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Dr Bernstein - Page 2


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Old 01-20-2015, 19:08   #11
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I'm very hesitant to say everyone needs to be what he considers "perfect". I've seen several T1 who will bolus 1/2 unit of insulin anytime their meter reads over 90 just because it's what "Dr. B says".

There are too many variables when it comes to our meters and testing techniques to get an accurate enough reading to be that worried over a 5 point "increase".

Set your own limit and stick with that. Mines under 110 so that I can take all the variables into account and know I'm under 140.

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Old 01-20-2015, 19:19   #12
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Just to confirm it - the priority target is your after meal figures. And as Shanny says, we must each decide how much to push for. Jenny Ruhl's site covers it well Healthy Blood Sugar Targets and is worth reading again.

Last year my father in law died at 86 from complications arising out of diabetes. He wasn't diagnosed until three months before his death and the hospital's approach to his blood glucose figures left my poor wife tearing her hair out. Their view was that it wasn't worth spoiling his last weeks with a limited diet. She took a different view but ....

Anyway, the point is that it is our decision. The higher up that line we are prepared to accept, the higher our risk of developing complications and justifying the view that 'diabetes is a progressive condition.'

As I said, I'm lucky in that my BH is very supportive of the Bernstein line and her talents in the kitchen make it easy for me to accept her help. Others are not so lucky but if they can keep that blood glucose figure below 140 at any time, they will probably avoid the bulk of the nasty consequences of permanent hyperglycaemia.

Given the all pervasive nature of carbohydrate I suspect that there are very few who can achieve a zero carbohydrate diet. But I would add that such a diet is not unhealthy. Carbs deliver nothing we can't get elsewhere (even sugar).

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Old 01-20-2015, 19:30   #13
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Right. I'm curious: Do some diabetes people eat a diet that consists of pretty much of only meat and fat because they want to avoid any and all carbs?
Many if not most of our meals consist of the entree and nothing else. Long ago I would have said a meal wasn't a meal if there weren't at least three dishes, but it seems that's that mindset that got me here. So I prepare the entree - meat/poultry/fish - and if the pan drippings are good I make gravy to pour over; this doesn't apply to fish, since I always make high-fat tartar sauce to go with fish.

Even with eating only one dish with usually only one piece of meat and rivers of gravy (), we feel satiated. Sometimes OWC has a salad before the meal while I'm finishing up the gravy, but many times not. I rarely have a side salad - just meat and fats for me.




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Old 01-20-2015, 19:44   #14
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Right. I'm curious: Do some diabetes people eat a diet that consists of pretty much of only meat and fat because they want to avoid any and all carbs?
Frankly, I eat mostly meat and fat because I'm lazy and picky about my greens. I want them pretty darn fresh, don't want to cook them, and don't want to shop for them. So for lunch 2-3 times a week I have a salad (purchased from work cafe). Most dinners are devoid of veg, unless I have Indian food to pour over cauliflower. Eggs, meat and gravy, those are my go-to's. I'm not worried about my above-ground carbs, mainly because I know I'm not eating enough of them. (But, yes, I still count them.)

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Old 01-20-2015, 20:59   #15
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I thought there is a "too much protein" level, after which it just gets converted into glucose. What then? I guess it's different for everyone, but this whole thing confuses me.

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Old 01-20-2015, 21:04   #16
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I thought there is a "too much protein" level, after which it just gets converted into glucose. What then? I guess it's different for everyone, but this whole thing confuses me.
To overly simplify, the body and its functions are very complex.

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Old 01-20-2015, 21:11   #17
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I liked Dr. Bernstein's Diabetic Solution book and it was nice to finally read a diabetic book that suggested lchf; however, there were a few things I disagreed with. I disagree that normal bg should be 86 for everyone. I also disagree with how quickly he suggested using insulin if you were not close to his normal. His book was primarily originally written for type 1's. I thought he had a lot of good suggestions and the exercise chapters was really interesting.

My philosophy is that if you are eating lchf, keeping your carbs under 40, exercising, keeping your cholesterol in the normal range and your bg readings are under 100, you're keeping your diabetes under control.

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Old 01-20-2015, 21:18   #18
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I liked Dr. Bernstein's Diabetic Solution book and it was nice to finally read a diabetic book that suggested lchf; however, there were a few things I disagreed with. I disagree that normal bg should be 86 for everyone. I also disagree with how quickly he suggested using insulin if you were not close to his normal. His book was primarily originally written for type 1's. I thought he had a lot of good suggestions and the exercise chapters was really interesting.

My philosophy is that if you are eating lchf, keeping your carbs under 40, exercising, keeping your cholesterol in the normal range and your bg readings are under 100, you're keeping your diabetes under control.
You mean under 100 at all times, right?

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Old 01-20-2015, 21:55   #19
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As I said earlier in this thread, Dr. Bernstein would have died following the conventional medical wisdom, had he not recognized how to control his high blood sugar, and he would have left a wife and small children. He is still somewhat crippled by deformities to his feet caused by high blood sugar.

I don't follow his most severe constraints, but I understand them, and people are not wrong to want to follow his advice. Other people who are not happy with such retrictions are certainly welcome to lower the bar. I don't follow all of his advice, either, but I'm not going to stand by and watch people criticize it as too strict. The man saved his own life and he's saving hundreds of others in his practice and by providing much of his research online at no cost. Just sayin' . . .




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Old 01-20-2015, 22:19   #20
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I think it's a real weighing of things. The lower the BG really seems the better. But not everyone can or wants to restrict themselves as much.

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