I'm confused on whether or not I have pre-diabetes. My situation is complicated. Help - Page 3

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I'm confused on whether or not I have pre-diabetes. My situation is complicated. Help - Page 3


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Old 06-21-2014, 00:33   #21
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I'll have to say that the meal you described doesn't have much fat in it. Drench the steak and veggies in butter. Use full-fat salad dressing, and put some cheese in it.

If you increase fats, and, thus, calories, you may stop losing weight and start gaining.

Have you taken a look in the diet section of this forum yet? There are three threads that may be of interest to you - "What's for breakfast... for lunch... for dinner? There you will see what those of us on LCHF are eating for our meals. Might give you some ideas.

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Old 06-21-2014, 00:56   #22
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Does eating high fat increase risk of heart problems? I've(the world) been told fat is bad. Clogs arteries, high cholesterol, BP, etc.

I will look. That is definitely something I'm interested in. Thank you.

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Old 06-21-2014, 01:26   #23
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The bad fats hoax is finally being dismantled brick by brick, as detailed in this MSM article from just last week. The information found here - the genesis of the hoax and other sleazy monkey business in official and government agencies* - has been known to us here for a long time, but powerful lobbies have kept it suppressed for years, because there's so much money to be made by keeping people sick.

Ending the War on Fat

*think USDA and Big Agra, who produces all the grains we're incessantly being urged to eat.

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Old 06-21-2014, 01:29   #24
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Low-fat became government (and medical) policy in the 70s, but there's very little real science behind it. It sounded plausible, so here we are.

We're not healthier for it. Quite the reverse, in fact.

Here's just one article (I got a million ... well, dozens ... of 'em). Please note that its dietary advice is geared toward non-diabetics:


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Old 06-21-2014, 09:21   #25
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Having just got out of bed, I'd like to fill in my basic strategy that resulted in the meal structure I posted.

Consider the three food groups. Protein, Carbohydrates and Fats in that order.

First protein. This is an essential element of our diet. We need enough for building and repair of our tissues. But only enough for that. Excess either goes to waste by being shunted out through the kidneys in urine, turned to glucose by the process Shanny mentioned (that I can't spell ), or in extreme cases can cause kidney damage. There are quite a few 'calculators' on the web (including one in Blood Sugar 101) to allow you to arrive at your 'ideal' protein figure but simple minded me, I settled for an empirical slightly more than 1 gram per kilogram of body weight. If you're exercising strenuously or looking to gain weight, you might try a bit more.

Second carbohydrate. Despite the noise to the contrary this is not an essential food group. It offers nothing we can't get elsewhere but it is almost impossible to eliminate it totally since it comes 'free inside' a lot of stuff - particularly processed foods. My rule here was to 'eat to the meter'. I cut the carbohydrate intake to the level that didn't take me over my personally decided post meal limit and tried to make sure that those carbs I did eat delivered something (like vitamins) along with their sugar. My limit here was 110. Currently I average 99 at one hour and 95 at two.

Finally fats. Still hungry? And you will be! The energy deficit comes from this group. Cheese, nuts, butter, bacon, eggs..... Eat until you're satisfied - not stuffed. Your body will tell you when 'that's enough'. And NO. For what it's worth as a predictor of CVD (and that's not a lot) my lipid profile started with low HDL and relatively high triglycerides (French units - 0.39 HDL, 0.97 Tri (aug 2010). Now HDL 0.96, Tri 0.73 (may 2014).

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Old 06-21-2014, 11:25   #26
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I'm trying to process all this info. It basically goes against everything everyone was taught. There is a lot of controversy.

I came on here wondering why I get harsh diabetic hyper and hypo symptoms. If it's possible that I can have diabetes. If I didn't have the symptoms, I would think I'm perfectly fine.

I ate over 100 carbs at once over at McDonalds. 1st hour was 139, 2nd hour was 126. 3rd hour I believe was 90. Pasta and white bread will get me at that 140 at the one hour mark and in the 130's the 2nd hour. 3rd hour back to 90's(or less).

I was lead to believe 140 and under means your fine. Also, that everyone is different. I know people who get to 140(give or take) and are fine. This is the only forum and '101' is the only place that says otherwise. Although, '101' still says 140 and "if you can do better, go for it".

2.5 - 3 hours after high carbs, my BG is normal.

Fasting is perfect.

A1c being 5.2. According to '101' that is truly normal. Averaging(as John said) 102(?). Which is normal.

Yet I'm being told I have diabetes. Whether someone wants to call it "pre" or not. Impaired glucose tolerance is diabetes plain and simple which I would agree.

I'm not fighting anyone on this. Who am I to question you good folks who have been through this song and dance?

It's just a little overwhelming.

Docs say "lose weight, exercise and you won't be anymore". I'm under weight. I admit I don't exercise.

Also, I lived off carbs. That is all I ate. Lot's and lot's of it.

I have a question, if I continued eating carbs and ignored this, will I get worse and eventually be diagnosed as type 2? If I take care of it by going on a LCHF diet, will I stop the progression? Finally, by taking care of oneself, can it be reversed?

I apologize if my comments and questions offend in any way. It is truly not my intention. Finding out this news less than a day ago is tough to swallow.

I really don't care about carbs. I don't need them. I love non-carb foods, but now I have to figure out how to eat to gain and maintain weight. John mentioned too much protein could be bad. I certainly am not a nutritionist. I think seeing one would be a good idea.

I will take this serious and do what's needed.

I want to point out that I had a small flare up after I ate fried(in a pan) skinless chicken breast and a big salad. My BG was 86. So that also makes me wonder.

Thank you all for everything. I do appreciate it.

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Old 06-21-2014, 11:42   #27
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OK,

On your flare up - a couple of things to consider - skinless chicken breast. i.e. low fat. And what was it 'fried' with? Butter? (good), hydrogenated sunflower oil? (bad).

And, yes, you are right; there is a lot of controversy. The big boys don't want us to do anything that undermines their highly profitable high starch strategy of the last half century, so much so that any nutritionist who advised a client to do otherwise is putting their official status on the line.

I've got exactly that issue here in France. Back in 2010, the hospital doctor got a look at what I'd eaten the first weekend at home and sent a letter to my GP warning him about my 'unbalanced diet'. Since then, the GP carefully does not discuss diet with me, nor has he scheduled me to be seen by an official nutritionist. As far as he is concerned 'I ain't broke' so he has no plans to fix me.

I suggest only that you give the idea a try for a month or so. Yes, the first week may be a challenge but if you stay with it I think you'll never look back.

Your doctor has trotted out one of the usual lines for folk with our issue 'lose weight and you'll be fine....'. You're on the light side - what good will losing weight do for you? He has seen you, hasn't he?

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Old 06-21-2014, 12:20   #28
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John, your posts certainly do put a smile on my face. Thank you for always responding. I always look forward to your replies.

I meant in general that doctors will tell their patients to lose weight and exercise. Because it's believed that over weight people become diabetic. Sorry, I should have been clear. My doc says I'm perfectly fine. I honestly can't blame her. 140 then 2.5 - 3 hours it's normal. I'm uneducated, but even I would usually tell someone that's normal. A1c, again, normal. So I can't blame my doctor.

I've looked over at the forum "what to eat for breakfast, lunch and dinner". Pretty much is what I eat. Meat and veggies.

I haven't got a clue how to eat high fat low carb meals. Do I just butter everything(steak, chicken, meat), cook it with some American(yellow) cheese, eat a salad with high fat dressing? I'm currently using olive oil and vinegar. If that's all I need then, done! Who doesn't love butter, cheese and high fat dressing?

That's why I asked what your diet looks like. To get some ideas. Your getting over 2100 calories which is what I should aim for. Maybe more.

I will continue it John. For few months. As well as exercise and weight lifting. See what happens.

For the record, I drink juices like Hi-C, cranberry, sports drinks etc. Does nothing to my BG.

I appreciate you always commenting and reading my posts John. This is a bummer, but it doesn't scare me.

Oh and regular cooking oil.


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Old 06-21-2014, 12:54   #29
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Quote:
I have a question, if I continued eating carbs and ignored this, will I get worse and eventually be diagnosed as type 2? If I take care of it by going on a LCHF diet, will I stop the progression? Finally, by taking care of oneself, can it be reversed?
First off - you did not, nor can one ever, cause diabetes by what you eat. It happens because of the body's makeup for processing carbs is not optimal. If one reaches the point where one can no longer process a high-carb load, and BG rises, there IS something one can do about it. Which is to reduce the carb load to match the body's ability.

Reducing the carb load will usually halt the progression of diabetes. Doesn't mean one no longer has D, but that the diet doesn't cause any rise in BG.

Really, your numbers look very good. The lows you are experiencing are probably reactive hypoglycemia - for which a steady, lower-carb diet is beneficial. (I had RH for over 30 years before I developed high enough BG to be dx'd with D.)

I'd say that you need not be too concerned at this point. Reduce the carb load, and test occasionally to keep an eye on your BG - in case you see a rise. In this way you can catch any progression when it first shows, and reduce carbs even more.

The high-fat part of LCHF may or may not be necessary in your case. If you just avoid the low-fat way of eating, go ahead and have the natural, saturated fats such as butter, sour cream, cream cheese, ditch the American cheese and go for the real cheeses, drizzle pan drippings back onto the meat and don't drain it all away, eat bacon and eggs with no guilt.

I wish you good luck in finding your personal carb balance. It takes a little work, but it is worth it. I sure wish I knew years ago what I know now and could probably have avoided progressing into full blown D at all.

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Old 06-21-2014, 13:24   #30
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VeeJay has covered most of the ground, so I'll only throw in my minor concern on what you said.

You said -
Quote:
I drink juices like Hi-C, cranberry, sports drinks etc. Does nothing to my BG.
Hi-C isn't a name I recognise being a simple Scotsman but most fruit drinks and all sports drinks tend to come laden with sugar (sometimes with interesting names as camouflage). I find it surprising that they don't influence your blood sugar. I suggest you have a hard look at your meter before and after the next one.

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