• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

Diabetes in Sweden

Pinkorchid

Well-Known Member
Messages
2,927
Type of diabetes
Type 2
Treatment type
Diet only
My brother-in-law has lived in Sweden with his Swedish wife for over 30 years . He was diagnosed with T2 about three years ago. This week he was over here for his sisters funeral and was talking to my husband.. his brother.. about the fact they both have T2. It seems in Sweden an awful lot have much the same idea as many many people do in the UK. that as long as you take the tablets ...he was taking Metformin... you can eat anything and the tablets would keep the blood glucose under control. He had never heard of LCHF so could not understand why when my husband is taking Metformin he would not eat the high carb buffet food at the after funeral wake . I thought that Sweden were one of the leading countries when it came to good health and diets. I did read that they were now saying that higher fat could be good for preventing diabetes but it was more about full fat dairy and good oils but still high fat saturated meat was not recommended
 
I think the case for Sweden 'leading the way' may have slightly exaggerated in some instances.
 
I think labelling countries or their citizens is simply ridiculous.
 

I just checked. Since 2011 the official recommendations include LCHF(30-40g carb). They also mention LCHF(10-20g carb), but do not recommend it.
 
I think LCHF is generally well know in Sweden but sadly here as in many other countries the diabetes care HCP people are still brainwashed when it comes to carbs and fat. My DSN, for example, is sad because her patients rarely manage to reach the target HbA1c. She is deeply suspicious of low carbing and has advised me to eat plenty of fruit and bread but has given up on me and decided I wasn't diabetic at all as my HbA1c now is 32. My cardiologist has no problems with me eating LCHF though, she thinks it's a good idea to keep BG normal.

Moderate low carb, not LCHF, is one of four diets recommended for diabetics but this is fairly new.

There are a few Swedish low carb diabetes groups on FB, should he be interested. Smarta diabetiker for example and Smarta Diabetikers Recept.
 

You are right. They don't call it LCHF, but simply low carb.
 
I just checked. Since 2011 the official recommendations include LCHF(30-40g carb). They also mention LCHF(10-20g carb), but do not recommend it.
Unfortunately that is not grams of carbs but E%.

The report behind the dietary recommendations had to conclude there wasn't a lot of evidence for any kind of diabetes diet. The report was published some years ago and a lot of things have been published since so time for a new evaluation.
 

Sorry, my mistake.
 
Sorry, my mistake.
Think this looks like a definition for how to calculate E% i could not get an english translation
Exempel: Standardmjölk
Energi 60,6 Kcal
  • Protein 3,4 g
  • Kolhydrater 5 g
  • Fett 3 g ⇒ 3 X 9 = 27 Kcal ⇒ 27 / 60,6 = 0,445 = 44,5 E%
Think it is defining energy breakdown for full fat milk.
 
... & to be fair. This is in essence a thread about an "expat" with T2 managing it "his way".
It's not a true representation of the nation he's located in as a whole. Many might live on herring & cheese??

Incidentally, I've been to Sweden. The veriaty of food on offer where I stayed was healthy & extensive, (including the usual culprits.)
But the LC options were also good quality & in veriaty too! Better than any other European country for choice at the breakfast table...
 

The open sandwiches, the crisp bread, waffles, the porridge, I've never been keen on muesli, probably not ideal for me anymore.
 

When going through this thread I wondered if the British still consider themselves as a colonial power since they dare to talk about another country and it's citizen in that way ... I was shocked! I'm not Swedish,, so no hurt feelings. (I am from Scandinavia, though ).

Thank you for your post, Jaylee!!

Back to the man mentioned in the first post who was at a funeral in Great Britain: He didn't care for his Diabetes in other ways then by using Metformin. No food restriction. People diagnosed with Diabetes are just as different as the general population. You will find people who pull a bag over their head when they don't want to understand the seriousness of something. The man can be one of them ... Who knows?

I have met such people too. They gamble with their health (probably unconscious). Where I live we are given a two days study for free to learn to live with our Diabetes after being diagnosed. At that study we learn about symptoms, - how to live well, - what to eat,- about bad and OK artificial sugar replacement, - how important it is to take care of feet and teeth, - about physical activity, - about psychological disorders that can occur as a result of getting a chronic disease, - about possible development of the illness over time and about the seriousness of long term consequences of having an unstable blood sugar over time.

In spite of all this information, some people go on with their lives as if nothing has happened, as if they don't understand how serious it is to have T2. It is frustrating when one meet such people at a party. One says NO to sugar and then somebody else tell that they have Diabetes and then eat everything. It might happen that the one who take care of her health will be seen as the strange one, while the other one as normal and not so preoccupied with details about if there is sugar or not in the food.

Such people (who don't bother to take their Diabetes serious) are to be found everywhere regardless of nationality.

When it comes to food the recommendation (where I live), it is based on general European and some American norms (little starch in food, lots of vegetables and fibers, not so much fruit, fish and chicken). Many chose to use food inspired by the Mediterranean kitchen (which science has shown gives a general good health). Some chose LCHF, called "low carb". The "low carb" diet has been known and used for years in Scandinavia, but I think that that diet is not so popular as it once was.

Well my post was only meant to tell how alarming it is to mark a nation after meeting one of it's inhabitants. That is to generalize without reliability.

Thanks again for your input, Jaylee!
 
Last edited by a moderator:
It wasn't my intention to as Sophie2 said to generalize about Sweden and their diabetes information as I believe it is a very healthy country I am sure there as here many many people with diabetes get very good advice and know the importance of low carbing and perhaps some who do not. I was just surprised that my brother-in-law said that he can eat anything he wants to as long as he takes the tablets someone must have told him that. I know his wife who sadly now has Alzheimers and is in residential care was very health and exercise conscious as is his daughter who is a fitness instructor and qualified dietician but she lives about 400 miles away from her dad so would not really be aware of how he eats
 

You didn't generalise.
You expressed surprise at the information one particular person who you know, had been given.
You then thought he would have been better informed, but admittedly did say his experience was much the same as we have here. Which again doesn't appear to be a generalisation, but simply someone's personal experience.
If anything, Sophie generalised that anyone who doesn't manage their own diabetes well is because they choose to ignore it, rather than because they haven't been advised by a HP correctly.
Which I can't say I agree with.
Especially if Norway uses American, and general European advice as well, and low carb is not popular.
 
It wasn't my intention to as Sophie2 said to generalize about Sweden and their diabetes information as I believe it is a very healthy country

Sorry if I gave the impression that it was you, Pinkorcid. It wasn't you, but some of the other posters that gave me that impression. You only wanted to know if the Swedish T2's were informed about "low carb" or not. I cannot speak for Sweden, but I can tell that in Norway we base our nutrition advices on European and to some degree American standards, based on science. The Mediterranean diet seem to be the one most well documented for the time being.* Low carbs isn't so popular now. May be that is the same in Sweden and that was why your brother-in law hadn't heard about it. Of course we have GP's in Scandinavia that don't know so much about Diabetes as they should. That may have been a factor that contributed to your brother-in law's view on how to live with his Diabetes. My former GP didn't inform me when I was pre-diabetic ... I think that so it can be in every country (that some GPs are not well informed in all diagnoses). That's one of the reasons why the Diabetic Associations around the Globe are very important.

Diabetes can infect, among others, kidneys, lungs, heart and more. Diet has to be good for all those and be effective at both short time and long time.

* http://content.onlinejacc.org/article.aspx?articleid=1144261&issueno=11#tab1
 

The only other posters who expressed any opinion at all was one from Sweden, and one from Denmark.
(And myself with regard to exaggeration in some places, which you seem to have agreed with in that part with regard to low carb)
 
You didn't generalise.

No, she didn’t, but some others presented some views …. (Se my post #16) I did not direct my post #13 at a person. My opening words were: «When going through this thread I wondered (…)»

If anything, Sophie generalised that anyone who doesn't manage their own diabetes well is because they choose to ignore it, rather than because they haven't been advised by a HP correctly.

That is not correct! I have mentioned that some people ignore health advice (I used the words "probably unconscious"). It is a very sad thing when people are in denial about the seriousness of their disorders. I think that perhaps one explanation to that might be that they are very afraid and therefore ignore it. I also think that we, sufferers from the same illness, may try to inform them in a gentle tone when the opportunity is there. If they are afraid, they will probably not listen to somebody who makes a «moral preach» to them.

In Norway we are advised to see our Diabetes as a disease that one has to try to live well with inside the frames of our specific life situation. A mother with Diabetes, two teenagers at home and a husband working away form home, will be so stressed that she probably can’t manage all her health targets. If that is the case, she needs supporting words for what she is able to manage, not a bad conscience because she isn’t 100% at the top. Stress can make Diabetes worse and a bad conscience at top of already ongoing stress will add more stress.

Especially if Norway uses American, and general European advice as well, and low carb is not popular.

«Low carb» is still popular by some. Personally I have chosen another diet near the Mediterranean diet because that is well documented. That is how it should be, that we all try to educate ourselves when we have the time and effort and chose for ourselves. The «low carb» diet isn’t manna from Heaven.

If somebody has a well regulated blood glucose during her day on the diet she already use, it wouldn't be wise to hold up "low carb" as a better alternative because one eventually use that for oneself.
 
To be fair, you also 'wondered if the British still consider themselves as a colonial power' when apart from me, (and the op) the others posting come from Sweden and Denmark.
Maybe that confused me?
 
In the marvellous doco 'Statin Nation' the figure of 20% of Swedes being LCHF, from a Swedish doctor/researcher I think it was, was mentioned. I was not shocked - I think it quite likely! If you think that Stockholm has two LCHF stores, I found more than a few cafes offering an LCHF option for the day's lunch special, and my own diabetes nurse was totally up on LCHF diets, paleo diets, VLCD diets - and very encouraging to her patients trying out different things. So many LCHF recipe books published in Sweden and in stores, and in the library system (especially considering how few people speak the lingo) - is pretty impressive. But, also, I was at a wonderful dinner party one night in Stockholm, and a doctor present revealed himself as a fellow diabetic, I asked him what his HBA1c was (I'm used to this 'club' after all!), and he said, at least, that he did not know it. (I have heard that from more than one diabetic doctor!) He ate a couple of slices of bread, ate the dessert, and said his medication covered it all. So - go figure! (My reckoning - Swedes are human , and subject to the same variations and contradictions we all are. But yes - more of them are likely to be LCHF eaters. Bless them.)
 
Cookies are required to use this site. You must accept them to continue using the site. Learn More.…