Did you tell your doctor you were doing LCHF/Keto etc
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macchiatto wrote: »
The hub has 2 stents as well as a history of pulmonary embolism. After his second stent was placed within 18 months of his first one, his doc gave us a very stern talking to. His doc wanted him to do " nutritional rehabilitation ". Turns out it was a low carb WOE, limiting carbs to less than 20 grams a day. He is also on Metformin and Saxenda. He is not diabetic.
It's interesting that this goes against everything he learned in cardiac rehab.
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Yes, informed Dr. Of keto...looking at the lab results before physically seeing me appearance wise all tall and lanky. Sure answered why cholesterol was high yet triglycerides were almost abnormally low, why blood glucose was borderline hypoglycemic and the obvious ketone (only +) in my urine. No deception0
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DorkothyParker wrote: »I've always just used quick clinics when sick. What does a primary care physician do? How do you find one? My family never had a family doctor before even when I was a kid. I have a gyno from my pregnancy, but I don't get the primary care stuff.
My work does annual testing of blood and stuff and I've always been super awesome so not totally stressed on it, but thinking it's a good idea to get a doctor for my husband and I. (Kiddo has a great pediatrician, I wish she was my doctor!)
All the stuff your kid's pediatrician does for her, a primary care doc would do for you and your husband - stuff like following any chronic conditions; seeing you for well visits if you wanted, seeing you for minor injuries or sick visits, writing prescriptions, and so on - and usually the copay for a primary doc is WAY less than the copay for quick clinics or urgent care!! (for example when we had insurance an office visit copay was $15 per visit - Urgent Care copay was $50 per!)0 -
macchiatto wrote: »
The hub has 2 stents as well as a history of pulmonary embolism. After his second stent was placed within 18 months of his first one, his doc gave us a very stern talking to. His doc wanted him to do " nutritional rehabilitation ". Turns out it was a low carb WOE, limiting carbs to less than 20 grams a day. He is also on Metformin and Saxenda. He is not diabetic.
It's interesting that this goes against everything he learned in cardiac rehab.
Thank you! That is definitely interesting. My husband had 3 major blockages (all discovered at once) and ended up with four heart caths/CTO's and five stents. He also has extremely low HDL (genetic), so a poor ratio even though his total cholesterol is low, and borderline high BP. I keep wondering if LCHF would actually be better for him than what he was taught in cardiac rehab so I am intrigued there's a cardiologist out there who is recommending it. You're not by any chance in SC are you?
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DorkothyParker wrote: »I've always just used quick clinics when sick. What does a primary care physician do? How do you find one? My family never had a family doctor before even when I was a kid. I have a gyno from my pregnancy, but I don't get the primary care stuff.
My work does annual testing of blood and stuff and I've always been super awesome so not totally stressed on it, but thinking it's a good idea to get a doctor for my husband and I. (Kiddo has a great pediatrician, I wish she was my doctor!)
All the stuff your kid's pediatrician does for her, a primary care doc would do for you and your husband - stuff like following any chronic conditions; seeing you for well visits if you wanted, seeing you for minor injuries or sick visits, writing prescriptions, and so on - and usually the copay for a primary doc is WAY less than the copay for quick clinics or urgent care!! (for example when we had insurance an office visit copay was $15 per visit - Urgent Care copay was $50 per!)
Yes. (And DH and I can relate to wishing our kids' pediatrician could be our dr, too). I never had a primary care dr until about 5 years ago. I love having one because (a) they can follow me to make sure I don't develop the diabetes I'm at high risk for genetically, (b) they can catch other issues before they become a problem and (c) it's helpful to have someone who knows your history even if you're just being seen for a UTI, flu swab, etc. Or if you have something recurring like a UTI or YI that you're familiar with, sometimes they're willing to just call you in a Rx without you having to go in.
Plus I don't know about you but the "quick" clinics and urgent cares around here often have long waits and huge germy waiting rooms. I had two PCP's in a row move unexpectedly so I've been without a PCP for a couple of long stretches and I missed having one! 0 -
Oh and we ask around for recs when looking for a PCP. In recent years we've had an ins co that is huge, especially around here, so finding one who takes our insurance hasn't been a problem. (Our dental insurance is another story.
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@DorkothyParker like you I have seen a variety of doctors, so unless I track it, no one individual would know my medical history. Mum went to the same family doctor for 30 years. Like seeing an old friend who knows you. If complex issues occur who is the primary medical professional avting as coordinator/ project manager. in our cases the answer is we own that job.0
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I don't trust or like doctors, so I tell them as little as possible. In general, I avoid going to see them at all costs, so it works out for me. Everyone else who asks, I tell I've cut down on sugar and processed food.0
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macchiatto wrote: »
The hub has 2 stents as well as a history of pulmonary embolism. After his second stent was placed within 18 months of his first one, his doc gave us a very stern talking to. His doc wanted him to do " nutritional rehabilitation ". Turns out it was a low carb WOE, limiting carbs to less than 20 grams a day. He is also on Metformin and Saxenda. He is not diabetic.
It's interesting that this goes against everything he learned in cardiac rehab.
I am diabetic and had a heart "event" that required 4 stents just over a year ago. In the hospital, they put me on insulin and follow-up care told me i should stay on insulin. During cardiac rehab, the diabetic nutritionist told me to eat at least 164g of carbs a day!!! Double whammy with the carbs and insulin! I have gained 25 lbs since i followed that regimen. However, 2 days ago started HFLC and dropped 8 lbs of water weight, plus feel more energetic and less achy already. So, will continue this new regimen for a while to see how it works!1 -
I am diabetic and had a heart "event" that required 4 stents just over a year ago. In the hospital, they put me on insulin and follow-up care told me i should stay on insulin. During cardiac rehab, the diabetic nutritionist told me to eat at least 164g of carbs a day!!! Double whammy with the carbs and insulin! I have gained 25 lbs since I followed that regimen. However, 2 days ago started HFLC and dropped 8 lbs of water weight, plus feel more energetic and less achy already. So, will continue this new regimen for a while to see how it works!
Congrats on being your own best doctor - that is perfectly appalling advice!
You might consider nominating it as a candidate for the Diabetic Diet Misinformation Darwin Award...
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Started seeing my current Dr. in January and I was very up front about my diet. His entire staff pretty much does South Beach. He was pretty chill with low carb and keto. And recently when I went back after dropping 30 lbs in two months, he was ecstatic LOL. He is stressing I get in enough protein and take a multi vitamin if I don't eat a lot of veggies, but that's the only comment he's made about my diet.0
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I am diabetic and had a heart "event" that required 4 stents just over a year ago. In the hospital, they put me on insulin and follow-up care told me i should stay on insulin. During cardiac rehab, the diabetic nutritionist told me to eat at least 164g of carbs a day!!! Double whammy with the carbs and insulin! I have gained 25 lbs since i followed that regimen. However, 2 days ago started HFLC and dropped 8 lbs of water weight, plus feel more energetic and less achy already. So, will continue this new regimen for a while to see how it works!
I love it when people follow their own advise. Congrats on doing what YOU think is right.0 -
I don't even get it it anyone unless they ask... I know it's working for me and my health and energy has never been better.0
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"What you're doing is working. Keep doing it." That's all my doc has said. I've seen him for over 15 years, so he knows the challenges I've had losing weight.0
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My doctor is the one who suggested a low carb diet.0
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Lucky I've got a great MD PCP who is also seriously into natural remedies. Had him since I moved to this town 34 years ago. He is a tall lean runner in his late 60's who is a member of International Physicians for the Prevention of Nuclear War, he's a locavore, and a supporter of community/public radio and any other slightly counterculture initiative you can think of. A man after my own heart, lol. He's the one who first suggested being seriously gluten free 6 yrs ago (celiac style - for my fibromyalgia) and is a great supporter of whatever ideas I have and research I have done and discusses them in depth. This means that often there is a bit of a wait in his office as appointments may be longer than originally scheduled but I appreciate the time & care he takes. He suggests natural supplements that may help different issues but never hesitates when a prescription drug or surgery is actually needed. He is semi-retired and I'm not sure what I will do when he really decides to 'close shop'...1
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canadjineh wrote: »Lucky I've got a great MD PCP who is also seriously into natural remedies. Had him since I moved to this town 34 years ago. He is a tall lean runner in his late 60's who is a member of International Physicians for the Prevention of Nuclear War, he's a locavore, and a supporter of community/public radio and any other slightly counterculture initiative you can think of. A man after my own heart, lol. He's the one who first suggested being seriously gluten free 6 yrs ago (celiac style - for my fibromyalgia) and is a great supporter of whatever ideas I have and research I have done and discusses them in depth. This means that often there is a bit of a wait in his office as appointments may be longer than originally scheduled but I appreciate the time & care he takes. He suggests natural supplements that may help different issues but never hesitates when a prescription drug or surgery is actually needed. He is semi-retired and I'm not sure what I will do when he really decides to 'close shop'...
Cool a new term, "locavore" never heard of that, but I knew the principle. I updated my terms blog. Thank you!
Blog #10 Keto: Abbreviations, Acronyms & Terminology Used on the LCD & Keto Updated
Dan the Man from Michigan
Keto / The Recipe Water Fasting / E.A.S.Y. Exercise Program
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canadjineh wrote: »Lucky I've got a great MD PCP who is also seriously into natural remedies. Had him since I moved to this town 34 years ago. He is a tall lean runner in his late 60's who is a member of International Physicians for the Prevention of Nuclear War, he's a locavore, and a supporter of community/public radio and any other slightly counterculture initiative you can think of. A man after my own heart, lol. He's the one who first suggested being seriously gluten free 6 yrs ago (celiac style - for my fibromyalgia) and is a great supporter of whatever ideas I have and research I have done and discusses them in depth. This means that often there is a bit of a wait in his office as appointments may be longer than originally scheduled but I appreciate the time & care he takes. He suggests natural supplements that may help different issues but never hesitates when a prescription drug or surgery is actually needed. He is semi-retired and I'm not sure what I will do when he really decides to 'close shop'...
He sounds awesome!0 -
Curvycurly223 wrote: »Hello everyone,
I have a doctors appointment tomorrow and I've lost some weight since the last time I was there so I'm sure my doctor will be curious about what I've changed. I've had my blood work done maybe a year ago with no problems. I'm 27. Not sure if that means she'll do blood work again this time. But I'm just curious how your doctor reacted to LCHF?
or 
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My philosophy is Do you have a relationship with trust? If not, follow the fish and keep your mouth shut, plus find a doctor that you can trust so that you can mutually create a healthier you. I spoke with the medical centre and said I wanted to see a Dr who had a better wholistic approach than telling me it's life.1
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DorkothyParker wrote: »I've always just used quick clinics when sick. What does a primary care physician do? How do you find one? My family never had a family doctor before even when I was a kid. I have a gyno from my pregnancy, but I don't get the primary care stuff.
My work does annual testing of blood and stuff and I've always been super awesome so not totally stressed on it, but thinking it's a good idea to get a doctor for my husband and I. (Kiddo has a great pediatrician, I wish she was my doctor!)
All the stuff your kid's pediatrician does for her, a primary care doc would do for you and your husband - stuff like following any chronic conditions; seeing you for well visits if you wanted, seeing you for minor injuries or sick visits, writing prescriptions, and so on - and usually the copay for a primary doc is WAY less than the copay for quick clinics or urgent care!! (for example when we had insurance an office visit copay was $15 per visit - Urgent Care copay was $50 per!)
For us, doc in a box or primary care physician is same copay and I have no chronic conditions, so it is just easier 99% of the time to roll into the urgent care clinic about 15 min before official opening time, be first on the list and get seen for whatever ailment I have going on.
Now that I work at a large hospital, I can use their employee health services for free (no co-pay, obviously pay for any meds/treatments) but I haven't needed to yet. I did just get a free health screening with blood work including A1c and cholesterol though.
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I was at my doctor's office to get a synthroid refill and he handed me a Banting diet worksheet and told me to look up Tim Noakes. So I would say he is on board1
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Yes, I brought a study showing health improvement among people with my disposition at the time (high cholesterol, obesity, family history of diabetes) and she said yes to a trial run.
My cholesterol levels are normal now! 1 -
ogmomma2012 wrote: »Yes, I brought a study showing health improvement among people with my disposition at the time (high cholesterol, obesity, family history of diabetes) and she said yes to a trial run.My cholesterol levels are normal now!
Awesome! Were/are you doing anything specifically for cholesterol? My husband has very high cholesterol (400+) and it has just marginally lowered in 18 months of LCHF. He loves red meat and I worry that maybe he shouldn't eat so much of it.
::flowerforyou::0 -
Went to the Dr. for tests yesterday. Had an ultrasound tech ask if I have pain after eating, especially fatty food. I told her no and asked if my gallbladder look bad. She didn't answer but seemed unsure. I told her I do lchf so I'm pretty sure I'd know by now if I had pain. She then proceeds to tell me I need to watch that and that I'm at risk of developing ketoacidosis! Also in her rant, it's not a good diet long term and started comparing it to her grapefruit diet she did years ago.
I told her she was misinformed, ketosis and Ketoacidosis are different situations. She became very huffy about it. Next thing I know I see the Dr, who mentions I need to watch my reaction to fatty foods. That the tech was concerned. He wisely says he knows I'm not there to discuss my diet and moves onto another discussion.
Other than being told I may want to mention it to my family Dr, neither expanded on what was up with the Gallbladder or even said it was bad or going bad.
I'm not nor ever have been diabetic, prediabetic, or alcoholic in my life. I asked questions about that Gallbladder multiple times and neither would say. Got a very bad vibe as this is only the 2nd appt at this office.0 -
Went to the Dr. for tests yesterday. Had an ultrasound tech ask if I have pain after eating, especially fatty food. I told her no and asked if my gallbladder look bad. She didn't answer but seemed unsure. I told her I do lchf so I'm pretty sure I'd know by now if I had pain. She then proceeds to tell me I need to watch that and that I'm at risk of developing ketoacidosis! Also in her rant, it's not a good diet long term and started comparing it to her grapefruit diet she did years ago.
I told her she was misinformed, ketosis and Ketoacidosis are different situations. She became very huffy about it. Next thing I know I see the Dr, who mentions I need to watch my reaction to fatty foods. That the tech was concerned. He wisely says he knows I'm not there to discuss my diet and moves onto another discussion.
Other than being told I may want to mention it to my family Dr, neither expanded on what was up with the Gallbladder or even said it was bad or going bad.
I'm not nor ever have been diabetic, prediabetic, or alcoholic in my life. I asked questions about that Gallbladder multiple times and neither would say. Got a very bad vibe as this is only the 2nd appt at this office.
Wow. I would switch dr.'s.1 -
midwesterner85 wrote: »Went to the Dr. for tests yesterday. Had an ultrasound tech ask if I have pain after eating, especially fatty food. I told her no and asked if my gallbladder look bad. She didn't answer but seemed unsure. I told her I do lchf so I'm pretty sure I'd know by now if I had pain. She then proceeds to tell me I need to watch that and that I'm at risk of developing ketoacidosis! Also in her rant, it's not a good diet long term and started comparing it to her grapefruit diet she did years ago.
I told her she was misinformed, ketosis and Ketoacidosis are different situations. She became very huffy about it. Next thing I know I see the Dr, who mentions I need to watch my reaction to fatty foods. That the tech was concerned. He wisely says he knows I'm not there to discuss my diet and moves onto another discussion.
Other than being told I may want to mention it to my family Dr, neither expanded on what was up with the Gallbladder or even said it was bad or going bad.
I'm not nor ever have been diabetic, prediabetic, or alcoholic in my life. I asked questions about that Gallbladder multiple times and neither would say. Got a very bad vibe as this is only the 2nd appt at this office.
Wow. I would switch dr.'s.
@megemrj -
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Lol. Seriously considering it. I was there for 4-5 hours doing these tests. With a 30 minute break at lunch. I almost just went home on the break, by that point I was so irritated.
Bad thing and most aggravating is that this office advertises offering "progressive" care. When I called to discuss scheduling the 1st appointment, I made sure to tell them I eat as cleanly as possible, high fat, and am adverse to taking prescription medications. I also stressed that if their office wouldn't be open to that then we would not be a good fit.
Of course, I was assured the Dr and nurse practitioner were fine with it and saw many women with different lifestyles. Had no idea I needed to ask about the ultrasound tech!
To top it off, I had a reaction to one of the tests. There was no chemical or substance involved just the test itself. I was told it's a very common reaction evidently which makes your insulin drop. I had to drink coke (they gave me) to get it back up. If they know it's a common reaction, why wasn't I told before? I could have planned for it and brought my own snack. I haven't had a full sugar drink in a very long time, I honestly can't even remember when. I only drank half and poured the rest out.
So after that "sugar hell" and further tests, I drove home, an hour away mind you, and was so sluggish I had to take a small nap. 5 HOURS later, I woke with a headache and my Raynaud's going crazy. Here it is a good 21 hours later and I've still got a headache!! At least the Raynaud's is finally calmed down.
Yep, thinking about switching. Just left my old Dr due to he's out of network but thinking I may go back and just pay the difference because he was awesome. We never discussed my diet...
BTW - I did mention doing Keto to my family doctor who was of the "okay let's just monitor you for awhile and see how it goes" mind set. I will be calling to follow up about the Gallbladder but NOT the ketoacidosis.0 -
Lol. Seriously considering it. I was there for 4-5 hours doing these tests. With a 30 minute break at lunch. I almost just went home on the break, by that point I was so irritated.
Bad thing and most aggravating is that this office advertises offering "progressive" care. When I called to discuss scheduling the 1st appointment, I made sure to tell them I eat as cleanly as possible, high fat, and am adverse to taking prescription medications. I also stressed that if their office wouldn't be open to that then we would not be a good fit.
Of course, I was assured the Dr and nurse practitioner were fine with it and saw many women with different lifestyles. Had no idea I needed to ask about the ultrasound tech!
To top it off, I had a reaction to one of the tests. There was no chemical or substance involved just the test itself. I was told it's a very common reaction evidently which makes your insulin drop. I had to drink coke (they gave me) to get it back up. If they know it's a common reaction, why wasn't I told before? I could have planned for it and brought my own snack. I haven't had a full sugar drink in a very long time, I honestly can't even remember when. I only drank half and poured the rest out.
So after that "sugar hell" and further tests, I drove home, an hour away mind you, and was so sluggish I had to take a small nap. 5 HOURS later, I woke with a headache and my Raynaud's going crazy. Here it is a good 21 hours later and I've still got a headache!! At least the Raynaud's is finally calmed down.
Yep, thinking about switching. Just left my old Dr due to he's out of network but thinking I may go back and just pay the difference because he was awesome. We never discussed my diet...
BTW - I did mention doing Keto to my family doctor who was of the "okay let's just monitor you for awhile and see how it goes" mind set. I will be calling to follow up about the Gallbladder but NOT the ketoacidosis.
What test caused your BG to drop? Do you know how low it got? If they gave you a whole can of Coke, they may have over-treated. If you have been low carb for very long, you will probably be more sensitive to BG spikes (because you don't have them at every meal like most people). I wonder if they over-treated a hypoglycemic episode. Being very sluggish is a symptom of high BG / hyperglycemia.1 -
@midwesterner85
It was a urodynamics test that did it. Nurse practitioner said it has something to do with the emptying and filling of the bladder that causes the reaction. Honestly don't remember the specifics as I was a little foggy at the time. I broke out in a cold sweat and was light headed. They didn't take my BG just made me sit and drink the coke. It was a small glass bottle, I think 8 oz. So I drank around 3-5 oz. They wanted me to drink it all, but that wasn't happening.
I have been paleoish for 3+ years (almost 4) and Keto for about 7-8 months. The most carbs I eat are normally under 20-30 net or gross a day (according to what I want and how much chocolate tempts me).
I know I will be asking about possible side effects for every test going forward.
Eta: BC auto correct hates me0
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