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What is the story with Diabetes UK?

To sum up, they are a charity interested in survival.

I'm not a fan of DUK and its dietary advice, but as someone who has worked in charities for all my working life, I have to challenge this sentiment. Any charity worth its salt is actively trying to put itself out of business.
 
The medical world is full of outdated opinions. My favourite is that physios do a better job that osteopaths - who are still widely regarded as snake oil salesmen. Having had my fair share of sporting injuries and broken bones I know first hand that osteopaths (especially mine) do a brilliant job and it is VERY DIFFERENT to the job of a physio.

No on to LCHF.
It works. We know it works. I know it works. The science makes sence, the evidence backs it up, but I swear, one day i will loose it if another health care professional asks me if I am eating enough fruit!!!!!!.

I used a high carb diet for 3 or so years to get me through a couple of marathons (after spending 3 years on crutches (a hoovering injury - don't ask). I am reasonably certain that it was this diet with the massive ups and down in blood sugar that finally exhausted my pancreas.

I've just come out of hospital (burst appendix) and the food options highlighted the diabetes friendly choices: cake, custard, fruit jelly, cereals, toast etc. Thankfully, I was very mobile.I used to go to the staff canteen and have a big fry up - eggs and bacon.

So the problem is: Health care professionals are not listening to those of us who have T2 diabetes and are winning. It is unfortunately an alien concept to tell somebody to ditch oranges and eat more clotted cream or ditch the tuna sandwich and have a great big plate of eggs and bacon.

My nurse is diabetic. Just had my check up 3 weeks ago. Are you eating enough fruit? Are you eating a wide range of veg? have you cut down on your protein and fats? and have you cut down from the previous 7 meals a day?

Of course I lied.

I'm in the gym twice a day - I train for strongman. I need my protein. I need my calories and I need my fats. What I don't need is orange juice and bread and pasta and cereal!

I'm living proof that what I am doing ABSOLUTELY works for me. I would never dream of telling my nurse that she's wrong. My GP on the other hand - she knows that I have nailed this. She absolutely trusts my judgement. I just hope I never see them in the same room for a check up.

Glad I got that off my chest.

carry on. Win the small battles.

Sean
 
One of the key problem with Diabetes UK, ADA and the rest of the mainstream diabetes association around the world is that little attention is given to the clinical significance of hyperinsulinemia. The failure to give due attention to the key driver of T2D is the reason why these organizations has little success in reversing the tide of T2D and grow increasingly irrelevant.

Compare the search on Diabetes UK



And diabetes.co.uk
 
@Sean01 sorry to hear you've been poorly and glad to hear you're back in training again!
Thank you.
In a life of set backs (getting run over 3 weeks out from a national body building competition) asthma, back problems, three years on crutches etc the appendectomy was but a scratch! I'm already bouncing back, but I will leave it just a few more weeks before Atlas Stones and Farmers Walks.

Sean
 
I agree fully with what you say here, but I think there is something more fundamental behind the OP question,

I put forward 2 basic hypotheses
The first hypothesis is that there is a direct link between eating carbs and the amount of glucose that ends up in the blood, and the second hypothesis is that carbs are not essential to life, and we can get all the nutrients we need from other sources.
If you agree with both these hypotheses then you will find sources of info that support low carb dieting be that Atkins, Paleo, Vegan, LCHF etc, and decry anyone who argues for Eatwell or for insulin generating meds. Converely if you disagree with either hypothesis then you will seek support from the NHS and Eatwell Plate, Both sets of followers will think the other set to be loony loupers not to see the truth as they see it. This is a basic fault of humanity, We do this for Religion, Politics, football, and it is behind the conspiracy theoriess such as Flat Earth Society, Moon landings didn't happen, The Twin Towers were demolished by controlled explosions set by the Government. Etc.

For me my conversion from HCLF to LCHF was difficult, and I had to do a lot of researching to convince myself that there may be something in it. I read the success stories, and some science reports backing the new way of thinking, and gradually I dipped a toe or two in the murky water. Surprise surprise, I found that for me it worked but I am an (n=1) testbed. The hypotheses remain unproven but have a growing army of (n=1) supporters giving our evidence similar to those witnessing at a faith meeting. But it takes a lot more to shift general public opinion from their established way of thinking and into a new comfort zone that they can be relaxed about, We are winning battles here and there, but the war goes on.

This is why I like this site, and have difficulties on the other site.
 
So the problem is: Health care professionals are not listening to those of us who have T2 diabetes and are winning.

My doctory just puts on the computer "keep taking the drugs and diet and retest in 6 months" without seeing me or knowing I am not doing the NHS eat well plate, hence they can't learn from what has worked for me. Until GPs start to ask people what they have done to get good result, rathern then just talk to the people with bad results, GPs will not learn what works. But they don't have the time..............
 

Oldvatr - I'm not entering into any great debate over this. I do agree that for T2 diabetics what they eat and drink is the most powerful too in T2 management, along with pharmacological support, if required.

As I have said many times, it is my belief that T2 is a portfolio condition, with a single label. Some become T2 because their dietary choices are flawed, some because of other conditions, and the meds they have had to take them to overcome those challenges (including staying alive), and for some there is even an almost familial inevitability. Of course those aren't an exhaustive list of reasons people become T2 because there are several others, never mind multiple low-grade issues.

Whilst I eat a lower carb diet, and it has worked extremely well for me, the only place I refer to my diet as LC is here and I guess on DUK. More usually I will refer to my way of eating as Reduced Carbs with Balancing Fat, because that's what it is. I'm not a ninja LC'er, and I'm happy with my diet. It works for me.

Not all T2s need to turn their backs on all carbs to achieve excellent results. Some people find they have one or two foods which are effectively rocket fuel for the bloods, so giving those up is enough for them.

There's is also lifestyle and quality of life to consider. Some people are content to accept they will take meds, or maybe additional meds to those they already take for other medical conditions.

By and large, T2s are adults, and have the capacity to make decisions for themselves. Whilst I may not always agree with their choices, they are the ones who have to live with the consequences of them. It isn't my place to harass anyone to do it like I do.

To be honest, I think the strongest messages are around eating to our meter, not eat what I (or anyone else) eat.

In the bigger diabetes world, both sites have their value, and over the time I have been reading it, the DUK's attitude to diet has softened quite a bit, with more acceptance and even low-key support of a reduced carb way of eating.

DUK are currently funding the Lean and Taylor piece of research, and I will be interested to observe what, if any impact that has to the DUK approach when it is published.
 
Yes but the difference between the two sites is that this site provides support for many different low carb diets such as I listed in my post, and not just LCHF. The other site is firmly in bed with Eatwell and high carb diets. This site discusses medication reduction as a result of diet, the other site promotes bariatric surgery,

Yes they did put up a piece on LC diets, but then followed it with a major set of disclaimers, caveats and dire warnings against using an LC diet, This is NOT support at all, and is not IMHO their attempt to soften their stance at all.

They have never to my knowledge supported or sponsored any LC symposiums such as Breckenridge or supported Dr Unwin's work. They support PHE not PHC. So there are major differences between the attitudes of the two sites, and the goal may be common, but the means are wildly different. I think both sites support the ND work which may allow some collaboration.
 
It is going to be interesting to see the effect of Libre funding on both DUK and NHS thinking. Shame it is only funded for insulin users though. I am active in a Facebook Libre Users Group with over 10,000 members, over 8,000 of them active. While there is still some controversy about LCHF, it is amazing just how the extra knowledge of seeing the effects of change will change opinions. Seeing the reduction in HbA1c, the levelling of the daily graph, the many examples of those charts from LC compared to those on the so called balanced diet. Knowledge is power. Libre will change the dogma. Shame it will be slow into the T2 non-insulin community.

Edit to add- it was interesting to read the DUK evidence to the NICE MIB on Libre. Of all the evidence it was the most negative, complaining about reactions to the adhesive. I was glad that evidence was ignored, it is a comparatively rare issue but I did wonder why DUK chose to point out problems. Knowledge is power and perhaps some fear power in the hands of those actually suffering diabetes.
 
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The problem is that Libre may now be given out instead of a full CGM, hence children may lose out due to not having alarms etc. Therefore DUK does have a point. We all see the benefit of having Libre compared to just using test strips, not as a replacement for a full CGM that is not accessible to most people.

So is it valid to give the "good enough" to lots of people, if it results in some people no longer getting the "best"?
 
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I think that is key, to think of the current Libre as an education tool, not a minute to minute control tool.
 


I've just put out a note on twitter - its being picked up by the LCHF community - I named it High Circulating Insulin Disease - HCID .
I deliberately didn't call it hyperinsulinemia - because I wanted to make the point that the issue of too much insulin in the human body affects EVERYTHING not just diabetics .


I'm pleased to see that Prof Tim Noakes retweeted it as well as a lot of doctors .

read it here
http://www.diabetes.co.uk/forum/blog-entry/a-unifying-theory-of-disease.1795/
 

welcome to the forum. great results so far, congratulations!
 
And from what I see from the outside some MD are royal assholes, to put it mildly, don't giving interest to nothing but their bank accounts, especially uninterested to the well being of their patients. Google "Brega Massone" from what I mean.
 
Not all T2s need to turn their backs on all carbs to achieve excellent results. Some people find they have one or two foods which are effectively rocket fuel for the bloods, so giving those up is enough for them.
One could eat some small piece of high carb food. Today I have eaten a little piece of chocolate salami and cream cake with no problem (6.2 after 2 hours) but was under 20g each piece. And every 4 or 5 months I go to eat pizza. And accept the mess. I know that I shouldn't do it but the other alternative is burnout...
The biggest problem I've found is the lack of informations on Diabetes, especially pre diabetes and T2. I find myself lucky because I am a bookworm, and when I was finally diagnosed the was natural to me to go to the library, write "diabetes" on the library computer and borrow the book I found on the subject.
Other people aren't so inclined.

Add to this that in most cases the information on nutrition - like in the case of the eatwell plate or in general the mainstream advice is badly presented and understood. Inother word people is not following the official guielines even if its convinced to do so.,
In the bigger diabetes world, both sites have their value, and over the time I have been reading it, the DUK's attitude to diet has softened quite a bit, with more acceptance and even low-key support of a reduced carb way of eating.
I read and write in both forums and I find that in both of the forums thee rare good people that give great advices. So I don't understand the mutual bitterness that some people has.
For the website content both have useful information. I prefer the more terse and less "javascripty(*)" presentation of the other site but I've read a lot ofi nteresting things of both.



OFF TOPIC
NERD WARNING!!!
(*) try to browse with a less powerful PC or tablet (not to mention the old 256K Raspberry PI) and the browsers hangs, pages don't scroll and so on...
 
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