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Diet, Exercise and T2D

D

Dr_Ian_Dickson

Active Member
Messages
33
Location
Edinburgh
Type of diabetes
HCP
Treatment type
I do not have diabetes
Dislikes
Poor advice and medical care
Im a retired GP who had a specialist interest in diabetes - especially T2D.
I am writing a daily blog on the above subject. I am using a low carb diet myself to lose weight and improve my overall health.
I will try to highlight my thoughts and the evidence for the diet and the associated exercise to try and take to remain healthy and fit. I will try to not make it too technical and will be happy to accept feedback. I just posted the first blog. I’m new to all of this but do have a lot of knowledge I feel I would like to share.
 
Great that you recognise that low carb works. Lots of GP's and DN's do not !
Good luck with your diet. I prefer to call my LCHF a lifestyle now . I feel so much better for it :)
 
Good luck with the blog and the weight loss.

May I ask if you have come across Dr. David Unwin's work?
Could you put up a link to your blog, please?
 
Welcome Ian! Your thoughts, experience and knowledge will be very much appreciated.
 
Hi Dr! I’ll be very interested to read your blog entries. I was diagnosed 10 months ago and have used low carb but not too high fat, as I had a lot of weight to lose. I eat enough fat to feel full. I have got my HbA1c of 70 on diagnosis down to non diabetic levels for my last three tests. I’ve also lost over 5 stone. I’m lucky in that my GP is all for the low carb approach too :)
 
I used the lowering of carbs approach in many of my patients. I find it surprising that everyone knows to cut down on sugar but carbs are mostly just complex sugar molecules. I’ve put a blog on today as I’m just getting into posting. Have a read. You are definitely doing the right thing. It’s a pity we can’t measure insulin levels easily. Yours would have been high and plummeted with your lifestyle changes. That was exactly what you needed to do.
 
gusbudone said:
Hello @Dr_Ian_Dickson welcome, my be you can help me, after exircise my BG rise, it is normal or not? thanks for your help :D
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I can’t really give specific advice without knowing more about your personal situation, treatment etc. exercise mostly makes blood sugar fall - assuming you don’t take carbs/sweet drinks but if you “stress” your body adrenaline and cortisone may increase blood glucose by gluconeogenesis (the bodies making of sugar). Perhaps see what happens if you gently exercise and take it from there.
 
Hi Doctor! I will check out your blog. I am type 1 but as an exercise specialist I help those with metabolic problems including t2 so will be interested to hear your thoughts.
Are you good at YouTube? There are some great hcps on there sharing how they are spreading the low carb word in the UK including Dave and Jen Unwin, Dr Ian Lake (ketogenic type 1 GP) , Dr Kesar Sudra (based in Slough so works with many South Asian patients) and Dr Trudi Deakin (of X Pert health fame). See Public Health Consortium conference 2017).
 
NicoleC1971 said:
Hi Doctor! I will check out your blog. I am type 1 but as an exercise specialist I help those with metabolic problems including t2 so will be interested to hear your thoughts.
Are you good at YouTube? There are some great hcps on there sharing how they are spreading the low carb word in the UK including Dave and Jen Unwin, Dr Ian Lake (ketogenic type 1 GP) , Dr Kesar Sudra (based in Slough so works with many South Asian patients) and Dr Trudi Deakin (of X Pert health fame). See Public Health Consortium conference 2017).
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I had a T1D patient who followed low carb religiously. He had an amazing HbA1c of 5-6%. His insulin requirements were only 6-10inits daily. His BMI was 21 and he had no complications and was as fit as a fiddle
 
gusbudone said:
Hello @Dr_Ian_Dickson welcome, my be you can help me, after exircise my BG rise, it is normal or not? thanks for your help :D
Click to expand...

I find my blood sugar rises during resistance based exercise. The more so if I have reduced my carbs which is frustrating! I feel that resistance exercise is important for type 2s in order to create more insulin sensitivity but how you handle a blood sugar rise (hopefully a temporary spike) will depend on your medications. An alternative approach may be to complete your weights session then add a quick burst of high intensity work e.g. cycle sprints with rest intervals. This could help you use up the glucose generated by the weights session but gain it depends on the meds!
 
Dr_Ian_Dickson said:
I had a T1D patient who followed low carb religiously. He had an amazing HbA1c of 5-6%. His insulin requirements were only 6-10inits daily. His BMI was 21 and he had no complications and was as fit as a fiddle
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Thank you. I am doing a serious keto attempt right now but as you will see from another post on this thread I am confounded by exercise spikes which is frustrating when the main motivation for exercise is to mitigate my heart disease risk and make me more insulin sensitive... Hoping that once keto adapted these spikes will flatten out.
Dr Ian Lake (type 1 and keto) says he reduced insulin by 1/3 and makes the interesting point that us type 1s can become insulin resistant too so my goal now i s to minimise my body's need for insulin. Had a bilateral vitrectomy in 2004 and do not want any more complications!
 
You probably train hard and when you stress the body you release hormones cortisol, adrenaline which stimulate gluconeogenesis and your body makes too much sugar. Not an easy one to solve. I think gentler less stressful exercise and monitor sugar levels then build up the intensity till you find the right level for you.
It’s like when you’re ill and have type 1 and not eating - often blood sugars rise despite no food - the stress hormones cause this and if anything you should monitor more then and use more insulin
 
Thanks. Ii do train hard and have always told myself never to stop doing anything because of my diabetes so you are right it is tricky! Sorry if this is turning you into a diab Agony Uncle and best of luck with your own mission.
 
Bluetit1802 said:
@Dr_Ian_Dickson I have tried to access your blog but it won't allow me to view it I'm afraid. Any idea why?
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Not sure. I’m new so maybe a setting is wrong. Not sure if there is a box to tick to allow others to view. If there’s a better way to post the daily series then let me know.
 
Dr_Ian_Dickson said:
Not sure. I’m new so maybe a setting is wrong. Not sure if there is a box to tick to allow others to view. If there’s a better way to post the daily series then let me know.
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Maybe there is a box to tick. I don't know as I don't blog myself. Perhaps have a look at your settings?
 
Hello all - I have checked @Dr_Ian_Dickson 's account and it should be viewable, but I will ask the techies to check it over tomorrow.

@Bluetit1802 - I'll ask the techies to have a look into this. I can't see an issue, but I can't "deep dive" on it.
 
DCUKMod said:
Hello all - I have checked @Dr_Ian_Dickson 's account and it should be viewable, but I will ask the techies to check it over tomorrow.

@Bluetit1802 - I'll ask the techies to have a look into this. I can't see an issue, but I can't "deep dive" on it.
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Thanks. I can access it now. The gremlins have gone. :)

EDIT. My mistake - I still can't access the actual blogs. I can open the blog tab and see the titles, but when I click on the titles I get an error.
 
Bluetit1802 said:
Thanks. I can access it now. The gremlins have gone. :)

EDIT. My mistake - I still can't access the actual blogs. I can open the blog tab and see the titles, but when I click on the titles I get an error.
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How bizarre. I have raised it with the techies, to be waiting for their arrival in the morning. The blogs are not within my sphere of geektasticness.
 
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