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<blockquote data-quote="HSSS" data-source="post: 2054721" data-attributes="member: 480869"><p>In general low carb, one meal a day (intermittent fasting) and non-processed, non chemical food is ideal for a type two.</p><p></p><p></p><p>If once you’ve done some reading you want to try this then i suggest you go back to your doctor and ask to trial just metformin alone rather than the combination medication you are currently on. The stigagliptan element of janumet along with low carb would need very careful monitoring of ensure you did not hypo. It actively works against the glucose in the blood (ie the carbs in diet) and if you drastically drop the carbs then you need less of the drug. Too much drug for the glucose means you will hypo. Hence the reason to discuss the best approach with the dr. Some may be resistant to the whole low carb idea. But if you go well informed and realising that the choices are yours and the drs job is to support you - after giving their advice - even if your decision doesn’t agree with theirs. </p><p></p><p></p><p>Fasting is not frowned on for type 2 (medication dependant of course). No need to eat every four hours either. Yes the liver will augment whatever you eat (dumping is the phrase commonly used) but this doesn’t begin to compare to the damage the wrong food can do. </p><p></p><p></p><p>Carbs (not just sugar) will do the damage. We have no nutritional need as humans to eat any carbs whatsoever. All the benefits these bring can be got from other foods or very small amounts of carefully selected carbs. As you said glucose that the brain needs can be provided by the liver. Fats and proteins are essential for life though. </p><p></p><p></p><p>It seems the source of your information is a bit dated. As well as this site take a read or watch YouTube of dr Jason Fung and the dietdoctor.com website. Both the NHS and ADA now are supporting low carb as a valid option (they can’t exactly flip 180 on their own advice in one go now can they?). </p><p></p><p></p><p>Just a single meal or day of accurate low carbing whilst testing before and after each meal will convince you, I’m sure of it. You want a rise of no more than 2mmol or the meal was too carb laden. </p><p></p><p></p><p>Some links below I often hand out for further reading </p><p></p><p></p><p>**************</p><p></p><p></p><p>Can I suggest you take a good look at low carb high fat methods of eating (keto is just a version of this). It helps many of us lose significant amounts of weight, if desired, keep our numbers down and for some even eliminate medications and achieve remission and reduce or improve complications. Try clicking these links for more detailed explanations that are well worth readings</p><p></p><p></p><p><a href="https://www.diabetes.co.uk/forum/blog/jokalsbeek.401801/" target="_blank">https://www.diabetes.co.uk/forum/blog/jokalsbeek.401801/</a> for info including low carb made simple</p><p></p><p></p><p>And <a href="https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/" target="_blank">https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/</a> to show it really works and for motivation </p><p></p><p></p><p>and <a href="https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/" target="_blank">https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/</a> for food ideas</p><p></p><p></p><p>Lots of other websites for recipes out there too. Just use the term low carb or keto with whatever you fancy.</p><p></p><p></p><p></p><p>IMPORTANT FOR ANYONE ON MEDS CONSIDERING LOWERING CARBS: if you lower your carbs then any glucose lowering meds may need to be adjusted accordingly to make sure you aren’t taking more than your new diet requires. It can cause a hypo if you have more gliclazide or insulin etc (this is not relevant for metformin on its own) than your new carb intake requires. Keep a close eye on your numbers and do this with your dr’s knowledge. Please don’t be put off by an ill informed out dated rubbishing of low carb diets or being told you should eat carbs to match meds, it should be the other way around.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2054721, member: 480869"] In general low carb, one meal a day (intermittent fasting) and non-processed, non chemical food is ideal for a type two. If once you’ve done some reading you want to try this then i suggest you go back to your doctor and ask to trial just metformin alone rather than the combination medication you are currently on. The stigagliptan element of janumet along with low carb would need very careful monitoring of ensure you did not hypo. It actively works against the glucose in the blood (ie the carbs in diet) and if you drastically drop the carbs then you need less of the drug. Too much drug for the glucose means you will hypo. Hence the reason to discuss the best approach with the dr. Some may be resistant to the whole low carb idea. But if you go well informed and realising that the choices are yours and the drs job is to support you - after giving their advice - even if your decision doesn’t agree with theirs. Fasting is not frowned on for type 2 (medication dependant of course). No need to eat every four hours either. Yes the liver will augment whatever you eat (dumping is the phrase commonly used) but this doesn’t begin to compare to the damage the wrong food can do. Carbs (not just sugar) will do the damage. We have no nutritional need as humans to eat any carbs whatsoever. All the benefits these bring can be got from other foods or very small amounts of carefully selected carbs. As you said glucose that the brain needs can be provided by the liver. Fats and proteins are essential for life though. It seems the source of your information is a bit dated. As well as this site take a read or watch YouTube of dr Jason Fung and the dietdoctor.com website. Both the NHS and ADA now are supporting low carb as a valid option (they can’t exactly flip 180 on their own advice in one go now can they?). Just a single meal or day of accurate low carbing whilst testing before and after each meal will convince you, I’m sure of it. You want a rise of no more than 2mmol or the meal was too carb laden. Some links below I often hand out for further reading ************** Can I suggest you take a good look at low carb high fat methods of eating (keto is just a version of this). It helps many of us lose significant amounts of weight, if desired, keep our numbers down and for some even eliminate medications and achieve remission and reduce or improve complications. Try clicking these links for more detailed explanations that are well worth readings [URL]https://www.diabetes.co.uk/forum/blog/jokalsbeek.401801/[/URL] for info including low carb made simple And [URL]https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/[/URL] to show it really works and for motivation and [URL]https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/[/URL] for food ideas Lots of other websites for recipes out there too. Just use the term low carb or keto with whatever you fancy. IMPORTANT FOR ANYONE ON MEDS CONSIDERING LOWERING CARBS: if you lower your carbs then any glucose lowering meds may need to be adjusted accordingly to make sure you aren’t taking more than your new diet requires. It can cause a hypo if you have more gliclazide or insulin etc (this is not relevant for metformin on its own) than your new carb intake requires. Keep a close eye on your numbers and do this with your dr’s knowledge. Please don’t be put off by an ill informed out dated rubbishing of low carb diets or being told you should eat carbs to match meds, it should be the other way around. [/QUOTE]
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