My Progress - CGM, Food, Exercise - Results

Mbaker

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Type of diabetes
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Diet only
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Available fast foods in Supermarkets
For several years I have been attempting to optimise my diabetes management. I often call out dietary claims, as to what is being eaten and what are the glucose responses are, so I am posting a cross sectional snapshot of where I am at, as this is a journey. This post covers, food, cgm results and exercise.

My tests started on 30th June and finished on 6th July 21 (as Libre sensor stopped working). The foods are listed in date order.

Major objectives are to show:

If my multi-year heavily animal based protocol:

1. Maintains remission
2. Keeps spikes low postprandial
3. Keeps glucose stable
4. Is low inflammation
5. Enables a medium to high amateur level of exercise
a. With diminishing time​
6. Has food variety
7. Is tasty

My methods over a 5.5 year period has been:

1. More plant based with moderate meat and fish with chronic exercise (believed meat caused cancer and plant based was way to reverse Type 2)
a. Remission obtained. Tight gut (too many nuts?).
b. Too much time away from family (3 hours per day of workouts / fast walking)
c. Hollowed out look / burnout feeling​
2. LCHF / Basic resistance / Walking / Minor running
a. A1c reduced
b. More meat, full fat yogurt, less veg​
3. Keto / Fasting / Resistance weights / Walking
a. Leanest – 79kg (not sustainable)
b. Too much working out circa 4500 cals on fitness tracker
c. Too obsessive on scales
d. Keto treats crept in​
4. Keto - Carnivore / Resistance weights (power lifting) / Walking
a. Allow natural body set weight of circa 92 kg
b. Significant strength increases
c. Periods of almost full carnivore​
5. Keto – Carnivore – P:E / Power building / Walking
a. Building on 4. Focusing on muscle building
b. Always doing something resistance / karate / push-ups / X3 when walking
c. Shorter workouts​


Most recent CGM Tests and Historical:
cgmresults.JPG


On Libre's over several years the estimated HbA1c has gone down, whilst meat consumption has gone up. Previous results:
previous Libre's.JPG


Summary of foods during test 30th June - 6th July 21(circa 90% plus of regular food) :
Meals 1.jpg


Meals 2.jpg

Meals 3.jpg

Note that the plates with nuts, and berries are half the size of dinner plate.

Meats:
Steak, minced beef, chicken, bacon, pork ribs, duck, sausages, parma ham, lamb


Fish:
Salmon, sardines, kippers


Veg / Salad:
Green beans, broccoli, mange tout, greens, bell peppers, onions, pickled onions, garlic, courgettes, tomatoes, pickled gherkins, lettuce (all salad with dressing), beetroot, carrots, butternut squash


Nuts:
Walnuts, brazil nuts, pecans, almonds, hazelnuts


Cheese:
Black bomber


Other:
Egg protein bread, coconut / cream cheese pancakes, 95 – 100% dark chocolate, chicken, duck eggs

Under represented are curry’s, coconut flat breads, shell fish, trout, specialist cheese seabass / bream seed crackers, cauliflower, strong goat cheese, oxtail. Coconut flake breakfasts have decreased due to sellers continually sending higher carb replacement versions of what has been purchased, which has had a knock on to yogurt content (which goes into some protein breads).
No calorie counting, and I believe fully balanced.

Exercise:
FibitResults.JPG


Results.JPG

No whey protein, no special pre-post meals, diminished time (once relatively skilled in the movement) - 53.5 years old.
Max Deadlift: 220 kg (PR last birthday)
Max Squat: 200 kg (do not go to max anymore on this, recent max 175 (easily)
Max Bench Press: 130 kg (for several months up to and including 13/07/21)

5.5 Year Summary:
  • Initially followed the calories in calories out model, trying to out exercise an adjusted diet which was more plant focused (after watching many Vegan leaders), so did alot of roasted vegetable meals excursively at lunchtimes (with animal and more veg for dinners). Results were obtained at a chronic level of exercise. The results would require a continually time input of up to 3 hours a day. Resisted statins but took up to 2 metformin. Was afraid of weights due to what I had read relating to Type 2.
  • Trusted what others in remission were saying about full fat foods and meat, whilst doing my own research with my wife - got better results on LCHF
  • Removed metformin
  • Moved to Keto as confidence grew. Tried some muli-day fasting and more resistance training. Increased to heavier weights after building confidence (got progressive overload advice from diabetes.co.uk (Regular moderate exercise log))
  • Tested Carnivore (similar results to Keto / Carnivore) - LDL up, HDL up, Trigs down - Surgery tries to get me statins again, not worried due to research, especially how many die with either low or high cholesterol, and the bigger risk factors of high circulating insulin, being over fat and the impact of vegetable oils, sugar / carbs (and grains). Other markers such as HS-CRP, white blood cell count, HOMA-IR all excellent, with blood glucose fbg going down and postprandial readings lower (A1c stayed constant?)
  • Strength has gone through the roof, on some measurements by over 100%, which coincided with increased meat content and power lifting (some would be due to newbie gains).
  • I believe the best evidence is what is verifiable such as hunter gathers, Type 2's in remission (what is common), longest lived populations, dramatic non-disputed changes (1980's non-communicable disease increases, correlated with what went up in the diet and what went down); what happens when the trifecta (sugar, grains and vegetable oils) are introduced into societies that were healthy before (good example in 2000's rural Brazil (Nestle boat)), aborigines, etc.
NHS HbA1c (private tests 2 to 3 points lower):
HbA1c15-21.JPG
 
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Ronancastled

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Type of diabetes
Type 2
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Tremendous plotting, info & results.
I can see some days your hitting 3,000 calories.
Your meals look very low carb yet there must be a few lurking in there with the high calorie count.
Are you hitting the HIT post meal to steam roller any spikes ?

What happens on a cheat day, would you still spike to simple carbs or are they a complete no no ?
Is from the CGM you wore in 2018 your average Glucose was 4.6mmol/L yet your A1c came back at 38, if the CGM was correct you should have been 26 (4.5%).
I find that interesting as my recent CGM experiment gave me the same average glucose but I'm yet to have an official A1c.
My AGP is bumpier than yours but I was eating 100-200g of carbs.

Libre 1.PNG

A great read & some turnaround from an A1c of 134.
You are an inspiration.
 

Mbaker

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4,339
Type of diabetes
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Available fast foods in Supermarkets
Tremendous plotting, info & results.
I can see some days your hitting 3,000 calories.
Your meals look very low carb yet there must be a few lurking in there with the high calorie count.
Are you hitting the HIT post meal to steam roller any spikes ?

What happens on a cheat day, would you still spike to simple carbs or are they a complete no no ?
Is from the CGM you wore in 2018 your average Glucose was 4.6mmol/L yet your A1c came back at 38, if the CGM was correct you should have been 26 (4.5%).
I find that interesting as my recent CGM experiment gave me the same average glucose but I'm yet to have an official A1c.
My AGP is bumpier than yours but I was eating 100-200g of carbs.

View attachment 50448

A great read & some turnaround from an A1c of 134.
You are an inspiration.
Thanks and a great set of observations from you. The short answer is that I don't spike more than around around 1-1.5 mmol/L and seam to hit a threshold on a regular meter of 5.7 mmol/L post-prandial irrespective of exercise timing. I think this could be a cumulative effect of exercise, improved insulin sensitively, independent muscle uptake of glucose and or moderate glucose in - this is the thing, I have thrown the kitchen sink at diabetes and believe I am at a point of homeostasis that is regulating my body.

I tried to find some of my results on the site when I was in the 5's for fbg and wondering how some were getting 4's - I think persistence and optimising has got me near the best I can be from where I started, as I am only 6 kg off of my initial diagnosis weight (but with a much smaller waist and more lean mass). If I don't exercise I still end up at around 4.7 fbg.

I don't do cheat days per se, even at Christmas. In some ways my cheating is what is not shown in the pictures, before I used to accidently shake in a few more nuts, or extra chicken or cheese. I would never eat something standard ever again, like a cake, biscuit - the thought makes me sick, as I know what goes into it. Honestly, the only things I miss are plain scones, apple / cherry pie and meat pies, all of which I have gone through the Keto versions of. I really do enjoy the amazing food that my family cook up, my wife has got to be some sort of expert with seasoning, as it is like eating out at a restaurant in my house, and I can put together something that at least gets eaten in front of me (my daughters are not shy to let me know if there is an problem).

We have made things such as Keto cheese cake and brownies and scones. When I make pancakes I sometimes add vanilla extract to take from savoury to sweet. In the last month we have ordered "Golden Crunch" from The Real Pork Crackling Co (great P:E ratio). What I really like is something like my version of Nandos chicken with either oxtail, pork ribs or minted lamb.

I have used alot of members time trying to help me understand why I can get great blood glucose readings and a high normal A1c, without much variance in my readings. It was the reason I started using a Libre as I thought I must be spiking in my sleep. I have tried 6 different glucose monitors, which all showed 90 day averages of 4.3 / 4.4, yet my A1c's were saying I was having averages of around a 6.0. I had 2 of the monitors tested against NHS units to be accurate. At one stage my surgery got me an appointment with an endo (who cancelled saying he could not help). I did A1cNow tests several times with an average A1c of 31.5.

What I found is that some people have discordance between glucose and HbA1c, especially those from ethnic backgrounds like me. Below are 2 medichecks results peformed on different assays:

This was a standard assay - the same type as the NHS:
upload_2021-7-14_16-25-14.png



This assay is meant to be closer to what someone from an ethnic background should use:
upload_2021-7-14_16-26-12.png


Peter Attia, explains what can happen in the below video, he also has high normal A1c's with low CGM results / variances

I now only care to keep my level flat as far as A1c is concerned, with good tests randomly and low variance.
 

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Ronancastled

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Type of diabetes
Type 2
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What I found is that some people have discordance between glucose and HbA1c, especially those from ethnic backgrounds like me. .

Isn't there some issue with red bloods cells that can lead to high A1c readings, I'm not as schooled on this as I should be but I know it exits.
I did notice the LibreView online portal uses a logarithm to produce a GMI, their own reckoning of your A1c based on your CGM data.
I started a thread on it here
https://www.diabetes.co.uk/forum/th...review-vs-libre-link-app.182614/#post-2414301

What I don't get is that in the Dexcom trial of 153 non-diabetics their average glucose of 99mg/dl exactly matched their average A1c of 5.1%.
https://www.diabetes.co.uk/forum/th...ine-normal-glucose-the-results-are-in.182221/

I believe in future that time in range & standard deviation will become more important than A1c, some Endos are already on board with this.

Another whacky theory I have is that interstitial fluid reads lower if you've lower body fat but that's probably nonsense if you're checking your meter against finger sticks & lab draws.

Either way your hard work now exists as a testament to what is possible with major lifestyle/dietary changes.
Enjoy your long & healthy life.

P.S. I know that poisoning your perfect metabolism with 75g of pure glucose is probably abhorrent to you but have you ever considered an OGTT ? I for one would be an interested spectator.
 

Dr Snoddy

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Congratulations on your perseverance and fantastic outcome. When does the book come out?
 

Mbaker

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Congratulations on your perseverance and fantastic outcome. When does the book come out?
Thanks. Nothing special about what I have done though. I have just put in writing what millions have done, and stacks on this site with or without exercise. I think it is an opportunity to show in particular drugs aren't always required for hypertension, it is possible to test and expand foods, so I have been able to include carrots, swede, beetroot and butternut squash whilst still when tested have ketones present. So much info, I have data for how exercise impacts my numbers. For some reason the latest Libre results are not syncing with LibreView, gonna send support an email.
 

Mbaker

Well-Known Member
Messages
4,339
Type of diabetes
Treatment type
Diet only
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Available fast foods in Supermarkets
Isn't there some issue with red bloods cells that can lead to high A1c readings, I'm not as schooled on this as I should be but I know it exits.
I did notice the LibreView online portal uses a logarithm to produce a GMI, their own reckoning of your A1c based on your CGM data.
I started a thread on it here
https://www.diabetes.co.uk/forum/th...review-vs-libre-link-app.182614/#post-2414301

What I don't get is that in the Dexcom trial of 153 non-diabetics their average glucose of 99mg/dl exactly matched their average A1c of 5.1%.
https://www.diabetes.co.uk/forum/th...ine-normal-glucose-the-results-are-in.182221/

I believe in future that time in range & standard deviation will become more important than A1c, some Endos are already on board with this.

Another whacky theory I have is that interstitial fluid reads lower if you've lower body fat but that's probably nonsense if you're checking your meter against finger sticks & lab draws.

Either way your hard work now exists as a testament to what is possible with major lifestyle/dietary changes.
Enjoy your long & healthy life.

P.S. I know that poisoning your perfect metabolism with 75g of pure glucose is probably abhorrent to you but have you ever considered an OGTT ? I for one would be an interested spectator.
If I hadn;t tested so many glucose monitors I would try a dexcom, especially the accuracy. With the A1cnow I scored 1 point better than my wife. I was like a dog with a bone on this matter, extremely vexing. I have exercised the demon of HbA1c numbers as they are still good enough for me, and I have reversed the multiple symptoms I had initially. It also feels weird to complain when others are really struggling with higher numbers, so my perspective is better now.

I can't remember which of the big Keto kings or queens already cares more for the deviation as this is where the damage happens.

Again a context thing for me. Type 2 is a nasty disease, but I have been around extended family and friends who have been in and out of hospital, born requiring a replacement heart and another with a missing part of a leg, needing to be amputated, all I have to do is not eat rubbish, and optionally follow some fitness goals. Much better than what I thought would happen in 2015.

I would not do an OGTT as I will never need to know how well or not I could tolerate say a regular pizza, chips, mars bars and the like, and I will definitely not go to what in a modern context is called normal eating. Some of the newly diagnosed I have seen with higher numbers than me, how the ...can they even stand or speak, I was in agony, double vision, headaches, due to what I was eating and the fruit juices.

My objectives are to continue to re-comp, introduce some more advanced calisthenics, help where I can. Thanks for your kind words.
 

LaoDan

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The term “new normal “
This is totally awesome, very inspirational! You look amazing, jacked! I chose weight training as my course of action. Grand visions of myself being jacked lol. You’ve shown it’s possible with enough work. Thanks!
 

Mbaker

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Type of diabetes
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Available fast foods in Supermarkets
This is totally awesome, very inspirational! You look amazing, jacked! I chose weight training as my course of action. Grand visions of myself being jacked lol. You’ve shown it’s possible with enough work. Thanks!
Thanks so much, jacked... i'll take that, knowing realistically I am somewhere in-between - naturally. It will take me a couple of years to see if my aesthetic goals work. This is not just vanity, it is trying to lock-in the reversal, as my fat lays viscerally on my belly (the rest of me is completely lean); so if my tummy is shrunk, I should be good to go....but only if society will allow me to afford and get access to animal foods.

The risks to my success, and that of others, is the continual assault on the foundational animal food I use for ultimate nutrition and medicine (red meat). The results I have achieved have been underpinned by mostly red meat, I have over 2 years of daily meal pictures and more of medical results. Clearly red meat does not cause high blood sugars, high blood pressure, diabetes, inflammation or over fat-ness when eaten as the base of a balanced diet ("our version"

The group behind the latest assault has the following goals which they have presented to the Government:

https://www.nationalfoodstrategy.or...2021/07/National-Food-Strategy-Chapter-16.pdf
upload_2021-7-15_12-52-29.png


Which manifests as:
upload_2021-7-15_12-58-21.png


Red meat is worse than junk foods -really? So effectively the Eat Lancet, extinction level diet is what I should be eating.

I for one tried close to this as detailed in my original post. It was the fruit and veg / fibre (oats) in November 2014 that pushed me into Type 2! This is a disaster for the general population and worse for Asians and Black people who develop Type 2 quicker / at lower BMI's.

The full report is here
https://www.nationalfoodstrategy.org/wp-content/uploads/2021/07/National-Food-Strategy-The-Plan.pdf


https://www.bbc.co.uk/news/uk-57838103
Dimblebey.JPG


The ideologically drive these groups have is breath taking. The BBC never challenge anything (I have written to them countless times in the last year, they just respond without addressing the points or putting another point of view at the time of the propaganda) whilst also having contrary evidence of the root causes:

This recent BBC program if looked at and acted on shows clearly the issue is low fat, fake fat junk food and that meat is hardly in the picture (literally the BBC could not bare to even show meat exists):
Why is there a conflation with poor diet and meat - Religion, false climate change politics on cattle emission, false cancer and heart disease tactics, to clear the way for centralised ultra-processed versions of meat / protein...follow the money always.
 

Ronancastled

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Type of diabetes
Type 2
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Just giving this a bump @Mbaker as I'd love more members to chime in.
Such a detailed OP deserves more feedback.