What do your doc's / nutritionists say about needing some carbs.

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Natava
Regular Member


Date Joined Jul 2009
Total Posts : 35
   Posted 9/17/2009 12:32 PM (GMT -7)   
My readings have been averaging 150 ish.  When I leave out the carbs completely, I can be at 98-110.  BUT my nutritionists that my doctor and RN, BS, CDE sent me to says I should eat 3 carb choices per meal (stay under but near 46 carbs a meal).   You need the carbs too.
 
It doesn't seem to matter if I eat good carbs or bad (for the purpose of readings).  They shoot my sugar up to the 150-180 range. 
 
Do I reduce my carbs, or listen to her, and know that if I am doing what she told me to do, I may just need more than 500 mg glucophage to help. 
 
 

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5392
   Posted 9/17/2009 1:10 PM (GMT -7)   
This is difficult because I am not a doctor and I do not want to tell you not to follow what your doctor or nutritionist says.  You have to make your own decisions and this is why it's important for you to find out all the information you can.  This is what I learned three years ago and what I have followed since then.  Our brain uses glucose to function.  Glucose normally is derived from the carbohydrates we eat: bread, pasta, rice potatoes, sugar.  Carbohydrates from these kinds of food are easily turned into glucose, sometimes very quickly and sometimes more slowly, (simple vs. complex carbs).  If we do not eat those carbs, we can get them from vegetables and even milk products, though not in the high amounts you find in food made from flour and sugar, etc.  This means you would be following a low carb diet.  In this case, your body will also turn the protein you eat into glucose when/if the body needs more of it than what it gets from your diet.  This is why diets like South Beach Phase 1 and the Adkins diet works.  So, all I can say is that I've been doing it for 3 years and I've been able to keep normal or near normal blood sugar (my A1c went from 6.6 to 5.5), I've lost weight, my cholesterol has come down (my doctor was going to put me on Lipitor) and my liver and kidneys are in excellent health.  And I got off one of the two blood pressure meds I take.  I encourage you to do more reading about this.  I bought Diabetes Solution by Richard Bernstein, MD which explains everything about the disease and how a low carb diet works to control blood sugar.  And in the end, after you consider everything, it's your decision.  I told my doctor how I've been able to accomplish this and she's just very happy that I've been successful.


Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 

Post Edited (LanieG) : 9/17/2009 3:24:00 PM (GMT-6)


Natava
Regular Member


Date Joined Jul 2009
Total Posts : 35
   Posted 9/18/2009 6:34 AM (GMT -7)   
Thank you. That does help. I just wish my doc and nut woudl agree. Nut was short for nutritionist - now I realize how bad it looks. But, alas I am too lazy to delete.

Jim1969
Veteran Member


Date Joined Jul 2009
Total Posts : 2042
   Posted 9/18/2009 8:55 AM (GMT -7)   
That is one of my biggest complaints about dealing with diabetes. It seems no two people in the field can or will agree on diet. In the past 10 years that I have been diabetic I have heard from the medical community to consume 0-12 units per day. (Unit being of course 15 grams)

You are correct though. You may and probably do need an adjustment in your medication of some kind. It could be upping the glucophage or even adding an insulin sensitizer or a medication that will help your body produce more insulin. It is something to discuss with your doctor.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 9/18/2009 10:03 AM (GMT -7)   
Or Natava you could do what you did previously and go to a low carb food plan and prove both your doctor and nut wrong. When I speak low carb I'm talking starches. Did you know that until humans started living in one place and cultivating grains they hardly had any starches in their diet? This means that for hundreds of thousands of years homo sapiens lived on meat, fish, fowl, vegetables, nuts and fruits along with the small amounts of grains that they could gather from wild sources in the fall.

Tooth decay didn't show up in humans until the Egyptians started keeping grain in barns. And the first signs of diabetes showed up when we became agrarian. To me it makes no sense to add medication just so you can eat those starchy carbs when you have already shown that you can get good readings without them! If you eat vegetables and fruits you are eating carbs, but they are the best kind to eat, the kind your body is designed to metabolize. Plus they come wrapped in fiber that changes the glycemic load and speeds up elimination. Perfect little packages of nutrition.

In the final analysis this is your body, your life, your eyesight, your kidneys. Do what makes sense to you. For me, eating better and managing on less medications makes sense for me now. I know that diabetes is progressive and that I may have to make a change in the future, but for now I'm doing what works for me. Unless your nut has diabetes I wouldn't bet my life on her education. Remember that 50% of all people graduate in the bottom half of their class... and somebody had to graduate in last place. That could be your nut or doc.... Me, I'm a partner in my health care, not a martyr to my doctor's or nutritionist's lack of understanding.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross


Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 9/18/2009 11:23 AM (GMT -7)   
No such thing in our medical history as "carb deficiency". No person in history ever died of lack of carbs. Protein and fat are the building blocks of our evolution. Grains (wheat, rice, rye, barley, etc.) are the world's first "fast food". How to feed a lot of people with instant-energy food that's storable and portable and lasts a long time? Learn to process grain. Very little nutritional value but it fills the tummy and provides instant energy for instant "bursts" before crashing (good for marauding war bands :-); can be stored for years and even the vermin won't touch it if it's still in it's original, inedible husk.

Sure there's good & bad carbs but the good ones should come from natural sources like raw veg, leafy greens, some fruit and even in limited amounts, some natural sugar like honey.

What the Dieticians, NP's, DE's, etc tell you is best for you comes from what the dairy board, grain council, heart association, etc. have put together for them. Follow big business and follow the money trail. Don't think for a minute that politics aren't involved in what you're told you should eat. Problem is, they always leave out the reason why (for a reason, I guess :-)

Understanding Diabetes (of any kind) is understanding that there is a problem metabolizing carbs.

Unfortunately, many professionals don't get this simple, basic truth (unless they're diabetic themselves??). They have a calculation table that tells them how much you should eat based on weight, activity level and other stuff. This can be helpful to those who are maybe at the very beginning of understanding how to even eat a proper meal. Those of us who've gone a little further - logging: test results, food eaten, exercise, etc. - have learned that by actually looking at and analysing the data a bit, we see exactly where we need to make some changes. It's also shown us that the recommended ADA/CDA diet is waaay too high in carbs. Maybe they try to accommodate the overwhelming percentage of diabetics who can't give up their breads, pastas, cereals, potatoes and rice? It's a guideline and should be treated as such.

Every time I asked my (various) dieticians why we "needed" carbs - they never had a real answer. What's yours say? !-)
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 9/19/2009 8:47 AM (GMT -7)   
Wow! That really sums it up, Phish! Gonna need to remember to bump this one!
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross

New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, December 03, 2016 4:50 AM (GMT -7)
There are a total of 2,732,004 posts in 300,981 threads.
View Active Threads


Who's Online
This forum has 151148 registered members. Please welcome our newest member, Cary Breef.
194 Guest(s), 2 Registered Member(s) are currently online.  Details
lynbrez, Redwing57


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest
Advertisement
Advertisement

©1996-2016 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer