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Weight Loss Forum / Low Carb / January 2004Happy Doctor Visit Today
This morning I had my 4-week follow up visit, after being diagnosed as T2 diabetic on December 15th. At the time, my HBA1c was 9. Fasting blood glucose was 135. She told me to not eat any fast food, follw my low-carb diet and come back in a month. ( I had slaked off on the carbs and had gained some weight back over the past year). I'm embarrassed to say this, but my weight on December 15th had returned to 270. Well, I went beyond her suggestion. I not only went back to the basics, but also kept my calories between 1200 and 1500. I ate no processed foods (other than a Subway low-carb srap two or three times a week for lunch, which fits perfectly with my plan). Drank only water and weak decaf iced tea.. Well, this morning I weighed 245. I have lost exactly 25 pounds since December 15th. But that's not even the best news. Theres more: I've been testing my BG morning, evening, and before and 2 hrs after each meal. The doctor told me I can stop testing it; it has been in the perfectly normal range for the past 3 weeks (averaging between 80 and 95). She told me to just keep eating the way I have been; no meds for diabetes for me! In two months I go back to have another HBa1c test. There's more! My blood pressure on Dec. 15th was 165/88. And this was while taking 3 BP medcations (Catapres TTS3 transdermal patch, Atenolol and Maxzide). Well,, this morning my blood pressure was *122/70* Absolutely Perfect!!!! She immediately told me to stop taking the Maxzide, a diruretic. I'm off one of my meds! I go back in 2 weeks to make sure the BP is ok with the new regimen, and she will consider then reducing the Atenolol dosage also. I'm excited about this because diuretics and beta blockers both can interfere with weight loss and adversely affect insulin resistance and metabolism. I may be breaking through to a whole new level of health this time. I now have the motivation I've needed for a while to break out of the doldrums and really keep moving forward with my lc plan. Only my goal is different now: Instead of a weight goal, it's to enjoy good health without medications. LC rocks! I love my new doc; she's relatively young and contemporary in her thinking; she supports a low-carb way of eating. p.s. In two months I go back to have my cholesterol and triglycerides re-tested along with with the HBa1c. Will give an update at that time.  SignaturePeter website: http://users.thelink.net/marengo > This morning I had my 4-week follow up visit, after being diagnosed as T2 > diabetic on December 15th. At the time, my HBA1c was 9. Fasting blood [quoted text clipped - 39 lines] > p.s. In two months I go back to have my cholesterol and triglycerides > re-tested along with with the HBa1c. Will give an update at that time. That's wonderful! Keep it up, man. Marsha/Ohio > This morning I had my 4-week follow up visit, after being diagnosed as T2 > diabetic on December 15th. At the time, my HBA1c was 9. Fasting blood [quoted text clipped - 27 lines] > blockers both can interfere with weight loss and adversely affect insulin > resistance and metabolism. I may be breaking through to a whole new level > of health this time. > [quoted text clipped - 8 lines] > p.s. In two months I go back to have my cholesterol and triglycerides > re-tested along with with the HBa1c. Will give an update at that time. How wonderful for you Peter!! Keep up the good work, I can't wait to hear what your A1C is! Priscilla > I now have the motivation I've needed for a while to break out of the > doldrums and really keep moving forward with my lc plan. Only my goal is > different now: Instead of a weight goal, it's to enjoy good health without > medications. LC rocks! Very impressive progress, Peter, and a great example of what you can do if you put your mind to it! SignatureSaffire 205/176/125 Atkins since 6/14/03 Progress photo: http://photos.yahoo.com/saffire333 <snip> > Well, this morning I weighed 245. I have lost exactly 25 pounds since > December 15th. But that's not even the best news. Theres more: [quoted text clipped - 29 lines] > re-tested along with with the HBa1c. Will give an update at that > time. Congrats Peter! You're doing fantastic. :o) Excellent news Peter!! -- Tara www.dazzled.com/lowcarb - my homepage > This morning I had my 4-week follow up visit, after being diagnosed as T2 > diabetic on December 15th. snipped > Peter > website: http://users.thelink.net/marengo that's wonderful news! **I have gone to find myself, if I should return before I get back, keep me here. witchy Peter, That is WONDERFUL news! You are fortunate to have such a good doctor, too. -- Jenny - Low Carbing for 4 years. At goal for weight. Type 2 diabetes, hba1c 5.2. Cut the carbs to respond to my email address! Low carb facts and figures, my weight-loss photos, tips, recipes, strategies for dealing with diabetes and more at http://www.geocities.com/jenny_the_bean/ Looking for help controlling your blood sugar? Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm > This morning I had my 4-week follow up visit, after being diagnosed as T2 > diabetic on December 15th. At the time, my HBA1c was 9. Fasting blood [quoted text clipped - 43 lines] > Peter > website: http://users.thelink.net/marengo > This morning I had my 4-week follow up visit, after being diagnosed as T2 > diabetic on December 15th. At the time, my HBA1c was 9. Fasting blood [quoted text clipped - 39 lines] > p.s. In two months I go back to have my cholesterol and triglycerides > re-tested along with with the HBa1c. Will give an update at that time. {{{{{{{PETER}}}}}}} I'm so damn proud of you !!! Keep up the good work. Ya did it once and ya can do it again. Do ya feel my hugs???????? Love, Laureen Thanks everyone for all the well-wishes. {{{{{ }}}}} SignaturePeter website: http://users.thelink.net/marengo Hi Peter, Good to hear that you got great results from your tests. I wonder though, at this point, do you say that you once had diabetes T2 or do you say you are diabetic but control it through dieting? In other words, can low carb reverse diabetes? | Hi Peter, | [quoted text clipped - 4 lines] | | In other words, can low carb reverse diabetes? Good question. I'm brand new to diabetes since my diagnosis one month ago, so I don't fully understand what the implications of everything are. I've read it implied in previous posts here and in alt.support.diabetes that once you are diabetic, you have it for life. But I did ask my doctor about "Syndrome X," of which she is fully familiar and equates with T2. However, she said that my high hba1c indicates more than Syndrome X - - but that it's possible that if I can control it with diet only -- and if my fasting BG and hba1c are normal when I return for my next follow-up, I would be considered by the test results at that time to be not diabetic. To me, it's really just a matter of symantics. If it takes a lifetime low-carb way of eating to keep BG and hba1c normal, I can live with that, and it doesn't matter if it's just helping the symptoms or if I really will be considered not diabetic. The bottom line is pretty much the same. Hopefully there are people who will read this who can anmswer the question better. SignaturePeter website: http://users.thelink.net/marengo Peter, As I understand it, people who are not on medications like cortisone usually don't achieve diabetic-level blood sugars until they have lost a significant number of beta cells (the cells in the pancreas that secrete insulin). Beta cells do not appear to regenerate, so once those beta cells are gone, your capacity for producing insulin goes way, way down. So even losing weight is not going to reverse your diabetes. But you can control diabetes through diet by reducing the need for insulin (via low carbing or the use of drugs that slow carb digestion like Precose) and by reducing insulin resistance (by exercise and/or drugs like metformin.) But as soon as you eat foods or adopt a lifesytle that increases the demand for insulin, you will outpace your remaining pancreas cells and display diabetic blood sugars again. There's an ugly death spiral hidden here: high blood sugar is what kills pancreas cells, so as they start failing, the rising blood sugars that resut hasten the beta cells' demise. That means that you can't ever get sloppy without expecting your condition to worsen. But if you can maintain normal blood sugar levels via diet, it may be possible to prevent further damage. I'm heading in year 6 of controlling my diabetes via diet and, lately, some exercise. My fasting and post meal numbers are still solidly on the borderline between normal and impaired glucose tolerance and nowhere near the diagnostic standard for diabetes. Only my glucose tolerance test results would reveal that I'm fully diabetic. The big, unanswered question is can I maintain my poor old beat up pancrea cells at this level indefinitely? Since there are zero studies conducted where people maintained near-normal blood sugar levels for long periods of time there is no way to answer this question. Bernstein says "yes." I'm betting he's right! --Jenny - Low Carbing for 4 years. At goal for weight. Type 2 diabetes, hba1c 5.2. Cut the carbs to respond to my email address! Low carb facts and figures, my weight-loss photos, tips, recipes, strategies for dealing with diabetes and more at http://www.geocities.com/jenny_the_bean/ Looking for help controlling your blood sugar? Visit http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm > | Hi Peter, > | [quoted text clipped - 26 lines] > Peter > website: http://users.thelink.net/marengo | Peter, | | As I understand it, people who are not on medications like cortisone | usually don't achieve diabetic-level blood sugars until they have lost a | significant number of beta cells (the cells in the pancreas that secrete | insulin). | http://www.geocities.com/jenny_the_bean/ <snip> Thanks for the valuable infor Jenny, it's pretty much what I thought. The only question I still have remaining is the fact that for the past three years I have been taking two medications that I've recently learned can raise blood sugar levels: Atenolol (beta blocker) and Maxzide (potassium-sparing diuretic). I don't know if the effects on BG of either of those medications can be reversed if I stop taking them, or if they cause some type of permanent damage that I'll just have to live with. (I'm still taking the Atenolol -- which I hope to stop soon -- but am off the Maxzide now). I have a lot of research to do. SignaturePeter website: http://users.thelink.net/marengo Jenny, there's a lot of interesting information in your post. You might want to add this to your website. I still visit your site for these special tidbits. thanks! > Peter, > [quoted text clipped - 4 lines] > capacity for producing insulin goes way, way down. So even losing weight is > not going to reverse your diabetes. snip.....snip..........snip............. |
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