borofergie
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xyzzy said:That's very interesting Phoenix. The link between activity (rather than what people eat) and obesity seems to be pretty key as is the link between social class and obesity and TV viewing hours and obesity!.
Eilean13 said:I went on a Desmond course last week...
The focus was largely on sugar intake with respect to dietary guidelines with another exercise being to estimate how many sugar cubes were in certain types of food. Quite interesting if that's what rocks your boat. There was mention about needing to control portion sizes but no guidance given. A handful of something obviously differs if you have hands like mine which are as big as shovels! There was mention made of the need to eat a good level of starchy carbs, nothing said about managing quantities of carbs or guidelines as to how much was a good level.
borofergie said:xyzzy said:That's very interesting Phoenix. The link between activity (rather than what people eat) and obesity seems to be pretty key as is the link between social class and obesity and TV viewing hours and obesity!.
Actually I don't agree. One of the most compelling parts of Taubes book is when he discusses exercise and obesity, and the lack of scientific evidence that exercising is any good for weight loss.
There are 3500kcals in pound of fat. When I run I burn about 200kcal per mile, which means that I'd have to run 17.5 miles to burn a single pound of fat. All that running 17.5 miles would do is make me very hungry, and I'd probably end up consuming most of those calories in additional food.
I started running to lose weight. I actually find that, when I'm training hard, I can't lose any weight. Now I'm trying to lose weight so I can run better...
Pickwick said:I've been a T2 for about 6 years now. My only contact with my GP (about diabetes at least) was for 10 minutes of diagnosis back then, which mostly consisted of 'serve you right fatty'. I've never seen (or been offered) a dietician, and it took me 2 years of desk banging to get a diabetic eye test. I was shucked off onto a practice nurse, who saw me about every 6 months. That at least didn't go too badly. At first, her ignorance astonished me - she clearly knew little beyond the official leaflets she handed out. But it became clear she was at least caring, within the limits of extremely limited resources. After 2 or 3 years, she was admitting to me that she'd learned far more from her patients than from anywhere else.
Just last year, when we were (unusually) having an argument about the local Trust's reluctance to place diabetics on anything more than the most basic and cheapest levels of medication, she admitted - clearly unhappily - that departing from the NHS 'party line' on (among a lot of other things) diabetes was something that few NHS staff dared contemplate these days. I got a clear impression of deep disillusionment.
On my last visit, I found her gone. There's a new practice nurse, and I can't see us ever getting into a workable understanding. We're back - solidly and uncompromisingly - to "sort yourself out fatty", and I've been firmly re-issued with all the old leaflets I'd previously binned. Mentioning this forum, I was told "If you're going to listen to that sort of rubbish, on your own head be it."
I'm retired and largely immobile from advanced arthritis (which isn't taken all that seriously either). If it weren't for my need for free prescriptions, I'd by now be seriously re-considering going back to that clinic.
Grazer said:So how come I got type 2??
Not really me!
Eilean13 said:Just remembered another thing about the Desmond Course.
A question was asked about who tested and how often. We were told that there was no point in testing, only if you wished to do something about BS levels. I would have thought that was the crux of the argument. If you keep on doing the same old things how can you effect any change.
Better go because the more I think about it I think I will be upsetting my BP or curdling my blood or something drastic.
Diane
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