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Wanting to try LCHF...

Messages
5
Type of diabetes
Type 1
Treatment type
Pump
Hello - I'm new to this and am looking for some advice.

I have recently starting running to improve my fitness. I've been reading a lot on here about a LCHF diet - this is something I would love to try but know nothing about. Could someone advice on any good books/websites to have a look at?

I use an Omnipod pump with Novorapid insulin. My latest HbA1c was 9.3 and I'm hoping to get it down into the 6 range. I'm sure some hard work, determination and inspiration will help me achieve this.

Thanks in advance!
 
Hi,@yorkshirepub99 welcome to the forum,:)
@daisy1 should be along soon with good advice.
With regard to the LCHF diet , just make sure your making the correct choice .
Dr Hilary Jones stated this on a Q&A to our forum
LCHF stands for low carb high fat. Whilst it is good to eat less of the starchy foods like pasta bread wheat and cake you still need some for energy. Too much fat is a bad idea as it is the highest containing caloried food and weight gain is the last thing you want. High protein is good with plenty of fruit and veg. So elements of the LCHF diet are good whereas some are not. Talk to your dietitian for more detailed advice
 
My doctor stated that self testing bg was a bad idea, I'm sure Izzi would agree that is unsound advice?

I am type 2 but ran London in April on LCHF but listen to Dr jones, after all he's an expert
 
My dietician recommends eating plenty of carbs with every meal, as carbohydrates mainly turn into sugar I would say that is another reason to listen to the good doctor
 
Hello yorkshirepub99 and welcome to the forum :)

Here is the information we give to new members (I think you are not newly diagnosed though), which @izzzi mentioned, and I hope you will find it useful. This includes information about carbs which should interest you. Ask as many questions as you need to and someone will help.

BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 100,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Thanks so much for the advice! I'm going to read more into it today, speak to my doctor and hopefully get started on it soon!
 
If you have a good doctor that would help, but don't rely on her/him unless they have diabetes. Doctors tend not to know about diabetes, only how to diagnose it. Actually they don't even do that a blood test does.
 
As a type 1 who has been low carbing for the best part of three months, I'll add my oar in. I've found it has provided much more stable blood sugar control and fewer highs. I've generally found fewer lows, but the one I had was a bit spectacular (but fortunately didn't require third party assistance). Smidge on here also low carbs with a pump, so may be worth having a look at some of his discussions.

What I would say is that I feel better for it, and there is certainly no loss of energy. You just need to make sure you manage your insulin carefully. I found the amount I needed to bolus dropped by 65%, however my basal has moved much less far (~10%).
 
Well, I have just checked, and Hilary Jones is a GP. Not a specialist in anything. Although he does have a type 1 son, which will give him experience of the disease, and carb counting. Which is not experience of LC.

So that probably means he has the same degree of ignorance and misunderstanding of low carbing as most GPs in the UK.

If you want low carb information, based on research, evidence and experience, then don't expect it from a GP. They don't have the time or interest to get that specialist knowledge.
 
You sum it up pretty well there @Brunneria . And it's not just diabetes that they know v little about yet are in charge of primary care. My friend has dystonia and when she took some research stuff on new treatments to her GP he refused to read it saying he had better things to do with his time. Caring profession? Not all of them.
 
Well, I have just checked, and Hilary Jones is a GP. Not a specialist in anything. Although he does have a type 1 son, which will give him experience of the disease, and carb counting. Which is not experience of LC.

So that probably means he has the same degree of ignorance and misunderstanding of low carbing as most GPs in the UK.

If you want low carb information, based on research, evidence and experience, then don't expect it from a GP. They don't have the time or interest to get that specialist knowledge.

Although there's a couple of exceptions in Sweden including dietdoctor.com which have a dedicated them self to kearn more a about nutrion and low carbing, maybe a couple in UK and other countries, hopefully the future will bring more of them.
 
American diabetic association ( http://www.professional.diabetes.org/)

http://www.professional.diabetes.org/admin/UserFiles/0 - Sean/dc132042 FINAL.pdf

Evidence is inconclusive for an ideal amount of total fat intake for people with diabetes;

therefore, goals should be individualized; fat quality appears to be far more important

than quantity.


In people with type 2 diabetes, a Mediterranean-style, MUFA-rich eating pattern may benefit

glycemic control and CVD risk factors and can therefore be recommended as an effective

alternative to a lower-fat, higher-carbohydrate eating pattern.

Carbohydrates Evidence is inconclusive for an ideal amount of carbohydrate intake for people with diabetes.

Therefore, collaborative goals should be developed with the individual with diabetes.

The amount of carbohydrates and available insulin may be the most important factor influencing

glycemic response after eating and should be considered when developing the eating plan.

Monitoring carbohydrate intake, whether by carbohydrate counting or experience-based

estimation remains a key strategy in achieving glycemic control.

For good health, carbohydrate intake from vegetables, fruits, whole grains, legumes, and dairy

products should be advised over intake from other carbohydrate sources, especially those

that contain added fats, sugars, or sodium. [processed carbs]

Substituting low–glycemic load foods for higher–glycemic load foods may modestly improve

glycemic control.

Low carbohydrate Focuses on eating foods higher in protein (meat, poultry, fish, shellfish, eggs, cheese, nuts and seeds), fats (oils, butter, olives, avocado), and vegetables low in carbohydrate (salad greens, cucumbers, broccoli, summer squash).

The amount of carbohydrate allowed varies with most plans allowing fruit (e.g., berries) and higher carbohydrate

vegetables; however, sugar-containing foods and grain products such as pasta, rice, and bread are generally

avoided. There is no consistent definition of “low” carbohydrate. In research studies, definitions have ranged from

very low-carbohydrate diet (21–70 g/day of carbohydrates) to moderately low-carbohydrate diet (30 to ,40% of

calories from carbohydrates).
 
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