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How to know when to come off drugs?
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<blockquote data-quote="OzBlossom" data-source="post: 2315674" data-attributes="member: 402514"><p>So interesting reading this discussion thread. I've found myself at odds with my GP.</p><p></p><p>I'm in Australia. I was given a Type 2 diagnosis about 2 1/2 years ago and I'd read up on the research (especially Prof Taylor) and wanted to jump to a low-carb, low cal approach immediately but my GP most strenuously talked me out of it and put me on Metformin 'let's get your sugars stable first and obviously weight loss always should be slow and gradual' (Good lord, that's torture as far as I'm concerned!). In fairness, by blood sugar reading in the doctor's office was HORRENDOUS! Anyway, blood sugars came down quite a bit but not enough and GP gradually making noises about possibly including Exenatide. There was a patch in there of some months where I'd ditched the meds myself and made changes to a ketogenic approach and shown some dramatic blood sugar improvements, at least a bit better than what Metformin had been doing, though no weight loss as I wasn't paying any attention to calories. The GP poo-poohed my improvements on keto and said it would be terrible for my cholesterol and then went a bit quiet when they saw my cholesterol had actually come down and that my HDL/LDL/Triglyceride ratios had improved. Even so, GP accused me of being 'in denial' about my diagnosis and ordered me into going back onto meds. At that stage I did not feel I could go against them. I wasn't in denial at all about the diagnosis, only that increasing medication and inevitable decline had to be my pathway.</p><p></p><p>By the way, the diabetes dietician they sent me to at initial diagnosis was diabetic herself (Type 1) and she was clearly aware of all the research and how at odds it was with the institutional stance of 'low fat, lots of complex carbs, it's progressive, you'll probably end up on insulin' etc. She commented that she expected the official guidelines would change in light of the research, but that it might take years.</p><p></p><p>So, my Metformin ran out in August this year. After a week re-reading the research and with blood sugars rising, I decided to follow the research, bite the bullet and go all out with very low net carbs, low cal, 16:8 time restricted eating for 12 weeks. I'm halfway through, have lost 6.3kg (it's a bit slow, I'm menopausal), minus 4% body fat and while my early morning blood sugar test is stubbornly 'pre-diabetic' all my other readings pre- and post-meals are 'normal range'. I'm aiming for that first important functional goal of -10% or -15kg. I fully expect that long-term I will need to adhere to a low carb, Mediterranean-type approach. </p><p></p><p>I feel really cross that at the time of initial diagnosis my GP was berating me not to follow the research while simultaneously (I later found out) that the NHS in the UK was starting to prescribe a low-cal, low-carb program for newly diagnosed Type 2 patients. </p><p></p><p>I can't wait to go back to my GP in a couple more months and very maturely go 'neener-neener' . I'm sure I've had more time and much more motivation to read the research more deeply than my GP and I feel like the evidence of my body is much more important than the official, behind-the-times knowledge.</p></blockquote><p></p>
[QUOTE="OzBlossom, post: 2315674, member: 402514"] So interesting reading this discussion thread. I've found myself at odds with my GP. I'm in Australia. I was given a Type 2 diagnosis about 2 1/2 years ago and I'd read up on the research (especially Prof Taylor) and wanted to jump to a low-carb, low cal approach immediately but my GP most strenuously talked me out of it and put me on Metformin 'let's get your sugars stable first and obviously weight loss always should be slow and gradual' (Good lord, that's torture as far as I'm concerned!). In fairness, by blood sugar reading in the doctor's office was HORRENDOUS! Anyway, blood sugars came down quite a bit but not enough and GP gradually making noises about possibly including Exenatide. There was a patch in there of some months where I'd ditched the meds myself and made changes to a ketogenic approach and shown some dramatic blood sugar improvements, at least a bit better than what Metformin had been doing, though no weight loss as I wasn't paying any attention to calories. The GP poo-poohed my improvements on keto and said it would be terrible for my cholesterol and then went a bit quiet when they saw my cholesterol had actually come down and that my HDL/LDL/Triglyceride ratios had improved. Even so, GP accused me of being 'in denial' about my diagnosis and ordered me into going back onto meds. At that stage I did not feel I could go against them. I wasn't in denial at all about the diagnosis, only that increasing medication and inevitable decline had to be my pathway. By the way, the diabetes dietician they sent me to at initial diagnosis was diabetic herself (Type 1) and she was clearly aware of all the research and how at odds it was with the institutional stance of 'low fat, lots of complex carbs, it's progressive, you'll probably end up on insulin' etc. She commented that she expected the official guidelines would change in light of the research, but that it might take years. So, my Metformin ran out in August this year. After a week re-reading the research and with blood sugars rising, I decided to follow the research, bite the bullet and go all out with very low net carbs, low cal, 16:8 time restricted eating for 12 weeks. I'm halfway through, have lost 6.3kg (it's a bit slow, I'm menopausal), minus 4% body fat and while my early morning blood sugar test is stubbornly 'pre-diabetic' all my other readings pre- and post-meals are 'normal range'. I'm aiming for that first important functional goal of -10% or -15kg. I fully expect that long-term I will need to adhere to a low carb, Mediterranean-type approach. I feel really cross that at the time of initial diagnosis my GP was berating me not to follow the research while simultaneously (I later found out) that the NHS in the UK was starting to prescribe a low-cal, low-carb program for newly diagnosed Type 2 patients. I can't wait to go back to my GP in a couple more months and very maturely go 'neener-neener' . I'm sure I've had more time and much more motivation to read the research more deeply than my GP and I feel like the evidence of my body is much more important than the official, behind-the-times knowledge. [/QUOTE]
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