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If I were a millionaire those who promote the Eatwell guide for Type 2's would spend more time in court than at home, it is just ludicrous and criminal. I have other adjectives for both the diet and those who should know better, but this is not a private message.

I would hope you would consider a whole food Ketogenic diet, as LCHF may not be low enough in carbs for you and Ketones are apparently heart protective. In your shoes I would consider the low carb program on this site or diet doctor, just to ensure you can take out the guess work and get support.
 
This article is a review of treatments forthe combination of Diabetes and Chronic Heart Failure:
https://academic.oup.com/eurheartj/article/39/48/4243/5123540


It looks at the evidence of outcomes for various diabetes meds used in patients with heart failure, as well as the likely impact ketogenic diets. Basically it's very common for patients with heart failure to get diabetes, as the heart failure causes changes in metabolism which increase the production of ketones to use as fuel.

There's a lot of gaps in the data, but it's a decent starting point. You probably need to talk to a specialist who's an expect in Diabetes in CHF patients.
 
Basically it's very common for patients with heart failure to get diabetes, as the heart failure causes changes in metabolism which increase the production of ketones to use as fuel.

I think you may find that is specifically not what it says at all?

"However, whether enhanced ketone body metabolism is a cause, a consequence, a bystander or a compensating mechanism in HF is presently unknown."

Far more likely that people with diabetes get heart failure and not the other way round.

" type 2 diabetes mellitus (T2DM), obesity or chronic kidney disease, all highly prevalent in HF populations, have shifted from being innocent bystanders to drivers of HF."
 

"Drivers" doesn't mean that that they only cause HF, and not vice versa. It also means that they interact with each other to exacerbate the entire situation:
"Thus, epidemiological evidence implies a bidirectional association between HF and T2DM (Figure 1), with one increasing the incidence and worsening the prognosis of the respective other.14"

I think you may find that is specifically not what it says at all?

"However, whether enhanced ketone body metabolism is a cause, a consequence, a bystander or a compensating mechanism in HF is presently unknown."

Indeed it's not known why it happens - but the fact remains that if someone has CHF, they are relying much more upon ketones:
"In heart failure, increased uptake of free fatty acids and glucose into the cytosol is uncoupled from mitochondrial uptake and oxidation of free fatty acid and pyruvate, respectively. This provokes accumulation of metabolic intermediates in the cytosol which can trigger lipo- and glucotoxicity. Instead, utilization of ketone bodies is increased in heart failure.
"

If your interest in posting is to quibble about the distinction between causation and correlation, please find a more relevant venue. Out of respect to the original poster, try to stay relevant to their concerns.
 

Thank you to everybody that commented on this post.
Po
 

Q You will find a stack of information here about LCHF I did not know what that even was a couple of months ago.
Now I can not sing its praises loud enough.

I do not yet know what next HbA1c is going to be... however I am fairly certain it will have more than halved in the last two months. I have not been hungry once in this time. I have found that I feel so much brighter, more energy, more drive, more libido. + NO more insulin!

If I could Q may I strongly urge you to look seriously at meditation.

Please trust me when I say, it will have a profound effect on your well-being!

I have added a couple of video links here somewhere on site that will give you some insight. I will see if I can find the link for you.

Have a read of my profile it may give you some reassurance that I am NOT a new age hippy freak... well perhaps I am a little bit. What I am not is one of the love and light brigade dressed in purple and full of new age clap trap and nonsense.

Love and light (just kidding)
Po. Walking the mystical path with practical feet.
 
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Fabulous response, I'm listening to you loud and clear. I only have a few moments I'm actually off the the see the GP (PATIENT PREVENTION OFFICER) and then its my diabetic review this afternoon. I've seen her before and plan to bring all the new stuff to the review I've read from the replies on here. I will read your reply again as its worthy of it, when I get back. I'll message you then. Must dash chat later, hope you're well. Q (Q is my nickname, no one ever gets Quentin right) lol..
 
Today is the start of you taking full control of YOU!
The fun is just about to start my friend.
Po
 
Cut and pasted... from my Blog

Who am I ?

Master Po.

So who am I?
I am male, married,
5ft 8in 10st 4lb

Perfect BMI!

I am known by my friends and followers by my pen name ‘Po’ an abbreviation of Poemagraphic.
I live in the UK in North Norfolk. I have been writing poetry since the early eighties.

I have made a life study and practice of meditation, which I began after becoming only the fourth person in the UK to attain a black belt in the Korean martial art of Hap-Ki-Do.
I am also a Forth Degree Reiki Master Practitioner.

I have studied parapsychology for over forty years, going on to appear on BBC ‘Look East Live’ and having in the past my own weekly radio phone in and talk show on ‘Future FM’. I was also a regularly contributor to the ‘Paranormal Norfolk’ magazine.

I am both psychic and mediumistic. I have in the past conducted literally hundreds of private consultations and undertaken ‘serious’ paranormal investigations throughout East Anglia over the last few decades.

My experiences have been a great source of inspiration for much of my poetry, which I enjoy with a passion

I am currently working in Forensics

The three words that best describe my personality are
1 Outgoing
2 Easy going
3 Friendly

My tastes in music are quite eclectic
I enjoy Motown/Soul, Country, Folk.
I love ‘Passenger’ The Beatles, Bob Dylan, Simon and Garfunkel, Elvis, Brad Paisley

I also greatly enjoy caravanning and camping getting away whenever and wherever I can.

I love cycling, photography, yoga, martial arts.

So here it is my new found friends, my bio and first first Blog posting.

Po
 

Hey Quentin

Hope your feeling much better.

I am T2 also and was diagnosed in 2008. I had everything under diet control until 2016 when I also passed out and fell ill with sepsis and was hospitalised for over 2 months. At the same time my blood sugar spiked dangerously high.
Fully recovered now but was put on Metformin which immediately which didn’t agree with me initially but eventually settled.
As it hate taking any kind of medicine I am currently doing 16:8 intermittent fasting to see if it had the healing impact it is proposed to have on T2 diabetics. I’m only only in my 2nd week of 16:8 but lost 3lbs in body fat in my first week.
I’m due my 6 monthly check at the end of June, so hoping I can come off the medicine if the 16:8 lifestyle works.

Hope you get things sorted and find your answers.

Paul
 
The old adage 'You are what you eat' is so true.

Not all diets/ways of eating suit everybody. With the advantage of a 'BG meter' we can see from hour to hour the impact of what we have ingested, has on us, and how long it lasts. I feel this is a good way to keep track daily of how different foods effect us. I would go so far as to say it is 100% essential . How else could we know this very important factor in our well-being?

I decided to try Low Carb High Fat not as a means to lose weight (In fact I have not actually lost any weight at all in the last two months of eating this way). I am currently keeping my carb intake below 50g a day. This might not be suitable for every 'body'

Let how 'you' feel, be your judge. If you feel it detrimental in any way then you have the power to stop or increase your carb intake. Don't try to go to low to quickly I would say.

My DN told me to eat around 60g of carbs per meal. Include plenty of rice, pasta, potatoes, bread etc. I did NOT try and dissuade her from this (Her teaching was all she had to go on... which several of us here know from experience, to be perhaps not the best advice to give a diabetic).

Members of this site are strongly advised/told not to advise on medical matters (with good reason) and I am not advocating any of us every should.
I trust Q you have come back today with some good sound advice (unlike my own experience) and feel prepared for the changes that you have to make. My experience was life changing for me. You have the power to change your life TODAY and every day from this moment forward. You/we always have had! Perhaps along life's journey we just simply forgot this fact.

I wish you every success in your endeavour
Po
 

Paul keep us updated how you get on at the end of June. Good luck my friend.
Po
 
Has anyone any views on this polorised view on carbs?

I do. I am trying to go about resolving it a surgery level. This came up today at my local PPG meeting, as in are all of the GPS at the local surgery singing with one voice on LCHF as a means to reversing T2 diabetes.
 
I do. I am trying to go about resolving it a surgery level. This came up today at my local PPG meeting, as in are all of the GPS at the local surgery singing with one voice on LCHF as a means to reversing T2 diabetes.

Are they LCHF (low carb high fat) or are they low carb without the high fat bit? It would be very interesting indeed if they were up for high fat. Even Dr. Unwin steers clear of this in his presentatiions.
 
Are they LCHF (low carb high fat) or are they low carb without the high fat bit? It would be very interesting indeed if they were up for high fat. Even Dr. Unwin steers clear of this in his presentatiions.
The degree of high fat appears to be a source of disagreement. I wrote something up on that in a thread of mine some weeks back. But low carb as I have seen so far. I need to drill down further to see what others say. There are umpteen of them. I am hoping they all think low carb.

One of them doesn’t think much at all though. I found him pathetically useless. It takes all sorts I suppose. I have been given the suggestion of approaching the practice manager to ascertain the practice stance as a whole.

I do know that my preferred GP gave me the big thumbs up on my progress and how I achieved it.
 
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