Hm ... do I really want to do this?

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Hm ... do I really want to do this?


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Old 09-18-2017, 04:42   #1
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Default Hm ... do I really want to do this?

Hi, all. I got diagnosed in early May if this year, 2017 with a nice high A1C of 12.4. My fasting BG was 340 that fateful morn. I wasn't surprised since I had just discovered a 15 pound weight loss for no good reason. Down the toilet that 15 pounds went, trying to tell me I had diabetes but I wouldn't listen because I hadn't weighed myself in a couple months.

Sigh. So good news (weight loss) and bad news (diabetes) came to me like instant karma.

Thus my journey began. It's now mid-September and I've dropped an additional 30 pounds, begun an exercise program that culminated in doing a 10K walk yesterday with my dear and faithful companion, my wife (who's dropped 20 pounds herself just eating how I now eat ... 20 pounds she really didn't need to lose).

The eating. I'm not a fan of the L in HFLC (that does mean high fat, low carbs, doesn't it? I'm guessing.). I love carbs. I was born to eat carbs. Carbs and me go waaayy back. And now they tell me I must limit them to 45-60 per meal! This is an outrage!

I know, I know, this forum is a big HFLC place. I fear I won't fit in here because I went through an ADA approved dietician education and I follow it. And my dietician actually looked at my two-day calorie count I had faithfully done and said, "You aren't getting enough carbs." True story.

So there you have it: my intro to this forum, my statement of love of carbs (all of them, even the dietary fibers), and, oh, I should mention my latest A1C. I can't. My doc wouldn't take it on my second appointment (too soon) and my next one isn't until next week. But I have been faithful in taking my BG (that does stand for blood glucose, amirite?) and I found an online A1C calculator that tells me I should be around 5.9 or so, based on my averages.

Carbs? Why would God make 'em and make 'em so tasty if they were wrong no? It makes no sense!

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Old 09-18-2017, 04:47   #2
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Hey, you mean I can't edit my posts? What's up with that?

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Old 09-18-2017, 05:03   #3
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Hi and welcome to the forum. Edits can be made after 5 posts for new members, please bear with us.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
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Old 09-18-2017, 05:34   #4
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LOL at your love of carbs description, sounded like I used to.

I can tell you carbs are addictive and hard to kick the habit. Sounds like you were eating way more carbs than your dietitian "restricted'" you. I would expect to see some lowering of your BG if you follow that, however, I would also expect you will find out that is way too many carbs to keep good control of your BG. I could not and can not eat 45-60 grams of carbs per meal and keep my BG out of dangerous levels. I typically eat 30 or less grams of carbs per day, yes, PER DAY. I've been doing it for about 5 1/2 years now, so yes, it is sustainable and I actually am eating a larger and tastier variety of things now than I was before finding out I was diabetic.

You can learn a lot about diabetes at Bloodsugar101, just scroll down and pick out a topic, there are several. One tells about damaging BG levels, others cover meds, testing, controlling BG, etc.

One very important thing is knowing what your BG is, yes it is blood glucose or blood sugar. Did they mention when or how often to test your BG. I can tell you from experience that it takes a whole lot of testing at first to see how foods affect your BG. After a while you can test less and less as you learn what you can or cannot eat, and how much you can eat of certain carby foods. You should test before eating, then one hour after your first bite, and then again at two hours after your first bite. Most people see a peak in BG about an hour after starting to eat (just so you know, this time can vary for a bunch of reasons). By two hours your BG should be headed back down toward your pre-meal number (and this time too can also vary for a bunch of reasons - i.e. some carbs are more complex than others and take longer to be converted to blood sugar).

You'll fit in. We don't care what way you eat as long as it works for you to control your BG. I'll stress again though the importance of testing, that is the only way to know it is working. Another thing is that what works for you today may not work now for others and may not even work for you next month or next year.
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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
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Old 09-18-2017, 05:48   #5
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Thanks, Buster ... if that's your real name.

Yeah, I've been testing like a madman ... like 5 times a day. It gets a tad expensive and I worry my fingertips will eventually be destroyed. I'm learning how my body responds. I have found the biggest factor for me is exercise. If my wife and I go out to our favorite Mexican food restaurant, I can cheat a bit and have some chips ... but only if we're walking to and from it (1 mile each way). That mike walk home effectively chops 60 -100 points off my BG, at least immediately. Then it slowly rises but never gets into the red zone (180+).

And portion control ... that's been a huge help. I'm eating about 1/2 to 2/3 the calories at a meal that I used to eat. It's how I dropped the 30 pounds.

I've browsed this site several times and found a lot of good info. But I'm sticking with my 45-60 carbs a meal for now. It's working for me at the moment and I do love me some carbs.

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Old 09-18-2017, 06:35   #6
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That is my last name, my friends at work cal me Bus, or Big Bus, and a couple call my Greyhound.

I ate Mexican food tonight, I find it pretty easy to get by where we eat. I usually get the guacamole they make right at the table, it is a chunkier version than their "house" guac. Tonight I got their Molcajete (sp?), it is a combination of all their fajita meats - beef, chicken, shrimp, sausage - along with sliced avocado, melted cheeses, and topped with a chili popper. I do eat a few chips with the salsa and tonight I did have about a tablespoon of the fried rice with it. I didn't check before eating but my BG when I got home about an hour and a half after starting to eat was 104.

I do hate to say that the 180 number the ADA says is OK is not endorsed by others, AACE (American Association of Clinical Endocrinologist) and the IDF (International Diabetes Foundation) use 140 as the red line. This valve is based on clinical studies. The ADA says its OK to go over 180 as long as it comes back down. I commented to someone the other day that that sounded a lot like its OK to be stabbed as long as the knife blade is eventually pulled back out.

Keep in mind A1c is an average, and averages can be the same for steady numbers as well as numbers with big swings. Numbers ranging from 80 to 140 have the same 110 average as numbers ranging from 60 to 160. Guess which one in the long run is bad?

I don't count calories, because I have lost weight going from 3300 calories, to 4200 calories, its what those calories are made of. Cutting calories can result in weight loss, just be aware that the source of the calories can impact how many calories your body burns to process those calories ingested. I am normally pretty active and it takes a lot of calories to keep me out of starvation mode. Most Peo;le are already eating enough protein, so when cutting carbs back, fats have to be what make up the deficit.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18

Last edited by mbuster; 09-18-2017 at 19:22. Reason: because my math skills don't function well around midnight
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Old 09-18-2017, 06:44   #7
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FYI, weekends can be slow here, but others will be along that will be able to share their experiences. For me its my bed time. If I can get an early start in the morning I plan on putting in about a 40 to 50 mile bike ride before it gets hot.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.4 (10/2018)
TC 206 LDL 102 HDL 85 TG 96 (10/2018)
Supplemental vitamins and electrolytes
63 YY Love the LCHF diet. The cheese goes well with my whine

updated 10/26/18
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Old 09-18-2017, 13:49   #8
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Hi Jordan

We're glad you joined us. And we are always happy for folks if they have found what keeps their BG at a safe level - this is the goal of all of us.

I know what you mean about carbs tasting good. Our society's whole way of eating is based on carbohydrates - and yes, they are addicting. I became diabetic at age 63, and had now and then in the years previous to that had gone on low-carb diets - and I know from that experience that it takes 3-5 days for my body to adjust during which time would go through what I always called "sugar withdrawal". This last time was no exception when I began LCHF as a permanent way of eating. It's been almost 7 years now and it truly is the best thing I have done for myself. My A1C is in the 5% range, and my BG level after meals is well below 140 - usually below 120. I am confident that I will avoid developing diabetes complications because of this.

We live in an imperfect world, and as a diabetic, we have an imperfect body - one which has a broken metabolism that becomes overloaded when ingesting too many carbohydrates. I see BG management as doing manually what one's body used to do automatically. It's a bummer. But it can be done, and done successfully. The folks here are testimony to that.

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Old 09-18-2017, 16:15   #9
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Welcome, M ... if that's your real name.

One of the reasons I like this forum is that the folks here realize everyone is different, both in how their disease affects them and in how what they eat affects their diabetes. While most of the posters here follow a LCHF way of eating, there is room for people who don't follow that -- if it's resulting in BG control.

One thing you will find here is widespread healthy skepticism for what the ADA says about treating diabetes.

mbuster already mentioned recommended BG levels. I've also heard (from medical professionals who are not diabetes experts) that they like to see higher-than-normal A1cs so diabetics avoid going hypoglycemic. That sounds to me like advising people to travel no faster than 45 mph on the Interstate. You're more likely to survive an accident -- but, at that speed, you're more likely to be in one. So which is a better choice?

At the same time, however, with an initial A1c of 12.4, I'm sure you were put on some meds, the dosage of which depends on your eating a certain amount of carbs per meal or you could go hypo. So if you do eventually think of going LCHF, you'll need to adjust the meds you're using. I'm not a medical professional, but taking meds you don't need doesn't sound like much of a plan to me.

Anyway, welcome aboard. There's lots of information and support here. I look forward to seeing your future posts!

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Old 09-18-2017, 16:19   #10
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Your story sounds familiar. . .

I also went to an endocrinologist who performed various tests, which resulted in my diagnosis as type 1 - LADA (latent autoimmune disease in adults). I had already been given insulin from my regular doctor, 'cause the metformin didn't work.

If your numbers are good, that's the big story. If they are not and it's a lot of struggle, you may actually want to see if you too have LADA. In LADA there is no diet that'll keep you off insulin. Your body needs it, even though the needs develop gradually.

Just another case study. For me, it was January 2017 and I went from 6'-5" 225# to 6'-5" 185# and had major changes in my eyesight. Insulin brought back my eyesight. Diet control keeps me from gaining weight. I think I'm doing okay - need to recheck my a1c. Hopefully, that's on track by now too!

f-d

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