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<blockquote data-quote="clareb1970" data-source="post: 1395263" data-attributes="member: 168117"><p>Having had a kidney/pancreas transplant ten years ago, I like to keep a close eye on developments with diabetes healthcare. In the early 80s, the advice regarding diet was low fat, average protein, with the bulk of calories coming from complex carbs such as rice, bread, pasta or potatoes. Looking back to when I was diagnosed with T1, I think I was started on 12 "portions" (i.e. 120 g) of carbohydrate a day. I was 13 years old and slender, so no need to lose any weight. My insulin (porcine) was administered twice a day and my mealtimes were rigid. Nevertheless I had very little problem in maintains good control.</p><p>I now see so much press about the benefits for diabetics to adopt a very low carb diet and followed a thread where many members took this to an extreme of under 20g carbs per day! A number of contributors were able to give precise weights and exact carb and calorie content of every morsel they ate, right down to single calories. Many of these people were consuming well under 1000 calories per day.</p><p>I have a few questions that I hope some of you will be kind enough to answer, so that I can understand things better...</p><p></p><p>1. Why are so many T1s following such a low calorie diet? I have never been overweight and consuming so few calories would leave me tired and underweight.</p><p>2. How many units of insulin are people injecting at mealtimes if they are only consuming 4 or 5g (or less) of carb per meal?</p><p>3. I understand the desire for optimum bs control, however, is this constant extreme fine tuning and very restricted diet that go hand in hand with a VLCD worth the perceived benefits?</p><p>4. Is there any reliable data to show that following a very low carb diet reduces diabetic related complications, and if so, what are these benefits and to what degree have they been reduced (compared to following a slightly higher intake of carbs)?</p><p></p><p>I am grateful to anyone who can answer these questions, either from a personal or general point of view.</p><p></p><p>Many thanks</p></blockquote><p></p>
[QUOTE="clareb1970, post: 1395263, member: 168117"] Having had a kidney/pancreas transplant ten years ago, I like to keep a close eye on developments with diabetes healthcare. In the early 80s, the advice regarding diet was low fat, average protein, with the bulk of calories coming from complex carbs such as rice, bread, pasta or potatoes. Looking back to when I was diagnosed with T1, I think I was started on 12 "portions" (i.e. 120 g) of carbohydrate a day. I was 13 years old and slender, so no need to lose any weight. My insulin (porcine) was administered twice a day and my mealtimes were rigid. Nevertheless I had very little problem in maintains good control. I now see so much press about the benefits for diabetics to adopt a very low carb diet and followed a thread where many members took this to an extreme of under 20g carbs per day! A number of contributors were able to give precise weights and exact carb and calorie content of every morsel they ate, right down to single calories. Many of these people were consuming well under 1000 calories per day. I have a few questions that I hope some of you will be kind enough to answer, so that I can understand things better... 1. Why are so many T1s following such a low calorie diet? I have never been overweight and consuming so few calories would leave me tired and underweight. 2. How many units of insulin are people injecting at mealtimes if they are only consuming 4 or 5g (or less) of carb per meal? 3. I understand the desire for optimum bs control, however, is this constant extreme fine tuning and very restricted diet that go hand in hand with a VLCD worth the perceived benefits? 4. Is there any reliable data to show that following a very low carb diet reduces diabetic related complications, and if so, what are these benefits and to what degree have they been reduced (compared to following a slightly higher intake of carbs)? I am grateful to anyone who can answer these questions, either from a personal or general point of view. Many thanks [/QUOTE]
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