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Dec 2014 update: New research on the Low Carb Diet in general practice

Discussion in 'Low-carb Diet Forum' started by Southport GP, Feb 17, 2014.

  1. Southport GP

    Southport GP HCP · Well-Known Member
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    What is so interesting is that patients just used the diet sheet printed for you in the article -we never mentioned weighing food or calorie counting this was one of the features they like best about the approach -one lady put it very well 'a diet is something you are on, with all its weighing and measuring , something you will someday come off. the low carb approach is away of life'
    So the great majority of them stop on the diet because I suspect their diabetes will deteriorate if they go back to carbs. Though as you say weight loss by itself does help type two diabetes but until I started recommending the low carb diet I personally had not had much success in inspiring weight loss that lasted. I have a theory that carbs are addictive which could explain my observation.
    We continue to check HbA1c levels in them all-partly at their request because I'm told it helps prevent 'carb drift.'
    Yes a number have come off meds and others have managed to avoid insulin (I should repeat the work was not on Insulin dependent type one diabetics)
     
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  2. Southport GP

    Southport GP HCP · Well-Known Member
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    No you are correct it was an error I have since corrected in the most recent diet sheet -well spotted! it should read
    a very calorific mixture of fat, and protein'- some cheeses do have carbs in but probably not that much
     
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  3. alliebee

    alliebee · Well-Known Member

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    I certainly will. I think he would be very interested. Thankyou so much for replying. You are doing such great work. Its so refreshing to hear
     
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  4. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    It's still good advice to have cheese in moderation:hungry:.
     
  5. andcol

    andcol I reversed my Type 2 · Well-Known Member
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    Thanks for the reply.

    I am interested in this statement,
    "I suspect their diabetes will deteriorate if they go back to carbs"
    I decided to go back on the carbs and in doing so my HbA1c reduced further. Now I do not know if it would have continued falling if I had continued with the low/medium carbs. I have not found carbs, as such, to be addictive. I do find at times I crave nuts, especially peanuts (yeah I know not really nuts) and find when I have these cravings I can polish off a 1/2 kg bag. What is amazing is this has no impact on my BG levels or weight. I do not quite understand the craving but I do indulge it as I assume it is my body telling me I need something it requires that I am not providing in other ways (maybe I am not eating enough fats or it wants the combination of fats and carbs in the nuts to top up my fat stores.

    Have you looked at the fasting levels of those on low carb. I have a theory that as you go lower in carb amount the level rises and your BG levels become more stable throughout the day. This makes it look like people have developed insulin resistance when they haven't. I wonder if there is a study/paper in there to determine a statistical correlation.

    Are you testing their HbA1c yearly or more frequently? After my first 3 month HbA1c my surgery decided I didn't need one for a year as I was in normal range. Personally I do feel this is not often enough and would allow too much "carb creep". I therefore test every few days around my main meal to ensure I am not getting drift but do find spot checking is difficult for trending and I am trying to not be as obsessive with my testing like I used to be (I was able to predict my HbA1c with some accuracy and I had to show my GP how I did it with all my calculations). Out of interest did you get your trialists to test their BG levels as they went to provide them with even further incentive and if so did you need to explain the levels they were obtaining?

    Sorry, more questions, just ignore me if you wish.
     
  6. this is too difficult two

    this is too difficult two Don't have diabetes · Well-Known Member

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    What is you carb intake now Andrew?
     
  7. Brunneria

    Brunneria Other · Guru
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    I am rather immoderate :D
     
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  8. IanD

    IanD Type 2 · Well-Known Member

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    I'm also immoderate with cheese, & very nutty.
     
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  9. andcol

    andcol I reversed my Type 2 · Well-Known Member
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    250 g to 300 g per day
     
  10. Andy12345

    Andy12345 Type 2 · Expert

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    This amazes me, you are eating 300g of carb a day and have a falling Hba1c? you could be "cured"? i know there isn't a cure but you don't sound very diabetic to me, are you doing crazy amounts of exercise etc? or perhaps the weight loss was the only thing that you needed to be "cured"? i am not really suggesting it as a cure because i think if you were to regain the weight you may have the same problems unfortunately

    The "I assume it is my body telling me I need something it requires that I am not providing in other ways" worries me, not that you are eating the nuts, just the assumption that your body can out wit your mind and tell us what we need rather than our minds being in control of our bodies and translating the want into a need, for example I'm pretty sure before diagnosis my body needed 10 mcdonalds a week due a deficiency in another area, perhaps the chinese takeaways where not providing me with enough vitamin No.32 SFR?
     
  11. andcol

    andcol I reversed my Type 2 · Well-Known Member
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    lol @Andy12345 yes I know what you mean. I would agree with you on that last statement. Although I never went into the 10 mcdonalds but I did go for bounty bars, snickers, etc. I can't explain the nuts any other way as I just do not understand it. As for the cured, I am not counting my chickens yet. It is still only 11 months since I was diagnosed so time will tell. This brush with D was a shock to my mortality and up to then I was still in the young "I'm immortal" period of my life. I am not doing stupid amounts of exercise (I wish I was as fit as those of you that run marathon races). I still find some foods that I am not really happy with eating because they push me to my peak every time (and it isnt things like sweets either) no matter how much carb I have been eating in the days prior. May be that is just normal and I am being paranoid. I will continue to push the boundaries ever mindful that I know my way back if it starts to go pear shaped (low carb). I have no idea about the years prior to diagnosis and what damage I have caused. As I said before I consider myself fortunate and fingers crossed "fortune favours the brave" will be correct for me.

    PS I don't feel very diabetic either. I read on here the horrors some of you suffer and I have just never seen that at all. Was it just the fat and inactivity or was it the gastric issues I was having for the previous 2 years until I worked out I have an allergy to bananas. I have noticed that I no longer receive high peaks but lower longer sustained levels after eating. I wrote a thread on this http://www.diabetes.co.uk/forum/threads/interesting-bg-levels-what-do-you-think.65983/ It is interesting and @pheonix provides some links to some rather interesting articles but there is no conclusion of the thread.

    Anyway that is another ramble. Keep well @Andy12345 and all
     
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    #391 andcol, Nov 1, 2014 at 9:30 AM
    Last edited by a moderator: Nov 1, 2014
  12. Spiker

    Spiker Type 1 · Well-Known Member

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    I have spoken to a very senior person at DUK who is watching the Southport work with interest. I don't think they are as backwards as we sometimes think.
     
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  13. Spiker

    Spiker Type 1 · Well-Known Member

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    @Southport GP
    Maybe contact me to make sure we are all on the same page re Diabetes UK.
     
  14. Enclave

    Enclave Type 2 (in remission!) · Well-Known Member
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    I know if I printed this off and gave to my DBN she would put it straight in the bin without looking at it, she has done this in the past with figures that she asked to be bring in... Sometimes you have to just find your own way and forget about any med help :banghead:
     
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  15. noblehead

    noblehead Type 1 · Guru
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    That's annoying, I wonder if the Southport GP also provided additional information on what percentage of carbs, fat & protein his patients followed (over the course of his research) this may be beneficial to some members.
     
  16. msmi1970

    msmi1970 Type 2 · Well-Known Member

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    just found out that based on my much improved blood results, my young cardiologist is himself trying out low carb. he was absolutely amazed by the improvements in my A1C and cholesterol in spite of the tons of eggs and butter i consume. he has decided to give it a go.:)
     
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  17. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    It would be nice to see a ratio, but as it would seem to be a completely unlimited diet, in theory it could be any combination, so long as the carbs are low by quantity.
     
  18. Enclave

    Enclave Type 2 (in remission!) · Well-Known Member
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    Would be intresting to see how many gp's would read this report .. I know mine wouldn't .. I have never know such a bunch of closed minded people in my life. I do worry how many of their patients will be wrongly diagnosed as having Dementia.. Then they can earn more money from the gov.
     
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  19. noblehead

    noblehead Type 1 · Guru
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    Thanks Douglas, but better if the Southport GP answered as providing this information would be enormously beneficial to those who are wanting to pursade their HCP's that a lower carb diet is possible with type 2 diabetes.
     
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  20. douglas99

    douglas99 I reversed my Type 2 · Well-Known Member

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    It would, but he tends to be infrequent on his posts unfortunately. I'd like to know it there were ratios as well.
     
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