I will try to be short. My doctor told me when diagnosed 3years ago that unavoidably, even if I succeed to control the diabetes, I will end up on drugs and possibly insulin. My A1C was 12% at the time. I refused Meformin or any other meds. Started immediately a zero carb diet.(that is really a misnomer - still getting my carbs from veggies and some fruits and nuts). Successfully holding my A1C at 5.6 - 5.8.
OK, this is my news. Had problems with fasting readings. I am a very early riser (4.30-5.00am). At that time my fasting will ALWAYS be between 95 -105. Regardless of time going to bed, if I succeed to sleep till 6am or longer, my fasting is ALWAYS in the low 80's, often high 70's. I tested this now for many month and it is always so.
Next, I decided to try - and it works, not to eat, only liquids after 5pm. That gives me a full 12-14 hours for a great fasting reading!
KEEP FITING - you can do it, I am doing it.
This is true, but a T1 will still spike ... Or at least I do ... If I eat something like chips and salsa even with a bolus I will spike to a level that many T2s would consider too high.
So it's sort of the same problem, either inefficient pancreas or inefficient synthetic insulin ... Except T1s also have the challenges of lows and highs caused by things out of their control or minute changes in food/activity/stress/hormone levels.
One issue is that there are several distinct varieties of "T2", but the doctors refuse to recognize this or help us isolate which type we have. Some respond to low-carb, some to calorie-restriction (some to low-carb WITH calorie restriction), some require low sodium, and some don't respond to diet at all... Similarly, we each respond differently to each general class of oral diabetes medication.
Your doctor is repeating what he learned in medical school - and his continuing education is funded by pharmaceutical companies. Additionally, the clinical studies he uses to advise patients were also funded by pharmaceutical companies.
At my diabetes classes, the CDE told us "Everyone in this room has heart disease." I asked how she knew that & she replied, "When diabetics are diagnosed, they've usually had it for several years." She also said, Every diabetic will be on insulin if they live long enough." Guess who develops the curriculum & funds CDE's education? Novo Nordisk, Merck, etc.
Fruits & veggies are the best ways to get carbs.
Shortly after I was diagnosed with T2 diabetes, I quickly discovered that most of the information about diet that is dispensed by CDE's, nutritionists and dietitians, is wrong - starting with the fact that they almost always counsel consuming many more carbs than diabetics should if they want to keep their blood sugars under control.
As far as I'm concerned, any CDE who makes a gratuitous statement like, "Everyone in this room has heart disease. When diabetics are diagnosed, they've usually had it for several years," is not only a bit ignorant, but also veering pretty close to giving a medical opinion without a medical licence.
They would do their clients a real service if they would instead advocate low-carb or lower-carb diets, exercise, medication if their doctor prescribes it, and watching what kinds of carbs are consumed. One dietitian tried to tell me that 'a carb is a carb is a carb'. From the standpoint of normoglycemic people, that's true. But certain kinds of carbs are deadly for diabetics, and some, like the ones contained in fruits and veggies, are beneficial.
Fruits tend to be too high sugar for many of us. I'd say the best way to get carbs is non-starchy veges, full fat unsweetened dairy, nuts... Works great for me.
I love the law of small numbers (even if I fall off the wagon from time to time).... and it keeps everything stable (with endogenous or exogenous insulin)
I'm 55 and was diagnosed as a T2 diabetic ten years ago. I'm ashamed to say that I have had terrible numbers for much of that time due to an eating disorder and ignorant/unhelpful doctors. I've had more than one A1C in the double digits -- and more than one under six -- over the years. I've lost and regained a lot of weight several times.
I just had a battery of tests done on my heart a few months ago, including a treadmill test, a myo-scan, an echocardiogram, ultrasound, chest x-ray, etc. and every, single test came back perfectly normal. The cardiologist said that there is absolutely nothing wrong with my heart.
Every diabetic is different. I was a vegetarian and a vegan for many years and had a total cholesterol below 150 for much of that time. I've never had high cholesterol at any time. Every diabetic body is different.
Congratulations on finding what's working well for you. Hard work & dedication, for sure, and worth it.
I'm T1 & have been following Dr. Bernstein's recommendations for over 3.5 years. Shudder to think where I'd be now without this guidance. My goal is not to take large doses to attempt to cover high carb food. The eat-whatever-cover-with-insulin approach is not the route to control from my experience.
Difficult to find progressive dietary advice. A friend is a CDE. One of her CDE/RN colleagues was threatened with having her credentials revoked because she wrote an article that butter was healthier than margarine. That's how closely people are monitored to toe the party line. Any wonder that we hear the same thing everywhere from everyone?
That's a very upsetting story, Gerri. How can people who are supposed to be scientists be so...ignorant. The low-fat people are like a cult. Sigh.
So very upsetting. I imagine similar situations occur regularly, but we'd never hear about them. People like this practitioner are also vilified as a cautionary tale to keep others in-line. Power & control. Amazing we make any progress.
Sadly, this stuff continues. The latest is this fellow diabetic who found much better control with a low carb paleo diet. He has been attacked by the "North Carolina Board of Dietetics and Nutritionists" for giving out dietary advice without a license. The American Dietetic Association (ADtA) and the rest of the mafia has been very aggressive in trying to consolidate power, lobbying states for new laws that bar others from providing nutition information. The claim is that it is "protecting" us from dangerous advice. If this stuff keeps up, TuDiabetes is in danger.
We certainly need to be protected from these dangerous ideas:)
No doubt this travesty is going on constantly everywhere. The ADtA was the organization threatening with revoking the credentials of the CDE/RN I mentioned.
Congratulations, great story and you have great preservence.
One note on Dr B. I used to have a subscription to his audio service and listened to him for quite awhile. Your A-1C of 5.6-5.8 would be too high for Dr B and he would use meds to get it down. Dr B wants a A1-C for everyone around 4.8, Type 1 or Type 2. If your A1-C's remain in the mid to high 5's your meter could be reading low too.
Meds would likely get that down, but with what your doing it probably would not take much. Understand too though Dr B has alot of zeal for this A1-c of a normal 20-year old and how achievable that is is another thing for many of us.
Research Dr B's recommendations for A1-C and Blood Sugar 101 web site on normal blood sugars for more information.
Thanks for sharing your story.