Quotation from the article:As a devil's advocate, how important is prolonging the honeymoon effect?
Like I've said, Michita, my only gripe is that it's sometimes presented quite forcefully as if it's the only option - see the Noakes twitter exchange as an example.
I recall some threads on this forum where people like me who dare to eat more than 100g per day have been called, "insane, lunatic, dangerous, in denial."
I'm delighted that your choices are working for you. All I'm concerned about is when people like Noakes, who is a prominent spokesperson for lchf, denies the possibility that there are other perfectly viable and safe other options. We must surely be able to agree on that.
During the honeymoon period, the body responds better to insulin and blood glucose regulation is easier.
So if that is the case wouldn't low carbing be the best route for those people? Or does the pancreas just throw out insulin even when someone has eaten no carbs at all? Honest questions, not looking for an argument.I think the point @kitedoc was making is that while the paper you quote from might sound like all honeymoons are nice and smooth, many can, in practice, be horrendously messy and unpredictable with the beta cells squirting out insulin when it feels like it, throwing out attempts at carb counting and bolusing.
So if that is the case wouldn't low carbing be the best route for those people? Or does the pancreas just throw out insulin even when someone has eaten no carbs at all? Honest questions, not looking for an argument.
Yes, I can quite see that. In fact, Dr B has said that latterly a little of his own capacity to make insulin had revived, and it was no use to him, just a nuisance. However the research is encouraging to the likes of me (I am probably pre-LADA) as no-one is going to prescribe me insulin any time soon, and I am keen on exercise, so I may as well hope to benefit from it.I think the point @kitedoc was making is that while the paper you quote from might sound like all honeymoons are nice and smooth, many can, in practice, be horrendously messy and unpredictable with the beta cells squirting out insulin when it feels like it, throwing out attempts at carb counting and bolusing.
The idea of carb counting as opposed to low carb if / when I start injecting insulin is really scary to me. I don't like the idea of al those potentially big mistakes. However I have learned from posts on this Forum that there are people skilful enough to be able to eat carbs and cover them with insulin more or less at will. Wow! When my time comes, I want to keep my life around food as simple as possible while also keeping my bgs as low as possible. Dr B's 30g daily will probably do me. After my current <20g which doesn't even give me the bgs I want, this would seem luxurious.Time to put your cards on the table. Do low carbers accept that there is also a place for not low carbing?
Low carbing doesn't feel to me like giving up as you say. I'm lowcarbing but it has not beating me, I really wish you understand.It's not just the numbers, Zand. There's the social/psychological aspects of food too. I like bacon just as much as a low carber does, but I get more out of it if it's on a bit of toast - the textures, the crunch.
Being dx'd T1 is a big headspin, and one of my first thoughts (in pre-internet days when I couldn't google it) was that I would have to eat a very restricted diet. It played a big part in coming to terms psychologically with the condition when I learned that with careful use of insulin, there was relatively few limitations.
Low carbing to the extent advocated by Bernstein and Noakes would, for me, feel like giving up, like diabetes had beaten me, forced me to restrict my eating options. But I've found ways, none of them particularly complex, just timing of pre-bolus, food combinations to buffer simpler carbs, and a glance at my cgm every now and then, which means I can safely maintain a good a1c with no dangerous hypos whilst still eating pretty much anything on Dr Bernsteins "No" list.
Stephen Ponder's Sugar Surfing is of more relevance these days: there's a chapter in how to bolus for a burrito!
We do need to bear in mind how a newly dx'd T1 is looking at the world in the first few days after dx. Their entire life has changed. Chucking in an entire dietary change, basically excluding an entire food group, could be hugely damaging to their mindset. I would probably have jumped out the nearest window if someone had told me I could no longer eat x, y, z.
I'm not denying there is a place for low carb, not at all - as I've said earlier, I low carb in certain situations. But I do worry that enthusiasts sometimes present it as the only option, not just one of many, and can be quite disrespectful of contrary views. Bernstein is a case in point - he describes people like me who like a bowl of rice and a bit of cheesecake every now and then as using, "industrial quantities" of insulin. That's insulting.
I think you have hit on the essence of the conflict. We all write our own histories. For some of us eating low carb represents a success, for others a failure. Having read many posts, particularly from people new to diabetes, I think "failure" is a term to be avoided. In particular "outcome" goals where we vow to "reverse" our diabetes, or lower our A1c to a certain number, or shed X pounds, should be avoided in favour of "process" goals. A process goal could be eating only X amount of carbs daily, or successfully balancing carbs with injected insulin to achieve "time in range", or even taking time off from testing and thinking diabetes in order to relax or heal.Low carbing doesn't feel to me like giving up as you say. I'm lowcarbing but it has not beating me, I really wish you understand.
Yes, I can quite see that. In fact, Dr B has said that latterly a little of his own capacity to make insulin had revived, and it was no use to him, just a nuisance. However the research is encouraging to the likes of me (I am probably pre-LADA) as no-one is going to prescribe me insulin any time soon, and I am keen on exercise, so I may as well hope to benefit from it.
Isn't this in danger of going off-thread?Alexandra, I'm not in the least sure why you consider yourself to be pre-LADA, when your current and all historic blood sugar levels have been in the normal range, as opposed to even pre-diabetes.
Isn't this in danger of going off-thread?
Low carbing doesn't feel to me like giving up as you say. I'm lowcarbing but it has not beating me, I really wish you understand.
We can delay progression in t1 Diabetes? I thought we just had it. I use exercise help manage it. I enjoy excercise because it keeps me insulin sensitive.
But I don’t think we can stop it. T1 that is.
Maybe this is a prediabetes to t2 thread...
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