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<blockquote data-quote="JoKalsbeek" data-source="post: 2114579" data-attributes="member: 401801"><p>Hi Sarah, and welcome,</p><p></p><p>Conflicting advice... We all had to deal with that. Mostly because usually, GP's and diabetes nurses aren't up-to-date on recent studies and trials, and I'm surprised your GP came up with Mosleys diet! That's forward thinking! Then there's a lot of information on the internet from experts and T2's alike, plus a load of snake-oil sellers, that directly contradict one another. So the thing that'll cut through all the chaos is getting a meter. It won't try to sell you anything, convince you of anything, doesn't have ulterior motives... It'll just let you know whether what you're doing is working for you. So that'd be a good first step: get a glucose meter and buy some test strips in bulk. Test before a meal and 2 hours after the first bite. You don't want to see a rise bigger than 2.0 mmol/l. Stay under that and you're on the right track.</p><p></p><p>A few things to touch on: The blood sugar diet is one that lasts 8 weeks. With the severe restriction of calories you lose a lot of weight, fast. The things that are important here: It's a crash diet and it lasts 8 weeks. Crash. Eight weeks. It's not meant for the long term, because if you continue on for longer you become deficient in vitamins, minerals, and will enter starvation mode, which means all sorts of trouble. Abdominal fat does indeed influence your insulin resistance/sensitivity, so getting rid of that will help, yes. But after the diet you will still have to follow <em>another</em> diet to sustain the new weight and keep your blood sugars under control. One that IS sustainable, because well, you have an impaired metabolic system for the rest of your life, and even with visceral fat gone, you're just predisposed to being unable to process carbohydrates. (As they turn to blood glucose once ingested. Not just the sugars, but starches too.). If you went back to eating the way you did, you'd be right back where you started. So changes will have to be made, alas.</p><p></p><p>So, a HbA1c of 53. That's not particularly high, you're just a few points into the diabetic range, and that means with just a few changes in your diet you can drop back down. (Most likely the leaflet that came with the metformin says you should try a diet for 3 months and THEN start metformin if it doesn't work sufficiently. I think that's what the HCA was referring to. Its a bit early to go with metformin straight off, but then, almost all doctors do that, so it's not out of the ordinary.) We have people come in here with a HbA1c of 100+, and they too reverse their T2 in months. "Reversal" meaning that, though <em>still a T2</em>, their blood sugars are in the normal range, they can drop all diabetes medication (and often statins too), and suffer no complication nor progression of the condition. Once a T2, always a T2, but you can be a well-controlled one. And yes, through diet. That'd be either Low Carb/High Fat or the more extreme version of that, Keto. I started with LCHF three years back, and progressed to Keto with Intermittent Fasting about a year ago because it suited my life better, among other things. My HbA1C hovers between 33 and 35, solidly in the normal range. If you're interested, here's my quick-start guide <a href="https://www.diabetes.co.uk/forum/blog-entry/the-nutritional-thingy.2330/" target="_blank">https://www.diabetes.co.uk/forum/blog-entry/the-nutritional-thingy.2330/</a> , and I can wholeheartedly recommend Dr. Jason Fung's The Diabetes Code if you want more in -depth info on how diabetes works and how you can stop it in its tracks. And it's not a dry read, that helps. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> Also, Dietdoctor.com is absolutely fantastic with a lot of free information, and diabetes.co.uk, is this forum's website (NOT .org!!!). It's a lot to learn, but as you're going with the Blood Sugar Diet for the time being, you have time to read up on what comes next to get this thing licked. You're taking the right steps and you're being proactive. Keep at it.</p><p></p><p>I know, in Thailand it's all noodles and rice all the time it seems, but they have excellent meats and veggies, loads of eggs... You'll have options.</p><p></p><p>Good luck!</p><p>Jo</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 2114579, member: 401801"] Hi Sarah, and welcome, Conflicting advice... We all had to deal with that. Mostly because usually, GP's and diabetes nurses aren't up-to-date on recent studies and trials, and I'm surprised your GP came up with Mosleys diet! That's forward thinking! Then there's a lot of information on the internet from experts and T2's alike, plus a load of snake-oil sellers, that directly contradict one another. So the thing that'll cut through all the chaos is getting a meter. It won't try to sell you anything, convince you of anything, doesn't have ulterior motives... It'll just let you know whether what you're doing is working for you. So that'd be a good first step: get a glucose meter and buy some test strips in bulk. Test before a meal and 2 hours after the first bite. You don't want to see a rise bigger than 2.0 mmol/l. Stay under that and you're on the right track. A few things to touch on: The blood sugar diet is one that lasts 8 weeks. With the severe restriction of calories you lose a lot of weight, fast. The things that are important here: It's a crash diet and it lasts 8 weeks. Crash. Eight weeks. It's not meant for the long term, because if you continue on for longer you become deficient in vitamins, minerals, and will enter starvation mode, which means all sorts of trouble. Abdominal fat does indeed influence your insulin resistance/sensitivity, so getting rid of that will help, yes. But after the diet you will still have to follow [I]another[/I] diet to sustain the new weight and keep your blood sugars under control. One that IS sustainable, because well, you have an impaired metabolic system for the rest of your life, and even with visceral fat gone, you're just predisposed to being unable to process carbohydrates. (As they turn to blood glucose once ingested. Not just the sugars, but starches too.). If you went back to eating the way you did, you'd be right back where you started. So changes will have to be made, alas. So, a HbA1c of 53. That's not particularly high, you're just a few points into the diabetic range, and that means with just a few changes in your diet you can drop back down. (Most likely the leaflet that came with the metformin says you should try a diet for 3 months and THEN start metformin if it doesn't work sufficiently. I think that's what the HCA was referring to. Its a bit early to go with metformin straight off, but then, almost all doctors do that, so it's not out of the ordinary.) We have people come in here with a HbA1c of 100+, and they too reverse their T2 in months. "Reversal" meaning that, though [I]still a T2[/I], their blood sugars are in the normal range, they can drop all diabetes medication (and often statins too), and suffer no complication nor progression of the condition. Once a T2, always a T2, but you can be a well-controlled one. And yes, through diet. That'd be either Low Carb/High Fat or the more extreme version of that, Keto. I started with LCHF three years back, and progressed to Keto with Intermittent Fasting about a year ago because it suited my life better, among other things. My HbA1C hovers between 33 and 35, solidly in the normal range. If you're interested, here's my quick-start guide [URL]https://www.diabetes.co.uk/forum/blog-entry/the-nutritional-thingy.2330/[/URL] , and I can wholeheartedly recommend Dr. Jason Fung's The Diabetes Code if you want more in -depth info on how diabetes works and how you can stop it in its tracks. And it's not a dry read, that helps. :) Also, Dietdoctor.com is absolutely fantastic with a lot of free information, and diabetes.co.uk, is this forum's website (NOT .org!!!). It's a lot to learn, but as you're going with the Blood Sugar Diet for the time being, you have time to read up on what comes next to get this thing licked. You're taking the right steps and you're being proactive. Keep at it. I know, in Thailand it's all noodles and rice all the time it seems, but they have excellent meats and veggies, loads of eggs... You'll have options. Good luck! Jo [/QUOTE]
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