dbr10
Well-Known Member
That's completely understandable. Unfortunately you have to steer you way through the conflicting and contradictory advice. Look at Dr Bernsteins Diabetes Solution and Jenny Rhule's Bloodsugar 101.
Gulp got my first meeting with a dietary/diabetes nurse tomorrow afternoon would have done what they advised but after reading this not so sure?. only 4 days in from diagnosis and I am confused enough as it is.
Hi. I think many of us are appalled at the diet advice given by the NHS to diabetics. It remains incomprehensible that the NHS we fund can offer advice that will make your condition worse but sadly that's where we are. It makes you distrust any advice given by GPs/DNs. So, go for the low carb diet and aim for an HBa1C of 6.5% as a good target; a bit lower if you can.
So, the DN needed more carbs then. Her brain was clearly suffering a malfunction - so much so that she could completely ignore the evidence in front of her.It makes me quite angry - I do know of several diabetics following the recommended dietary guidelines who are being prescribed more and more medication with no dietary advice that is likely to lower their BG.
There is only one medical centre in this village so the diabetics I know have got the same DN as me. This is the woman who looked at my HbA1C result (which was 29 / 4.9- lower than pre-diabetes level) and asked me how I had done it. I explained briefly about low carb and she did this really theatrical sigh and told me that we have to have carbs at every meal for our brains to work. I said mine seemed to be working fine despite two years of low carb..... she ignored that and said we need carbs at every meal and that if (if??) they raised my BG she would prescribe insulin for me. I said I've already been prescribed insulin but don't use it - and she asked me who had given me permission to come off the insulin. Permission??? Its my body! So she just carried on with her script - telling me I need to eat snacks - 3 meals and 3 snacks a day. I didn't like to mention about 24 hour fasting....
I think they lose sight of their role which is supposed to be SUPPORTING us with our T2.
http://guidelines.diabetes.ca/app_themes/cdacpg/resources/cpg_2013_full_en.pdfSo, the DN needed more carbs then. Her brain was clearly suffering a malfunction - so much so that she could completely ignore the evidence in front of her.
From what I can understand it's acceptable by these official guidelines to have a daily CHO intake of either 130 g or 45-60%The current recommended minimum intake for CHO is not less than 130 g/day, to provide glucose to the brain (32). A systematic review and meta-analysis of controlled feeding studies in people with type 2 diabetes found that CHO-restricted diets (mean CHO from 4% to 45% of total energy per day) improved A1C and triglycerides (TG), but not total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) or body weight compared with higher-CHO diets over the short term (33). The long-term sustainability and safety of these diets, however, remain uncertain. Very-low-CHO diets may not ensure sufficient vitamin, mineral and fibre intake. It is recommended that the percentage of total daily energy from CHO should be no less than 45% to prevent high intakes of fat, as this is associated with reduced risk of chronic disease for adults (32). If CHO is derived from low glycemic index (GI) and high-fibre foods, it may contribute up to 60% of total energy, with improvements in glycemic and lipid control in adults with type 2 diabetes (34).
http://guidelines.diabetes.ca/app_themes/cdacpg/resources/cpg_2013_full_en.pdf
From page 546
From what I can understand it's acceptable by these official guidelines to have a daily CHO intake of either 130 g or 45-60%
So I suppose that a reduced-carb mediterranean diet (130 g of carbs are 100g of pasta, 150 g of bread and 400 of fruits) will nicely fit in these guidelines even if ones eats eggs and cheese. An Atkins diet on the other hand could be different.
Still feel amusing the boilerplate response. Are DN consultants willing to be replaced by a shell script and a printer?
If one prefer the old technology a good book will suffice.I suspect that in the future it will be a robot - which, to be honest, won't make much
I wonder if they ever realise the damage they do. How many millions of people are eating exactly as instructed yet wondering why their T2 is progressing. Its so sad. They have a real opportunity to help people yet won't listen when we tell them their way doesn't work and we can prove it.
a boilerplate diet is not what is expected to give.Provide individualised and ongoing nutritional advice from a healthcare professional with specific expertise and competencies in nutrition.
Morning all
Just an update went to see the diabetic/dietary nurse yesterday afternoon he has put me on a low crab diet..... The usual examinations I gather were carried out ie weight, height, blood pressure, examination of my feet including pulse reading?
What annoyed me (not the nurse) was when I requested a print out of my blood results that had been initially been done at the hospital when first diagnosed they could not be found? that being the case the diabetic nurse requested urgent blood test and urine samples done and I will get the results of the readings in 3 days
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