IanD
Well-Known Member
- Messages
- 2,429
- Location
- Peterchurch, Hereford
- Type of diabetes
- Type 2
- Treatment type
- Tablets (oral)
- Dislikes
- Carbohydrates
gezzathorpe said:IanD said:Hi Gezza - I thought of your experience & our PMs - & find you got here first
Other forum members may benefit from Gezza's experience & my comments.
IMO I still think your problem is being undernourished. 1500 kcals a day mainly from carbs means that your body cannot maintain a steady BG. Your figures show a spike after eating that falls to around 4 in about 2 hours. In my experience, carbs are fully digested in about 2 hours; proteins & fats take longer, so low BGs are less likely.
"carbs 58%, protein 24%, fat 18%, cals 1500" corresponds to weight (g) & energy:
carbs - 190 g, 760 kc,
protein - 80 g 320 kc,
fat - 60 g, 420 kc,
total 1500 kcal.
As I got back to your 1500 kcal daily, my algebra seems OK.
What does EMF mean? ElectroMotive Force or Eat More Fat.
If you are wary of increasing animal fats, try nuts particularly ground almonds or coconut - with your cereal, added to yoghurt, eaten as a snack. They are unlikely to raise your BG above your present levels, and as you've seen from my tests, are more sustaining, with a low spike of around 7-8, and a sustained reading around 5 for several hours.
You do not know when your tendency to low BG will be inconvenient or serious. An apple may take you back above 4, but is not sustaining.
Thanks. We must be using the same version of MyFitnessPal. I agree an apple is not sustaining but it works on the my "low sugar levels" (remember I can't use the word hypo). I would not like to wait for fat & protein to kick in. To be perfectly honest, post two-hours I am barely functioning at 5.0 on protein and certainly don't feel 'full of the joys of spring', don't feel particularly sustained, and would not like to have to run for a bus. There is, to me, a difference in what the bG meter says and how I feel physically. The meter is usually 'behind'.
IanD said:Thanks for the explanation - it makes sense.xyzzy said:gezzathorpe said:What I was told on this site was that a 'hypo' is what real diabetics get and "low blood sugar" is what charlatans like me who are only here to cause trouble get. That's the difference.
Why is it so difficult to accept there is a difference? When you suffer your episodes they are likely unpleasant and have a real unpleasant physical effects yet do you run the risk of falling into a diabetic coma and actually suffering death or brain damage? That's the distinction I and many make.
IanD said:gezzathorpe said:IanD said:Hi Gezza - I thought of your experience & our PMs - & find you got here first
Other forum members may benefit from Gezza's experience & my comments.
IMO I still think your problem is being undernourished. 1500 kcals a day mainly from carbs means that your body cannot maintain a steady BG. Your figures show a spike after eating that falls to around 4 in about 2 hours. In my experience, carbs are fully digested in about 2 hours; proteins & fats take longer, so low BGs are less likely.
"carbs 58%, protein 24%, fat 18%, cals 1500" corresponds to weight (g) & energy:
carbs - 190 g, 760 kc,
protein - 80 g 320 kc,
fat - 60 g, 420 kc,
total 1500 kcal.
As I got back to your 1500 kcal daily, my algebra seems OK.
What does EMF mean? ElectroMotive Force or Eat More Fat.
If you are wary of increasing animal fats, try nuts particularly ground almonds or coconut - with your cereal, added to yoghurt, eaten as a snack. They are unlikely to raise your BG above your present levels, and as you've seen from my tests, are more sustaining, with a low spike of around 7-8, and a sustained reading around 5 for several hours.
You do not know when your tendency to low BG will be inconvenient or serious. An apple may take you back above 4, but is not sustaining.
Thanks. We must be using the same version of MyFitnessPal. I agree an apple is not sustaining but it works on the my "low sugar levels" (remember I can't use the word hypo). I would not like to wait for fat & protein to kick in. To be perfectly honest, post two-hours I am barely functioning at 5.0 on protein and certainly don't feel 'full of the joys of spring', don't feel particularly sustained, and would not like to have to run for a bus. There is, to me, a difference in what the bG meter says and how I feel physically. The meter is usually 'behind'.
No. I used algebra & the rough guide that carb & protein - grams x 4 = kcal, and fat - grams x 7 = kcal.
Have you tried increasing fat to provide EMF :?: I am wary of increasing protein significantly. I don't "suffer" low BG - I rarely drop below 5. I played 2 hours tennis last night, after a light meal.
gezzathorpe said:xyzzy ... I don't know if I run the risk of falling into a diabetic coma or even if I am suffering brain damage even now. How would I determine these things? The brain damage might just be a question of asking people who know me, of course. As for diabetic coma, I have no idea of how close I have got (does 2.9 count?) .
xyzzy said:gezzathorpe said:xyzzy ... I don't know if I run the risk of falling into a diabetic coma or even if I am suffering brain damage even now. How would I determine these things? The brain damage might just be a question of asking people who know me, of course. As for diabetic coma, I have no idea of how close I have got (does 2.9 count?) .
Gezza can't really advise on that except to reiterate if you are worried about it go ask the doc. It sounds from my totally unprofessional opinion that you might be suffering from some form of reactive hypoglycaemia which may be related to the resolved db or not. Only a doctor can really tell you.
Like I said I don't believe for one moment that your symptoms aren't real and from the odd personal experience the effects can be very unpleasant. To be honest I don't particularly care if you want to call them hypo's or not. In reality the common word people would use would be hypo.
In the environment of posting on a diabetes self help forum where there is a mixture of insulin and non insulin using diabetics I just think its sensible to make the distinction between hypo's caused by an effective overdose of insulin that can and occasionally do lead to brain damage, coma and death and "hypos" that the rest of us can suffer (diabetic, diabetic resolved or non diabetics) which a) can occur over a wide range of BG's and b) would normally resolve themselves through a natural liver dumps glucose response when although you may feel some unpleasantness your body should resolve the issue in the end without intervention. Of course if you start to experience the "unpleasantness" there's nothing wrong with helping your body recover by eating a few carbs in some form or other. Not to do so would be silly.
I suppose to sum up we who can and do suffer from "low blood sugar" episodes and call them hypo's need to have a bit of humility and recognise the stress and potential life threatening danger of an insulin induced hypo in our insulin using friends.
Thundercat said:I would just like to say that while your experience is different to most others it is no less valid. No one has a right to complain or worry about themselves if we use the yardstick that someone else suffers more. I personally have never read any disrespect to others in your posts. The written word is open to wide interpretation and misunderstandings do happen but I just wanted you to know how I interpreted it. BG readings below a certain level are called hypos regardless of whether someone has diabetes or not. The word is not exclusive to our band of brothers so you should feel free to use it at will:smile:
Sent from the Diabetes Forum App
gezzathorpe said:As for humility, you are just one of two people who have suggested in open forum that I have been immodest or disrepectful to others who have more serious problems than me. No one else has, apparently, read my comments in the same way, or I would have heard about it. Many have disagreed with me but that is not the same thing.
xyzzy said:gezzathorpe said:As for humility, you are just one of two people who have suggested in open forum that I have been immodest or disrepectful to others who have more serious problems than me. No one else has, apparently, read my comments in the same way, or I would have heard about it. Many have disagreed with me but that is not the same thing.
My comments on humility were for everyone who is a non insulin dependent diabetic not just yourself. I don't see what is disrespectful in pointing out that while everyone can be effected by the initial unpleasant consequences of low blood sugars or hypos (call them what you want) only insulin using diabetics ordinarily run the risk of brain damage or death as in others the body will compensate given time.
Every time an insulin using diabetic injects they run that risk of potential overdose and they have to take that risk everyday of their lives. I have the utmost respect for them which and is why I personally think those of us who are non insulin users should show a bit of humility and simply recognise the difference.
gezzathorpe said:the medical fraternity does not differentiate between diabetics or non-diabetics.
gezzathorpe said:How about commenting positively on my success
xyzzy said:gezzathorpe said:the medical fraternity does not differentiate between diabetics or non-diabetics.
That may or may not be the case but the medical fraternity certainly differentiates between grades of hypos, there causes and there effects see http://www.jdcjournal.com/article/S1056-8727(05)00119-4/fulltext which comes from the large UKPDS study that a great deal of diabetes treatment in this country is based around.
The UKPDS figures divide hypo's into 4 strengths.
(1) transitory symptoms not affecting normal activity
(2) temporarily incapacitated but patient able to control symptoms without help
(3) incapacitated and required assistance to control symptoms
(4) required medical attention or glucagon injection
For diet only diabetics
8 in 1000 report a hypo of some description
1 in 1000 report a hypo where they actually needed to do something about it i.e level 2 to 4
For metformin diabetics
17 in 1000 report a hypo of some description
3 in 1000 report a hypo where they actually needed to do something about it. i.e level 2 to 4
gezzathorpe said:How about commenting positively on my success
Why not have an adult debate rather than purposefully spinning everything into a personal attack and me, me, me.
I don't tend to talk ABOUT people but what i would say TO them is "Congratulations! :thumbup: :thumbup:gezzathorpe said:OK so what do you have to say about any person who follows a normal diet and changes their lifestyle and benefits from it? I am sure there are people around who are in that position.
FergusCrawford said:I don't tend to talk ABOUT people but what i would say TO them is "Congratulations! :thumbup: :thumbup:gezzathorpe said:OK so what do you have to say about any person who follows a normal diet and changes their lifestyle and benefits from it? I am sure there are people around who are in that position.
Well done on the improvements! :clap: :lol:
Ian:
"carbs 58%, protein 24%, fat 18%, cals 1500" corresponds to weight (g) & energy:
carbs - 190 g, 760 kc,
protein - 80 g 320 kc,
fat - 60 g, 420 kc,
total 1500 kcal.
As I got back to your 1500 kcal daily, my algebra seems OK.
What does EMF mean? ElectroMotive Force or Eat More Fat.
IanD said:Please folks treat Gezza as a serious contributor. You are helping no-one by an antagonistic attitude.
Hi Gezza - I note you have changed you diet significantly during the course of this thread:
Ian:
"carbs 58%, protein 24%, fat 18%, cals 1500" corresponds to weight (g) & energy:
carbs - 190 g, 760 kc,
protein - 80 g 320 kc,
fat - 60 g, 420 kc,
total 1500 kcal.
As I got back to your 1500 kcal daily, my algebra seems OK.
What does EMF mean? ElectroMotive Force or Eat More Fat.
Now your diet comprises: carbs 29%, protein 29%, fat 42%, cals 1500
Carbs - 83 g, 332 kc
Protein - 83 g, 332 kc
Fat - 120 g, 840 kc
Total - 1504 kcal
Welcome to the low carb, high fat fraternity.
Please let us know how that change of diet affects your low BG incidents. IMO it should be beneficial.
gezzathorpe said:IanD said:Please folks treat Gezza as a serious contributor. You are helping no-one by an antagonistic attitude.
Hi Gezza - I note you have changed you diet significantly during the course of this thread:
Ian:
"carbs 58%, protein 24%, fat 18%, cals 1500" corresponds to weight (g) & energy:
carbs - 190 g, 760 kc,
protein - 80 g 320 kc,
fat - 60 g, 420 kc,
total 1500 kcal.
As I got back to your 1500 kcal daily, my algebra seems OK.
What does EMF mean? ElectroMotive Force or Eat More Fat.
Now your diet comprises: carbs 29%, protein 29%, fat 42%, cals 1500
Carbs - 83 g, 332 kc
Protein - 83 g, 332 kc
Fat - 120 g, 840 kc
Total - 1504 kcal
Welcome to the low carb, high fat fraternity.
Please let us know how that change of diet affects your low BG incidents. IMO it should be beneficial.
Absolutely Ian. I believe I am following your advice and increasing my fat as you said that would benefit me and help to avoid hypos. I will be tracking very carefully and make sure I get blood results before I publish the outcome. Thanks for your advice. Much appreciated.
gezzathorpe said:Ian, can you specify for me a breakfast and lunch I should have tomorrow so I know I am following you recommendations. You know, what, how much etc..... thanks. I was thinking 2 kippers for breakfast, chicken breast for lunch and pork loin for dinner. Is that enought fat & protein? I will add carbs to make up 30%
IanD said:gezzathorpe said:Ian, can you specify for me a breakfast and lunch I should have tomorrow so I know I am following you recommendations. You know, what, how much etc..... thanks. I was thinking 2 kippers for breakfast, chicken breast for lunch and pork loin for dinner. Is that enought fat & protein? I will add carbs to make up 30%
My daily b'fast is a nut porridge:
Total of 50 g of - ground almonds, coconut flour (or desiccated c'nut), and flax seed mix
That will provide about 25 g fat, with a further 25 g carb, protein & fibre.
I normally make it with boiling water, and m'wave for about 1 minute to thicken it. Fell free to use milk, and bring to the boil to thicken. Use a glass jug as it will boil over! I add about 10 ml double cream.
It's a long time since I had a kipper - suggest you top them with butter.
I sometimes have a two egg omelette, cooking bacon first and pouring in the beaten egg when its ready.
Lunch - about 150 g lean meat (chicken & pork loin are fine) and boiled veg - carrots, parnips, onions, green beans, tinned tomatoes, tomato puree, cooked in water with a stock cube; when the veg are cooked, stir in a cup-a-soup
Cook the meat by frying both sides in lard, butter or veg oil - then if you wish transfer to the grill - the oil/fat prevents it drying out, - or transfer to the veg mix.
pour the gravy into a mug to drink as soup - it avoids thickening.
As a carb substitute I make a cake with the same nut powders, eggs, butter and olive oil, to eat with my meal (it absorbs gravy) or as a nutritious snack. That's optional, but handy. I bake it 3 times a week.
It you want a sweet, berries and or low sugar jelly with cream.
For an evening meal, I have salad with cheese or ham.
Hope that helps.
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