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Atkins diet and type 2 diabetes

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Michael - 10 Jan 2009 21:30 GMT
My father came down with type 2 when he was 66 years old in 1986.
My wife was diagnosed in 1999. I went on the Atkins diet with her in the
same year. I did so in hope that I might dodge the type 2 bullet.

A few days ago a realized that my hopes about this were unrealistic. I
measured my BG and it was 126 in the morning before eating. I then ate a
meal that comprised a total of 12 grams of carbohydrates. After 20
minutes my BG rose to 157.

I have no symptoms at this point, but it is clear that I have developed
the disease at the same age that my father did. 9 years of low carb diet
did not serve as a prophilactic.

I have now stopped the maintenance diet and reverted to the induction
diet. This diet reversed the damage done by uncontrolled type 2 in my
wife. It also made her BG reading normal.

So now I am stuck with the induction diet. I realize this is a great
improvement over the normal treatment which always results in a downhill
spiral. I don't want to eventually be shooting insulin. I'll take the
induction diet permanently before I want to start using a needle.

Disappointed in Michigan.
FOB - 10 Jan 2009 22:22 GMT
How many carbs a day were you eating iun maintenance?

| My father came down with type 2 when he was 66 years old in 1986.
| My wife was diagnosed in 1999. I went on the Atkins diet with her in
[quoted text clipped - 20 lines]
|
| Disappointed in Michigan.
Common Sense - 11 Jan 2009 20:23 GMT
> How many carbs a day were you eating iun maintenance?
>
[quoted text clipped - 22 lines]
> |
> | Disappointed in Michigan.

Start a sensible program. Check out www.sabbaticaldiet.com

Low carb works only for 6 months.
Cheri - 11 Jan 2009 20:33 GMT
>> How many carbs a day were you eating iun maintenance?
>>
[quoted text clipped - 26 lines]
>
> Low carb works only for 6 months.

Bull!

Cheri
Susan - 11 Jan 2009 21:37 GMT
> Low carb works only for 6 months.

ROFL!

Low carb works for as long as you stay on it.  In studies, where
participants added carbs after induction periods, low carb results were
more similar to other diet results because the carb levels were more
similar.

I've controlled my diabetes without meds for 10 years, eating low carb.

Susan
Michael - 11 Jan 2009 21:59 GMT
FOB,

I was averaging about 100 grams of carbohydrates per day. Maybe If I had
stayed on the induction diet for 9 years I would not now have type 2. My
bad.

I have been on meat and water since the discovery of my high numbers. My
BG readings are already improving. I realize it will take at least a
couple of months of this to straighten myself out.

What my wife found is that after 3 months of meat and water, she could
pass a BG tolerance test. Meaning, that her BG would only rise to 130
with this test instead of nearly 300 when first diagnosed. I interpret
this change as a definite physiological improvement. Her health improved
dramatically. She had been showing just about every symptom that be
attributed to type 2. She even had shortness of breath and chest pain
with the slightest exertion. All that went away and now as I type this
she is outside shoveling the snow from our driveway.

There are always trolls here (possibly peta crazies) who try to tell us
completely irrational things about the Atkins diet. Of course they have
zero experience with this diet but claim to be experts.

I have been on Atkins for close to 10 years I think now. If I can only
be on it for 6 months, I must be dead now. My wife must be doubly dead
because she has limited her carb intake to below 50 grams per day.

I put these crazies in the category of religious nuts, because their own
ideas about eating have become their religion and they are hell bent to
evangelize.

These people need to create their own newsgroup where they can proclaim
their religion to the world.

> How many carbs a day were you eating iun maintenance?
>
[quoted text clipped - 22 lines]
> |
> | Disappointed in Michigan.
Susan - 11 Jan 2009 22:10 GMT
> FOB,
>
[quoted text clipped - 14 lines]
> with the slightest exertion. All that went away and now as I type this
> she is outside shoveling the snow from our driveway.

As someone who's been able to control type 2 for many years without
meds, despite having high cortisol, I want to encourage you to eat
colorful, leafy veggies, too!  They won't raise your bg, but they'll
certainly improve your antioxidant intake, nutrition and add variety
you're missing.

The very real physiological improvements your wife (and I) experience
from treating high bg with low carb is due to improved insulin receptor
function; even though protein has a higher insulin index than carbs,
it's a slow, steady secretion, rather than the gushers provoked by high
carbs, overwhelming and desensitizing receptors, thereby requiring even
more insulin the next time and the time after that, etc...

Most type 2s are diabetic for many years before diagnosis.  One reason
for this is that the fasting test is the last number to rise, many years
after post meal numbers have been in the diagnostic range, untested and
undetected.  I've been DM for over 15 years, have never yet had a
fasting bg in the diagnostic range.

Susan
Common Sense - 11 Jan 2009 22:20 GMT
> FOB,
>
[quoted text clipped - 56 lines]
> > |
> > | Disappointed in Michigan.

Man, your life sound stressful. You need to do this and do that and
check this and +++++ Well, my friend Diabetes was cured following this
religious nut diet. And he was was not doing this and that and  +++++
Low carb is only a temporary relief. Be honest, I bet you are aging
very fast. That how low carb people look to me.OLD
Susan - 11 Jan 2009 23:07 GMT
Some folks are just meant to be plonked without reading.

Susan

>> FOB,
>>
[quoted text clipped - 61 lines]
> Low carb is only a temporary relief. Be honest, I bet you are aging
> very fast. That how low carb people look to me.OLD
Cheri - 12 Jan 2009 00:01 GMT
So true. :-)

> x-no-archive: yes
>
> Some folks are just meant to be plonked without reading.
>
> Susan

>> Man, your life sound stressful. You need to do this and do that and
>> check this and +++++ Well, my friend Diabetes was cured following this
>> religious nut diet. And he was was not doing this and that and  +++++
>> Low carb is only a temporary relief. Be honest, I bet you are aging
>> very fast. That how low carb people look to me.OLD
BlueBrooke - 11 Jan 2009 23:25 GMT
>Man, your life sound stressful. You need to do this and do that and
>check this and +++++ Well, my friend Diabetes was cured following this
>religious nut diet. And he was was not doing this and that and  +++++
>Low carb is only a temporary relief. Be honest, I bet you are aging
>very fast. That how low carb people look to me.OLD

Cured, huh?  Wow -- that's impressive.  And checking this and no doing
this and that, either, eh?  That sounds like front page news -- which
front page would I find that on?  

You obviously know nothing about low carb -- or diabetes, either, for
that matter.  But please, stick around.  There are a few here who
would enjoy playing with you until you decide to quit embarrassing
yourself.
FOB - 11 Jan 2009 23:30 GMT
And you look like a troll to me.

| Man, your life sound stressful. You need to do this and do that and
| check this and +++++ Well, my friend Diabetes was cured following this
| religious nut diet. And he was was not doing this and that and  +++++
| Low carb is only a temporary relief. Be honest, I bet you are aging
| very fast. That how low carb people look to me.OLD
Cheri - 12 Jan 2009 00:00 GMT
>> FOB,
>>
[quoted text clipped - 63 lines]
> Low carb is only a temporary relief. Be honest, I bet you are aging
> very fast. That how low carb people look to me.OLD

Bull! And...there is no cure for diabetes.

Cheri
FOB - 11 Jan 2009 23:29 GMT
It seems to me there is probably an optimum place somewhere between 100
grams and 20, lots of type 2s control their diabetes with LC eating.  Part
of it is in the timing, your test was done with carbs in the morning which
is when they affect you the most.  I'd suggest you hop over to
alt.support.diabetes.  The people there who eat to their meter will help you
out.  There are a lot of low carb veggies and some fruits that have stuff
that meat doesn't that are good for you.  I am pre diabetic and pretty much
follow a good diabetic diet.  I test for new foods to see how much they
affect me then I know whether they are a good part of my diet or not.  Susan
posts there and she has a lot of knowledge.

| FOB,
|
[quoted text clipped - 29 lines]
| These people need to create their own newsgroup where they can
| proclaim their religion to the world.
Michael - 12 Jan 2009 06:06 GMT
Thanks FOB and everyone else except for the troll common senseless nutjob

I will subscribe to the diabetes newsgroup. I am sure there is some good
knowledge to pick up there. I have not yet tried a large salad. I might
try tomorrow and of course measure before and after. I know there is
significant carb count in even green leafy vegetables. I just don't know
how it will effect me. I will try because I really liked salads.

I think just about everything else is off the table for me now. Someday
I might be able to try fruit again. But I will avoid that much dose of
sugar for now.

I suppose I might be classified as pre-diabetic. I have no symptoms
except that awful 157 reading. Maybe I am just kidding myself. I think I
 really just have diabetes.

I do know that we all have different body chemistries. I will need to
test foods like you said to see their effect on me.

I will look for Susan's postings on the alt.support.diabetes group.

Thanks again for the comments.

> It seems to me there is probably an optimum place somewhere between 100
> grams and 20, lots of type 2s control their diabetes with LC eating.  Part
[quoted text clipped - 40 lines]
> | These people need to create their own newsgroup where they can
> | proclaim their religion to the world.
BlueBrooke - 12 Jan 2009 06:34 GMT
>I know there is
>significant carb count in even green leafy vegetables. I just don't know
>how it will effect me. I will try because I really liked salads.

Hi, Michael --

I guess it depends on what you consider "significant."  I'm looking at
a bag of iceberg/romain lettuce right now (there are better choices,
but this is what I could get) and there are only about 7g net carbs in
the entire 11 ounce bag, which contains about three servings.  Three
ounces of fresh spinach is only about 1g net carb, which is a *lot* of
spinach.  There are almost no carbs in salad greens, which is why they
are on the Atkins Induction list.  So I'm curious to know why you
think the carbs would be so high?  

When I'm making up a salad, I don't even include the carb counts for
the greens in my calculations, because they are basically
insignificant compared to the other things that might go in there,
like tomatoes, onions, avocados, cheese, and the dressing.  

I'm in pretty much the same boat you are.  If I keep to induction
levels, my BG is very stable and controlled.  As my weight goes down,
I can successfully tolerate more.  I did have a disasterous experiment
yesterday -- a >20g dinner spiked me 70 points :-( -- but it had
nothing to do with a salad.  

So don't be afraid of the greens.  They're a low-carber's best friend.
If you don't have a carb counting book -- which I'm sure you must have
-- you can also use Fitday.com to find out what the carb counts are in
foods.  

Welcome.  I hope to read more about your successes.
Michael - 12 Jan 2009 20:31 GMT
BlueBrooke,

Thanks for the encouragement. I will try a salad today and report back
on what happened.

This morning before eating my BG was 134, the worst ever. I had bacon
and eggs. 20 minutes after eating my BG was 99. This is the second time
this has happened.

I started before with a high BG level at an evening meal and eating a
carb free dinner dropped my BG down to 98. This does not make any sense
to me.

I will not argue with success but the mechanism that might cause this is
a complete mystery to me.

>> I know there is
>> significant carb count in even green leafy vegetables. I just don't know
[quoted text clipped - 28 lines]
>
> Welcome.  I hope to read more about your successes.
Kaz Kylheku - 12 Jan 2009 21:42 GMT
> BlueBrooke,
>
[quoted text clipped - 8 lines]
> carb free dinner dropped my BG down to 98. This does not make any sense
> to me.

Because maybe you don't know that the release of insulin has complex stimuli.
It's not only blood glucose.

The mere presence of food in the digestive tract stimulates insulin.

Some amino acids from dietary protein stimulate insulin too.

If you eat something that doesn't raise your blood glucose, the insulin
release which is triggered will probably lower blood glucose.

No-brainer.
Michael - 12 Jan 2009 22:22 GMT
Ok Kaz,
It was a mystery to me until now. Thanks for letting me understand this
mechanism a little better.

BlueBrooke,
I had my first salad since my self diagnosis. It was a large salad with
tuna and very low carb salad dressing. Also, it was a whole can of solid
 white tuna. The salad vegetables were sliced green pepper,
cauliflower, iceberg lettuce, and broccoli.

My beginning reading was 109. The reading 25 minutes after finishing
this salad was 98. I am so so happy about this. I feel like I need to be
able to eat salads now and then. And yes, you were right about this. I
am so glad you were right.

I knew the carb count from all these vegetables was significant, but
obviously the source of the carbs can effect us differently than if
these carbs were from sugar.

>> BlueBrooke,
>>
[quoted text clipped - 20 lines]
>
> No-brainer.
Susan - 12 Jan 2009 21:59 GMT
> BlueBrooke,
>
[quoted text clipped - 11 lines]
> I will not argue with success but the mechanism that might cause this is
> a complete mystery to me.

Protein induces a very strong insulin response, and in type 2s, it does
not raise glucose, the way carbs do.  Hence, your bg drops.

Susan
Doug Freyburger - 12 Jan 2009 22:13 GMT
> >I know there is
> >significant carb count in even green leafy vegetables. I just don't know
> >how it will effect me. I will try because I really liked salads.

It doesn't sound like you understand what a "green leafy vegitable"
is.  My favorite example is cauliflower because it's so easy to find
cauliflower that's not green and that doesn't have leaves.  As with
so many food categorizations you need to know what it looks like
on the farm.  Consider that the Atkins Induction phase also makes
a distinction between fresh and aged cheeses where you need to
know how that cheese was made.

There are two Atkins lists for Induction.  One is the 10% carb by
weight list that contains asparugus, brocolli, cauliflower and so on.
Those are the green leafy veggies.  The other one is the 5% or less
carb by weight list that contains various types of lettuce, cucumber
(it's a fruit not a veggie!), radishes and so on.

> I guess it depends on what you consider "significant."  I'm looking at
> a bag of iceberg/romain lettuce right now (there are better choices,
[quoted text clipped - 4 lines]
> are on the Atkins Induction list.  So I'm curious to know why you
> think the carbs would be so high?  

If you deduct fiber, even doing the green leafy veggies the
portions can get large.  To get over 50 grams in a day it can
seem like the portion size of cauliflower to get there is as big
as your head.  But try that with the ones on the salad list
and the portion sizes to get to 50 really are bigger than your
head.

> When I'm making up a salad, I don't even include the carb counts for
> the greens in my calculations, because they are basically
> insignificant compared to the other things that might go in there,
> like tomatoes, onions, avocados, cheese, and the dressing.  

When staying low I'll make my salad of several types of leaves,
radishes, cukes, maybe a little hard aged cheese like grated
parmiagan.  Those don't add up much.

> I'm in pretty much the same boat you are.  If I keep to induction
> levels, my BG is very stable and controlled.  As my weight goes down,
> I can successfully tolerate more.  I did have a disasterous experiment
> yesterday -- a >20g dinner spiked me 70 points :-( -- but it had
> nothing to do with a salad.  

I'm still tolerant in the range of 50 in a meal, 100 in a day.
But type 2 by age 70 does run in my family so I know I should
start tapering down by the time I hit 60.

> So don't be afraid of the greens.  They're a low-carber's best friend.
> If you don't have a carb counting book -- which I'm sure you must have
> -- you can also use Fitday.com to find out what the carb counts are in
> foods.  

On the 6 month comment - It does happen to some people who stay
at Induction levels that they fall out of ketonuria and stop losing
about
6 months in.  It's on the extremely long list of why Induction in the
book is two weeks.  Been there, done that, got that teeshirt.  And
even though it's true there also happens to some people that they can
stay at 20 for years without this happening, the conservative approach
is to follow the directions.  But guess how many type 2 diabetics see
the six month thing happen?  Bingo!  The 6 month comment is a troll
tactic when it doesn't include all sorts of caveats and exceptions,
but
it does happen to some.
Michael - 12 Jan 2009 22:43 GMT
Thanks Doug for your comments.

I truly appreciate the time and knowledge that people here have offered
me. I am still feeling a little bit of shock about the whole thing. I
foolishly thought I was not going to get type 2. Now I have to go to my
doctor to be officially diagnosed so I can get free test strips. A
benefit I never wanted to earn.

>>> I know there is
>>> significant carb count in even green leafy vegetables. I just don't know
[quoted text clipped - 66 lines]
> but
> it does happen to some.
Kaz Kylheku - 13 Jan 2009 00:10 GMT
> Thanks Doug for your comments.
>
[quoted text clipped - 3 lines]
> doctor to be officially diagnosed so I can get free test strips. A
> benefit I never wanted to earn.

I.e. you have not been officially diagnosed, but only self-diagnosed.
In what units are your blood glucose measurements?
Michael - 13 Jan 2009 06:06 GMT
Kaz,

I first checked my numbers about a week ago when I bought some new test
strips for my wife. I thought I would just check mine even though I was
sure it would be fine.

It was not fine. It read 125. My numbers wandered around this range for
a couple of days. Then one morning I measured myself at 120 before
eating breakfast.

My wife made a carefully measured breakfast for me. It contained 11
grams of carbohydrates. After 20 minutes my BG shot up to 157.

Someone who has a normally functioning body will not experience this
kind of jump. I know. I had tested myself a couple of years before. I
could sit down and eat a meal that contained even 50 carbs with a rise
of only 4 points from a starting base of 100.

The 157 measurement was the one that really got me past my original
denial. I kept making excuses for high readings. There is no adequate
excuse for 157 except insulin resistance or a lack of insulin.

>> Thanks Doug for your comments.
>>
[quoted text clipped - 6 lines]
> I.e. you have not been officially diagnosed, but only self-diagnosed.
> In what units are your blood glucose measurements?
BlueBrooke - 13 Jan 2009 06:15 GMT
>Someone who has a normally functioning body will not experience this
>kind of jump. I know. I had tested myself a couple of years before. I
>could sit down and eat a meal that contained even 50 carbs with a rise
>of only 4 points from a starting base of 100.

Ah -- well -- I'm sure someone else will come along who knows more
about it than I do, but it's my understanding that 100 is too high for
a "normie."  So, even then, there was probably something going on.  

I check my son occasionally.  He thinks I just like to stab him.  I
have no comment on that.  ;-)  

No matter what he eats, he's in the 80's.  My hubby, too.  

Of course, this could also just be a matter of the meter itself.  I
*think* the manufacturers are allowed 20%.  

Of course, it's all in the timing -- a four point rise how long after
you ate?  Thirty minutes?  An hour?  Two?  That makes a difference.  

http://alt-support-diabetes.org/NewlyDiagnosed.htm
Michael - 13 Jan 2009 16:45 GMT
My wife and I made a study of the timing after a meal. We did this years
ago. We found that if you take your BG every 5 minutes and make a chart
there will be a spike.

We found that spike to be at 20 minutes. So we measure our BG looking to
see the spike. Every five minutes is a lot of stabbing.

My BG was measured several times in 1986 when my father came down with
type 2. I always seemed to measure 100. Maybe my BG had an individual
variance. My normal temperature is 96.8. So I guess we all have
different norms for our bodies.

After a week of the intake diet, I was finally pleased to see my morning
BG at 106. I realize this is not normal. But it is better than I had
been getting. Like I said, maybe after a few months of the intake diet
my BG will begin behaving normally.

I realize this is no cure. But I want to see my tolerance for
carbohydrate intake look like my wife's. She can cheat occasionally and
then she checks her BG. It barely rises. Of course cheating all the time
means back in the same pickle barrel.

>> Someone who has a normally functioning body will not experience this
>> kind of jump. I know. I had tested myself a couple of years before. I
[quoted text clipped - 17 lines]
>
> http://alt-support-diabetes.org/NewlyDiagnosed.htm
Susan - 13 Jan 2009 17:35 GMT
> My wife and I made a study of the timing after a meal. We did this years
> ago. We found that if you take your BG every 5 minutes and make a chart
> there will be a spike.
>
> We found that spike to be at 20 minutes. So we measure our BG looking to
> see the spike. Every five minutes is a lot of stabbing.

I hope you kept testing to find the peak; most folks peak between 45-60
minutes post meal.

> After a week of the intake diet, I was finally pleased to see my morning
> BG at 106. I realize this is not normal. But it is better than I had
> been getting. Like I said, maybe after a few months of the intake diet
> my BG will begin behaving normally.

I think you mean 'induction,' not "intake."  In any case, a small
protein snack before bed can lower your fbg considerably.

Susan
 
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