Diabetes educator says 130 gr carbs per day necessary

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Diabetes educator says 130 gr carbs per day necessary


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Old 04-27-2017, 22:31   #1
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Default Diabetes educator says 130 gr carbs per day necessary

So, I just got back from a meeting with a diabetes educator. When she started off by saying she adhered to the ADA guidelines, I knew it wasn't going to be a great fit.

She says 130 grams of carbs per day are necessary for basal metabolic function. I have been aiming for 60-80. (I didn't tell her that.) Have you heard of this 'fact'?

I assume gluconeogenesis provides any glucose that's lacking. I don't want to fool with an extreme low carb lifestyle and I do need to figure out my carb need for my summer activities. I do need carbs, but 130 sounds high. It raises my glucose levels for sure.

Since my experience with carbs in the 60-80 range is working so well for me, it comes as a surprise that anyone would tell a diabetic to eat that much.

How many carb grams do we actually need?

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Old 04-28-2017, 00:14   #2
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Have you watched this video? I think it might answer some of your questions.


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Old 04-28-2017, 00:31   #3
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I get along well and have felt good with A1C's under 6 for the last 4 years eating 25 or less carbs per day. All my blood work is normal. Just saying.


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Old 04-28-2017, 00:33   #4
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How many carb grams do we actually need?
Actually...... none! Any need for glucose our bodies have can be made internally without any need for food providing it.
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Old 04-28-2017, 00:35   #5
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Here is an article that may help as well.
https://www.healthcentral.com/articl...rain-fuel-myth

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Old 04-28-2017, 01:42   #6
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Wen I have to deal with an ADA 'educated' Diabetes educator, I just nod and smile. They are 'educated' by the folks who make the drugs and their "facts" reflect that.

That said, I do need a certain level of carbs to feel good. I have never really figured out how to calculate my percentages - I look at the level of carbs and choose foods from the lowest carb content and then eat normally - so I can't tell you how much carb I need, but I can tell you that while I wasn't hungry on ultra low carb, my thyroid starts to act up and I become irritable and miserable after a few months. I added carbs like carrots, beetroot, swede, and turnip back into my diet and those symptoms stopped and my blood sugar stayed reasonable.

My rule of thumb since that discovery has been "as low as I can go without feeling terrible".

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Old 04-28-2017, 01:53   #7
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That said, I do need a certain level of carbs to feel good.

My rule of thumb since that discovery has been "as low as I can go without feeling terrible".
Very sensible.

I also notice at certain times of the year life without carbs is wretched business. In the fall I want my soups to get thicker and winter squash to show up on my plate.

But in spring it is easy to be lean. After 29 years of living in Vermont, I just have to accept that lean eating is easier in spring and summer, and difficult in fall and winter. I like your policy; I can move my carb target up a little in winter for my psychological well-being.

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Old 04-28-2017, 02:40   #8
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After 29 years of living in Vermont, I just have to accept that lean eating is easier in spring and summer, and difficult in fall and winter. I like your policy; I can move my carb target up a little in winter for my psychological well-being.
Agreed. We are marching into autumn, and I am finding that a small serving of roasted potatoes or winter squash makes me feel warm and happy, while not having too bad an effect on my blood sugar.

I think that if we are going to stick with self care for a lifetime, that self care has to include emotional care. If that means giving ourselves permission to have a quarter cup of potatoes or a slice of winter squash every day or two in cold, miserable weather - often enough not to feel deprived, so that small serving feels like enough - we are more likely to stick with it without going off the rails and eating in ways that really will make us sick.

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Old 04-28-2017, 12:17   #9
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Originally Posted by auntgrace View Post
So, I just got back from a meeting with a diabetes educator. When she started off by saying she adhered to the ADA guidelines, I knew it wasn't going to be a great fit.

She says 130 grams of carbs per day are necessary for basal metabolic function. I have been aiming for 60-80. (I didn't tell her that.) Have you heard of this 'fact'?

I assume gluconeogenesis provides any glucose that's lacking. I don't want to fool with an extreme low carb lifestyle and I do need to figure out my carb need for my summer activities. I do need carbs, but 130 sounds high. It raises my glucose levels for sure.

Since my experience with carbs in the 60-80 range is working so well for me, it comes as a surprise that anyone would tell a diabetic to eat that much.

How many carb grams do we actually need?
Zero. This is known, confirmed and irrefutable science. The human requirement for dietary carbohydrates is ZERO. Either they straight-out LIED to you or they confused the daily need for GLUCOSE with the need for dietary carbohydrate. They are not the same. A completely glucose-dependent metabolism which is very poor at utilizing anything else does indeed require 120 or 130g of GLUCOSE every day, but there is no need for anything from diet. The liver is fully capable of making at least 200g per day from other things.

Moreover, if the human goes through a period of very low carb (but sufficient energy), that need drops by something like 80% as many cells (even including the brain) switch to other fuels.

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Old 04-28-2017, 15:27   #10
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Zero. This is known, confirmed and irrefutable science. The human requirement for dietary carbohydrates is ZERO. Either they straight-out LIED to you or they confused the daily need for GLUCOSE with the need for dietary carbohydrate. They are not the same. A completely glucose-dependent metabolism which is very poor at utilizing anything else does indeed require 120 or 130g of GLUCOSE every day, but there is no need for anything from diet. The liver is fully capable of making at least 200g per day from other things.
.
I'm quite sure she has carbs confused with glucose. I'll be ready next time someone confuses them.

What boggles my mind is how she repeats what she has been taught by ADA and is therefore cheerfully misleading and harming diabetics! She looked askance at my Bloodsugar 101 and, without opening it, treated it like it was yet another quack cure-all and proceeded politely to prove how it was out of line. Without knowing what it said, just that it contradicted ADA. Furthermore, she never asked me what I was doing, what my goals were, how much I understood, and when I asked her why ADA allows such harmful post prandial numbers (up to 200 two hours after a meal) she thought it was no big deal.

I got the impression we poor slobs got ourselves here and we just have to deal with the rotten, inevitable effects of our poor eating.

I love that TED talk and will watch it again until I have memorized the argument and can pull it up to teach others.

After reading these replies I realized I need to take another look at ketosis. I thought it was an extreme condition that took finesse to manage. But it isn't. I am dropping to 30 gr carb this week to see how I can handle it esp with my biking.

Thanks so much for your replies.

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