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Long term low carbers following Bernsteins advice?

My issue with the Bernstein method is the damnable Gluconeogenesis process that means that even without carbs, managing BG level is a little more hit and miss. The most frustrating thing is that I end up injecting a lot - MDI for me is more like 2x Basal and 8x Bolus as I sugar surf and try and even out the protein rises. Maybe I do need a third pen of "regular".as he calls it, for Protein use. Whilst I'm okay at remaining in the 4-7.5 band, only reaching 5.6 post prandial needs to reduce the protein amounts I eat significantly, which doesn't work with the amount of time I spend in the gym!

I also don't understand why scoring a post prandial of >5.6 mmol/l is more of an issue for a diabetic than a non-diabetic, who will generally be higher than 5.6 post prandial as well.

I hear you. I am type 2, my ranges had been all even during the week. However its interesting to see how type one reacts to it. I am pretty much sticking to the same meals portion wise everyday. I am only eating 3.5 to 4oz of protein twice a day (plus some extra in the mornings), and been only walking briskly, not heavy training. I guess the issue about being over 5.6 is the spikes. Me just guessing as this is all new to me.
 
My goal is to contribute to this thread in 11 months time!

Low carbed on and off for over 10 years but never managed to make last for a year+
 
My goal is to contribute to this thread in 11 months time!

Low carbed on and off for over 10 years but never managed to make last for a year+

Same here... the longest I've done it its about 5 months... great results back then, but I wasn't diabetic either :)
 
I'm glad I'm not the only one following his suggestions... for how good his advice sounds, it seems a lot of people finds it restrictive and hard to comply with. To me the only thing that ever worked to loose weight was to restrict carbs exactly to the levels that his method proposes, so I am kind of used to how to keep myself on track.

I am so far finding it easier to follow his rules just cause I feel motivated by my numbers. I am not new to low carb, but I think his suggestion about keeping portions consistent everyday is important as I feel it keeps the number within the range I want them the to be.

I am not very patient either... but I am thinking now that this will have to last for a lifetime if I want to keep myself healthy and away from complications.

mehhh2015, this has been a 25 year journey for me. Until I found Bernstein's book last week, I had little hope. For the first time, I'm encouraged. It's day 6. My fasting BG is now down 75 mg/dL. I'm still on track. I accept that I'll likely need to start medication, but I want to get my BG as low as I can first. I'm also...stubborn. :)
 
I'm going to be naughty tonight, I will have my treat diet meal lol. Baked aubergine, with tomato, avocado, coriander and feta on the top, I'll pair it with tuna. I'm sure its over his 12grms of carb limit... But I need a treat today :(... not as bad as it could be though. Still having just 3.5oz of protein although with tuna I struggle to eat that much.
 
I had a small box of dark chocolates held for me tonight. Picking it up in the morning. Holidays are such a trigger for me.

I've been thinking about how I ate growing up...not that different from the LCHF diet I'm on now, just more restrictive. Each day is a bit easier than the last. I feel like I've been eating better each year. This diet just feels right to me.

Today, my three other books arrived: two Adkin's books and the Gary Taubes book, Why We Are Fat, the latter I've talked my husband into reading. I think I'm going to take a break from the Bernstein book and read the Adkins Diabetes Revolution book. Not sure what Adkin's contribution was to it though, as it was published in 2004, after his death. The book cover states "Based on the medical practice of Robert C. Atkins, M.D., with Mary C. Vernon, M.D., C.M.D., and Jacqueline A. Eberstein, R.N."

I have a lot of questions about this diet. Like how much is too much fat and protein? And can I keep adding more vegetables? Hoping this book will catch me up. For now I think I'll alternate between this book and the "Bernstein Diabetes University" videos. :)
 
I had a small box of dark chocolates held for me tonight. Picking it up in the morning. Holidays are such a trigger for me.

I've been thinking about how I ate growing up...not that different from the LCHF diet I'm on now, just more restrictive. Each day is a bit easier than the last. I feel like I've been eating better each year. This diet just feels right to me.

Today, my three other books arrived: two Adkin's books and the Gary Taubes book, Why We Are Fat, the latter I've talked my husband into reading. I think I'm going to take a break from the Bernstein book and read the Adkins Diabetes Revolution book. Not sure what Adkin's contribution was to it though, as it was published in 2004, after his death. The book cover states "Based on the medical practice of Robert C. Atkins, M.D., with Mary C. Vernon, M.D., C.M.D., and Jacqueline A. Eberstein, R.N."

I have a lot of questions about this diet. Like how much is too much fat and protein? And can I keep adding more vegetables? Hoping this book will catch me up. For now I think I'll alternate between this book and the "Bernstein Diabetes University" videos. :)

Hi winnie

The Atkins book is really good. In principle is not very different from what Bersteins suggest.

Doing Berstains approach is pretty much the same as Atkins induction which is what I have always done in the past... and what technically I'm still doing.

The only difference is that I think Berstains has it right about keeping the portions consistent while Atkins tells you to eat freely of the permitted foods and some people interprets that as eating tons of protein and that can be counterproductive in the weight loss front after a while.

For me that's never been a problem as I think low carb diets with sufficient fat and protein are self regulatory, I just feel satisfied much faster and with less food than when eating carbs.

However, I believe that after loosing all the weight I need to lose, I will take the Atkins approach of increasing the amount of carbs by 5grms a day per week to test how many carbs I tolerate and which carbs spike me the most... what amounts, etc.

Atkins suggest to keep carbs below 20grms a day at induction while bersteins says 30grms... I am currently under 30grms as I feel satisfied and can't just eat if I don't feel hungry anymore.
 
I had a small box of dark chocolates held for me tonight. Picking it up in the morning. Holidays are such a trigger for me.

I've been thinking about how I ate growing up...not that different from the LCHF diet I'm on now, just more restrictive. Each day is a bit easier than the last. I feel like I've been eating better each year. This diet just feels right to me.

Today, my three other books arrived: two Adkin's books and the Gary Taubes book, Why We Are Fat, the latter I've talked my husband into reading. I think I'm going to take a break from the Bernstein book and read the Adkins Diabetes Revolution book. Not sure what Adkin's contribution was to it though, as it was published in 2004, after his death. The book cover states "Based on the medical practice of Robert C. Atkins, M.D., with Mary C. Vernon, M.D., C.M.D., and Jacqueline A. Eberstein, R.N."

I have a lot of questions about this diet. Like how much is too much fat and protein? And can I keep adding more vegetables? Hoping this book will catch me up. For now I think I'll alternate between this book and the "Bernstein Diabetes University" videos. :)

You will find that there is no right or wrong way of eating low carb beyond staying away from sugar and starches, I think for me the ideal thing is to eat to my glucose meter, which is what I am doing right now while following Bersteins advice in terms of portion size.

There is people that calculates protein around BMI and weight needs, I personally think it works better for me to do what dr. Bersteins say about eating a portion that would satisfy me, I worked out that for me that portion is 3.5 to 4 oz of protein per meal.

I go out of my way to get my vegs ( a lot of people skip vegs while doing low carb, personally, that doesn't suit me as I believe a healthy diet should include at least green vegs... but that's just my personal opinion).

Regarding fats, people have still the believe that fats affects cholesterol, I don't share that believe and therefore I am happy to eat fat in the form of olive oil, butter, mayo, cream, and cheeses.

I don't stuff myself with these things, I eat till I'm satisfied and to be honest, that doesn't take much. I don't see the need to eat three tons of fat, but it definitely makes a difference in terms of making me fill fuller for longer. I think common sense and balance is what works for me.

I think that when people hears the term Low Carb High Fat, people have mental images of people eating a whole pound of butter as a tasty snack... which is ludicrous.

What the term means to me is that in comparison with the traditional "low fat" diet approach, a low carb is more liberal. I don't use a drop of olive oil to cook my steak or my chicken as in a Low Carb or Balanced diet would normally suggest: I use a normal size teaspoon cause thats enough for the job. I put a piece of butter on the steak... and I eat steak but I don't like the steaks fat though... for example... so I don't eat that.

I have cream with my coffee ( 1-2 teaspoons for me is enough), or with my strawberries... but there is just so much I can eat.... so again... its a matter of personal taste.
 
Mehhh2015, once the excess weight is off, I also like the idea of increasing by 5 grams of carbs a week until I find what works best for me.

Right now I think I'd like to lose 30 more pounds. I've been holding at 160 for more than four years. Over the last three months, I've lost and kept off an additional 5 pounds. Ideally, I'd like to get down to 125 pounds. I have no idea how long that will take. I at least have the confidence that I can keep the weight off. In my mind, that's the battleground.

This morning I started the Adkins Diabetes Revolution book. I began by reading the two chapters on nutritional supplements for diabetes and heart health. I'm going to work this week on ordering the supplements I'm out of or need to start.

Picked up all my lab reports today. Relieved my iron levels are normal again. When my iron levels were checked three of four years ago, I was severely deficient in iron. Don't know if it was the iron supplements, the gluten free diet I started, or a combination of both that rebuilt my iron levels. Will check my iron again in three to six months.

My cholesterol is 229; triglycerides 126; HDL cholesterol 44; LDL cholesterol 165; cholesterol/HDLratio 5.2; LDL/HDL ratio 3.8. I don't know what those numbers mean other than they fall within or outside the normal range. Going to research that tonight before I go to bed.

My blood glucose was 284 the evening I went to the lab for my comprehensive metabolic panel. Bad, bad, bad. Today is day 8 on the LCHF diet. Fasting blood glucose was 167, lowest blood glucose was 143, but I cheat by only taking my blood glucose upon awakening and before meals. I'll start doing it the right way when I begin to feel more confident that I'm going to be okay. :)

I also am trying to eat a variety of fats, proteins, and vegetables. Last night I stocked up on more fats, heavy cream and cream cheese. I have no plans for either yet. I just want it here if I need it.:)
 
I think Bernstein has it right about keeping the portions consistent while Atkins tells you to eat freely of the permitted foods and some people interprets that as eating tons of protein and that can be counterproductive in the weight loss front after a while.

For me that's never been a problem as I think low carb diets with sufficient fat and protein are self regulatory, I just feel satisfied much faster and with less food than when eating carbs.

However, I believe that after loosing all the weight I need to lose, I will take the Atkins approach of increasing the amount of carbs by 5grms a day per week to test how many carbs I tolerate and which carbs spike me the most... what amounts, etc.

Atkins suggest to keep carbs below 20grms a day at induction while Bernstein says 30grms... I am currently under 30grms as I feel satisfied and can't just eat if I don't feel hungry anymore.

mehhh2015, thanks for saying this. I think I ate too much for a couple of days, then didn't eat enough these last two days. I'm not sure what the right portions are for me yet. Will work on it. Tonight I went on a bit of a binge. Figured out that cream cheese tastes wonderful next to a pickle wrapped in a slice of ham. :)
 
mehhh2015, thanks for saying this. I think I ate too much for a couple of days, then didn't eat enough these last two days. I'm not sure what the right portions are for me yet. Will work on it. Tonight I went on a bit of a binge. Figured out that cream cheese tastes wonderful next to a pickle wrapped in a slice of ham. :)

Don't worry too much about it Winnie! :)

At the beginning it takes a while to find the right balance for you and also your body starts learning what feeling hungry truly means, as well as when to finish eating because you are satisfied, pay attention to those sensation as they always impress me...

I can't stop myself eating roast potatoes when I have them in front of me for example when having a roast, but when I only eat protein and vegs I can't eat more than 4oz of meat without losing my interest in my meal.... I just can't eat any more.

Some people will say eat as much fat as you fancy, you will be fine. But if you read the books carefully, particularly Atkins one, he limits the amount of cream you can use during induction, and tells you to be aware of the carb content of cheeses.

Keep in mind that as you increase carbs you have to eat less fat.

Eventually for some people, the amount of fats needs to be adjusted after losing weight to avoid stalling... it doesn't always work but that is more or less the general approach.

Some other people that are slim but do low carb increase the fat intake (increasing their caloric intake) to stop losing more weight. Time will tell you how to regulate your eating habits according to your goals and needs.

I stock up on things like avocado (I eat it almost it everyday when I'm at home), nuts and seeds and good quality olive oil, those are the fats I like my diet to revolve around. Flax also has good fats, as well as chia seeds so I eat those things as well.

I also increased my consumption of salmon, sardines, cod and tuna... do I like them? Nooope... but I am eating them regularly. Same with green salads, never been a fan of them... but I am having a proper one pretty much everyday with lots of apple cider vinegar and olive oil. My fats are there to help me with the process, but I personally don't make them the centre of my diet.

It might work to eat every couple of hours when you feel hungry a little protein and fat snack, that will massively diminish your hunger if you think you didn't eat enough, at the moment I don't have the need for snacks, but I have done it like that before and it worked for me.

I have always found induction style Atkins (or Berstains dietary approach) (20-grms carbs per day) the only way to lose weight relatively fast and I like seeing fast results on my scale, however... I know this can be dangerous as one gets frustrated when the scale doesn't move as fast anymore. But is possible to lose weight at a slower rate while eating a higher amounts of carbs. The choice is personal. I am very happy to see my BG numbers in the normal non diabetic range, so I want to keep myself in that bracket for a while before starting to experiment again with carb intake, also because I know that losing my body fat will increase my insulin sensitivity and therefore it will be very different to eat more carbs then than now when I am still so massively overweight.

However, I noticed that things like boiled sweet potatoes and aubergines (2 things that are seemingly high in carbs) don't affect my blood sugar levels so I can eat them as part of my meal. But I am still thinking about them as treats. I was eating lots of baked aubergines the last month (like almost everyday heheheh) when I wasn't going extremely low carb and my number were still in the 5's to 6's range, now I am eating less of them, but I can still eat them without getting out of the 4 -5's BG. The same has happened with 2 tablespoons of black beans or lentils, no effect on my BGs whatsoever, but for some reason all these things makes lowering my weight a much slower process so at the moment, I am avoiding them.

About cheating with the BG numbers... I have personally found having a meter an enlightening experience, to see that my BG doesn't go high at all after my LC meals is a great encouragement as I feel this is the right thing to do for me.

I love looking at my numbers and seeing the general steady and relatively fast progression to healthy numbers. I also saw what happened in the odd occasion when I tasted a little bit of sugar or wheat... and I didn't like what I saw which made me really aware that those are poisonous things to me... and had inspired me to stay away from them.

The last bit is about moving around, everyone told me (including Bersteins' book) that increasing exercise would help lower the numbers... in my case... it really does so I am walking and keeping active and moving a bit more particularly after meals. That was, again, an enlightening experience as I am not a big fan of exercise, I know I can lose weight without exercising but I saw improvements on my BG numbers and that was very important to me.
 
mehhh2015, thanks for saying this. I think I ate too much for a couple of days, then didn't eat enough these last two days. I'm not sure what the right portions are for me yet. Will work on it. Tonight I went on a bit of a binge. Figured out that cream cheese tastes wonderful next to a pickle wrapped in a slice of ham. :)

Sorry for the extra long posts....

Also I have always had a tendency to be anemic so I take vitamins with iron, at the moment I'm fine. Another thing I used to be deficient of was D vitamin so I am supplementing that as well.

Other things that people say are good for your BG and I am using are: cinammon (as in my coffee in the morning etc), apple cider vinegar ( I don't know if it helps or not really but I love the taste and makes salad taste good so Im having it everyday) and I drink lots and lots of green tea... again... I don't know if truly helps but I like it so its all good :)
 
Not read Adkins book, but to my knowledge it is not specifically for diabetics whereas Bernstein is.
 
Not read Adkins book, but to my knowledge it is not specifically for diabetics whereas Bernstein is.


I've never read the Atkins "diabetic" revolution but it exists, but I have read the Atkins Revolution... I doubt they will be much different.

I will buy it anyway, just to see what's in there, however, Atkins works perfectly fine for diabetics as it has done for me in the past considering my insulin resistance as pre diabetes and pcos (all BG related).

I can't find any mayor differences between Dr. Bersteins' book and Atkins book, except the idea of portion control and keeping carbs constant and the possibility to increase carbs as one reaches ideal weight (of course... Atkins is a weight loss focus book while Bersteins is a low BG approach but they use the same tool: low levels of carbs).

To me, as someone mentioned in a post above (affording to eat some other vegs and small portions of carbs), if I can manage the same readings while for example eating a portion of boiled sweet potatoes, or aubergines, then I will be fine.

My aim is what Dr. Bersteins says: normal, healthy, non obese people, blood sugar readings (4.6- 5.6) (plus for me a healthy BMI), I will stick to that, is this bit what was missing in my Atkins Revolution book. But the way of eating is very similar (including the advice on not abusing tomatoes :))
 
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Not read Adkins book, but to my knowledge it is not specifically for diabetics whereas Bernstein is.
That is the critical diff' bernstein is an acknowledged diabetic expert and is himself a t1 for decades, disregard his advice at your peril .
 
That is the critical diff' bernstein is an acknowledged diabetic expert and is himself a t1 for decades, disregard his advice at your peril .

:)

Dr. Bersteins advice is very clear and specific:

4.6 to 5.6 constant BG through out the day (I'm there :D).
30grms of carbs divided into 6-12-12. (I'm there most of the time)
Eat a portion of protein that keeps you satisfied (I'm there).
Eat fats (ditto).

If aubergine and sweet potato don't rise my blood sugar levels outside these numbers, how is that disregarding his advice? I still think about this things as treats, however my meter says they make no difference whatsoever to my BGs.

I'm not opposing his advice (totally the contrary), I agree with him 100%, as he says, portion control gives you something very valuable: predictability. All I was saying is that Atkins (particularly induction fase) is not a different diet from his diet.
 
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You are doing well, keep up the good work , all i'm saying is dr bernstein is the acknowledged expert, and we all have our own personal ways that we choose to add ::))
 
I thought it would be nice to add this quotation from Dr. Bersteins book so people don't feel dogmatized or uneccesarily limited to very restritive food choices:

" One purpose of blood glucose self-monitoring is to learn through your blood sugar profiles how particular foods affects you. Blood sugar self monitoring is the ultimate measure of the effect foods have on your blood sugar. If you don't believe what you are reading here, check your blood sugars every two hours after consuming food your are certain must be bening. Over the years of examining profiles like the ones you will create, I've observed that some people are more tolerant of certain foods than other people. For example, bread makes my own blood sugar rise very rapidly. Yet one or two of my patients with mild type 2 diabetes eat a sandwich of thin bread everyday with only minor problems. Inevitably I find this is related to delayed stomach-emptying. In any case, you should feel free to experiment with food and then perform blood sugar readings. It's likely that for many diabetics most or all of our restrictions will be necessary" Bersteins Diabetic Solution. (my own highlights).

I've got to say... wheat (in the form of bread and little pretzels), followed by sugar (that I had in half a little mocha the other day), are the worst offenders I have found over the last month (spiking me over 7's)... and I am not intending to go back there as its simply not worthy. I noticed the BG's after this occasions took a while before going back in order. But my aubergines and my boiled sweet potatoes made no difference during the day or the next...

I haven't experimented with anything else and therefore I'm away from all other forms of starches and sugars, however I would like to know if I can tolerate them, and if so, how much and which ones I can... but it will only work once I have reached my weight goal and got rid of the belly fat that exacerbates my insulin resistance.
 
I thought it would be nice to add this quotation from Dr. Bersteins book so people don't feel dogmatized or uneccesarily limited to very restritive food choices:

" One purpose of blood glucose self-monitoring is to learn through your blood sugar profiles how particular foods affects you. Blood sugar self monitoring is the ultimate measure of the effect foods have on your blood sugar. If you don't believe what you are reading here, check your blood sugars every two hours after consuming food your are certain must be bening. Over the years of examining profiles like the ones you will create, I've observed that some people are more tolerant of certain foods than other people. For example, bread makes my own blood sugar rise very rapidly. Yet one or two of my patients with mild type 2 diabetes eat a sandwich of thin bread everyday with only minor problems. Inevitably I find this is related to delayed stomach-emptying. In any case, you should feel free to experiment with food and then perform blood sugar readings. It's likely that for many diabetics most or all of our restrictions will be necessary" Bersteins Diabetic Solution. (my own highlights).

I've got to say... wheat (in the form of bread and little pretzels), followed by sugar (that I had in half a little mocha the other day), are the worst offenders I have found over the last month (spiking me over 7's)... and I am not intending to go back there as its simply not worthy. I noticed the BG's after this occasions took a while before going back in order. But my aubergines and my boiled sweet potatoes made no difference during the day or the next...

I haven't experimented with anything else and therefore I'm away from all other forms of starches and sugars, however I would like to know if I can tolerate them, and if so, how much and which ones I can... but it will only work once I have reached my weight goal and got rid of the belly fat that exacerbates my insulin resistance.
Exactly , dr bernsteins sage advice is not restrictive just advice!
 
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