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Hi Judith. I've been doing varying levels of low carb for about 5 years. My diet is always changing depending on my bg goals and weight. I don't follow a specific diet but using my meter I decided what carbs my diabetic body could handle and which ones I could not. So in the beginning I would suggest you start testing with the food you are currently eating. Record your 2 hour bgs on each meal and snack. Ideally you want to be as close to normal as possible. But definitely no higher than 120-140 after meals. I finally settled on 10-15 carbs per meal. But time of day is also going to make a differece. For example for breakfast I have to keep my carbs very low usually around 2-4 carbs but can handle more for lunch or dinner. When I first started LC, I found the big offenders. For me they were :

1. Wheat products ( bread, cereal, crackers, pasta)
2. Rice products ( white rice, brown rice, rice crackers, rice cereals)
3. White potatoes
4. Most fruits except berries in small amounts
5. Most grains like oats including oatmeal
6. All sugar products including honey, agave, lactose or sugar derivatives
7. Starch veggies like corn, root veggies, etc.

The other thing to consider is the balance of nutrients at a meal. Adding a fat source at every meal helps me stabalize my bgs.
 

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Hello & welcome, Judith. I think you'll be able to put together a good low-carb way-of-eating for yourself by following the threads here, asking all the questions you have, and testing the foods you eat so you're sure your menus don't spike your blood sugar. Many of us follow the low-carb/high-fat method with good success. It will be a pleasure having you with us & I hope you'll make yourself at home here - visiting often.
 

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Hi and welcome.

I'm both a new diabetic and new to this forum. As such I hope I can bring about new viewpoints.

As far as a low carb diet, I must be the oddball on this forum because I try and eat about 70g-75g carbs per meal,but keep the calories below 500. Mine works for me- I've lost an average of a pound a week over the last two months an that includes holiday meals!

I have worked with my dietician and doctor and created a diet plan than matches both my diabetic needs and my exercise regimen.

I think that is the important part. Work with your medical team and devise a plan based on your specific goals and needs. Keep that in mind and you will be fine.
 

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Hi and welcome.

I'm both a new diabetic and new to this forum. As such I hope I can bring about new viewpoints.

As far as a low carb diet, I must be the oddball on this forum because I try and eat about 70g-75g carbs per meal,but keep the calories below 500. Mine works for me- I've lost an average of a pound a week over the last two months an that includes holiday meals!

I have worked with my dietician and doctor and created a diet plan than matches both my diabetic needs and my exercise regimen.

I think that is the important part. Work with your medical team and devise a plan based on your specific goals and needs. Keep that in mind and you will be fine.

I don't think you are an oddball, but you are taking insulin to be able to process that amount of carbs. Many type 2's are not on insulin, just oral meds. So the diets that their doctors give us are way too high carb and give us 2 hour pp's higher than 120-140. I aim for bgs of 80-110 most of the day and eating low carb is the only way I can do it. For example yesterday I did splurge with some extra carb snacks probably bringing my total to 75 per day. Well my fasting was 122 this morning, 25 higher than yesterday. So for me limiting the carbs to 10 per meal is so important for good control.
 
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I admit that I'm new to the DM thing, never denied it. Wouldn't have thought that taking insulin compared to using oral medications would be better. But that is what I am seeing by everyone's posts.

If insulin injections make that large a difference, why don't more T2 use insulin? Especially when the oral agents basically end up overworking the pancreas south that T2 end up on insulin anyway?

I'm just trying to get a better idea of why people are so afraid of injections when it seems to be beneficial.
 

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For one thing, insulin is dastardly expensive unless you get the Walmart ones which don't require a prescription, and those take a little more expertise than the brand-name basal & bolus versions. For people with insurance this may be less of a problem, but like with our moderator Joshua - his insurer suddenly decided they won't cover Lantus anymore, so where does that leave Josh? He's type 1 - he can't live without it - so he's forced to pay out-of-pocket or else use a different brand which may or may not be as good for his control. And insulin brings with it a different set of concerns - one being hypos, as you've already indicated, as well as mixing up the pens & injecting bolus when you wanted basal - that type of thing. It's just a different ballgame all the way around. Many people who are double diabetic (insulin deficient AND insulin resistant) use both insulin and metformin.

The front line of defense in oral meds is metformin, and it does not overwork the pancreas at all. It works in the liver to reduce glycogen being converted & released into the bloodstream, and it works with the insulin receptors in the cells to facilitate better access to what insulin is already floating around in the bloodstream.

You are right about many other oral meds - the sulfonylureas & others hammer the pancreas to produce more insulin, and eventually the beta cells are killed off - whereupon the patient is insulin-dependent. Using insulin in the early stages is a good way to give the pancreas a rest & many times when patients get stabilized, they can even get off insulin.

Since I enjoy my low-carb/high-fat way-of-eating, I do well enough on metformin alone. It's certainly possible that I'll want to go on insulin one of these days, especially since I have a constant battle with dawn phenomenon, but for now, I'm happy & content eating my bacon/eggs, cheeses/sausage, and above all - my prime rib dinner like today! heheh!
 

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I am one who buys my insurance on the open market because we are self employed. In November they raised our premiums to $1200 per month for a
$6000 deductible policy. In order to get the premiums lowered we had to raise our deductible to $11,000 per year. So like Shanny said that means we pay 100% for our doctor visits, labs, meds and insulins. This could add up to $300-$400 per month which we don't have. My doctor suggested I buy the insulin at Walmart but still my insurance company would know I use insulin and raise my rates even more. Whenever I talk to them about policy change the first question they ask is if you use insulin because it puts you in a higher risk category. We do buy some of our oral expensive meds in Canada. Right now I am only on Metformin which has an excellent safety rate. In fact doctors are now using it on many non diabetics because it seems to protect us from Cancer. It works by making you more sensitive to your own insulin. So that paired with a lower carb diet makes many of us extremely healthy. Using metformin and LC/HF diet I am now down to 120 lbs and am in the best shape in 20 years. Cancer seems to thrive in a glucose rich environment so by reducing carbs in your diet you may be able to prevent tumors. Since diabetics are at a higher risk of cancer anything I can do to negate that risk I will do. Going Low Carb was difficult at first but now I really don't mind. I get to eat bacon and eggs, steak and mushrooms and tons of LC breads, cookies and muffins. Check out our LC recipe forum. Also many doctors are hesitant to recomend insulin because of the risk of dangerous lows from miscalculating carb counts. Using the low carb approach many D's can keep their bgs in a 70-110 range fairly easy.
 
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why don't more T2 use insulin?
If one doesn't need insulin, then it's not necessarily the best treatment. Many T2s still produce a fair amount of insulin, but don't utilize it well becasue of insulin resistance, and are unable to produce a high enough level to counteract the IR. These folks do better to reduce the IR (with metformin, for example) and also reduce their need for insulin (by eating low carb eating).

For some, like me, diet is working very well.

Everyone's body is diffferent, and how one is able to control their BG levels will vary from individual to individual.
 

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Looking for low carb diet.
Hi Judith,

There are many low-carb diets out there. The Atkins "induction" comes to mind. It is basically a 30gram carb/day diet - restricted to the lower-carb veggies and no starches. (Contrary to general belief, Atkins is not a high protein diet - just moderate protein and higher fat.)

It helped me in the beginning of this new way of eating to follow this diet until I got the hang of things. Of course, I was checking all the time with my meter to see if any foods caused an unwanted spike.
 
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