Almost.....but not quite. Diabetes establishment still not there
cstehansen
Posts: 1,984 Member
http://www.diabetesforecast.org/2017/may-jun/navigating-a-low-carb-eating.html?referrer=http://www.diabetesforecast.org/?referrer=http://professional.diabetes.org/meetings/journals
This is at least not derogatory toward low carb for treating diabetes. There is still some dogma in here about saturated fat, needing to eat lean meat and whole grains. That said, it still puts forth that low carb is a viable option for treating diabetes.
I continue to shake my head when opponents to LC give as a con that it will lower BG too much. They seem to think that it is a bad thing to stop taking medication. If someone is taking medication to lower BG but lowers it by changing food choices, it seems logical the solution is reducing or eliminating the medication NOT going back to crappy eating that made the medication necessary in the first place.
This is at least not derogatory toward low carb for treating diabetes. There is still some dogma in here about saturated fat, needing to eat lean meat and whole grains. That said, it still puts forth that low carb is a viable option for treating diabetes.
I continue to shake my head when opponents to LC give as a con that it will lower BG too much. They seem to think that it is a bad thing to stop taking medication. If someone is taking medication to lower BG but lowers it by changing food choices, it seems logical the solution is reducing or eliminating the medication NOT going back to crappy eating that made the medication necessary in the first place.
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I don't have a problem with the lean meat part, if it's decoupled from the saturated fat legend. LCers who over-consume calories tend to overdo the fat, which is available in plenty of forms, if more is needed.
I think you're right about the cockeyed approach to hypoglycemia. Dr. Bernstein's assessment is that the ADA and its tentacles are paranoid of lawsuits arising from BG lows in people who haven't reduced their insulin, etc.1 -
Woo-hoo... I will match your 'almost but not quite' and trump with "Dietary fat guidelines have no evidence base"....!3
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I don't have a problem with the lean meat part, if it's decoupled from the saturated fat legend. LCers who over-consume calories tend to overdo the fat, which is available in plenty of forms of more is needed.
I think youre right about the cockeyed approach to hypoglycemia. Dr. Bernstein's assessment is that the ADA and its tentacles are paranoid of lawsuits arising from BG lows in people who haven't reduced their insulin, etc.
I can't wait for the automated insulin systems start gaining traction. IE -- equipment that monitors your glucose in real time and responds only with the amount of insulin required. Then that excuse will go out the window.2 -
@Dragonwolf - I'm so with you on that one! Then I might finally be able to figure out WTF is up with my body!!0
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KnitOrMiss wrote: »@Dragonwolf - I'm so with you on that one! Then I might finally be able to figure out WTF is up with my body!!
Right?! I'm loving watching the advances of tech in the field of medicine and how it's going to make establishment medical people's heads explode.
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If we're lucky, the next generation of docs may actually be able to implement a lot of personalized medical technology while we're still around to enjoy it! That is, I wish they'd hurry up about it....0
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Dragonwolf wrote: »KnitOrMiss wrote: »@Dragonwolf - I'm so with you on that one! Then I might finally be able to figure out WTF is up with my body!!
Right?! I'm loving watching the advances of tech in the field of medicine and how it's going to make establishment medical people's heads explode.
You should follow Jeffrey Brewer of Bigfoot Biomedical on Facebook. He's developing a closed loop system with funding from JDRF that will dose insulin and glucagon as needed by way of basically insulin pump and cgm. It will be a safeguard against lows especially useful for kids and overnight when someone might not wake up.4 -
Sunny_Bunny_ wrote: »Dragonwolf wrote: »KnitOrMiss wrote: »@Dragonwolf - I'm so with you on that one! Then I might finally be able to figure out WTF is up with my body!!
Right?! I'm loving watching the advances of tech in the field of medicine and how it's going to make establishment medical people's heads explode.
You should follow Jeffrey Brewer of Bigfoot Biomedical on Facebook. He's developing a closed loop system with funding from JDRF that will dose insulin and glucagon as needed by way of basically insulin pump and cgm. It will be a safeguard against lows especially useful for kids and overnight when someone might not wake up.
Thanks for the tip! Any idea how far it is from FDA trials?0 -
Medtronic's closed loop system was approved last year & is being rolled out now. Its got some great features to prevent lows, particularly overnight lows. Rather than having a daily schedule for basal delivery, the CGM tests every 5 minutes and gives insulin based on a predictive algorithm that includes your usual rhythms. So if it determines that you are headed for a low in the next 30 minutes, it simply doesn't administer insulin until your SG recovers.
It doesn't have glucagon incorporated for treating extreme lows; its method is aimed at preventing them in the first place. So far its been really good at that, and I haven't had overnight lows or delayed onset post-exercise lows that I often would have with my previous pump.
There are some other glitches of the sort that happen to any early adopter of new technology -- frustrating in the moment, certainly. But on the whole its been very good & continues to improve as we gather info and my team tweaks my personalized settings.3 -
Medtronic's closed loop system was approved last year & is being rolled out now. Its got some great features to prevent lows, particularly overnight lows. Rather than having a daily schedule for basal delivery, the CGM tests every 5 minutes and gives insulin based on a predictive algorithm that includes your usual rhythms. So if it determines that you are headed for a low in the next 30 minutes, it simply doesn't administer insulin until your SG recovers.
It doesn't have glucagon incorporated for treating extreme lows; its method is aimed at preventing them in the first place. So far its been really good at that, and I haven't had overnight lows or delayed onset post-exercise lows that I often would have with my previous pump.
There are some other glitches of the sort that happen to any early adopter of new technology -- frustrating in the moment, certainly. But on the whole its been very good & continues to improve as we gather info and my team tweaks my personalized settings.
@RalfLott
The one Bigfoot Biomedical is developing does have the glucagon feature which is going to be a major game changer, especially for children. I think it's just recently gotten trial funding.
The current insulin pumps can alarm and suspend insulin if the cgm detects a low but the person must still wake up to get glucose on their own because they will still have active insulin on board.4 -
cstehansen wrote: »http://www.diabetesforecast.org/2017/may-jun/navigating-a-low-carb-eating.html?referrer=http://www.diabetesforecast.org/?referrer=http://professional.diabetes.org/meetings/journals
This is at least not derogatory toward low carb for treating diabetes. There is still some dogma in here about saturated fat, needing to eat lean meat and whole grains. That said, it still puts forth that low carb is a viable option for treating diabetes.
I continue to shake my head when opponents to LC give as a con that it will lower BG too much. They seem to think that it is a bad thing to stop taking medication. If someone is taking medication to lower BG but lowers it by changing food choices, it seems logical the solution is reducing or eliminating the medication NOT going back to crappy eating that made the medication necessary in the first place.
My primary used to be for low carb. Then I told her I was doing 40-60 carbs a day (usually more like 30-40 net). She's now totally against me doing it. She says she thought I was doing low carb not "no carb". She tells me at every visit I'm stressing my body and stressing it is dangerous and bad for my health.
I don't think she's incredibly versed in it because a year ago when I moved back to my hometown (my doc in OK was all in) I mentioned I was in ketosis and her eyes were so alarmed I quickly explained "not ketoacidosis".
It's a small town. She's the only doc available. Plus she's good on everything else and been our family doc for me and all my kids for over 20 years (while in VT).
She does agree low carb is good for my diabetes, but she also wants that to be me eating at least 100 carbs so as not to "stress" my body.0 -
JessicaLCHF wrote: »cstehansen wrote: »http://www.diabetesforecast.org/2017/may-jun/navigating-a-low-carb-eating.html?referrer=http://www.diabetesforecast.org/?referrer=http://professional.diabetes.org/meetings/journals
This is at least not derogatory toward low carb for treating diabetes. There is still some dogma in here about saturated fat, needing to eat lean meat and whole grains. That said, it still puts forth that low carb is a viable option for treating diabetes.
I continue to shake my head when opponents to LC give as a con that it will lower BG too much. They seem to think that it is a bad thing to stop taking medication. If someone is taking medication to lower BG but lowers it by changing food choices, it seems logical the solution is reducing or eliminating the medication NOT going back to crappy eating that made the medication necessary in the first place.
My primary used to be for low carb. Then I told her I was doing 40-60 carbs a day (usually more like 30-40 net). She's now totally against me doing it. She says she thought I was doing low carb not "no carb". She tells me at every visit I'm stressing my body and stressing it is dangerous and bad for my health.
I don't think she's incredibly versed in it because a year ago when I moved back to my hometown (my doc in OK was all in) I mentioned I was in ketosis and her eyes were so alarmed I quickly explained "not ketoacidosis".
It's a small town. She's the only doc available. Plus she's good on everything else and been our family doc for me and all my kids for over 20 years (while in VT).
She does agree low carb is good for my diabetes, but she also wants that to be me eating at least 100 carbs so as not to "stress" my body.
What the *kitten* does she mean by "stress your body," anyhow, and why would every type of stress necessarily be undesirable?
Sounds more like superstition than science.....
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For people with adrenal problems, the very process of nutritional ketosis, like most processes, creates stress on the body. For me, that stress surfaced within my thyroid function. For anyone with issues along the adrenal lines and/or thyroid function, this process of ketosis actually can result in more cortisol and other stress reactions in the body. I've read a few articles on this, but don't have any handy. It's also why my doctor (Endocrinologist) specifically didn't want me skipping breakfast. He said that once my body is hungry, and the liver has to kickover that release of glycogen to balance, it actually triggers something within the cortisol/adrenal/stress response on a chemical level. He told me that if I wanted to IF, he was okay with me skipping lunch, as long as I watched closely for that response...avoiding it if possible, but he didn't want me to skip lunch. Had to do with the whole circadian rhythm/cortisol/adrenaline/grehlin/leptin/insulin reaction mess. I don't remember all the details. But he said he could follow the reactions in my labs (every 6 months) to see that my body wasn't managing the stress well at certain points...
I really should dig into this more once my bronchitis induced brain fog is cleared enough for me to read more than two paragraphs of science without bordering on shutdown...3 -
You can make it two paragraphs? I shut down after one on the best of days. Math and Science both make my head spin. I could read history all day tho.
I haven't been formally diagnosed but I do think I have adrenal issues. It makes sense on several fronts. I don't skip breakfast either cause I've tried it and every time I try I end up eating all night long. Almost literally. I think I have Night Eating Syndrime, and Mark's Daily Apple's tips to combat it all work for me. The ones with the most effectiveness (for me, this is very individualized) is not using artificial light at night, getting sunlight on my skin every day, and eating breakfast by 9am. In fact, the bigger the breakfast, usually the better I eat all day long.
The connection between the adrenal and the thyroid is very interesting. 'Course I don't have a thyroid anymore since my surgery last year.
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Article I referenced: http://www.marksdailyapple.com/night-eating-syndrome-causes-solutions/0
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JessicaLCHF wrote: »cstehansen wrote: »http://www.diabetesforecast.org/2017/may-jun/navigating-a-low-carb-eating.html?referrer=http://www.diabetesforecast.org/?referrer=http://professional.diabetes.org/meetings/journals
This is at least not derogatory toward low carb for treating diabetes. There is still some dogma in here about saturated fat, needing to eat lean meat and whole grains. That said, it still puts forth that low carb is a viable option for treating diabetes.
I continue to shake my head when opponents to LC give as a con that it will lower BG too much. They seem to think that it is a bad thing to stop taking medication. If someone is taking medication to lower BG but lowers it by changing food choices, it seems logical the solution is reducing or eliminating the medication NOT going back to crappy eating that made the medication necessary in the first place.
My primary used to be for low carb. Then I told her I was doing 40-60 carbs a day (usually more like 30-40 net). She's now totally against me doing it. She says she thought I was doing low carb not "no carb". She tells me at every visit I'm stressing my body and stressing it is dangerous and bad for my health.
I don't think she's incredibly versed in it because a year ago when I moved back to my hometown (my doc in OK was all in) I mentioned I was in ketosis and her eyes were so alarmed I quickly explained "not ketoacidosis".
It's a small town. She's the only doc available. Plus she's good on everything else and been our family doc for me and all my kids for over 20 years (while in VT).
She does agree low carb is good for my diabetes, but she also wants that to be me eating at least 100 carbs so as not to "stress" my body.
What the *kitten* does she mean by "stress your body," anyhow, and why would every type of stress necessarily be undesirable?
Sounds more like superstition than science.....
@RalfLott - technically weight loss of any kind is a stress to the body... And for people for whom ketosis doesn't come easily, I can see that NK could easily be an additional stress to the body. So for someone with a bad body stress response/management system, a good stiff breeze could be more stress than the body needs...0 -
I don't feel like my body is overly stressed tho. Besides this stinking frozen shoulder. That's stressing me a lot!! Stabbing pain in the side of my neck is the latest benefit.0
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Last I checked, 30 was still greater than 0...
I think several of us here would give your doctor a heart attack from shock...4 -
Dragonwolf wrote: »Last I checked, 30 was still greater than 0...
I think several of us here would give your doctor a heart attack from shock...
I think I may have had 30 g of carbs so far in May.2 -
@JessicaLCHF - I never felt the stress within my body either. But my insulin levels and cortisol levels surely showed the stress. It's really odd....0
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Dragonwolf wrote: »Last I checked, 30 was still greater than 0...
I think several of us here would give your doctor a heart attack from shock...
lol. I know, right. I just smile and nod.0 -
My doctor believed in low carb and also reversing type 2 diabetes. He helped me do it
I live carb. Have for years. I just did the IronMan 70.3 in Chattanooga last weekend. Low carb did not hurt me.
Unless people have a vested interest they usually don't get Low Carb. We can be successful without their approval !
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*kitten* yeah! There's a thread around here about running distances and LCHF. You should go post about your experience there.Working2BLean wrote: »My doctor believed in low carb and also reversing type 2 diabetes. He helped me do it
I live carb. Have for years. I just did the IronMan 70.3 in Chattanooga last weekend. Low carb did not hurt me.
Unless people have a vested interest they usually don't get Low Carb. We can be successful without their approval !
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