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Dec 2014 update: New research on the Low Carb Diet in general practice
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<blockquote data-quote="redfox" data-source="post: 496899" data-attributes="member: 93771"><p>Sorry still confused.</p><p>If you are diabetic 2 but not obese[other than that exacerbated by insulin injection causing weight gain] how do you find a diet which</p><p> </p><p>a satisfies[especially if you are highly stressed [ ? hair trigger adrenaline release even by thought alone] where food is a craving/sleep helper] </p><p>b fits with heart arrythmia[but low bad cholesterol] so exercise is problematic and blood pressure requires warfarin and beta blockers/ vascular dilators</p><p>c fits with standard mantra "eat more oily fish, eat more fruit" -- for general health balance</p><p>d squares off carbs v calories</p><p>e squares off with fatty liver</p><p>f fits with newcastle study [not sure of what this comprises diet wise]</p><p>g corrects failure of nhs diabetic specialists to give any practical advice eg fail to carry out standard test of fast + standard carb ?cal input +blood test at set time intervals to trace sugar rise/drop back, so that total cals eg per tin of food can be predicted to cause "n" level of b.sugar rise for "X minutes" --yes obviously varies from person to person and depends on exercise level but sedentary situation is a start and would of course be the situation during sleep -so what do you eat at bedtime to prevent too low a b.sugar level on waking[being woken by falling level] The standard eat every 4 hours isn't much help--eat what/how much ?carbs ?cals</p><p>h explains variability of post prandial b.sugar rise eg > 2 hours to register because of slow digestion [a patient variable which could be informed by personal standard testing] </p><p>i explains how long short insulin and long insulin actually take to work so that you can correlate short insulin input with b.sugar rise due to food input-- for this test g could be repeated on a different occasion introducing "n" units at the same time as the first cal/carb input</p><p> and how that correlates with advice to take metformin and short insulin before meals-- how can you predict how much insulin if you don't know your standard "n" cals. input needs "x" units of insulin</p><p>j explains how/why b.sugar level can be 7 at 6am but have risen to 10 at 9am despite NOTHING being eaten or drunk other than water and having taken long acting insulin approx. 24 hours previously</p><p> </p><p>Wouldn't the nhs save millions if there was a more scientific approach to patient care including literature. If the tests at g and h above were done on say 1000 patients surely that would give a rough estimate for practical purposes[could easily be extended to 10,000 patients if that gives a statistically better result].</p><p> </p><p>If newcastle/carb restricted diet is thought to be valid why not suggest it to all type 2 patients on a voluntary basis- again use of volunteers countrywide would give an enormous test pool and could save millions in drugs/patient deterioration even if only some patients followed/partly followed it. Going a step further why not prepacked set cal./carb. foods/meals to provide a balanced diet eg this can is self contained main meal "n" cals/carbs or this can contains "n" legume/fruit/fat etc cals./carbs. for you to make up your own meal. Presumably those selected for newcastle trial must be issued with something like this to make the trial valid. Are they issued with a can marked slow sugar release to take before going to bed?</p><p> </p><p>Scores more Qs but hope these spur someone into a scientific response- perhaps more modern endocrinologists could give their minds to</p><p>practical real life situations especially how to utilise a more holistic approach rather than say separate diabetician/heart/liver specialists looking at only their bit of a patient and hence how to head off/reduce expensive [? soon to severely rationed] drug use</p><p> </p><p>Request please- can all b.sugar figures be given on this site in all variants, failing which have a comparison table in the forum side bar, likewise fahrenheit/centigrade- some of us recognise 98.4 and rises almost instinctively but heavens knows what equivalent centigrades are[or should that be "degrees celsius" !]</p><p> </p><p>Thank you.</p></blockquote><p></p>
[QUOTE="redfox, post: 496899, member: 93771"] Sorry still confused. If you are diabetic 2 but not obese[other than that exacerbated by insulin injection causing weight gain] how do you find a diet which a satisfies[especially if you are highly stressed [ ? hair trigger adrenaline release even by thought alone] where food is a craving/sleep helper] b fits with heart arrythmia[but low bad cholesterol] so exercise is problematic and blood pressure requires warfarin and beta blockers/ vascular dilators c fits with standard mantra "eat more oily fish, eat more fruit" -- for general health balance d squares off carbs v calories e squares off with fatty liver f fits with newcastle study [not sure of what this comprises diet wise] g corrects failure of nhs diabetic specialists to give any practical advice eg fail to carry out standard test of fast + standard carb ?cal input +blood test at set time intervals to trace sugar rise/drop back, so that total cals eg per tin of food can be predicted to cause "n" level of b.sugar rise for "X minutes" --yes obviously varies from person to person and depends on exercise level but sedentary situation is a start and would of course be the situation during sleep -so what do you eat at bedtime to prevent too low a b.sugar level on waking[being woken by falling level] The standard eat every 4 hours isn't much help--eat what/how much ?carbs ?cals h explains variability of post prandial b.sugar rise eg > 2 hours to register because of slow digestion [a patient variable which could be informed by personal standard testing] i explains how long short insulin and long insulin actually take to work so that you can correlate short insulin input with b.sugar rise due to food input-- for this test g could be repeated on a different occasion introducing "n" units at the same time as the first cal/carb input and how that correlates with advice to take metformin and short insulin before meals-- how can you predict how much insulin if you don't know your standard "n" cals. input needs "x" units of insulin j explains how/why b.sugar level can be 7 at 6am but have risen to 10 at 9am despite NOTHING being eaten or drunk other than water and having taken long acting insulin approx. 24 hours previously Wouldn't the nhs save millions if there was a more scientific approach to patient care including literature. If the tests at g and h above were done on say 1000 patients surely that would give a rough estimate for practical purposes[could easily be extended to 10,000 patients if that gives a statistically better result]. If newcastle/carb restricted diet is thought to be valid why not suggest it to all type 2 patients on a voluntary basis- again use of volunteers countrywide would give an enormous test pool and could save millions in drugs/patient deterioration even if only some patients followed/partly followed it. Going a step further why not prepacked set cal./carb. foods/meals to provide a balanced diet eg this can is self contained main meal "n" cals/carbs or this can contains "n" legume/fruit/fat etc cals./carbs. for you to make up your own meal. Presumably those selected for newcastle trial must be issued with something like this to make the trial valid. Are they issued with a can marked slow sugar release to take before going to bed? Scores more Qs but hope these spur someone into a scientific response- perhaps more modern endocrinologists could give their minds to practical real life situations especially how to utilise a more holistic approach rather than say separate diabetician/heart/liver specialists looking at only their bit of a patient and hence how to head off/reduce expensive [? soon to severely rationed] drug use Request please- can all b.sugar figures be given on this site in all variants, failing which have a comparison table in the forum side bar, likewise fahrenheit/centigrade- some of us recognise 98.4 and rises almost instinctively but heavens knows what equivalent centigrades are[or should that be "degrees celsius" !] Thank you. [/QUOTE]
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Dec 2014 update: New research on the Low Carb Diet in general practice
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