Jim, I think it's too bad that your subject line appears to be so negative towards diet and exercise. These are two patterns of behavior that can only help diabetics keep their blood sugar levels lower than they would be otherwise. Regarding exercise, all patients should discuss this first with their doctors so they are cleared to participate in various exercise routines. Some exercise for extended time may indeed raise blood sugar temporarily, just as it may raise blood pressure temporarily. The key is testing, especially for those who take meds. Those on insulin have to be particularly careful about monitoring blood sugar. These rises are temporary and should drop to lower levels. Over time, as the body builds more muscle from regular exercise, it also uses glucose in the blood more effectively. Long-term regular exercise also reduces insulin resistance and causes the body to use the body's own or injected insulin more effectively. Overall good news is that the person may need less medication to control blood sugar. This is true for types 1 and 2. As far as carbohydrates, I would refer you to Diabetes Solution by Richard Bernstein, MD. This is a comprehensive book that covers all aspects of diabetes. As a type 1 himself as well as a medical doctor, he understands first hand about effects of diet and exercise as well as meds on the metabolism of diabetics. Your body will not forget how to process sugar. In fact, the body does not need sugar or carbohydrates found in flour products, complex or not, in the high quantities frequently found in diets advocated by the ADA. There are carbs in nearly all vegetables but not in the high amounts found in flour/sugar products. When a diabetic is eating low-carb, he or she eats lots of fresh vegetables, salads as well as meats, fowl and fish. The liver produces glucose from the breakdown of protein in the meats and from the vegetables when there are no carbohydrates eaten. Unless you are literally starving, eating no food or so little to barely sustain you, your body will not break down your muscle for energy. Starvation and even anorexia may indeed break down muscle, including the heart muscle, but a low carb diet will not do that. Here is an article by Gary Taubes, a science writer, that should be of interest to everyone: http://www.nytimes.com/2002/07/07/magazine/what-if-it-s-all-been-a-big-fat-lie.html?sec=&spon=&pagewanted=print
For my own personal story, my mother and grandmother were diabetics who died from the disease. When I started monitoring my own blood sugar 3 years ago because of high fasting readings, I did a lot of reading about this disease. My A1c was 6.6 at that time. Because of a low-carb diet and regular exercise, my A1c is down to 5.5, my cholesteral has improved, I've lost weight and my blood pressure is lower. I was on 2 blood pressure meds. Now, I'm on only one at a lower dosage.
I'm presuming you're diabetic because you have noted diabetic neuropathy in your signature. May I ask what meds you're taking and what kind of food you eat?
Post Edited (LanieG) : 7/20/2009 11:23:00 AM (GMT-6)