Author Topic: Greetings from TN!  (Read 479 times)

Offline JeffTN

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Greetings from TN!
« on: December 26, 2011, 07:41:11 PM »
New member here, hailing from the foothills of East Tennessee.  I had an unexpected bit of  news last week. I was diagnosed with type II diabetes. I was hospitalized for an unrelated infection and got that wonderful bit of news when they processed my blood work.  My HbA1c was 7.4, representing an average blood glucose of 166. 

My doctor was quite quick to write a prescription for Metformin (500mg, once a day). I really REALLY don't want to be on medication my entire life, so I have taken it upon myself to try to self-correct this situation. I told my Dr I wanted to try to get a grip on the situation with diet. He *insisted* that I take the Metformin and said I would have to be "superman" to maintain a diet strict enough to keep everything under control. Really?

My BMI is currently 29.4, losing 50lb would put me in the middle of my "ideal weight" range. 

The diet suggested by the nutritionist at the hospital includes 60-75g of carbs per meal. Needless to say, I was unimpressed with the ADA diet.. I mean, people do Atkins and related diets and survive fine, so why do they want to put someone who has a carb metabolic "problem" (diabetes) on 180g carbs per day?

I'm thinking about jumping in and trying the Paleo way. It just makes more sense to me than this ADA diet handbook.

Any Type 2 diabetics here on the forum that could share some wisdom? I'm of the opinion that Type 2 diabetes can ultimately be "cured" through extended proper diet and exercise.

In any case, I look forward to chatting with you all and learning from your experiences.

Offline Jean

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Re: Greetings from TN!
« Reply #1 on: December 27, 2011, 12:57:27 AM »
Paleo will minimise any need for medication. If you get on top of your diet now you may still be able to reverse the diabetes. And following paleo does not require any superman status. It is easy and satisfying to follow. You should get your blood sugar tested regularly during the transition to see how you're going and whether there is still any need for meds. It's quite likely that within a few weeks your blood sugar will be normal, but you need the testing to be sure. I was prediabetic when I started paleo in March, and my blood sugar stabilised within a couple of weeks. My insulin sensitivity is now good enough that I can have the odd blow-out, eg at Christmas.

I'd recommend reading this book:  http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=sr_1_1?ie=UTF8&qid=1324975440&sr=8-1  The author advocates very tight control of blood sugar, and he says the expectations of the ADA are a cop-out guaranteed to leave you with complications. Yes, 60g carb per meal is daft! Dr Bernstein keeps it to more like 12g per meal. His approach is compatible with paleo, just don't use anything artificial like sweeteners. He goes into all the medication issues too.

Offline JeffTN

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Re: Greetings from TN!
« Reply #2 on: December 27, 2011, 12:49:48 PM »
Paleo will minimise any need for medication. If you get on top of your diet now you may still be able to reverse the diabetes. And following paleo does not require any superman status.

I'd recommend reading this book:  http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=sr_1_1?ie=UTF8&qid=1324975440&sr=8-1  The author advocates very tight control of blood sugar, and he says the expectations of the ADA are a cop-out guaranteed to leave you with complications. Yes, 60g carb per meal is daft! Dr Bernstein keeps it to more like 12g per meal. His approach is compatible with paleo, just don't use anything artificial like sweeteners. He goes into all the medication issues too.

I'm hoping that I can self-correct this situation and avoid using medications. I was honestly quite ticked off at my doctor for the "superman" comment. It was his way of saying "just take the pills, I know you're not going to eat right." 

They placed me on the ADA 2000 cal diet while I was in the hospital. Breakfast was pancakes with some sort of low cal maple syrup.  Every meal included lots of bread.  The more I read, the less sense it made to me.  I just picked up the Kindle edition of Dr. Bernstein's book. I'll give it a read.

So far, it looks like eating Paleo is going to be expensive, but.. I gotta give it a go.

Offline Jean

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Re: Greetings from TN!
« Reply #3 on: December 27, 2011, 04:25:02 PM »
Your doctor's reaction is typical. I guess they spend so much time telling people to make lifestyle changes and it not working that they get cynical, but really they could make more effort to be encouraging when it's the patient saying they want to make lifestyle changes!

The ADA diet is based on the assumption that a major concern for diabetics is losing weight, and the only way to lose weight is to eat a calorie-controlled low-fat diet. Hence the inclusion of all those stupid carbs. I don't know how long it will take them to catch up with the science, not until they've all died and been replaced with fresh blood probably.

We have found eating paleo our food bills nearly doubled. However we have no regrets at all. We believe paleo has saved me from diabetes and DH from heart disease, as well as fixing some medical issues for our kids, and it's good value when you think of it like that. Diabetes alone would be a lot more expensive than eating right.

Good luck!

Offline Wmiii

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Re: Greetings from TN!
« Reply #4 on: December 28, 2011, 05:04:15 AM »
JeffTN,
Welcome.  It's good to finally see another Tennessean on here and one from the hills of East Tennessee.  After this past season in football and the way our UT basketball team has done so far, things a very quiet around here.
Good luck with your change of lifestyle.  It has certainly helped me over the past 9 months or so.  I've lost over 35 lbs and medically, I'm better than I have been in many years.  Fortunately, I did not have major issues, just the beginnings of some that needed to be addressed.

Keep us posted with your progress.  I guess just one more transgression ... That's the Black-eyed peas on New Years day for good luck.  Yeah, I know it's not Paleo, but...

Wm

Offline JeffTN

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Re: Greetings from TN!
« Reply #5 on: December 28, 2011, 05:10:07 PM »
JeffTN,
Welcome.  It's good to finally see another Tennessean on here and one from the hills of East Tennessee.  After this past season in football and the way our UT basketball team has done so far, things a very quiet around here.
Good luck with your change of lifestyle.  It has certainly helped me over the past 9 months or so.  I've lost over 35 lbs and medically, I'm better than I have been in many years.  Fortunately, I did not have major issues, just the beginnings of some that needed to be addressed.

Keep us posted with your progress.  I guess just one more transgression ... That's the Black-eyed peas on New Years day for good luck.  Yeah, I know it's not Paleo, but...

Wm

Howdy! Yeah, I know what you mean about UT football/basketball. There have been better times.. I don't know about those black-eyed peas. Maybe just for the luck factor! 

So I've been eating as Paleo as I can for the past few days (I'm limited somewhat because I'm stuck with what groceries I have on-hand.)  What I'm finding is that I am not eating much...  When I add up my caloric intake, I'm only getting 700-800 calories/day. Yikes!  I eat when I'm hungry, but this seems frighteningly low. Maybe my appetite will increase as I recover from my surgery and get more active/back to work.

On the upside, I got my blood glucose meter in the mail today.  It was too late in the day to test my fasting BG, but I tested about an hour after lunch and about 2 hours after dinner.  I was running 73 and 77 in those two cases. I would have expected higher considering the meal, but perhaps the low calories and very few carbs is keeping it running on the "low side" of normal (70-125 is acceptable I'm told).

Offline Jean

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Re: Greetings from TN!
« Reply #6 on: December 28, 2011, 05:48:05 PM »
It can be normal to eat low calories when you're losing weight. When you cut the sugar and grains, insulin production drops and your fat cells start releasing fat. Your body then has plenty of fuel and you don't get hungry. I wouldn't worry about whether it's enough unless you feel hungry and/or tired. As your excess fat gets used up you'll start to feel hungrier and want to eat more. Just focus on eating the right foods and monitor how you feel. It might be helpful to keep a record of your waist measurement. You'll probably find it shrinking quite rapidly over the first couple of months.

Offline Warren Dew

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Re: Greetings from TN!
« Reply #7 on: December 29, 2011, 10:13:06 PM »
Welcome.  I see from your other post that a paleo diet has pretty much licked your diabetes.  Congratulations - keep it up!

I was honestly quite ticked off at my doctor for the "superman" comment.

You can go back to your doctor and tell him you're a superman now!
« Last Edit: December 29, 2011, 10:14:48 PM by Warren Dew »

Offline Jean

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Re: Greetings from TN!
« Reply #8 on: December 29, 2011, 11:13:14 PM »
You can go back to your doctor and tell him you're a superman now!

 ;D

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Re: Greetings from TN!
« Reply #8 on: December 29, 2011, 11:13:14 PM »