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Discussion in 'Diabetes Discussions' started by achyut1939, Aug 28, 2019.
I agree, unfortunately some like myself do not have the option of burning it off by exercise.
It is great that you have managed to remain complications free after 30yrs of T2D diagnosis. Unfortuanately few have been as successful or fortunate. Many have to deal with multiple complications in spite of their best efforts and struggled to find the balance.
Your suggested level of carbs restriction is right along the upper limit and a sensible starting point of what is generally considered to be low carb. Because if you have 3 meals of 40g carbs per day. That is just about what a T2D is able to manage without too much glucose spikes. So individuals should reduce and "personalize" their carbs intake to match their excessive insulin/glucose response.
Dietary carbohydrate restriction as the first approach in diabetes management: Critical review and evidence base
I understand there could be limitation to exercise for many, still try to keep yourself active in what ever way one can without aggravating existing limitations and give reasons for body to consume what ever possible excess glucose.
Agreed. Some sort of balance in this case roughly translates to the word optimum.
Some of us have narrower “windows” to work within than others.
How is it that many are getting complications inspite of control of diet, and taking insulin/medicines. Their bg values must have been very high for long periods of time due to not controlling their diabetes properly.
So... a vegetarian/vegan diet?
Or as in many cases were diabetic for long periods before diagnosis for instance I already had neuropathy, retinopathy and some kidney dysfunction when diagnosed Gaining control of blood sugars got rid of the retinopathy Metformin plus strict restrictions in carbs and calories was the path I chose but that was my personal choice and others are free to do what they feel is best for them myasthenia gravis severely limits exercise and does not give way to will power or determination, medication keeps me mobile to a degree most of the time. Sometimes it is necessary to accept ones limitations and try to work within them.
You would have to modify your diet if you were in an Indian state where there was no beef.
Would that be the same India that has the highest incidence of T2 globally?
Association of course...
I don't know about others, but I have watched how my father struggled over the last 10-15 years of his life to managed his glucose levels on a low fat, whole grains type diet. Steam fish, lean meat, brown rice, brown rice noodles, lots of veg and "healthy" fruits, milo without sugar...regular hour-long walks in the morning and evening...still ended up with failed kidney, 2nd heart bypass, multiple stents (6 in total), multiple vascular surgeries (3) to save his gangrenous toes. Toe amputations one by one...kidney failure... edema, memory loss etc. Car accident due to hypoglycemia because he likely mis-dosed himself... all the while his HbA1c was around 8% which his doctors assure us is perfectly fine for his age...70+.
What I have gathered from that experience is that many will be falsely assured by the medical community that we have been doing our best. Glucose fluctuation is normal. Chronically high glucose level is acceptable. Diabetes is chronic and progressive. Diabetic complications is inevitable. It is dependent on the luck of the draw. Some have better genetics than others. So just accept it.
But the reality is surprisingly different. Our T2D journey need not be so fraught with challenges when we begin to realize that chronic excessive insulin AND glucose are both damaging. Medication free and Insulin sparing lifestyle is achievable and sustainable.
All l am saying is that some people's circumstances are different and being smug about your own situation doesn't help them.
One would have expected that insulin used would have given us better glucose control... but based on this study data of 18,000+ patients, insulin is not necessarily the answer...the mean HbA1c is 8.7% +/- 1.8%
What were his bg levels like, when he was suffering from the complications?
His BG range from typically 8 - 13 mmol/L
Not limiting carb is a serious handicap in diabetic management.
I would think using exogenous insulin to control will never be precised enough. Our body natural control is very precise and sensitive.
Not able to be physically active after meals is another handicap because the pancreas will have to work much harder to lower the bg.
If they are following the high carb diet advice handed out to people who are basically carb intolerant and they already have a high insulin level and are injecting insulin on top of that... then the reason is most likely insulin resistance.
It is reported that the fbg should be 4 mmol/L to 6 mmol /L, and ppbg 8 mmol/L to 10 mmol/L, for proper diabetes control.