Aaaarrrggghhh!!!!!! If one more person tells me to eat more carbs!

[izzzi]

Scandichic EAT MORE CARBS,

Just thought I would wind you up. keep up your good work.

 

[Scandichic]

Personally I think this advice from your diabetic nurse is sound and spot on, have you actually tried it or at least researched anything to do with slow release carbs and the glycaemic index (GI), foods that dont send your bg levels through the roof and dont increase your sensitivity to carbs like avoiding them does?

Im glad I looked at more than one way when deciding on my new diabetic lifestyle as I have been able to take elements of low carbing and combined them with GI which I feel has given me the best of both worlds and as I dont avoid carbs I dont have to take extra vitamins and minerals to supplement those lost from my diet from not eating them.

Rubbishing advice that you have been given in good faith without at least investigating it seems a strange thing to do especially when thousands of people use something along the lines your diabetic nurse suggested to successfully control their diabetes, I always try to keep an open mind when it comes to diabetes control and never ignore anything until I have at least looked into it.

Hi Sid!
Thanks for your comments.This is my point exactly! Why wasn't the nurse prepared to enter into an open dialogue with me? Why did she not give any scientific evidence to back up what she was saying? Sorry but I don't understand! If you are a professional with good subject knowledge then surely you should be able to provide answers to questions not sulk or get angry. Quite often I have students who ask questions and sometimes in a manner which could be seen as inappropriate. My response is always to consider, answer if I can, concede the point if I am wrong or tell them that I don't know but I will find out and ask them to do the same. In other words, it's about respect. I have read everything I could about diabetes and diet and decided to follow the LCHF diet as it seemed the most logical. I am still at a loss as to why anyone would eat fast releasing carbohydrates (rice, pasta, etc) if they turn to sugar in my stomach and raise my bs. Can you explain? Am always happy to acquire new knowledge!

 

[Yorksman]

Why did she not give any scientific evidence to back up what she was saying? Sorry but I don't understand! If you are a professional with good subject knowledge then surely you should be able to provide answers to questions

Nurses like all other human beings are prone knee jerk reactions, do more of this, eat more of that, avoid this like the plague.

Every scientific paper I have ever read on this subject states things like "These recommendations emphasize the importance of individualizing the diet prescription for total fat and, correspondingly, the quantity of dietary carbohydrate."

Has anyone ever been blessed with this sort of individual prescription? Most don't even get a general computer print out.

 

[Scandichic]

Scandichic EAT MORE CARBS,

Just thought I would wind you up. keep up your good work.

 

[Mud Island Dweller]

Disagree with the assessment of who is good or bad nhs without upsetting Catherine more my exp is with the LOCAL nhs and so l will just lump 95% of the locals in the bin. The rest are ok or have been good.

if you want obnoxious go into veterinary world for every good/nice vet there is a huge bunch who are a....holes. So far none have flung instruments including scissors and scalpel blades attached to the handle at me during operations but everyone reckons they may be ...... but they are not that stupid

 

[kesun]

have you actually tried it or at least researched anything to do with slow release carbs and the glycaemic index (GI), foods that dont send your bg levels through the roof and dont increase your sensitivity to carbs like avoiding them does?

I appreciate this isn't addressed to me, but personally I have tried low-fat, carb exchange and low GI diets while my BG inexorably and uncontrollably rose; and finally I found one that works: LCHF. Low GI foods did wonders for my post-prandial BGs but spiked BG 4-6 hours after eating - in other words, slow-release carbs did exactly that: released the glucose slowly. There may be people whorush to LCHF, but for me it was a last resort, and when it worked I could have wept with relief.

I haven't heard about LCHF increasing carb sensitivity, and perhaps that's not relevant to me as I'm not a proper T2 - I don't have insulin resistance, I just produce inadequate insulin in the first place. But now you've made me aware of it I'll find out about it, thanks.

Kate

 

[kesun]

if you want obnoxious go into veterinary world

Mud Island Dweller, I used to be a lawyer. We are paid to be obnoxious! Vets and medics simply can't compete

 

[shane-1]

i think a few more carbs.........

 

[catherinecherub]

You wont upset me MID, I can look after myself.

I thought this required an answer as it was such a sweeping statement and the poster did not mention her profession.
I think it went like this,

Doctors receptionists, Nurses, traffic wardens....

Top 3 Obnoxious People attracting profession


We all know of good and bad professionals in all professions

I think a lot of the confusion about practice nurses is that they have no qualifications in diabetes and are a jack of all trades and masters of none within the surgeries. Their goodwill is relied on do cover a multitude of health conditions. Blame the people who accept that this practice is O.K. and who give them limited information.
I wonder how many of you could be an expert in all the fields of your professions?

 

[shane-1]

nurses do a wonderfull job considering the limited resources they get

 

[Scandichic]

You wont upset me MID, I can look after myself.

I thought this required an answer as it was such a sweeping statement and the poster did not mention her profession.
I think it went like this,

Doctors receptionists, Nurses, traffic wardens....

Top 3 Obnoxious People attracting profession


We all know of good and bad professionals in all professions

I think a lot of the confusion about practice nurses is that they have no qualifications in diabetes and are a jack of all trades and masters of none within the surgeries. Their goodwill is relied on do cover a multitude of health conditions. Blame the people who accept that this practice is O.K. and who give them limited information.
I wonder how many of you could be an expert in all the fields of your professions?

Absolutely! My problem was with that particular nurse. I have no objection to opposing opinions. Just want discussion, mutual respect and scientific explanations! Trouble is, LCHF appears to be a relatively new approach and, like all new things, people are often sceptical at first. Unfortunately this doesn't help people with diabetes now. Most of the posts I have seen advocate LCHF or a version of it and very few seem to advocate the smaller portion approach. My nurse didn't even mention low GI. I assume that you are a nurse? Can you explain why the NHS have this approach? I need it to make sense as to why they advocate this diet!

 

[catherinecherub]

I specialise in Mental Health and, like the practice nurses, have limited knowledge about other specialities. Until the NHS employs specialist nurses for diabetes in all G.P. practices then they will follow the advice given to them. A practice nurse is as good as her educators, she is a general trained nurse and advice for any subject is limited to what she is told

I was diagnosed 11 years ago and given great advice from my G.P. about portion control and the G.I. principle The nurse at my surgery is also clued up so the fault seems to lie with the surgery policies and not a particular nurse. I know that some people are rushed at diagnosis, given a few leaflets and told to make an appointment with the nurse but that was not my experience.
The NHS advocates approaches based on evidence. Low carbers here have tried ways to bring up their anecdotal evidence with the NHS and DUK but until there is enough evidence, other than anecdotal, policies will not change. More research is needed and the funds to do it. There was a time when the G.I. approach was not mainstream but a new concept.

 

[Daibell]

One day someone will sue the NHS for causing harm thru negligence in recommending a diet that anyone with an ounce of scientific knowledge would know is counterproductive. As for DUK, the current leadership has been associated with many previous 'interesting' organisations and doesn't appear to bring any specific knowledge of diabetes. I sometimes wonder whether us diabetics are living in a parallel universe or 'they' are?

 

[Scandichic]

I specialise in Mental Health and, like the practice nurses, have limited knowledge about other specialities. Until the NHS employs specialist nurses for diabetes in all G.P. practices then they will follow the advice given to them. A practice nurse is as good as her educators, she is a general trained nurse and advice for any subject is limited to what she is told

I was diagnosed 11 years ago and given great advice from my G.P. about portion control and the G.I. principle The nurse at my surgery is also clued up so the fault seems to lie with the surgery policies and not a particular nurse. I know that some people are rushed at diagnosis, given a few leaflets and told to make an appointment with the nurse but that was not my experience.
The NHS advocates approaches based on evidence. Low carbers here have tried ways to bring up their anecdotal evidence with the NHS and DUK but until there is enough evidence, other than anecdotal, policies will not change. More research is needed and the funds to do it. There was a time when the G.I. approach was not mainstream but a new concept.

I agree - evidence should be research not anecdotal but there is plenty of scientific evidence for LCHF - whole list of research on Dietdoctor completed by various medics throughout the world. Surely it shouldn't matter which country the research comes from? No-one has told me why raising my bs through the consumption of quick release carbs is a good thing. Why can the NHS not provide such info? I take your point about lack of training - the pot of money is simply not big enough which would have been a much more honest answer than the refusal to supply a meter and strips on the grounds that meds lower bs. Especially as my surgery's policy contradicts Nice!

 

[shane-1]

apologies for interrupting but do you folks know of a good pocket size calorie counter book ?

 

[Yorksman]

Mud Island Dweller, I used to be a lawyer. We are paid to be obnoxious! Vets and medics simply can't compete

Sounds like you never went to a Medics versus Dentists debate whilst studying. All the Law students I knew were more concerned with fiddles and forgeries but spoke like butter wouldn't melt. If you are going to fleece someone, at least do it with a smile on your face.

 

[Andy12345]

we can only comment on our experiences as always and my personal experience of the doctors and nurses that have "helped" me, they are at best giving out dangerous advice, middle of the road was being ignored with little demonstration of understanding or interest in me and at worse actively trying to kill me, i cant really say i believe this but its hard to see another way to look at it, the advice i was given was to follow a route that would have in my opinion lead to my demise, ie eat carbs, i have on the other hand met some amazing hcp`s with my daughters docs, mostly with bupa wards, i worked in the nhs for some time and loved some of my colleagues who where also amazing so i have to conclude it is the advice they are told to give out by the powers that be so the fault must lie with them, whoever they are

i also dont see any benefit from the governments point of view to keep us alive

 

[paul-1976]

apologies for interrupting but do you folks know of a good pocket size calorie counter book ?

Start a thread.

 

[AnnieC]

Well

my husband is a type 1 pump user and loves his carbs and even a sugary treat due to his knowledge off his condition and medication and more importantly how food reacts in his body has amazing bs readings that of a none diabetic he has great energy levels and is one of the healthiest people i know but even he has had the question asked to him more than a few times should u be eating that its got suger in it etc etc etc i don't know why people feel its ok to question diabetic people on there dietary requirements when they don't understand the condition fully themselves or know the persons activity level lifestyle and general welbeing weather its low carb or love carbs lol isn't a persons heath and diet there decision and there's alone but there is always one noise know it all that will still ask the question its just time to start saying u concentrate on ur body let me take care of mine then smile x

Sent from the Diabetes Forum App

My son was a late onset T1 at age 45 he is now 53 and he eats anything and everything it works for him his BG levels are good and he is healthy. It is his choice to eat the way he does and as you say no one has the right to question what they should be eating when most don't know the first thing about diabetes

 

[Totto]

The NHS advocates approaches based on evidence. Low carbers here have tried ways to bring up their anecdotal evidence with the NHS and DUK but until there is enough evidence, other than anecdotal, policies will not change. More research is needed and the funds to do it. There was a time when the G.I. approach was not mainstream but a new concept.

http://www.nutritionandmetabolism.com/content/6/1/21

http://www.nutritionandmetabolism.com/content/3/1/22

There is evidence for the benefit of low carbing. A major problem with good quality research is that someone must pay for it, and who wants to if there is no drug to be sold? Long-term studies are expensive.