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Low Carbs versus NHS recommended diet.


I suggest he gets Think Like A Pancreas and Pumping Insulin. They're both fantastic books for a Type 1 pumper

I'm surprised he was told to,eat a set amount of carbs. Also, I'm very confused that you say he was told to stop carb counting. Do you mean in the general,way that people refer to carb counting here (ie watching how many they eat per day)? Because carb counting in relation to Type 1 means assessing carbs and adjusting bolus insulin. One of the things you have to do before going on a pump is show that you can do that.

As for the NHS diet, I've never had a problem with it or dieticians. I've always been told to adjust it according to my needs and have never been told I have to eat a certain amount of carbs, protein or fat. Type 1s usually have more leeway than many Type 2s due to insulin and the lack of insulin resistance (usually).
 
For obvious reasons, I'm not going to comment on anything diabetes, but @Oldvatr , your friend is literally getting mixed messages there. How can he know he's achieving 250gr carb a day if he's not counting anything?

If he is to eat 250gr carb a day, doesn't that pretty mimic fixed dosing and make his pump an outrageously expensive insulin delivery gizmo?

Has something important got lost in the telling here?

Bewildered of Planet Breathe.
 
That's what's happened to me and I've been sent to see a psychologist because I'm allowing diabetes to make me depressed. No nhs diet is getting me depressed!
 

That's scarey. Actually, it's terrifying because I have no idea what we can do about it except making it public so people are more aware. Well done for that.
 
kittypoker said:
That's scarey. Actually, it's terrifying because I have no idea what we can do about it except making it public so people are more aware. Well done for that.
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Suggest an alternative working system?
Provide alternative funding?
 

The official NHS macros are:

Energy: 8,400 kJ/2,000kcal
Total fat: 70g
Saturates: 20g
Carbohydrate: 260g
Total sugars: 90g
Protein: 50g

http://www.nhs.uk/Livewell/Goodfood/Pages/reference-intakes-RI-guideline-daily-amounts-GDA.aspx

So I would say that you're not following the NHS dietary guidelines, which is no doubt why you're doing so well. Good work!

The NHS' math doesn't seem to add up. Assuming 4 kcal per gram for protein and carb and 9 kcal per g of fat, I get only 1,870 kcal, not 2,000 kcal. That's assuming that the sugar is part of the carbs. If the sugar is in addition to the carbs, I get 2,230 kcal. I wonder how many people reading that would think the sugar is in addition to the carbs?

4 L of water a day seems excessive, though.
 
I would have said it is almost impossible to control BG bh following the diet advice.
 
Yes. Absolutely right.
 
Perhaps it meant you had told him something he didn't know, and he was covering hus embarrassment.
 
Inchindown said:
Thanks for all the replies.

I've no plans to abandon my low carbs diet. I just find it hard to understand why the official NHS dietary guidelines appear almost exactly the opposite of what seems to work for most people on this forum.
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Good for you. I think we have to put it down to stupidly, since the advice flies in the face of the facts.
 
As a low-carbing T1, I have never told my consultant how I get such amazing results and he has never asked. I am pretty sure I would get the same reaction if he knew
 
robert72 said:
As a low-carbing T1, I have never told my consultant how I get such amazing results and he has never asked. I am pretty sure I would get the same reaction if he knew
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Yes, but this is part of the problem... consultants never ask how good people get good results... they are too wrapped up in giving more uncontrolled people more bad advice...
 
donnellysdogs said:
Yes, but this is part of the problem... consultants never ask how good people get good results... they are too wrapped up in giving more uncontrolled people more bad advice...
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I think it's assumed that the good results are from following the standard advice. And if a patient isn't getting good blood glucose control they assume the patient is not following the directions they've been given.
 
until I found low carbing I was accused of all sorts by medical professionals who gave me diet sheets and then blamed me for putting on weight on high carb regimes. I have been shouted at called a liar, lazy, greedy - and for a long time I thought it was my fault I was fat. Then I found that I could lose weight on a low carb diet and was instantly berated and told that my thinking was wrong and the diet was dangerous. A few years later I found Dr Atkins New Diet Revolution, and found that he was treated in just the same way, but that he had got lots of patients who were alive when standard medical treatments would most likely have killed them. The medical establishment really needs a good shake up.
 


Sorry, this did get me chuckling!!
 

Maybe you could suggest he joins this site where a lot of T1 people can give him first hand feedback and provide him with a plce to ask questions directly?
 
CherryAA said:
Maybe you could suggest he joins this site where a lot of T1 people can give him first hand feedback and provide him with a plce to ask questions directly?
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He refuses to become computer savvy so google means funny eyes to him. He has been impressed with my success, and indeed was having his own success until he got slapped down. Unfortunately he is old school and totally believes what the doctors tell him, and so he is reliant on their care. Their threat to withdraw that support has major ramifications to his wellbeing, even if it is poor advice. He cannot do his own independent research, so is stuffed (with carbs). Will persevere with it, but I suspect it is a brick wall (much like I get when I have to extricate him from yet another hypo)

He was taught calorie counting method of diet before he went MDI so that has stuck and he is too set in his ways to change. I think this is why the Consulltant told him to go back to it.

I was having some success showing him how to LC, and he was beginning to cut out the junk food, but one advantage junk food has over real food is that the packet tells him how many calories it has, and that makes things simples. Also its a microwave jobbie and he gets v. impatient and irascible. Plus in his local supermarket the junk food is cheaper than the real food,
 
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