Replies to This Discussion

Permalink Reply by Jax on February 5, 2011 at 10:33am

In response to your question: in between for me for now! Thanks for the post! Its nice to see research results rather than an individual's opinion :)

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Permalink Reply by still_young_at_heart on February 5, 2011 at 3:17pm

John -

What do you mean by restricting carbs? 65g per day? 135? 185?

Maurie

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Permalink Reply by still_young_at_heart on February 5, 2011 at 5:16pm

I agree with you that T1s have to restrict carbs but I do fine at around 165g of net carbs per day. Of course, it also depends on what you mean by a normal A1c. Anything under 5.7 is considered normal under the current A1c screening rules, the Joslin labels anything below 6.1 as normal. If you mean something close to 5.0 then very low carb may be the only way to go.

Maurie

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Permalink Reply by Trev on February 6, 2011 at 3:32pm

To clarify what I am referring to is the Canadian Diabetes Associations current recommendation of no less then 40 % daily caloric intake of CHO. Actually to quote them
"Diets that provide >60% of total daily energy from low-glycemic-index and high-fibre carbohydrates improve glycemic and lipid control in adults with type 2 diabetes
2008 CDA Clinical Practice Guidelines."

I think for Type 1 D the diet is a huge challenge, since every bit of CHO we consume directly effects Blood Glucose.

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Permalink Reply by The Diabetic Welfare Queen on February 7, 2011 at 5:53pm

Well, as a Type 2 Diabetic, I would say they are completely off base. I mean, I would have to be a professional athlete and quit my job just to exercise in order to properly consume soooo many carbohydrates, and NOT spike. More carbohydrates (to the levels they suggest) significantly rollercoasters me, and increases my lipids dramatically.

I am closer to JohnG's numbers, instead, and I work just fine that way.

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Permalink Reply by srfitzger on February 12, 2011 at 12:31pm

My Dietitian when I was first diagnosed as a T1 said I should be eating 225 crabs a day, again if you bolus your insulin correctly this should not be a problem

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Permalink Reply by Trev on February 12, 2011 at 1:03pm

Shouldn't be, but Dietitians are trained to teach what they are taught, and most (not all) do not review the literature available on decreased CHO eating. At least when I breach the topic with a dietician they roll there eyes, and all communication ceases to occur. I agree with you totally on the 80:20 rule. PS: I had pizza and a beer for lunch!
From: Three 2 Treat
Cheers!

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Permalink Reply by kirla on February 5, 2011 at 11:55am

I was diagnosed Feb 2009 type 2 with fasting blood sugar of 366 and A1C of 14.1. I decided to go low carb after researching on the Internet. It only took about 6 weeks for my numbers to come down close to normal.

After 2 months I couldn’t stand the side effects of the meds and quit them. My blood pressure and cholesterol have remained with in normal ranges and blood sugar has stayed between 70 and 140 most of the time. My second A1C 4 months after the first was 5.9 and all A1C’s have remained below 6. My lowest was 5.2.

I figure going low carb has helped me a lot and figure to eat the way I eat for the rest of my life. I find I don’t even miss the high carb starchy foods. I like my diet and feel satisfied with what I’m eating.

Thanks for the blog post.
Kevin

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Permalink Reply by Jake on February 8, 2011 at 6:09am

I was the same way when I found out I had diabetes. I take insulin now but still refuse to eat bread, pasta, and rice.

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Permalink Reply by acidrock23 on February 5, 2011 at 12:05pm

Werewolf! Less carbs during the day and oo-rah @ night. I will oo-rah during the day too, particularly on the weekends. I am not sure if my results are satisfactory or not because I don't really keep track. I have definitely cut back on my carbs since I was bigger (bio on my page...). I still put away 150-175G of carbs/ day a lot of the time? I have some decent results in the Flatliners club, some of which involve some spikes but I think those are because I am also somewhat casual about carb counting and guesstimate wrong every once in a while? .

MrsAcidRock gets "Fitness" magazine that had a proposed diet for pre-race fueling (w/o specifying the race type...) that proposed 3 days of 500G of carbs...for a 140 lb woman. I definitely would be hard pressed to eat 500G of carbs though. I usually skip eating the night before races and have done fine in the ones I've run.

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Permalink Reply by Brian (bsc) on February 5, 2011 at 12:09pm

There is a huge debate on this issue. The American Diabetes Association (ADA)/American Dietetic Association (ADtA) has still taken the position that glycemic control is best achieved using a high carb diet. The recommended diet is 45-65% iof calores of carbs. This position in the face of what would seem like overwhelming evidence.

If you really want to dig into the debate, read the "evidence" analysis put together by the ADtA in developing the curr.... The basic assessment is that there is absolutely no evidence that carb levels have any impact on glycemic control and that in lieu of other evidence, diabetics should just eat the same diet recommended by the farm and corporate interests in the USDA guidelines.

I don't know about you, but I would say we have a huge difference in opinion.

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Permalink Reply by Frances on February 5, 2011 at 1:46pm

I don't care where the debate is heading. For me, the answer is 30 percent calories or fewer from carbs. This helps me to maintain optimum weight and good BG control without ever being hungry.

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