General fitness, health and nutrition · Public discussion

The diabetic diet debate

Brad Sheppard · 2004-01-13T01:49:41+00:00

I'm getting mixed and confusing messages: 1) don't eat too many carbs - it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found this site that gives the "official" ADA word: http://care.diabetesjournals.org/cgi/content/full/25/suppl_1/s50 "Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications" You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too many calories.

Started by Brad Sheppard · 13 January 2004 · Last activity 13 January 2004 · 16 posts · 1,370 views

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Original section: General fitness, health and nutrition
Published: 13 January 2004
Last activity: 13 January 2004
Original author: Brad Sheppard
Posts: 16
Discussion status: Public discussion
Total views: 1,370
Views / 30 days: 0
Topics: Nutrition

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Original post
Brad Sheppard
Archived post

13 January 2004, 01:49 UTC #1

I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found this
site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
T2_lurking
Archived post

13 January 2004, 01:53 UTC #2

This is the short, incomplete and concise answer. carbs = glucose = higher BG's. There is a lot of
info about your question and a lot of differing points of view. As a diabetic (are you T1 ot T2?)
you need to lower your BG's into a "normal" range, maintain that range, and then focus on preventing
the many complications that arise from diabetes. Check out mendosa.com, and if you are T2 buy the
Gretchen Becker book "The First Year Type 2 Diabetes: An Essential Guide for the Newly Diagnosed".
One more thing, Your Mileage May Vary (YMMV) is a large part of the diabetic lifestyle, whatever
gets those BG's down. As always IMHO
--
t2_lurking geabbottATabbottandabbottDOTcom Do not mail to t2_lurking (auto-delete)
===============================
The mature man lives quietly, does good privately, assumes personal responsibility for his actions,
treats others with friendliness and courtesy, finds mischief boring and keeps out of it. Without
this hidden conspiracy of good will, society would not endure an hour. --- Kenneth Rexroth ---
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found this
site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
Shadow Spirit
Archived post

13 January 2004, 01:53 UTC #3

Brad:
yes it does get very confusing - i remember how i felt when i first came to these diabetes news
groups - "you should eat this. dont eat that, your doctor is wrong, i hope the ADA pays for your
funeral" i dont know i guess its why i feel safest going to a dietitian who has interviewed me and
will work with me to get a diet i can stick to. who is right and who is wrong in this debate. well
with the knowledge both groups of scienctists have in their fields. i would feel pretty silly
telling them they are wrong. however as long as i can keep my blood sugar within normal ranges on
the diet i have chosen i can not find one warning. i can not say the same for high fat and or hi
protien diets.but like i said who is wrong. i just dont feel safe just because someone tells me "it
cant be PROVEN to be harmful. but who knows hey maybe one day they will say smoking is healthy lol i
know a bit extreme but you know what im saying. why do some docotors tell one patient one thing
while telling another patient another? well what if i told my doctor or after years of working with
me he knew that if i was to stop smoking my blood sugar levels would shoot so high they would be
worse than smoking - he just might tell me not to stop. and his next patient he would epress the
importance of not smoking. all the about jmho. Shadow
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found this
site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
loralspam
Archived post

13 January 2004, 01:53 UTC #4

On 26 Sep 2003 08:24:30 -0700, [email hidden] (Brad
Sheppard) said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found this
site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too many
calories.
Brad.
I haven't seen any advice here which has the complete answer. The problem is that I have seen better
advice here than anywhere else.
It's your body. I'm not a medic, but I accept from all the literature that we need carbohydrates for
all sorts of reasons - brain food, fibre, energy, etc.
However, for a diabetic the need to control your blood glucose levels is more pressing. The trick is
to manage that as your first priority while attempting to ingest enough carbohydrates to meet your
other health needs.
That's why I am a bit evangelistic about Jennifer's advice to "test,test,test" because it allows
each individual to find what carbs they can safely eat and when they can eat them. So for me I found
that I can't eat any at breakfast, but between 3 pm and 8 pm I can almost eat what I like (in
moderation). That can change rapidly and has changed since diagnosis - the "free" period used to be
later in the evening.
Consequently I have my fibre and carb for the day during that time. You may find you can do that
too, or you may have to eat very small amounts at each meal, or something in between. You will only
find that out by testing and monitoring - and doing everything IN MODERATION.
I don't advocate "lo-carb" or Atkins or any "name" diet because they all have a degree of
inflexibility. You must find what works for you, but don't give up carbs completely unless you also
want to subscribe to a bowel cancer newsgroup.
Carbs are, of course, only part of the equation. Fats, protein etc are another subject again.
Cheers Alan, T2, Oz

Report
Richard Bollar
Archived post

13 January 2004, 01:53 UTC #5

The important thing is to make sure that whatever path you take gives you the results you want. Set
your goals and review them regularly -- with yourself and also with your doctor & dietician.
--
T2 - HbA1c: 5.3% bollar.orgdiabetes.htm
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found this
site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
Bob Bensing
Archived post

13 January 2004, 01:53 UTC #6

This is a multi-part message in MIME format.
------=_NextPart_000_00C2_01C384DE.D14D5C20 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-
Encoding: quoted-printable
The body is a very complex system. It is more complex than systems most = engineers design.
Actually, no engineer has been able to duplicate a = system as complex as the body.
Within the body there are various systems. One of these systems is the = endocrine or hormone
system. Insulin is one of many hormones. All the = hormones are interrelated. Throw one out of
balance and the rest are = out of balance. Any treatment of the hormones must take all into =
account or you further imbalance the hormone system.
Your body needs protein, fat, carbs, and various minerals and vitamins. = That is why most people
are familiar with the term "balanced diet." The = trick is to determine what a balanced diet is. =20
Diabetics are concerned with insulin. Some diabetics don't produce = enough insulin. Other diabetics
can't properly utilize insulin. This = is why one balanced diet doesn't fit all. DM doesn't have a
cure today = because it is still a mystery to the medical and scientific community. =20
Yes, we all need carbs to survive. Do we need the USDA recommended 300g = of carbs daily? You won't
find a diabetic with good BG control eating = that many carbs. Eating zero carbs per day will cause
other hormonal = imbalances.
The definitive answer right now for control of DM is exercise and weight = management through proper
diet. Medication may be required for control = of DM.
Have I answered your questions? Probably not! The phrase used here is = "Your Mileage May Vary
(YMMV)" since a balanced diet will vary from = individual to individual. There are some outer
boundaries but there is = no way to tell what your individual body needs or can handle.
You mentioned the ADA. Most of us don't go by those guidelines. Here = are some recommendations for
diet sources that are used by people in = this NG.
Your doctor A dietician The Schwarzbein Principle The Atkins Diet Sugar Busters
Dr. Bernstein's Revised and Updated Diabetes Solution
The bottom line is that you must start somewhere and test, test, test to = see if the diet you are
using is right for you.
=20
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found this
site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
=20
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

------=_NextPart_000_00C2_01C384DE.D14D5C20 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-
Encoding: quoted-printable
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META http-equiv=3DContent-
Type content=3D"text/html; = charset=3Diso-8859-1"> <META content=3D"MSHTML 6.00.2800.1226"
name=3DGENERATOR> <STYLE></STYLE> </HEAD> <BODY>
<DIV>The body is a very complex = system. It is more=20 complex
than systems most engineers design. Actually, no engineer = has been=20 able to duplicate
a system as complex as the body.</DIV>
<> </DIV>
<>Within the body there are various = systems. =20 One of these
systems is the endocrine or hormone system. Insulin = is one of=20 many hormones.
All the hormones are interrelated. Throw one = out of=20 balance and the rest are out of
balance. Any treatment of the = hormones=20 must take all into account or you further
imbalance the hormone=20 system.</DIV>
<> </DIV>
<>Your body needs protein, fat, carbs, = and various=20 minerals and
vitamins. That is why most people are familiar with = the term=20 "balanced diet."
The trick is to determine what a balanced diet = is. =20 </DIV>
<> </DIV>
<>Diabetics are concerned with = insulin. Some=20 diabetics
don't produce enough insulin. Other diabetics can't = properly=20 utilize insulin.
This is why one balanced diet doesn't fit = all. DM=20 doesn't have a cure today because
it is still a mystery to the medical = and=20 scientific community. </DIV>
<> </DIV>
<>Yes, we all need carbs to = survive. Do we need=20 the USDA
recommended 300g of carbs daily? You won't find a = diabetic=20 with good BG control
eating that many carbs. Eating zero carbs per = day=20 will cause other hormonal
imbalances.</DIV>
<> </DIV>
<>The definitive answer right now for = control of DM=20 is exercise
and weight management through proper diet. Medication = may be=20 required for control of
DM.</DIV>
<> </DIV>
<>Have I answered your questions? = Probably=20 not! The
phrase used here is "Your Mileage May Vary (YMMV)" = since a=20 balanced diet
will vary from individual to individual. There = are some=20 outer boundaries but
there is no way to tell what your individual body = needs or=20 can handle.</DIV>
<> </DIV>
<>You mentioned the ADA. Most of us = don't go by=20 those
guidelines. Here are some recommendations for diet sources = that are=20 used by people
in this NG.</DIV>
<> </DIV>
<>Your doctor</DIV>
<>A dietician</DIV>
<>The Schwarzbein Principle</DIV>
<>The Atkins Diet</DIV>
<>Sugar Busters</DIV>
<>Dr. Bernstein's Revised and Updated = Diabetes=20
Solution</DIV>
<> </DIV>
<>The bottom line is that you must start = somewhere=20 and test,
test, test to see if the diet you are using is right for=20 you.</DIV>
<> </DIV>
<> </DIV>
<> </DIV>> I'm=20
getting mixed and confusing messages: 1) don't eat too many = carbs > -=20 it'll spike
your BG 2) you must eat carbs or you'll become = more >=20 insulin resistant.
I found this site that gives the = "official" =20 ADA > word: <A=20
href=3D"care.diabetesjournals.orgs50"=
Quoted message said:
<FONT=20

face=3DArial=20 size=3D2>care.diabetesjournals.orgs50=
</A> <FONT=20 face=3DArial size=3D2>> "Evidence-Based Nutrition Principles =
and=20 Recommendations for the > Treatment and Prevention of Diabetes and = Related=20
Complications" > > You can replace carbs with monosaturated = fats=20 (like olive oil)
- but > be careful not to eat too many=20 calories.</BODY></HTML>
------=_NextPart_000_00C2_01C384DE.D14D5C20--

Report
T2_lurking
Archived post

13 January 2004, 01:59 UTC #7

I should add this, getting the BG's down I think is paramount, everything else flows from this
point. If diabetes is your ONLY health problem. IMHO
--
t2_lurking geabbottATabbottandabbottDOTcom Do not mail to t2_lurking (auto-delete)
"t2_lurking" <[email hidden]> wrote in message -"]news:[email hidden]-
berlin.de...
Quoted message said:
This is the short, incomplete and concise answer. carbs = glucose = higher BG's. There is a lot of
info about your question and a lot of differing points

of
Quoted message said:
view. As a diabetic (are you T1 ot T2?) you need to lower your BG's into a "normal" range,
maintain that range, and then focus on preventing the many complications that arise from diabetes.
Check out mendosa.com, and if you are T2 buy the Gretchen Becker book "The First Year Type 2
Diabetes: An Essential Guide for the Newly Diagnosed". One more thing, Your Mileage May Vary
(YMMV) is a large part of the

diabetic
Quoted message said:
lifestyle, whatever gets those BG's down. As always IMHO
--
t2_lurking geabbottATabbottandabbottDOTcom Do not mail to t2_lurking (auto-delete)
===============================
The mature man lives quietly, does good privately, assumes personal responsibility for his
actions, treats others with friendliness and courtesy, finds mischief boring and keeps out of it.
Without this hidden conspiracy of good will, society would not endure an hour. --- Kenneth
Rexroth ---
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found
this site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
Douglas
Archived post

13 January 2004, 01:59 UTC #8

As well as diet, don't forget your blood pressure!
Douglas "Shadow Spirit" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
Brad:
yes it does get very confusing - i remember how i felt when i first came to these diabetes news
groups - "you should eat this. dont eat that, your doctor is wrong, i hope the ADA pays for your
funeral" i dont know i guess its why i feel safest going to a dietitian who has interviewed me and
will work with me to get a diet i can stick to. who is right and who is wrong in this debate. well
with the knowledge both groups of scienctists have in their fields.

i
Quoted message said:
would feel pretty silly telling them they are wrong. however as long as i can

keep
Quoted message said:
my blood sugar within normal ranges on the diet i have chosen i can not

find
Quoted message said:
one warning. i can not say the same for high fat and or hi protien diets.but like i

said
Quoted message said:
who is wrong. i just dont feel safe just because someone tells me "it cant be PROVEN to

be
Quoted message said:
harmful. but who knows hey maybe one day they will say smoking is healthy lol i

know
Quoted message said:
a bit extreme but you know what im saying. why do some docotors tell one patient one thing
while telling another patient another? well what if i told my doctor or after years of working
with me he knew

that
Quoted message said:
if i was to stop smoking my blood sugar levels would shoot so high they would be worse than
smoking - he just might tell me not to stop. and his next patient he would epress the importance
of not smoking. all the about jmho. Shadow
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found
this site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
Brad Sheppard
Archived post

13 January 2004, 01:59 UTC #9

Richard,
Great Hba1c for you - care to share your diet? Here's one thing I find alarming: Replacing carbs
with olive oil (or other mono fat) improves BG and blood lipids - but has not been shown to improve
Hba1c or fasting BG. On another issue, fiber, appparently a "very high" level of fiber is needed to
improve blood lipids, etc. That isn't a problem for me - I avg 60 g fiber/day.
"Richard Bollar" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
The important thing is to make sure that whatever path you take gives you the results you want.
Set your goals and review them regularly -- with yourself and also with your doctor & dietician.
--
T2 - HbA1c: 5.3% bollar.orgdiabetes.htm
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found
this site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
Jon Kaplan
Archived post

13 January 2004, 01:59 UTC #10

--------------11F2B63C9F6F59B9DBF75CD8
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
What is the ADA recommended amount of carbs? I was told 3 bread exchanges per meal, i.e. 45 g, which
would work out to 135 g per day. Is that low enough? Jon
Bob Bensing said:
The body is a very complex system. It is more complex than systems most engineers design.
Actually, no engineer has been able to duplicate a system as complex as the body. Within the body
there are various systems. One of these systems is the endocrine or hormone system. Insulin is one
of many hormones. All the hormones are interrelated. Throw one out of balance and the rest are out
of balance. Any treatment of the hormones must take all into account or you further imbalance the
hormone system. Your body needs protein, fat, carbs, and various minerals and vitamins. That is
why most people are familiar with the term "balanced diet." The trick is to determine what a
balanced diet is. Diabetics are concerned with insulin. Some diabetics don't produce enough
insulin. Other diabetics can't properly utilize insulin. This is why one balanced diet doesn't fit
all. DM doesn't have a cure today because it is still a mystery to the medical and scientific
community. Yes, we all need carbs to survive. Do we need the USDA recommended 300g of carbs daily?
You won't find a diabetic with good BG control eating that many carbs. Eating zero carbs per day
will cause other hormonal imbalances. The definitive answer right now for control of DM is
exercise and weight management through proper diet. Medication may be required for control of DM.
Have I answered your questions? Probably not! The phrase used here is "Your Mileage May Vary
(YMMV)" since a balanced diet will vary from individual to individual. There are some outer
boundaries but there is no way to tell what your individual body needs or can handle. You
mentioned the ADA. Most of us don't go by those guidelines. Here are some recommendations for diet
sources that are used by people in this NG. Your doctorA dieticianThe Schwarzbein PrincipleThe
Atkins DietSugar BustersDr. Bernstein's Revised and Updated Diabetes Solution The bottom line is
that you must start somewhere and test, test, test to see if the diet you are using is right for
you. > I'm getting mixed and confusing messages: 1) don't eat too many carbs
Quoted message said:
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found
this site that gives the "official" ADA
Quoted message said:
word:

care.diabetesjournals.orgs50
Quoted message said:
"Evidence-Based Nutrition Principles and Recommendations for the
Treatment and Prevention of Diabetes and Related Complications"
You can replace carbs with monosaturated fats (like olive oil) - but
Quoted message said:
be careful not to eat too many calories.
--------------11F2B63C9F6F59B9DBF75CD8 Content-Type: text/html; charset=us-ascii Content-Transfer-
Encoding: 7bit
<!doctype html public "-//w3c//dtd html 4.0 transitional//en"> <html> What is the ADA recommended
amount of carbs? I was told 3 bread exchanges per meal, i.e. 45 g, which would work out to 135
g per day. Is that low enough? Jon
Bob Bensing wrote: <blockquote TYPE=CITE><style></style> The
body is a very complex system. It is more complex than systems most engineers design.
Actually, no engineer has been able to duplicate a system as complex as the
body. Within the body there are various
systems. One of these systems is the endocrine or hormone system. Insulin is one of
many hormones. All the hormones are interrelated. Throw one out of balance and the
rest are out of balance. Any treatment of the hormones must take all into account or you
further imbalance the hormone system. Your
body needs protein, fat, carbs, and various minerals and vitamins. That is why most people
are familiar with the term "balanced diet." The trick is to determine what a balanced diet
is. Diabetics are concerned with
insulin. Some diabetics don't produce enough insulin. Other diabetics can't properly
utilize insulin. This is why one balanced diet doesn't fit all. DM doesn't have a
cure today because it is still a mystery to the medical and scientific
community. Yes, we all need carbs to
survive. Do we need the USDA recommended 300g of carbs daily? You won't find a
diabetic with good BG control eating that many carbs. Eating zero carbs per day will cause
other hormonal imbalances. The definitive
answer right now for control of DM is exercise and weight management through proper diet.
Medication may be required for control of DM. Have I answered your questions? Probably not! The phrase used here is "Your Mileage
May Vary (YMMV)" since a balanced diet will vary from individual to individual. There are
some outer boundaries but there is no way to tell what your individual body needs or can
handle. You mentioned the ADA. Most of
us don't go by those guidelines. Here are some recommendations for diet sources that are
used by people in this NG. Your
doctorA dieticianThe Schwarzbein PrincipleThe Atkins DietSugar BustersDr. Bernstein's Revised and Updated Diabetes
Solution The bottom line is that you must
start somewhere and test, test, test to see if the diet you are using is right for
you. > I'm getting mixed and
confusing messages: 1) don't eat too many carbs > - it'll spike your BG 2) you must eat carbs or you'll become more
 > insulin resistant. I found this site that gives the
"official" ADA > word: <a href="--
care.diabetesjournals.org/cgi/content/full/25/suppl_1/s50">care.diabetesjournals.orgcare.diabetesjournals.org
content/full/25/suppl_1/s50</a> > "Evidence-
Based Nutrition Principles and Recommendations for the > Treatment and Prevention of Diabetes and Related Complications" > > You can replace
carbs with monosaturated fats (like olive oil) - but > be careful not to eat too many calories.</blockquote> </html>
--------------11F2B63C9F6F59B9DBF75CD8--

Report
Richard Bollar
Archived post

13 January 2004, 02:01 UTC #11

I eat a fairly low-carb diet -- I have as much carbs as I can to keep my readings <110 before meals
and <120 2 hours PP. The remainder comes from about a 60/40 fat/protein split. I would have to say
that having fewer carbs does have an impact on A1c (or am I misunderstanding what you've written?).
As for my lipid levels, I'm currently on Pravachol and that does work very well.
--
T2 - HbA1c: 5.3% bollar.orgdiabetes.htm
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
Richard,
Great Hba1c for you - care to share your diet? Here's one thing I find alarming: Replacing carbs
with olive oil (or other mono fat) improves BG and blood lipids - but has not been shown to
improve Hba1c or fasting BG. On another issue, fiber, appparently a "very high" level of fiber is
needed to improve blood lipids, etc. That isn't a problem for me - I avg 60 g fiber/day.
"Richard Bollar" <[email hidden]> wrote in message

news:<[email hidden]>...
Quoted message said:
Quoted message said:
The important thing is to make sure that whatever path you take gives

you
Quoted message said:
Quoted message said:
the results you want. Set your goals and review them regularly -- with yourself and also with
your doctor & dietician.
--
T2 - HbA1c: 5.3% bollar.orgdiabetes.htm
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
I'm getting mixed and confusing messages: 1) don't eat too many carbs
- it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found
this site that gives the "official" ADA word:
care.diabetesjournals.orgs50 "Evidence-Based Nutrition
Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
Complications"
You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat too
many calories.

Report
J.C. Hartmann
Archived post

13 January 2004, 02:01 UTC #12

Jon Kaplan said:
What is the ADA recommended amount of carbs? I was told 3 bread exchanges per meal, i.e. 45 g,
which would work out to 135 g per day. Is that low enough? Jon
Can't answer that for you. What does your meter say?
Jim

Report
Brad Sheppard
Archived post

13 January 2004, 02:02 UTC #13

Richard,
Thanks. Re: carbs and Hba1c - I would have thought low carbs = low Hba1c, but the link claims "this
has not been shown" - perhaps meaning it hasn't been proven. That why this is confusing to me.
care.diabetesjournals.orgs50
"Richard Bollar" <[email hidden]> wrote in message news:<[email hidden]>...
Quoted message said:
I eat a fairly low-carb diet -- I have as much carbs as I can to keep my readings <110 before
meals and <120 2 hours PP. The remainder comes from about a 60/40 fat/protein split. I would have
to say that having fewer carbs does have an impact on A1c (or am I misunderstanding what you've
written?).
As for my lipid levels, I'm currently on Pravachol and that does work very well.
--
T2 - HbA1c: 5.3% bollar.orgdiabetes.htm
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
Richard,
Great Hba1c for you - care to share your diet? Here's one thing I find alarming: Replacing carbs
with olive oil (or other mono fat) improves BG and blood lipids - but has not been shown to
improve Hba1c or fasting BG. On another issue, fiber, appparently a "very high" level of fiber
is needed to improve blood lipids, etc. That isn't a problem for me - I avg 60 g fiber/day.
"Richard Bollar" <[email hidden]> wrote in message

news:<[email hidden]>...
Quoted message said:
Quoted message said:
The important thing is to make sure that whatever path you take gives

you
Quoted message said:
Quoted message said:
the results you want. Set your goals and review them regularly -- with yourself and also with
your doctor & dietician.
--
T2 - HbA1c: 5.3% bollar.orgdiabetes.htm
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
> I'm getting mixed and confusing messages: 1) don't eat too many carbs
> - it'll spike your BG 2) you must eat carbs or you'll become more insulin resistant. I found
> this site that gives the "official" ADA word:
> care.diabetesjournals.orgs50 "Evidence-Based Nutrition
> Principles and Recommendations for the Treatment and Prevention of Diabetes and Related
> Complications"
>
> You can replace carbs with monosaturated fats (like olive oil) - but be careful not to eat
> too many calories.

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Priscilla Ballo
Archived post

13 January 2004, 02:03 UTC #14

In article <[email hidden]>,
(Brad Sheppard) said:
Richard,
Thanks. Re: carbs and Hba1c - I would have thought low carbs = low Hba1c, but the link claims
"this has not been shown" - perhaps meaning it hasn't been proven. That why this is confusing to
me. care.diabetesjournals.orgs50
It's just too new to have made it into the canon. My endocrinologist predicts that in 10 years low-
carbing will be the standard base treatment for type 2 diabetes.
Priscilla
--
The Episcopal Church welcomes you... and you... and you....

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Richard Bollar
Archived post

13 January 2004, 02:03 UTC #15

Oh! You're quoting an ADA position statement. This could get ugly! <g>
But which section are you referring to?
The Dietary Fat section,
care.diabetesjournals.orgs50
"Low saturated fat (i.e., 10% of energy) high carbohydrate diets increase postprandial levels of
plasma glucose...."
And in Medical Nutrition Therapy for Type 1 & Type 2,
care.diabetesjournals.orgs50
"In persons with type 2 diabetes, on weight maintenance diets, replacing carbohydrate with
monounsaturated fat reduces postprandial glycemia and triglyceridemia."
So, it seems to me that the ADA believes that lower carbohydrate diets will lower blood glucose.
Will the lower bg will result in a lower A1c? I think so. What do you think?
--
T2 - HbA1c: 5.4% bollar.orgdiabetes.htm
"Brad Sheppard" <[email hidden]> wrote in message
"]news:[email hidden]...
Quoted message said:
Richard,
Thanks. Re: carbs and Hba1c - I would have thought low carbs = low Hba1c, but the link claims
"this has not been shown" - perhaps meaning it hasn't been proven. That why this is confusing to
me. care.diabetesjournals.orgs50

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Richard Bollar
Archived post

13 January 2004, 02:04 UTC #16

Mine too! <g>
--
T2 - HbA1c: 5.4% bollar.orgdiabetes.htm
"Priscilla Ballou" <[email hidden]> wrote in message news:phb-
[email hidden]...
Quoted message said:
In article <[email hidden]>, [email hidden] (Brad
Sheppard) wrote:
Quoted message said:
It's just too new to have made it into the canon. My endocrinologist predicts that in 10 years low-
carbing will be the standard base treatment for type 2 diabetes.

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