Miraculum's Journal, 21 March 2019

For new members, to introduce myself: I'm a T2 diabetic. (T1 diabetics are quite different.) I eat a low-carb/high-fat/moderate protein weight-loss ("LCHF") diet averaging under 50g carbohydrate, 65g protein, 110g fat, and 1350-1450 calories per day.

Since 12/27/2018, I've lost 29 lbs and reduced my average blood sugar from 270mg/dL (A1c ~11) to 130 mg/dL (A1c ~6.1). I've cut long-acting insulin (Ely Lilly's Levemir) from 160 to 60 units per day and cut short-acting insulin (Novo Nordisk's Humalog) from over 90 to less than 25 units per day. After more than 15 years, I no longer take metformin.

The ADA still recommends a diet much higher in carbohydrate. It would require me to take a lot more insulin.

Still, my endocrinologist advises against a LCHF diet, distributes ADA diabetic-diet management literature sponsored by Abbott Labs, a Big Pharma purveyor of other very expensive insulins as well as expensive glucose test strips, lances, and needles. He prescribes the low-fat, carb-laden, ADA diet and as much insulin as necessary to "cover" those carbs, despite my improved health. He gets free Abbott glucometers for his patients and requires presentation of that Abbott meter (to download test results) as a condition for honoring every appointment.

I have to ask: For whom are these doctors working?
215.0 lb Lost so far: 70.0 lb.    Still to go: 47.0 lb.    Diet followed reasonably well.

Diet Calendar Entries for 21 March 2019:
1947 kcal Fat: 115.43g | Prot: 49.54g | Carb: 180.78g.   Breakfast: Water, Coffee (Brewed From Grounds), Safeway Stevia, Butter (Salted), International Delight French Vanilla Coffee Creamer. Lunch: Baby Spinach, Oscar Mayer Real Bacon Bits, Sweet Onions, Water. Dinner: Tyson Foods Chicken Breast Tenderloins, Hellmann's Mayonnaise with Extra Virgin Olive Oil, Brussels Sprouts (Frozen). Snacks/Other: Dunkin Donuts Boston Kreme Donut, Baskin-Robbins Mint Chocolate Chip Ice Cream. more...
3676 kcal Activities & Exercise: Resting - 4 hours, Watching TV/Computer - 6 hours, Sleeping - 7 hours, Reading - 6 hours, Driving - 1 hour. more...
on diet LCHF: Low carb, High fat / Ketogenic Diet   steady weight

25 Supporters    Support   

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Comments 
Drs don’t care to cure us 
21 Mar 19 by member: rosio19
Most Nutritionist don’t care either 
21 Mar 19 by member: rosio19
If they cure us they are out of a job 
21 Mar 19 by member: rosio19
That’s why they prescribe 1200 calorie deficits, yo-yo dieters for life 💵 
21 Mar 19 by member: rosio19
Very sad situation - find a new endo - I like two key books Dr Bernstein's Diabetes Soultion and Jenny Ruhl's Blood Sugar 101. I wish I would have followed both of these at the beginning but hey now is better than not.  
21 Mar 19 by member: perks54
Both my husband and I are prediabetic at normal weight. We went to a conference for diabetics at UCLA in Los Angeles given by a dietitian on staff. Among the complete set of eating instructions was the advise for both of us to eat 7 servings of grains a day and 4 servings of fruit. I eat an average of 1100 calories a day at my weight of approximately 111. At that time my weight was around 115, but just those 11 servings would come to close to 1100 calories beside the servings of vegetables, fats, and proteins they wanted me to eat. One hundred fifteen pounds times 11 for my activity level is 1265 calories a day for maintenance, if I did not want to lose any weight for my small frame at 5' 1” tall. Where would the calories come from for the vegetables, fats, and proteins I should eat? If I ate according to their instructions, not only would I gain significant weight I would become diabetic even faster than their experience of people going from prediabetic to diabetic in two years. Crazy. I eat very little bread or grains, 7 servings a day in unbelievable. 
22 Mar 19 by member: Snowwhite100
My doctor told me to do Low Carb but High fat. He said my numbers don't lie, whatever I am doing...keep it up. 
22 Mar 19 by member: dodymitchell
Dr. Jason Fung's Twitter feed is mostly about exposing the payments Doctors get from the drug companies and how so many don't disclose this when publishing their studies. He jokes a lot about how there is nothing to sell (other than books) when you tell people 'not to eat'.  
22 Mar 19 by member: adefwebserver
First, good for you for making such great progress! My opinion: keep watching your numbers (all, not just T2 related) and if they're good/improving, keep doing what you're doing. If you're not trusting your doctor anymore then I respectfully suggest you look for another one. Either that or a secondary one like a holistic one or nutritionist to help you. Regardless, keep up the good work! 
22 Mar 19 by member: Munchrrs09
Let us hope this changes. There has been some real improvement lately with some acknowledgement that cutting carbs can improve your health. I think latest was Lung Association starting to suggest diets lower in carbs as breaking down fat is better for people who struggle with breathing related issues than breaking down carbs. More MDs are breaking with their association and going rogue and at least that is keeping the debate going on what kind of advice patients should get.  
22 Mar 19 by member: liv001
I am so thankful that DH's PCP is not like that. For years he has pushed him to "cut the carbs, man". Yesterday, DH went for his appt and took the glucometer showing the Doc that, for instance after lunch yesterday, his BS was 97. This morning, after coffee with his SF creamer, it was 159. The Doctor told him to keep eating like he is (with the sugars and carbs) and go on insulin and be dead in a year or "keep eating like your wife". It is said that so many Doctors still do not see the benefits and are pushing these recommendations to T2D. Way to go taking control of your health!! I enjoy reading your progress. 
22 Mar 19 by member: jaime30024
@perks54, "Blood Sugar 101" was one of my first sources when I started seriously investigating -- for myself -- what T2 diabetes is and what it does. Thank you for your story! 
22 Mar 19 by member: Miraculum
@dodymitchell, you're new this month. WELCOME! Your doctor supports your WOE?! May I ask, generally ... Where do you live?  
22 Mar 19 by member: Miraculum
@Snowwhite100, exactly! 
22 Mar 19 by member: Miraculum
Too all -- Thank you for your support! I'm going to look for a new doctor, starting TODAY. 
22 Mar 19 by member: Miraculum
I would definitely look for a new Doctor. This is why I detest Big Pharma. 🤬 
22 Mar 19 by member: Merrywinkle
@Miraculum: there's a physcian's network available at idmprogram.com --- go to Contact, and then click on Find a Physician. I'm assuming you're in the USA. So, you'll need to scroll down to find doctors in the US. Even if you cannot find a doctor in the list close to you, one of them might be able to recommend somebody and it would be worth a call. Good luck. 
22 Mar 19 by member: HardDaysKnight
that was the first thing that popped into my head time to get a new Doctor. 
22 Mar 19 by member: Little Red Fox
Just reading about a new study looking at the extent to which the recommendation in major cardiovascular society guidelines are based on Randomized Controlled Trials and the study found that this percentage was very low (8.5 in the US and 14.3 in EU) That is a bit concerning. The question then becomes: If they are not basing their advice of the best scientific evidence out there, what are they basing it on?. the study is being much discussed on Twitter today 
22 Mar 19 by member: liv001
@liv001, yes -- many studies of dietary habits are merely analyses of very limited surveys of eating habits -- IOW, wild guesses! "How many times a month did you eat bananas in the past year?" How does one answer such a question?  
22 Mar 19 by member: Miraculum

     
 

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