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What level is High Protein?
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<blockquote data-quote="xyzzy" data-source="post: 277395" data-attributes="member: 40343"><p>Lucy when I looked at this I came to the conclusion it is one of those diet only Type 2 things you have to make a judgement on. </p><p></p><p>Lets assume the RDA figure for protein is taken from a decent source such as this which is a joint position statement published by the ADA, DOC and ACSM. Key to that is the ADA (American Diabetes Association) the body that many countries diabetic position statements including the UK reference.</p><p></p><p><a href="http://exercise.about.com/gi/o.htm?zi=1/XJ&zTi=1&sdn=exercise&cdn=health&tm=16&f=00&su=p1026.33.342.ip_&tt=2&bt=0&bts=1&zu=http%3A//www.ncbi.nlm.nih.gov/pubmed/19278045" target="_blank">http://exercise.about.com/gi/o.htm?zi=1/XJ&zTi=1&sdn=exercise&cdn=health&tm=16&f=00&su=p1026.33.342.ip_&tt=2&bt=0&bts=1&zu=http://www.ncbi.nlm.nih.gov/pubmed/19278045</a></p><p></p><p>So you don't have to read it then in essence it concludes, the more you exercise, the greater your protein needs will be. It gives how to work out an RDA for protein which is Weight in kg x FACTOR = RDA protein grams / day.</p><p></p><p>Where FACTOR is a number running between 0.8 and 1.8. Pick a lower number if you are in good health and are sedentary (i.e., 0.8 ). Use a higher number (between 1 and 1.8 ) if you are under stress, are pregnant, are recovering from an illness, or if you are involved in consistent and intense weight or endurance training.</p><p></p><p>So as an example I weigh 86.5Kg. I would guess my "correct" factor is around 0.9 so my RDA for protein is 77.85 grams per day.</p><p></p><p>Now here's the diet only T2 bit. You and I have a carbohydrate tolerance which as both our sigs say is set by our desire to stay at safe blood glucose levels. However that's the issue isn't it? If we have to fix our carb intake to keep us safe and then want to fix our protein at the RDA limit then the only other thing we can up is fat. It's that fact of life that makes diet only T2's different to our insulin using friends. They don't have to fix their carbs so much as they can inject insulin to cover a higher intake of carbs. Assuming they also stick to the protein RDA they can obviously have a lower fat intake if they want. So the debate insulin using diabetics have over low carb is subtly different.</p><p></p><p>Now of course as a T2 you can elect not to be diet only and say elect for more stronger meds or elect to use insulin and in that way you can either up your fixed limit of carbs a day or have the flexibility of using insulin may give you but we know both those ways have other risks associated with them.</p><p></p><p>So risk is the key phrase. When I elect to do my 60g / day carb regime I do so after weighing up those risks. I have to, that's part and parcel of being an informed T2 and taking control of my life. To those who like my specialist nurse and others who say eat 200 grams a day or do a 40% carb regime because of this risk or that risk I say "show me that the risks I would be taking by raising my blood glucose levels sky high is less than than risks of adopting a low carb diet". </p><p></p><p>Specifically tell me YOU would recommend that I as a diet only T2 with my 5.3% HbA1c, good cholesterol, excellent blood pressure and weight in the "normal" range adopt 200 grams a day or do a 40% carb regime in preference to the regime that my specialist diabetes gp has stated has "put my diabetes in remission". A case of put up or shut up. </p><p></p><p>The bottom line is as T2 I cannot eliminate all risks however much I would like to so my best option is to eliminate and reduce as many of those risks as possible. To me a low carb regime that is obviously working is vastly superior even if it may have other possible risks elsewhere and is easily my preferred option. Better still my specialist diabetes gp agrees and supports me doing it.</p></blockquote><p></p>
[QUOTE="xyzzy, post: 277395, member: 40343"] Lucy when I looked at this I came to the conclusion it is one of those diet only Type 2 things you have to make a judgement on. Lets assume the RDA figure for protein is taken from a decent source such as this which is a joint position statement published by the ADA, DOC and ACSM. Key to that is the ADA (American Diabetes Association) the body that many countries diabetic position statements including the UK reference. [url]http://exercise.about.com/gi/o.htm?zi=1/XJ&zTi=1&sdn=exercise&cdn=health&tm=16&f=00&su=p1026.33.342.ip_&tt=2&bt=0&bts=1&zu=http%3A//www.ncbi.nlm.nih.gov/pubmed/19278045[/url] So you don't have to read it then in essence it concludes, the more you exercise, the greater your protein needs will be. It gives how to work out an RDA for protein which is Weight in kg x FACTOR = RDA protein grams / day. Where FACTOR is a number running between 0.8 and 1.8. Pick a lower number if you are in good health and are sedentary (i.e., 0.8 ). Use a higher number (between 1 and 1.8 ) if you are under stress, are pregnant, are recovering from an illness, or if you are involved in consistent and intense weight or endurance training. So as an example I weigh 86.5Kg. I would guess my "correct" factor is around 0.9 so my RDA for protein is 77.85 grams per day. Now here's the diet only T2 bit. You and I have a carbohydrate tolerance which as both our sigs say is set by our desire to stay at safe blood glucose levels. However that's the issue isn't it? If we have to fix our carb intake to keep us safe and then want to fix our protein at the RDA limit then the only other thing we can up is fat. It's that fact of life that makes diet only T2's different to our insulin using friends. They don't have to fix their carbs so much as they can inject insulin to cover a higher intake of carbs. Assuming they also stick to the protein RDA they can obviously have a lower fat intake if they want. So the debate insulin using diabetics have over low carb is subtly different. Now of course as a T2 you can elect not to be diet only and say elect for more stronger meds or elect to use insulin and in that way you can either up your fixed limit of carbs a day or have the flexibility of using insulin may give you but we know both those ways have other risks associated with them. So risk is the key phrase. When I elect to do my 60g / day carb regime I do so after weighing up those risks. I have to, that's part and parcel of being an informed T2 and taking control of my life. To those who like my specialist nurse and others who say eat 200 grams a day or do a 40% carb regime because of this risk or that risk I say "show me that the risks I would be taking by raising my blood glucose levels sky high is less than than risks of adopting a low carb diet". Specifically tell me YOU would recommend that I as a diet only T2 with my 5.3% HbA1c, good cholesterol, excellent blood pressure and weight in the "normal" range adopt 200 grams a day or do a 40% carb regime in preference to the regime that my specialist diabetes gp has stated has "put my diabetes in remission". A case of put up or shut up. The bottom line is as T2 I cannot eliminate all risks however much I would like to so my best option is to eliminate and reduce as many of those risks as possible. To me a low carb regime that is obviously working is vastly superior even if it may have other possible risks elsewhere and is easily my preferred option. Better still my specialist diabetes gp agrees and supports me doing it. [/QUOTE]
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