Low carb didn't work for me.

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douglas99

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Well, an update after a long while.

Probably more of a blog to cover the story so far really.

I’m still here, and still definitely not on the LCHF. I hopefully will never need to be.

I hit my target BMI of 25 around Easter this year, by counting calories, and avoiding fat and the wrong carbs. So, after being diagnosed, it would be good to say I’m twice the man I used to be, but I’m actually three quarters the man I used to be. 4 stone down from the 16 to 12.

Not too difficult until the last 7 pounds, when I seemed to stall until I made a real push at counting the calories, and reducing them down further.

Then, I thought I looked too thin, so allowed my weight back up by the 7 pounds I just lost.

But I then tried low carbs as a variation on the calorie counting, which was a complete disaster as a lifestyle choice.

I found I very quickly lost most of my ability to cope with any change in diet that took carbs up even by a small amount. It was almost as if I stopped producing insulin, and then had to take time to turn it back on. Bloods all over the show.

So, unless I spent my life being a slave to carb counting, and panicking at the sight of a piece of white toast, it simply wasn’t to be. I couldn’t see any point in letting diabetes ruin my life this way either. I want to be normal. Well, as normal as possible.

It also wasn’t helped by the hobby I’d taken up, - scuba diving.

Fitting diabetes in was fine, but with others that ate anything you could cook with a kettle, it wasn’t easy.

So, a diet of Pot Noodle, Instant porridge, cup a soup, toast, maybe fruit, or fish or burger, and chips, if the van by the quayside was open wouldn’t work if my pancreas was permanently asleep until a week next Tuesday.

So, back onto a diet that provided some exercise for my pancreas as well taking care of the rest of me, and one that didn’t induce panic at the thought of white flour by the thimbleful.

Also my ongoing house restoration meant times without a fridge, or more than a one ring cooker, and a kettle. So, tins and dried food were the order of the day, and veg that wouldn’t go off overnight. It also meant I was away from home, and importantly, away from the gym. Exercise is also on the backburner until I finish in the autumn.

So, basically I’m still on the calorie counting, healthy(ish) balanced diet, but maybe accepting it was balanced over an extended period at times. (And a lot higher calories now, then when I was trying to lose weight)

This regime was supported by my GP, and a lot of blood tests to keep on top of the diabetes, and my ongoing response to it.

I’m mainly between 5 and 6 in the morning and a good steady 5.3 to 5.4 HBA1c for the past year. Tested every three months, as my meds have been gradually reduced to one 500mg Metformin and one 50mg Sitagliptin as my control improved.

I took to testing myself about 30 mins and again 2 hours after food, and I’m normally a maximum of 8 after most ‘bad’ foods, although I did hit a ten after a (very) sweet and sour soup, and a caramel fudge cornetto. Normally lower though.

Today I’m 5.8 after (a lot) of pizza and muffins. White flour, almond flour, soya flour, chickpea flour, in varying amounts in the mix. (Birthday, so again, the diets a bit on the backburner)

And so onto my latest test.

A HBA1C of 5.4 this week.

But, it was after my last reduction in medication, and coming near enough completely off my diet.

So, a ‘warts and all’ test.

The worst possible scenario for me.

Mainly due to a two week holiday in the Mediterranean. A program of deep dives to 100ft, night dives, a lot of pasta, crisps, ice cream, beer, wine, but then also still interspersed with ‘healthy food’, with salads, local sausage, cheese, white bread, but now in a reasonable amount, not the loaf I used to eat. But not entirely counting the calories as I normally do.

Preceded by a weekend diving in France, with the customary French bread, cheese, pate, and other bad stuff.


So, a really ‘heavy’ carbs diet, ‘junk’ food, and the last holiday until Saturday, then the blood test Monday.

And still 5.4 HBA1C, with a fasting level of 6.5. Sunday still counted as the holiday to me, so a bit higher than normal and also taken fairly late on in the morning, after a bit of work, so consider a liver dump in that, and from a well primed liver. Certainly not a figure I massaged to look good anyway.

But onto the downside as well.

I stopped the statins three months ago.

I have increased across the board, so I’ve been back in today to discuss it.

Trigs up from 0.6 to 1.6

HDL steady at 1.6

LDL 3.4 to 5.1

I stopped due to shoulder pains, not helped by the colder dry suit dives in the uk.

Maybe statins, maybe not, but the diving is more important.

But, today I agreed to go back on, and switched from Simvastatins to Atorvastatins, but half the dose.

So, we’ll see how it goes.

But, would I swop a ‘normal’ diet, drinking, eating when I want to, not worrying about what I eat so long as I’m sensible, keeping my bloods down to normal, enjoying diving, jetskiing, visiting the waterpark, for anything else?

No!

I’m not going to be a slave to diabetes, in any form.

I’m now advanced open water qualified, dry suit qualified, nitrox qualified, I have regular annual medicals that show I have absolutely zero diabetes complications, or any other health problem, and blood sugar levels well in the normal range. I can eat to enjoy, and keep levels well down, or if I need to alternatively just to stay alive, on whatever is available, without worrying my body can’t cope.

I would never have done these sports before, I was too fat and out of condition. I wouldn’t have jetskied, I wouldn’t have got to the top slide in a waterpark, I wouldn’t have survived the Mediterranean at +30c for two weeks.

So diabetes? Maybe not the best thing that happened to me, but certainly now the best result in my life.

I figure I have the support of my GP, they want regular three month blood tests to ensure I’m keeping control, so by November, I want my cholesterol back into the good numbers, then I’ll look at reducing my Sitagliptin down to zero.

And as to LCHF, I’m afraid, not for me. A sensible diet yes, I now need to fine tune it still to bring my cholesterol down again, but it still needs to be one that lets me live the life I want to, and not just replace one restriction with another set that limits my opportunities.
And after I finish this next house, it's time to semi retire, and live off the income, so even more overseas travel and diving, and grabbing food where I can.
I think more fresh veg, meat, is in order, but for me, relaxing over what I eat is the key.
 
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Brunneria

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What a fantastic read. Thank you.

And no single way of eating suits everyone. If it did, we would all be living on an identical diet.
Which would be soooo boring!
 
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Lamont D

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In my honest opinion I believe that the gliptins tablet you are taking is having a huge effect on your BSLs and your other results. If it works for you. Then that's brilliant. Good luck to you keep us informed. Have you found anything on a dive remotely interesting or worth something?
 
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douglas99

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In my honest opinion I believe that the gliptins tablet you are taking is having a huge effect on your BSLs and your other results. If it works for you. Then that's brilliant. Good luck to you keep us informed. Have you found anything on a dive remotely interesting or worth something?
I've cut the Metformin down from 100mg to 500mg and the Sitagliptin from 100mg to 50mg, so I want to give it a shot at just the Metformin.
As to the diving, everything is interesting.
Shoals of fish that surround you, octopus, wrecks from WW2, and to be honest, just looking up at 100ft of water over your head is amazing.
 
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Lamont D

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Stigliptin has improved my life so much. It is giving me a chance to eat certain low carbs. I would try to reduce your metformin first. But each to its own! Have fun!
 
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satindoll

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I've cut the Metformin down from 100mg to 500mg and the Sitagliptin from 100mg to 50mg, so I want to give it a shot at just the Metformin.
As to the diving, everything is interesting.
Shoals of fish that surround you, octopus, wrecks from WW2, and to be honest, just looking up at 100ft of water over your head is amazing.

I love looking up at the stars in the night sky and just for a moment thinking how wonderful it would be to be soaring above Jupiter, then with a bump I am back stuck in my chair, but the dream is worth the dream though reality may be better
 
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lizdeluz

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@douglas99, where've you been? Well, diving in the Med obviously! It's great to hear how your health has gone from strength to strength, including good control of diabetes. Where in the Med were you diving? It sounds wonderful.
 
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douglas99

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I love looking up at the stars in the night sky and just for a moment thinking how wonderful it would be to be soaring above Jupiter, then with a bump I am back stuck in my chair, but the dream is worth the dream though reality may be better

it's amazing how much change the loss of weight has made.
I'm fitter. A lot fitter.
My balance is better as a result, so my fear of heights, or mainly edges, has gone.
I can swim better, and spent a lot of time snorkelling recently, and free diving down to 4 or 5 metres. Previously I wouldnt go out of my depth.
(The downside is I need a semi dry suit, as the insulating blubber has gone)
So, I think the upside far out-weighs the downside for me.
 
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douglas99

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@douglas99, where've you been? Well, diving in the Med obviously! It's great to hear how your health has gone from strength to strength, including good control of diabetes. Where in the Med were you diving? It sounds wonderful.
Gozo, but the next dive is planned to be Iceland, in the water at 5 or 6c, but then down to a geo-thermal vent, and in water at a tropical temperature!
 

satindoll

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Oh to be a tablet taker a roving I would go, but with the jabs I'm stuck , and my body cries no no no. My son love diving in egypt jealouse I am of both of you, to go where your dreams take you. lol
 
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lizdeluz

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Thought Gozo was beautiful, from my standpoint on the shore, of course! A geo-thermal vent in Iceland? Sounds essential ...! :eek::D
 
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douglas99

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Oh to be a tablet taker a roving I would go, but with the jabs I'm stuck , and my body cries no no no. My son love diving in egypt jealouse I am of both of you, to go where your dreams take you. lol

T1 can dive now as well, so long as control is good, and you're signed off by a dive doctor. I think being diagnosed as T2 was the thing that spurred me on to finally start diving. I figured something was going to kill me one day, so it made me think about it. I decided my fear of heights was ridiculous, (helped by my improved balance), I figured I could die just as easily on the land as under water, so I decided not to miss out any more. Acceptance of the new stuff was easy after that. I think I spent too long not realising whaat I could really do, when I tried.
 
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forge

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Getting old and everything that goes with it. All the repeats on TV. The drongos who ring me up to sell me things. Religious havens for pedophiles and war-mongers.
All the good news stories and fun activities are good.

Re lo-carb did not work for me
My specialist is "part" of a hospital with a good world wide reputation for research and runs lifestyle courses for pre-diabetics.

His lo-carb advice went something like this.

You have to get rid of nearly all the carbs to make a difference, even a small amount of carbs is like a match starting a fire and it will send your BS quite high.

Reducing carbs a bit does not help, halving the carbs makes no difference.

When your weight comes down your tolerance to carbs will increase.

When I can, he wants me to increase carbs.

The aim is to get BS under control and total good health via a balanced diet,

The steps are no major carbs - resulting in weight loss then - increase carbs when I can. I went from 130 units insulin to 4 tabs per day and from 105 Kg to 90KG my weight loss is now slow and that is what he wants because I have a better chance of not putting my weight back onf if I lose weight slowly.

 
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douglas99

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Thought Gozo was beautiful, from my standpoint on the shore, of course! A geo-thermal vent in Iceland? Sounds essential ...! :eek::D
It's an odd sport really. A semi dry suit at +30c, and you're desperate to drag all the gear into the sea and cool off and then the weight until you get in and float!

Then a dry suit at a few degrees above freezing and you look at the blue face of your dive buddy and realise why you've gone numb as well.

But once you’re down there…..Wouldn’t stop now for the world.
 

satindoll

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T1 can dive now as well, so long as control is good, and you're signed off by a dive doctor. I think being diagnosed as T2 was the thing that spurred me on to finally start diving. I figured something was going to kill me one day, so it made me think about it. I decided my fear of heights was ridiculous, (helped by my improved balance), I figured I could die just as easily on the land as under water, so I decided not to miss out any more. Acceptance of the new stuff was easy after that. I think I spent too long not realising whaat I could really do, when I tried.
Im t2 insulin dependant, I would love to but the hips need replacing lol and according to the dr at 65 I'm too young to have them done
 
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douglas99

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Im t2 insulin dependant, I would love to but the hips need replacing lol and according to the dr at 65 I'm too young to have them done
I dive with my daughter normally, but fortunately I'm considered to be able enough to dive with no restrictions. Even with poor mobility it's still possible to dive, maybe more limited, but once you're in the water, all your weight disappears, and you're free to move as you want to. Getting in would be more difficult because of carrying the weight, but it's still a sport that disabled (no offense) can do, it's just the sites that are limited, as you need to kit up in the water.
Consider a try dive, you might be surprised at the freedom you find.
 

satindoll

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Would love to and please don't think I wouldn't if I could, I hate to admit I can't swim, also my hips have a nasty habit of throwing my legs out of alignment so knock kneed duck would be jealous, also one minor spanner hubby is on reduced hours, 22 1/2 hrs so money is tight and at the moment anything like that is beyond our reach, don't feel sorry for us though I still have my dreams.
 
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douglas99

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Would love to and please don't think I wouldn't if I could, I hate to admit I can't swim, also my hips have a nasty habit of throwing my legs out of alignment so knock kneed duck would be jealous, also one minor spanner hubby is on reduced hours, 22 1/2 hrs so money is tight and at the moment anything like that is beyond our reach, don't feel sorry for us though I still have my dreams.
To be honest, I couldn't swim either, then I tried it, and realised I floated, mostly. As to swimming, it is encouraged to swim with just your feet, but you can also just use your arms. I hope you can have the chance to try a dive, even the once though.
 

Adelle0607

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Hi @douglas99 loved your diving stories, I used to dive since I was 16 (with PADI) haven't done it for awhile, it's a fun activity and like the calmness of being underneath the water, and the best part after a few dives you get to the boat, and feel relaxed afterwards. I don't think I can do it ever again because I have an eye pressure problem, troublesome for equalizing going down a few meters you have to equalize every now and then plus May also have trouble during ascent.But good that you have done it after being diagnosed t2, continue living and enjoying life :) looking forward to hear more of your diving stories!:)
 
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