Southport GP said:I have been interested to hear from folk who have been using the low carb approach for longer than two years as the medical world while accepting the short term weight loss and other benefits worries about possible long term effects - though for my self I strongly suspect it's just as good on the long term as it is on the short term .
gezzathorpe said:LittleWolf said:Gezza, maybe you have reactive hypos? I know I used to. Tempura *****d me up one night..
I got to say I still find it odd how you tolerate what you eat XD One in a million x
Buckwheat and a salmon fillet -> 9.8 1 hr, 7.2 2 hours, which is pretty good for this non diabetic lol
Perhaps we could all learn from you? What's your exercise regime like?
Sent from the Diabetes Forum App
Hi Little Wolf .. changed the title so as got to get confused with Southport GP's blog for low-carbers. Had breakfast 1.5 hours ago (as per chart), walked the dog (1 mile), felt a hypo and 3.4 ..... oops again. Just eaten a wholewheat bread sarnie with loads of homemade mayo, lettuce, tomato and liver pate. Next report in 2 hours.
IanD said:Your breakfast is the cause of your hypos, IMO. All calories from carb, & little protein or fat. Not sustaining at all, so you get a quick high BG (try measuring after 1 hour) and your energy from b'fast is used up before 2 hours, so you get a hypo. Your HbA1c may be OK but that average is made of highs and lows, not a steady level. I consider that is living dangerously.
I've tried cereal b'fast, measuring every hour. 1 hour - 14, 2 hours 5, 3 hours 4. We haven't got a dog to exercise. Our cat needs lap time, not walkies.
For 7 1/2 years I ate that sort of diet, and thought I had good control - but I was developing a range of complications, even though my HbA1c was always below 7. Changing to low carb cleared the complications. My b'fast is a "porridge" made from ground almonds & coconut flour - they're 50% fat.
IanD said:HbA1c
2000, At diagnosis - 8.6
DUK high carb, low fat diet (around 300 g carb daily)
until spring 2008 around 6.5 to 6.8
after low carb
6.0 to 6.3 (next one is due)
Exercise - I have played tennis year round for the last 25 years
Hospital Gym circuit (a heart rehab group with my wife) for about 8 years
Complications
within about 2 years of diagnosis
extreme tiredness, now vastly improved
retinopathy (stage 1), now cleared
kidney impairment, now stable
leg muscle pains - developed intensely, threatening my mobility, ending tennis & restricting gym (often I sat out)
those pains cleared completely in 3 months - I'm better than 10 years ago
Measuring BG after one hour was a big eye opener, I suspect the carb spikes around 14 caused my trouble; I have never been in the hypo region (below 4) , averages can be misleading
With your readings, you seem to have a significant residual insulin function (I could not get those readings with the DUK diet, & cannot with low carb either)
Hope that helps - if you are cautious about animal fats, an increase in nuts would be beneficial. Ground almonds added tocereal is easy.
gezzathorpe said:IanD said:HbA1c
2000, At diagnosis - 8.6
DUK high carb, low fat diet (around 300 g carb daily)
until spring 2008 around 6.5 to 6.8
after low carb
6.0 to 6.3 (next one is due)
Exercise - I have played tennis year round for the last 25 years
Hospital Gym circuit (a heart rehab group with my wife) for about 8 years
Complications
within about 2 years of diagnosis
extreme tiredness, now vastly improved
retinopathy (stage 1), now cleared
kidney impairment, now stable
leg muscle pains - developed intensely, threatening my mobility, ending tennis & restricting gym (often I sat out)
those pains cleared completely in 3 months - I'm better than 10 years ago
Measuring BG after one hour was a big eye opener, I suspect the carb spikes around 14 caused my trouble; I have never been in the hypo region (below 4) , averages can be misleading
With your readings, you seem to have a significant residual insulin function (I could not get those readings with the DUK diet, & cannot with low carb either)
Hope that helps - if you are cautious about animal fats, an increase in nuts would be beneficial. Ground almonds added tocereal is easy.
Just got my results ...
HbA1C 5.6% (previously 6.2%)
Triglyceride 0.7 mmol/L
HDL 1.4 mmol/L
Chol:HDL Ratio 2.9
LDL 2.4 mmol/L
Cholesterol 4.1mmol/L
Kidneys, liver, urine etc. fine. Slightly increased in Monocytes 1.1 (whatever they are) so repeat blood count in 2 months.
My GP seems to be pleased and said "Whatever I am doing, I'm doing it right". That's a relief.
catherinecherub said:gezzathorpe said:Just got my results ...
HbA1C 5.6% (previously 6.2%)
Triglyceride 0.7 mmol/L
HDL 1.4 mmol/L
Chol:HDL Ratio 2.9
LDL 2.4 mmol/L
Cholesterol 4.1mmol/L
Kidneys, liver, urine etc. fine. Slightly increased in Monocytes 1.1 (whatever they are) so repeat blood count in 2 months.
My GP seems to be pleased and said "Whatever I am doing, I'm doing it right". That's a relief.
Well done gezzathorpe, marvellous results. :clap: :clap: :clap: :clap: :clap:
I wouldn't worry about the monocytes, very often these can be raised or below ideal levels and it is just a blip. I am sure your GP will keep an eye on them.
http://www.wisegeek.com/what-are-monocytes.htm
Faith* said:Well done gezzathorpe!!
I get all my results next week so it will be interesting to see if I've improved since going on a lower carb diet. I'll let you know
Southport GP said:8 WEEK STUDY IN GENERAL PRACTICE, SOUTHPORT- EFFECTS OF A LOW CARB MODERATE FAT DIET OVER 7 WEEKS
13 patients, 7 pre diabetics and 6 type two diabetics were asked if they were interested in trying a low carb moderate fat diet they agreed to have their HbA1c monitored along with liver function, lipids (HDL and LDL cholesterol), weight and blood pressure.
HbA1c on average lasts as long as the red blood cell it occupies -120 days so improvements in care can easily take 12-14 weeks to show in the HbA1c result. Our results are all the more surprising as the improvements stated were measured after only 7 weeks.
RESULTS: One patient didn’t like the diet and dropped out after a few weeks. Of the remaining 12 all had significant weight loss averaging 6.2Kg after 8 weeks and an amazing drop in HbA1c averaging 9.8mmol/mol in 7 weeks
This resulted in all the prediabetics having a normal Hb A1c.
Of the 6 diabetics:3 ended up with normal HbA1c< 42. Two ended up with pre diabetic HbA1c<48. One ended up with a much improved HbA1c result from 83 to 57.
All had either improved cholesterol or they remained the same, despite the higher fat diet.
7 of the 12 had abnormal liver function tests at the outset and all saw a significant improvement.
5 of the 12 were able to come off regular medication of one form or another.
I'M SO PROUD OF WHAT MY PATIENTS HAVE ACHIEVED!!!
johnlfitz said:Southport GP said:8 WEEK STUDY IN GENERAL PRACTICE, SOUTHPORT- EFFECTS OF A LOW CARB MODERATE FAT DIET OVER 7 WEEKS
13 patients, 7 pre diabetics and 6 type two diabetics were asked if they were interested in trying a low carb moderate fat diet they agreed to have their HbA1c monitored along with liver function, lipids (HDL and LDL cholesterol), weight and blood pressure.
HbA1c on average lasts as long as the red blood cell it occupies -120 days so improvements in care can easily take 12-14 weeks to show in the HbA1c result. Our results are all the more surprising as the improvements stated were measured after only 7 weeks.
RESULTS: One patient didn’t like the diet and dropped out after a few weeks. Of the remaining 12 all had significant weight loss averaging 6.2Kg after 8 weeks and an amazing drop in HbA1c averaging 9.8mmol/mol in 7 weeks
This resulted in all the prediabetics having a normal Hb A1c.
Of the 6 diabetics:3 ended up with normal HbA1c< 42. Two ended up with pre diabetic HbA1c<48. One ended up with a much improved HbA1c result from 83 to 57.
All had either improved cholesterol or they remained the same, despite the higher fat diet.
7 of the 12 had abnormal liver function tests at the outset and all saw a significant improvement.
5 of the 12 were able to come off regular medication of one form or another.
I'M SO PROUD OF WHAT MY PATIENTS HAVE ACHIEVED!!!
Very similar to me ... on diagnosis of Type 2 3 months ago (in March 2013) these were my scores:
18stone 6lbs
Liver ALT of 122 + AST of 56
HBA1C of 55 (7.2%)
3 months later (low carb and daily treadmill exercise):
15stone 7lbs
Liver ALT of 55 + AST 21
HBA1C of 31 (5%)
johnlfitz said:Cholesterol is 3.1. Which I'm told is OK ?
gezzathorpe said:Just got my results ...
HbA1C 5.6% (previously 6.2%)
Triglyceride 0.7 mmol/L
HDL 1.4 mmol/L
Chol:HDL Ratio 2.9
LDL 2.4 mmol/L
Cholesterol 4.1mmol/L
Sid Bonkers said:gezzathorpe said:Just got my results ...
HbA1C 5.6% (previously 6.2%)
Triglyceride 0.7 mmol/L
HDL 1.4 mmol/L
Chol:HDL Ratio 2.9
LDL 2.4 mmol/L
Cholesterol 4.1mmol/L
Great results Gezzathorpe :clap: You must be well pleased :thumbup:
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