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.
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.
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.
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
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.
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.
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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