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Type 2 Carbs And The Doctor/dn

I am just so grateful that I found this forum and the discussion of possible alternative approaches to treating T2. Very little of what I was told about diet by the GP and DN made any sense at all. (Some of the other advice re feet, eyes, exercise did!). Only the advice of a young recently-trained dietician about low carb diets was helpful. I attended the DESMOND course and still have the carb-laden recipe booklets supplied by the DN.
I come from a country that does not have the wonderful institution that is the NHS. I am very concerned about using NHS-funded resources unnecessarily and feel that it is my responsibility to at least try a dietary and exercised based approach to controlling blood glucose levels before becoming reliant on drugs. Also I then have somewhere to go treatment-wise should this approach begin to fail.
 
My DN told me well done, you're setting a good example. Then told me never to go to bed with BM reading lower that 7. ***!!
I haven't been out of 4's or 5's since my second week of keto and I'm not changing now.
 
MikeyJ said:
Nicely put @britishpub exactly mirroring the behaviour they accuse HCPs of
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Not really.. we are coming from an informed perspective as we both have Type 2 and have controlled/reversed/put into remission what ever you want to label it. The HCP is simply parroting what they were told between 10 and 40 years ago.
Also I'm sorry but once you have seen the benefits of this way of eating it seems almost criminal not to spread the word. If that means I have to upset a few ill informed HCP's along the way then I'm afraid that is a risk I am willing to take.
 
It not only works for most of us but is based on good science as well I.e. that carbs are simply converted to glucose in the stomach whereas fats have a much more complex metabolic route with energy being used to do just that. Fat has a much lower effect on BS than carbs and I've not yet come across any research evidence that fat has any other noticeable downside for us. Salt is not an issue. Much of this comes from the old chestnut of clogged arteries caused by Sat fat which we know is mainly caused by the liver not by what you eat. I gather before the 2nd World War it was known that carbs needed to kept down if you had diabetes but some bright spark researcher in the 60s declared otherwise (I have a copy of the article somewhere) and the NHS and PHE have gone down that track ever since in Group-think mode.
 
I recently went to my gp. Whilst there I discussed my t2d which I got into remission within 6 months thanks to Dr Google and finding this amazing forum. I told him I had done it by going LCHF (and duck!). Apparently I could have had the same results by going low cal/low fat he said. I presumed from this sweeping statement be had seen this with his own eyes and pt results. So I asked my surgery for stats. Their reply was that they have only ever seen post bariatric surgery patients put theirs into remission/reverse.

Never been one to just sit there smiling sweetly. I feel so mad. They should be giving pts the choice. But they seem unaware of the benefits to LCHF woe - they don't see the results. Their advice just leads to the disease being progressive. They told me that in my initial appointment. It's a progressive disease. They have seen no evidence otherwise. So I'm getting as many stats together as possible at the moment. Building a file go back to my Dr. Hard evidence in Black and white staring them in the face. I just hope he doesn't thrust his 'don't confuse Google with my medical degree' mug at me again as this time I will be ready!
 

Absolutely. The first question when a patient comes through the door should be 'So what do you eat?'
 
Ok @bulkbiker I just think the positive message of Low Carb goes further without the negative confrontational approach to HCPs and others who wish to try different methods but that's just my view.
 
MikeyJ said:
Ok @bulkbiker I just think the positive message of Low Carb goes further without the negative confrontational approach to HCPs and others who wish to try different methods but that's just my view.
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Fine but.. and again its a big but.. when HCP's refuse to be open minded about LCHF and indeed refuse to even mention it then what are we supposed to do? Condemn people to amputations, blindness and needless medication or do our best to spread the word far and wide? Sometimes you have to be confrontational if we are all meek and mild then I'm afraid nothing will change.
 
My booklets given to me in December 17 are photocopies of yours I think.
 
One simple tool backs up the way of eating I have chosen to follow. My meter.
 
Where is the disagree button when you need it!
 
Not a case of meek and mild it's a case of effective communication, shouting a mantra in peoples faces may not work where positive selling of benefits does. I guess its a case of different strokes for different folks but the goal is a shared one.
 
MikeyJ said:
Ok @bulkbiker I just think the positive message of Low Carb goes further without the negative confrontational approach to HCPs and others who wish to try different methods but that's just my view.
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When up against a brick wall you tend to have to shout a little to get your point a across.
 

I’ve had type 2 for 11 years now and pancreas must still be working to a certain extent as not on insulin. I think lada or type 1.5, the pancreas packs up quicker. My theory is that there are 2 types of type 2. Overweight must be insulin resistant and slim/normal not producing enough for a normal carb diet. Probably rubbish and unless we all have c-peptide test won’t know.
 
Without the suffragets shouting out loud things would be so different.
 
@Sani Thomas

Could you maybe start a new thread and talk about decent alternatives to LCHF? I would certainly be interested in it. I have tried most things that have been recommended to me (just don't ask me to eat eggs, I can't bear them lol) and LCHF (and now keto) is the only thing that has helped me to lose weight. I have had years of being nagged to lose weight by various GPs, but none of them could tell me how to do it. They just assumed that I was eating junk and lots of it. That's belittling and is a form of bullying in itself, and this from people who were supposed to be helping me. Coming home in tears after any appointment at my surgery wasn't very helpful I'm afraid. I just wanted them to listen and to hear that I did stick to the very many diets, it wasn't me letting my GP down it was my body not behaving how they thought it should. So I speak out here amongst friends to get it off my chest. Please stick around and help those for whom LCHF doesn't work.

I don't think you realise that you are defending some HCPs who have bullied obese patients and left them feeling like life isn't worth living. That has to be wrong surely?

Take a step back and look at the problem from the other side. You are rightly defending your employer, good on you! But try to imagine the frustration that I and others have felt when we have asked our HCPs for help time and time again and none was forthcoming.

I post here to help others who may be in the same position I was in a few years back. It would be good if you could do the same.

Edited by moderator to remove a quote from a post which has been deleted.
 
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Going back to the original comment. I have always told my doctors or dn exactly what I’ve been doing to change things. Told them by how much I’ve reduced my meds etc. and how. I also mentioned last time I saw my doc that I was disappointed that the advice I had been given 11 years ago hadn’t been updated with the knowledge about reducing carbs. She said she would bring that up at the next practice meeting and make sure all type 2s were told about carbs and not just newly diagnosed. I must admit that this did somewhat restore my faith in the medical team.
 
Hi All, as explained above, posts which make public accusations of bullying will be deleted, subject to investigation by the moderation team.

Since a poster ignored this directive, their post has been deleted, and any more such posts will also be deleted.

Any accusations of alleged bullying should be done by hitting the Report button under the post in question, or by email to forum@diabetes.co.uk

Everyone is entitled to an opinion. They are not entitled to make public, unsubstantiated accusations, and turn a civil (if heated) discussion into a War Zone.

Once again, I ask people to refresh their knowledge of the forum ethos and rules (link in my signature) and interact with each other in a polite, non-hostile way. Failure to do this will result in thread bans and an escalation to further account sanctions.

There won't be any further warnings.
 
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