with a CGM, I would say Bernstein's chart is too high. On the other hand, my experience won't be the same as everyone else.
  • RalfLott
    RalfLott Posts: 5,036 Member
    Bernstein's chart indicates a bit higher BG for A1C's than most other charts I've seen. There are other factors that affect A1C, so there really isn't a one-chart-fits-all for average BG to A1C anyway. Keep in mind too that about half of your A1C is just for the 7-10 days prior to testing it. From my own experience with a CGM, I would say Bernstein's chart is too high. On the other hand, my experience won't be the same as everyone else.

    People who use Bernstein's chart seem to prefer his approach, but as you suggest, A1c is not a precise measurement to begin with.
  • KenSmith108
    KenSmith108 Posts: 1,967 Member