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The Elephant in the Diabetic's Room

The Elephant in the Diabetic's Room

Rejecting official advice

by Eleanor Patrick (Mon Mar 15, 2010)
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This Easter, for the first time, I will not be eating chocolate eggs and Simnel cake, just as last Christmas I didn't eat Christmas cake and roast spuds. In between, I have eaten so few carbs you could fit them in a nutshell.

The reason? I was diagnosed as a Type 2 diabetic. What angered me was that the nurse told me to stoke up on starchy carbs every day. Excuse me? Science is supposed to be scientific.

If our bodies can't cope with carbs, why eat them? With a world explosion in Type 2 diabetes, the obvious should be stated loud and clear: excessive carb intake causes insulin problems, high blood sugar and dire complications down the line. Talk about ignoring the elephant in the room.

The people dishing out this flawed advice are studiously ignoring the dangerous pasta dish on the table, and tripping over the pizza under the carpet. Hundreds of us are now finding that to control blood sugar in the absence of a decent insulin supply, or in the face of insulin resistance, you have to NOT toe the official 'eat plenty of carbs' line. It doesn't work.

So why won't anyone admit it and change the advice? Why not say, 'Look, your body doesn't need carbs, so give it a break and eat something else.' This would avoid the 100 leg, foot and toe amputations each week in the UK. No wonder people despair of trying to control their diabetes. I'd feel that way too, if I hadn't discovered that the carb lifestyle kills off your pancreas faster than you can eat a Mars Bar.

I love baked beans and bread rolls, truly I do, but not nearly as much as I love my toes and eyesight. It's a no-brainer. When are we going to be told the truth?

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Posted Wed Mar 17, 2010 at 12:00 pm Reply Delete
Wonderful Eleanor, so good to hear someone else who uses common sense & has a mind capable of independent thought & isn't afraid to question the outdated & peculiar ideas of so many people employed by the NHS. I was very poorly when I was diagnosed with type 2 diabetes & If I'd eaten according to the FSA/NHS guidelines I was then given I'd probably have been dead by now. I was advised to eat even more carbohydrate than I'd done previously on my 'normal' pretty healthy well balanced diet. -Pretty healthy for a non-diabetic that was, unfortunately I'd been diabetic for long enough to cause serious problems. As soon as I was diagnosed I realised the carbohydrate/glucose=poison connection. I'm diabetic because of that unholy alliance & I'd much rather go for damage limitation than suicide.Report Abuse
Posted Wed Mar 17, 2010 at 11:39 am Reply Delete
I am with Eleanor totally here. I did see a dietician when diagnosed and followed their recomended diet. No improvement. I already used complex carbs and understand the theory-slow release, but I still was going too high for my chosen limit. Nine months later saw an Endo who put me on meds and as I left he clearly said "NO CARBS". Thought he was nuts but researched and began low carbing, lost weight, blood glucose improved dramatically, BP, cholesterol. Discontinued all meds after 5 months for BP, reflux, cholesterol and diabetes. While ever I stick to carbs from green vegetables, seeds, nuts, cheese and eggs and eat protein form all sources I have the blood glucose of a non-diabetic. About 30 grams of carbs per day- total. One slice of wholegrain seedy bread will send up my BG out of my range. Twice now my GP says that I have no symptoms of diabetes and she would class me as "impaired" now. Carbs are not needed for energy as my body burns fat for energy and that is ketogenic process, NOT ketoacidosis. Heaps of energy on this diet and my husband has seen the benefits and commenced the same 8 months ago intending to prevent his pre-diabetic figures from progressing. I have had to become the expert in my own diabetes. Used to love carbs but love my feet much, much more. Besides who ever saw a firefighter with one leg? I would have to give that role up!Report Abuse
Posted Wed Mar 17, 2010 at 8:17 am Reply Delete
Eleanor...you might want to check out my Diabetes Informational blog. You will learn a great deal from it. Its designed for all types of diabetics. There is a section about carbs defining the difference between them. Going to a registered dietician is a great suggestion...this way you will know how many carbs your body will need for daily function. Learning about simple and complex carbs is completely necessary. Taking a diabetes class would also help. The more you learn the more you will find out that this is not a curse but a lifestyle change!! http://giddysdiabeticgangshangoutblog.blogspot.com/Report Abuse
Posted Mon Mar 15, 2010 at 8:26 pm Reply Delete
As a Type 1 Diabetic, my suggestion would be to contact a nutritionist and find a new doctor. I suggest an Endocrinologist who specializes in diseases such as Diabetes. Carbs are not the enemy. Carbs are needed for energy, to ensure the brain functions properly, to feel full and they make people happy. Really. People need carbs in order to survive, even Diabetics. The amount of carbs in ones daily diet would be the key information a nutritionist & specialist could help you work out. Good luck!Report Abuse
2 replies, Last reply by Giddy on Wed Mar 17, 2010 at 8:01 am
Posted Mon Mar 15, 2010 at 10:49 pm Reply Delete
@kellysblogs: Thanks, I don't really agree about the need for many carbs but appreciate the concern and good wishes. And also that it's a bit different for Type 1s. The diabetic nurses in many surgeries agree with us low-carbers for Type 2, in fact, but have to give out the official line. Likewise the endos. So I guess I'll just get on with life - it's working a treat, and I was only really railing against the order to eat "plenty of carbs" when insulin is the problem!Report Abuse
Posted Wed Mar 17, 2010 at 8:01 am Reply Delete
@kellysblogs: I am a type 1 diabetic also. Absolutely I agree Kelly. Carbs are a much needed ingredient in the daily function of everyone not only Diabetics. Its also distinguishing between simple and complex carbs. Important thing to do is read labels!! See a registered dietician and find out how many carbs are safe for your body. Go into being a diabetic informed!! You would be surprised just what you can eat but remember the rule of thumb with diabetic...."everything in moderation". I still eat that bread roll but I chose ones that a multi grained and I substitute it for another carb. Good luck with your diabetes but remember a good diabetic is an informed diabetic!!Report Abuse
Mel
Posted Mon Mar 15, 2010 at 9:08 pm Reply Delete
What they also don't push enough is the key role that regular exercise plays in maintaining control. Perhaps more so with Type 1 (I only have knowledge of that), but I imagine the same for type 2? Diabetics who make good control their priority will also tell you that they know their body better than a nutritionist/expert and through trial and error know what to eat and when. good for you for raising Diabetes, it's a tedious, upsetting disease to live with. Stay feisty!Report Abuse
1 reply, Last reply by Eleanor Patrick on Mon Mar 15, 2010 at 10:44 pm
Posted Mon Mar 15, 2010 at 10:44 pm Reply Delete
@Mel: I agree. I tested for a few weeks before and after each meal and worked out which foods would or would not spike my blood sugar and now keep normal levels all the time. I also have more energy than ever, and never feel hungry ie always full and am alert and okay on lower carbs. As you say, we have to get to know our own bodies and act accordingly. And taking exercise is definitely good - only I'm one of the 20% Type 2s who wasn't overweight at all, so I don't do much on top of normal activity!Report Abuse
Posted Mon Mar 15, 2010 at 1:57 pm Reply Delete
Thanks all for your comments! I suspected it might be controversial, but this was only referring to "type 2 diet only" and the still-current official NHS advice to make our diet one third carbs per day. I guess I take 100 or less at present. But many people continue to eat as before (because that's the recommended diet) and it's this "excess of carbs" that causes the damage, because ultimately the pancreas exhausts itself. Most of us can manage on a few carbs (some on very few as the body can utilise fat just fine in the absence of carbs). Not intended to refer to Type 1s or those on insulin - although fewer carbs does enable less medication even in those cases, and postpones what the NHS terms the "inevitable" escalation of the disease. Interesting to read your responses though!Report Abuse
Posted Mon Mar 15, 2010 at 1:33 pm Reply Delete
I think your diet for Type 2 is extreme and would say that I can manage quite easily with eating complex carbs in a controlled way. No normal portions, (whatever that is ) anymore but about 150 carbs per day. Doesn't do me any harm. Your advice could be as flawed as the NHS for all Type 2's.Report Abuse
Posted Mon Mar 15, 2010 at 1:18 pm Reply Delete
It sounds to me like you need to meet with a registered dietician to understand the difference between a simple and a complex carb. and how our bodies do need carbs, even diabetics, you just have to test your blood sugar carefully and then find that balance btw. complex carb/blood sugar level and if your taking insulin, then the amt. that you will need. My brother has been a type 1 diabetic since the age of 9, he never cut out carbs, just managed his diabetes carefully. I wish you the best of luck in managing what sounds like a very terrible situation for you.Report Abuse
Posted Mon Mar 15, 2010 at 1:17 pm Reply Delete
As I understand it - this is the advice that the medical profession used to hand out years ago - but I thought they had updated it. The body turns carbs to sugar - easy for anyone to see that this makes the problem worse. I used to suffer from hypo-glycaemia, low blood sugar. Years ago I was told to eat a sticky bun when it happened. BAD advice. My more recent research has explained that thia causes high blood sugar, so the pancreas pumps out loads of insulin. This then continues to process too much blood sugar, so it gets low, so I eat a sticky bun... you see what happens. Then after 20 years of that the pancreas gives up and we have given ourselves full on Diabetes. I found that the Atkins diet - which is basically a low -carb diet - has stabilised my blood sugar. Yoo hoo - medical profession! catch up please!Report Abuse
Posted Mon Mar 15, 2010 at 9:52 am Reply Delete
That advice does seem totally counter-intuitive. What a sacrifice having to give up carbs - but yes, I think in your situation I would rather do that than have my toes amputated.Report Abuse

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