Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 Bruce, You have said it so perfectly! I can't understand why diabetics are given diets high in carbs. I know that was the misguided thinking maybe 20 years ago, but why have doctors and some " diabetic educators " not updated their information? In addition, if you control the amount of carbs you eat carefully, you eliminate the highs and lows that everyone seems to be discussing. Instead of reaching for a sugary drink or sweet when you feel a low coming on, consume some protein with a whole wheat or rye cracker. Eating small meals, several times a day may also help many who have large swings in their blood sugar. I have also found that the more fiber I manage to eat, the better my control and the less up and down I have! Gail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 In a message dated 7/28/2004 11:46:26 AM Pacific Standard Time, wambo1941@... writes: Ok, all of what you have quoted/copied from the Joslin materials seems > pretty accurate, EXCEPT for one very serious & significant thing. > > Any time that you use tighter control... every single time you attempt for > this " normal " 90-120 range and attempt to KEEP in ONLY that tight... such > that over the longer term you come back with 6.5 A1C's (or lower) readings.. > every 3-4 months > > Because of that fact, there is a far greater chance of having lows that are > serious problems! > > The DCCT was painfully clear on that point. The folks in the study who > ~tightened down~ 30% of them had major problems, requiring outside > assistance for their lows. > > It is the short term danger of being too zealous. One we need to be > painfully aware of too... > > Jeff > Hi Jeff, I also read Joe's post and thought it was good. But, like you, I am more concerned with my A1c every 3 months than holding down so tightly at each meal. I am able to 45 carbs at least 1 meal a day the others a little lighter, and maintain a 6.4 or 6.5. I know this is a sore spot with others, who think that carb level is ludicrous. For myself, it works. I have not sent the recipes I post through here because of the fact those who cannot use them are pretty mean about it. I am sorry for them, but I do not personally feel all diabetics should tighten down if their A1c's are under 7 (my dr says) I try for 6.5 or less. I do like to share information and new things (or even some old things still going the rounds ;-) though, and enjoy friendships made through this disease. Or dis-ease as would say. I guess it is really more positive, like disappointment changed to Hisappointment, kind of places a different emphasis on a negative thing. ;-) Hugs, Marilyn Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 This is more or less what I have been saying all along, on this and other groups. Carbohydrates make the blood sugar go up; we don't want that to happen. What, therefore, is the sense of eating a high-carbohydrate diet? Would you put a lactose intolerant person on a dairy diet? Would you put someone with celiac sprue on a wheat diet? CERTAINLY NOT! Why, then, in the name of all logic, would one consider a high carbohydrate regimen suitable for a diabetic?! It is probably impossible to eliminate all carbohydrates from one's diet; even if it were possible, it would probably not be desirable--although the Eskimos seem to do fine on almost none, and the least healthy Eskimos seem to be those who have started to eat the White Man's Way--but, nevertheless, one should try to minimize one's intake. If you were on an island which had a high arsenic content in the soil, and therefore in the food, although with some foods having more than others, wouldn't you seek to have your diet dominated by those foodstuffs with the lowest concentrations of arsenic? Assuredly yes. Well, for us diabetics carbohydrates are the same. (I chose arsenic rather than, say, cyanide or strychnine because one can consume a little bit of arsenic without ill effects; it is said to be good for the complexion, although personally I'd rather have zits.) [alldiabeticinternational] Re: Goals for Control GREETINGS -- It has been my experience (Type 2 using insulin since diagnosis 10+ years ago) that if I have good blood sugar control on a day-to-day basis the A1c tests will take care of themslves without the hypoglycemic episodes experienced by diabetics on the blood sugar rollercoaster. I had poor control (resulting in typical diabetes complications) until I discovered " Dr. Bernstein's Diabetes Solution " about two years ago; at which time I changed insulins and dietary approach. For the last 18 months my A1c's have ranged from 5.2 to 5.6 and I have experienced only two lows (blood sugars below 55 mg/dL). I was told initially when first diagnosed to aim for an A1c of 7.0 % because of the propensity to experience unacceptably low blood sugars because of the rollercoaster effect. The dietary approach when I was diagnosed called fo high carb low fat. The limited treatment and dietary options available then have been replaced by many combinatios (I happen to use Humalog and Lantus and limit my carb intake to 10- 15% of the calories I consume). The strategy I use requires both persistance and patience but it has worked for me and I have been able to contain (and partially reverse) the complications I brought on myself earlier). wambo1941 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 This is more or less what I have been saying all along, on this and other groups. Carbohydrates make the blood sugar go up; we don't want that to happen. What, therefore, is the sense of eating a high-carbohydrate diet? Would you put a lactose intolerant person on a dairy diet? Would you put someone with celiac sprue on a wheat diet? CERTAINLY NOT! Why, then, in the name of all logic, would one consider a high carbohydrate regimen suitable for a diabetic?! It is probably impossible to eliminate all carbohydrates from one's diet; even if it were possible, it would probably not be desirable--although the Eskimos seem to do fine on almost none, and the least healthy Eskimos seem to be those who have started to eat the White Man's Way--but, nevertheless, one should try to minimize one's intake. If you were on an island which had a high arsenic content in the soil, and therefore in the food, although with some foods having more than others, wouldn't you seek to have your diet dominated by those foodstuffs with the lowest concentrations of arsenic? Assuredly yes. Well, for us diabetics carbohydrates are the same. (I chose arsenic rather than, say, cyanide or strychnine because one can consume a little bit of arsenic without ill effects; it is said to be good for the complexion, although personally I'd rather have zits.) [alldiabeticinternational] Re: Goals for Control GREETINGS -- It has been my experience (Type 2 using insulin since diagnosis 10+ years ago) that if I have good blood sugar control on a day-to-day basis the A1c tests will take care of themslves without the hypoglycemic episodes experienced by diabetics on the blood sugar rollercoaster. I had poor control (resulting in typical diabetes complications) until I discovered " Dr. Bernstein's Diabetes Solution " about two years ago; at which time I changed insulins and dietary approach. For the last 18 months my A1c's have ranged from 5.2 to 5.6 and I have experienced only two lows (blood sugars below 55 mg/dL). I was told initially when first diagnosed to aim for an A1c of 7.0 % because of the propensity to experience unacceptably low blood sugars because of the rollercoaster effect. The dietary approach when I was diagnosed called fo high carb low fat. The limited treatment and dietary options available then have been replaced by many combinatios (I happen to use Humalog and Lantus and limit my carb intake to 10- 15% of the calories I consume). The strategy I use requires both persistance and patience but it has worked for me and I have been able to contain (and partially reverse) the complications I brought on myself earlier). wambo1941 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 Thank you! I get raked over the coals regularly on other groups for saying things like this. However, I don't apologize for speaking the truth as I see it. Re: [alldiabeticinternational] Re: Goals for Control Bruce, You have said it so perfectly! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 > This may work for T2's who aren't on insulin but would be quite deadly for > a T1, considering the time it takes for a cracker to " hit, " much less some > protein. > True. Personally I feel the glucose tabs work the fastest and leave me feeling better afterward than soda or juice. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 those who rake you over the coals might want to do a little more research on the subject, with your permission I would like to send this on to my other group.. Carmen Re: [alldiabeticinternational] Re: Goals for Control > > > Bruce, > You have said it so perfectly! > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 28, 2004 Report Share Posted July 28, 2004 I am T2, and this doesn't work for me. I must have pure sugar if I'm heading for a low. Once my low has been halted and the sugar has been raised above 4 mmol (here in Canada, below 4 is too low - multiply by 18 to get American mg/dl), then I have either my regular meal and meds - if the low was just before my meal time - or a small carb-plus-protein snack if it is between meals, to make sure that things get back on track... But I absolutely must have some Dextrosol, regular soda, regular candy, some grapes (which I usually avoid because they make me spike), or some orange juice first! Melisma (going back into hiding here under her Rock) [alldiabeticinternational] Re: Goals for Control > > >< >on, consume some protein with a whole wheat or rye cracker. > > This may work for T2's who aren't on insulin but would be quite deadly for > a T1, considering the time it takes for a cracker to " hit, " much less some > protein. > > >Too little and you're still " crashing " too much you can play catch up at any > >point later on... couldn't care less about too high myself. Too little... > >that can get real ugly...fast. Don't want to play guessing games, " ... did I > >have enough.... when I'm going primal... and slurring thoughts/words.... > >BAD, bad plan, Jeff > > Amen!! > > Sandy > T1 - 1979 > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 29, 2004 Report Share Posted July 29, 2004 Of course. Re: [alldiabeticinternational] Re: Goals for Control those who rake you over the coals might want to do a little more research on the subject, with your permission I would like to send this on to my other group.. Carmen Quote Link to comment Share on other sites More sharing options...
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