Why Do Diabetics Fail To Adhere To Dietary Regimes?

Indeed, how much glucose do we actually need?
I have recently discovered through a lot of scientific papers that the liver will always respond if the brain needs energy.
In ketosis the brain feeds itself from muscle fat.
In a carb laden diet, and in some T2s, and with my condition, what happens is the glucose is swamped by the insulin and cannot get enough glucose to feed the brain!
Therefore nypos occur because of hyperinsulinaemia.
It is not as the op has posted.

Edited by a mod

 

If your advice to diabetic patients is to eat at least 130 grams of carbs per day I can understand why they choose not to follow your advice. Very few of us who are not on insulin could tolerate that amount.

Personally I've been low carbing for years and on LCHF for around 2-3 of them and am doing well. My HbA1c is 32 and cholesterol perfect. And I aim for around 80 E % fat in my diet. No sign of depression or illness so far, quite the opposite as at 53 I'm happily bouncing around.

 

I have been in ketosis for nearly three years come October.
I use to have an awfully of mental health problems. Anxiety, mild depression and forgetfulness, memory loss and time loss.
All these symptoms have gone, as have my endocrine problems except my pancreas.
I am as fit and healthy, no mental problems, and really clear headed, I have my life back. I don't eat any carbs except for the ones in salad and protein, which isn't any at all, I have great energy, I work and look after my wife, my home, I cook everything from scratch. My only relaxation is sport and this forum to help those who have been fed the usual BS from so called medical practitioners.
My endocrinologist is a man doing a lot of studies which includes RH. He is a doctor who thinks outside the box and treats you individually, he saved my life!
I was heading for my coffin, now, I'm going to be around for a long while yet!

My last point, is, I really do believe, that a lot of conditions that modern day humans have can be treated by a low carb diet, not only diabetes!

It would save the country an awful lot of taxpayers money.

 

Wow. Your information is decades out of date.

I have been happily eating fewer than 50 g carbs a day for years, and feeling better on it than I did in the previous decades of up to and over 100g of carbs.
As a result I now have optimum cholesterol ratios, slow weight loss, better energy levels, reduced inflammation, better sleep, better metal clarity.
The depression cleared up with sufficient Vitamin D. Nothing whatsoever to do with carb intake - except of course that I am now exceeding happy not to feel dreadful all the time due to excessive carb intake.

If you are trying to push your T2 clients into eating so many carbs, then you are preventing many of them from feeling their best, and giving them the best control of their T2 diabetes. In my case, since I also have reactive hypoglycaemia, you would also be pushing me into daily hypos - since if I eat more than about 50g carbs a day, I risk hypos after eating.

If you would like to understand very low carbing properly and ditch the nonsensical myths (such as the 130g/day needed for brain function), whilst providing a better service to your clients, I suggest reading the Voleck and Phinney book mentioned in my signature. They explain, excellently, how and why low carbing works, and works so well.

Incidentally, I have no problems sticking to my very low carb regime. I love food, and eating low carb is both delicious and satisfying. I am never hungry, cook from scratch, eat masses of veg, some fruit, and have far better nutrition than people who fill themselves up with stodgy, starchy carbs.

 

I disagree...

I disagree... i cut to almost no carbs a day (lower than 50 max) i have never felt better with more energy, less mood swings less depression and healthier than i have ever been... but not every one is the same... i also eat to my monitor as there are things on the low carb diet that i cant tollerate either.

 

Mind you, I do approximately the complete opposite to the dietary advice I was given on diagnosis. But as I can read and understand a bit about diabetes and nutrition I would never, ever even attempt to follow that advice.

 

Why?
If you think that ketogenic diets cannot be followed by patients with renal impairment, you are probably assuming that ketogenic diets are high protein.

This is not the case.
A well formulated ketogenic diet contains enough protein for health, without so much protein that it raises blood glucose via gluconeogenesis and reduce the body's capacity to stay in ketosis. Again, I refer you to Voleck and Phinney. They explain this clearly, with excellent references.

 

Replacing foods with lower GI foods merely causes blood glucose to spike later in many people; and sometimes to stay elevated for longer. More fibre does appear to slow things up a little.

At a recent meeting with a diabetes dietician I got the usual nonsense "You can eat porridge". I can't. Whereas eating low carb usually means that my BG returns to normal after about 2 hours, today it took 3 hours after a small bowl of porridge. Some people seem to be okay with it - I am not. Perhaps you should get a meter and test your own reaction to different foods if you want to be in a position to advise people.

 

@datkins65 You are giving out completely mixed messages, changing opinion and contradicting yourself from post to post.

I think this thread may be a wind up so I will bow out of the discussion. No point in continuing when all the OP does is agree with everyone and contradict themselves.

 

Not a T2 but only got told how to work out exchanges for food 30+ years ago. Never saw a dietitian until this year and that was regarding my stomach and diabetes. She was staggered at my detail and knowledge. She asked why I was there! Explained that I couldn't keep weight on and could only eat certain foods due to stomach trouble. She said as I could obviously work out insulin/carbs etc to add in ice-cream and condensed milk.... Went back to my gastroenterologist and he said, no way for condensed milk-it would make my stomach worse, and as I found out with ice cream-perfect blousing but it raises my levels 12-18 hours later.

The dietitian admitted I knew my body best and the only thing I could do was to add dried milk to my milk intake from all her advice. In the end, the thing that has added extra weight on and kept my weight reasonable now is the tablet Letrozole. Gained almost a stone since taking that.

Every consultant (I've had a lot) in 30 years and the nurses have known I have never seen a dietitian. Even for my pump training I did not have to attend courses as I could prove I knew my carbs/ratios etc. still, nobody has ever asked how Ikept lean and low hba1c's and reasonable cholesterol.

 

Many of us have found that a low carb diet increases kidney function. There was a lady on here who had quite severe kidney impairment. A few of us tentatively suggested she try LCHF and her kidney function improved dramatically. We suggested low carb, moderate protein and high fat. It worked.

 

My prescribed diet made me gain 8 pounds in 2 weeks! That's why I didn't stick to it after 2 weeks.

 

I totally agree.

We need a poll.
Why does diabetic educators not listen to their patients?
A) cannot be bothered
B) mentally exhaused dealing with every indiviual case
C) don't know anything other than 'book'
D) doing job too long so arrogance sets in and educator knows best
E) I'm not overweight so they arent doing what I'm doing, right?
F) I cannot believe they are having less than 1600 cals a day, they're liars!
......should I go on?