[Pops]

Agree with T that added sugars especially fructose are bad for a guy, but don't get hung up on sugar.
As mentioned, starch— french fries or plain old wheat flour in a slice of white bread is about the same as a chocolate bar or spoonful of sugar in speed/amount of blood glucose level increase.

The #1 warning sign for T2 is a fat belly, for men 40"+ for women 35"+

Stop watching youtube and looking for conspiracies,
cut down on ALL calories
exercise more—This is probably the hardest thing for me. I don't mind work but I hate "pointless" exercise. But as a T1 diabetic I can tell you that it lowers insulin requirement. In fact I have low blood sugar episodes more often from exercising more than planned than eating less than planned. Muscles use insulin more effectively when working so glucose gets stored there rather than in fat. The benefit of exercise is not so much to "burn off" calories as to prevent them being locked up in fat where they are hard to get at unless in a prolonged fast.

Google "glycemic Index"
Good article on insulin resistance

[dissident]

There is way too much misinformation in the public space on this subject. Since the 1960s we had propaganda that eggs were unhealthy because they contain cholesterol. This BS has been dropped but millions still believe it. Oxidized cholesterol daughter products found in powdered eggs are not the same as the original cholesterol found in fresh eggs. Even frying eggs does not convert the cholesterol into the powdered egg junk. Then we have the food pyramid which is an agro-business concocted scam. Humans did not live on several fruit servings per day and over 60% carbohydrates for most of their evolutionary existence. Only in the last 10,000 years when agriculture became established have grains (mostly carbs with some protein) become a staple. We have also seen the advent of arthritis and the metabological syndrome that includes heart disease and diabetes (Type II) during this period. A period of 10,000 years is too short for any genetic adaptation.

Then we come to the show stopper for all the BS advice peddled about diet: insulin resistance. About 25% of the population have it in sufficient degree to develop metabological syndrome disorders (Type II diabetes or even Type III diabetes known as Alzheimer's disease). Even if people with "normal" metabolisms can handle the food pyramid diet plan, insulin resistant people can't. So no cookie cutter advice for everyone. For insulin resistant people low carbing (including controlled protein intakes since 60% of it gets converted into glucose) is necessary. The Aitken and paleo diets have been demonstrated as not having in negative impacts and as being effective at blood sugar control.

[onlooker]

Good comments on this page. I would add, that controlling weight is key also and not just for Diabetes but other chronic degenerative diseases. Also, if Diabets does not scare you enough to leave sugar behind, well then what about Cancer. It is highly implicated in being a factor in developing Cancer.

[onlooker]

See the book "Diabesity: The Obesity-Diabetes Epidemic That Threatens America--And What We Must Do to Stop It"
by Francine R. Kaufman, M.D.

[onlooker]

$this->bbcode_second_pass_quote('pstarr', '')$this->bbcode_second_pass_quote('onlooker', 'S')ee the book "Diabesity: The Obesity-Diabetes Epidemic That Threatens America--And What We Must Do to Stop It"
by Francine R. Kaufman, M.D.

[longpig]

$this->bbcode_second_pass_quote('pstarr', 'W')hatever misinformation scares the sheeple into shopping and hating each other is just fine. It's how our system here in America works. The immediate problem with simple starches is that it becomes simple sugar immediately
$this->bbcode_second_pass_quote('', 'S')aliva contains the enzyme amylase, also called ptyalin, which is capable of breaking down starch into simpler sugars such as maltose and dextrin that can be further broken down in the small intestine. About 30% starch digestion takes place in the mouth cavity.

[Pops]

Americans eat 500 calories a day more than 50 years ago.

Just that simple.

500 cal is what you burn in an hour's worth of chopping wood or jogging. In that same 50 years many fewer people do physical work for a living, instead sitting on their butt commuting and tapping 10 hours a day and a few imagining they make up for it with 20 minutes at the gym a couple times a week.

IMO, people don't need any particular diet, they just need to eat less. It's portion control and reading the label; you'll be amazed. All the fads, books, studies, youtubes, conspiracies, evil-doers, etc are just excuses for not pushing away from the table. Sure, over-processed, over-rich foods with lots of sat fats are not good but 3k cals of kale a day are not much better. (whoa, that's actually scary, lol)

http://www.pewresearch.org/fact-tank/20 ... e-decades/

[Tanada]

$this->bbcode_second_pass_quote('longpig', '[')b]Make no mistake, all cells need glucose to function, the best way to nourish the body is to eat plant based starch foods. Eating rice, corn, oats, bread and other cereals is the diet most healthy even for the Type 2, infact if they eat this way their diabetes will disappear in a few weeks.

I base my views from the work of Nathan Pritikin, he advocates a low fat diet low in cholesterol with the diet being primarily plant based.

[onlooker]

Yea, thanks Tanada very informative post

[Pops]

The liver can produce all the glucose your body needs from protein and some fat.
Pretty odd to say that T2s who don't handle glucose well should eat only things that convert quickly to glucose.

google gluconeogenesis

The liver's default setting is to "make" as much glucose as possible. Insulin is the signal to stop. The pancreas is the "meter" which monitors blood glucose and excretes either insulin when level is high or glucagon when level is low.

So I can eat zero carbs and my blood sugar will rise indefinitely and I'll soon die because of the uncontrolled breakdown of proteins. If it wasn't for this a T1 could eat low carbs and be fine.

Believe what you want but don't listen to some guy on the internet or selling a book.

[Subjectivist]

$this->bbcode_second_pass_quote('Pops', 'T')he liver can produce all the glucose your body needs from protein and some fat.
Pretty odd to say that T2s who don't handle glucose well should eat only things that convert quickly to glucose.

google gluconeogenesis

The liver's default setting is to "make" as much glucose as possible. Insulin is the signal to stop. The pancreas is the "meter" which monitors blood glucose and excretes either insulin when level is high or glucagon when level is low.

So I can eat zero carbs and my blood sugar will rise indefinitely and I'll soon die because of the uncontrolled breakdown of proteins. If it wasn't for this a T1 could eat low carbs and be fine.

Believe what you want but don't listen to some guy on the internet or selling a book.

[Pops]

I think it is mainly for T2 because it also increases insulin sensitivity? Some T1s have low sensitivity in addition to no production of insulin, which would be tough, maybe they take it? Dunno.

The main think for T1s, me anyway, is to be able to adjust dosage for different levels of activity and a pill wouldn't give that leeway. If say I'm going fishing or working hard outside I'll take maybe 21-2 units of long acting insulin (time release basically) for 24hours, if just average/moderate day maybe 24-5, if I'm maybe in bed with a cold I'll take more, maybe 27-28.

That's in addition to a rapid acting dose for meals or to adjust for miscalculations (or cupcakes) a couple times a day.

[dissident]

These Diabetes and Heart Disease Associations are engaging in criminal misinformation. They peddle the food pyramid diet plan (not based on any research but created by industry lobbyists) and claim that this is healthy. That is provably false and these diets have been shown to lead to both Type II diabetes and heart disease. These Associations are serving somebody's purpose, but not from the victims of these diseases. Shows how easy it is to corrupt all the "authority sources" for information, like CNN.

For pre-diabetics and diabetics control of glucose is essential. Breaking up the three standard meals into many small portions and significant exercise after each is one solution. If you are retired and have nothing to do. For people without the time (i.e. jobs) diet adjustments are necessary. Modern glucose intake from starches and all other sources are well above levels which were the norm over 99.99% of the history of humans. In the early 1900s Americans consumed about 12 pounds of sugar per year. By around the year 2000 the average was 120 pounds per year. Take a look at how much sugar is in a can of Coke. This is insane.

The poster above insinuates that all starches are the same. That is BS. There is a whole spectrum of glycemic indices for various starches. Palm hearts will have loads of fiber. Potatoes will have much less. Dialing down bread, potato and fruit consumption is the best thing for a diabetic. What one finds by reducing the glucose load is that even if more fats and proteins are consumed, the overall calorie count goes down. Too much carb consumption makes a lot of people always want more food. There is a chemical reason: carbs do not satiate but fats and proteins do.

Low carbing is routinely libeled by assorted insects as being a fat and protein substitution plan. That is BS. Low carbing is also about more physical activity since years of regular diet damage have to be reversed.

[Newfie]

More at the link.....

https://www.theguardian.com/commentisfr ... ght-people

$this->bbcode_second_pass_quote('', 'Y')es, we ate more in 1976, but differently. Today, we buy half as much fresh milk per person, but five times more yoghurt, three times more ice cream and – wait for it – 39 times as many dairy desserts. We buy half as many eggs as in 1976, but a third more breakfast cereals and twice the cereal snacks; half the total potatoes, but three times the crisps. While our direct purchases of sugar have sharply declined, the sugar we consume in drinks and confectionery is likely to have rocketed (there are purchase numbers only from 1992, at which point they were rising rapidly. Perhaps, as we consumed just 9kcal a day in the form of drinks in 1976, no one thought the numbers were worth collecting.) In other words, the opportunities to load our food with sugar have boomed. As some experts have long proposed, this seems to be the issue.

[Newfie]

Not about diabetes but may be of interest to those who care about nutrition.

http://www.cruisersforum.com/forums/att ... 1534784549

[Pops]

I tested high on my A1ca few weeks ago and have been low-carbing as we've been talking. I like my A1c to be around 5-5.5 and it was 6.5 (ADA target is 7 but studies show bad things happen over 5). I usually limit carbs to 50-75 or so simply because it is difficult to calculate dose for different food, different combinations, different activity, blah, blah. Being a little too low on the dose makes your BG a little high, but dosing a little too much results in low BG which can be anything from uncomfortable and inconvenient to really serious. If you eliminate carbs entirely you eliminate that whole dilemma and merely settle on a correct bolus of long acting insulin to manage liver gluconeogenesis.

It's now the sorta popular Keto Diet, the idea is to force the body into starvation mode where it burns more fat to make up for the lack of dietary carbs. It is slightly dangerous for T1s since uncontrolled ketosis from lack of insulin causes ketoacidosis which is what kills ya, but as long as you don't skip a shot yer good. (don't listen to me, ask your doctor)

There was a period of several years where I low-carbed more or less continuously, 20g or less carbs daily. At that level I don't think you're really in ketosis and the grey matter still runs mostly on glucose. Biggest problem is trying to avoid sat fats and not breaking the budge on "good" fats like olive oil, avocados, oily fish like salmon. And too, my poor wife has a hard time trying to come up with something to cook without carbs.

Diet blogs recommend fasting to kick off ketosis and especially to get yer brain past the foggy stage. Fasting is hard on a T1 simply because again, insulin dosing isn't automatic. My "time release" insulin dose — which isn't supposed to be dependent on carb intake dropped by about a third.

I'm eating as near 0 carbs as I can get aside from the occasional snort of milk if I'm low. I haven't had any short term insulin in a couple of weeks. As far as outward effects the first few days have some brain fog, just not feeling on top of things, I'm past that mostly but still feel a lack. Physically not much discernible effect although I don't do any weight training or serious work.

For me it is more a mental exercise. Not punishment necessarily, more training to be cognizant of what I eat. A low carb ice cream bar with 15 carbs here and there won't kill me in the day-to-day. But when you throw on a few potato chips that won't kill me, a bit of pasta that won't kill me, a bite of banana bread that won't kill me... eventually you get to a point where you BG is way too high, which might not kill me but will sure make me blind and get my legs cut off.

Yeow!