Active Low-Carber Forums
Atkins diet and low carb discussion provided free for information only, not as medical advice.
Home Plans Tips Recipes Tools Stories Studies Products
Active Low-Carber Forums
A sugar-free zone


Welcome to the Active Low-Carber Forums.
Support for Atkins diet, Protein Power, Neanderthin (Paleo Diet), CAD/CALP, Dr. Bernstein Diabetes Solution and any other healthy low-carb diet or plan, all are welcome in our lowcarb community. Forget starvation and fad diets -- join the healthy eating crowd! You may register by clicking here, it's free!

Go Back   Active Low-Carber Forums > Main Low-Carb Diets Forums & Support > Low-Carb Studies & Research / Media Watch > LC Research/Media
User Name
Password
Register FAQ Members Calendar Mark Forums Read Search Gallery My P.L.A.N. Survey


Reply
 
Thread Tools Display Modes
  #1   ^
Old Sat, Aug-17-19, 02:08
Demi's Avatar
Demi Demi is offline
Posts: 22,472
 
Plan: LCHF/IF
Stats: 217/182/160 Female 5'10"
BF:
Progress: 61%
Location: UK
Default Back from the brink: How I reversed my diabetes

Quote:
Back from the brink: How I reversed my diabetes

Being diagnosed with out-of-control diabetes was a shock for Stuff writer JOHN McCRONE. But is this how we can all fight back?


Whoa. Not just diabetes, but completely red-lining it. Fair to say that as a slimmish, fittish, 60-ish, white male, I wasn't expecting the diagnosis.
Perhaps skin or bowel cancer. Those would seem more my risks. Yet here I was.
My surprise was mixed with guilt and embarrassment. Somehow I had screwed up. But where exactly?

My doctor appeared lost for a ready answer. He was muttering something vague about a "decompensation" a stressed body finally giving out as he pushed a diabetes guide across his desk.

Absorb the shock, he advised. Then come back for the pills and likely the insulin pump which could be my lifetime companion now I had succumbed to this nasty disease.

Type 2 diabetes mellitus. A sugary rot produced by an excess of blood glucose adhering to the body's proteins, gumming up its works in every direction.

Kidney failure, blindness, gangrenous sores, limb amputations. Possibly also the strokes, coronary artery disease, Alzheimer's, maybe Parkinson's, which are now all being linked to the condition.

I would be falling apart by stages for about the next 20 years if a diabetes-prompted heart attack didn't carry me off rather sooner.

How could it have happened? In the mirror, I had to admit to about 5kg of middle-age spread. And in particular, there was a bulge, a distension, just under the rib-line.

Better informed, I can now read that as a fatty liver. However, nothing seemed that out of control. I could still stand up straight and mostly suck my gut out of sight.

And while I had always indulged freely with cake and chocolate, I believed I was compensating with healthy food too.

Lean cuts of meat, tons of vegetables, and enough of the good carbs the recommended "food pyramid" foundation of potatoes, bread, rice and pasta on my plate.

I had also exercised hard all my life. Given the calories in/calories out principle, my feeling was I would have been burning off the worst of any excess dietary sugar along the way.

So an unlikely candidate for diabetes. However confession time. My annual blood test had shown an HbA1c reading the measure of your average blood glucose that had crept up into the official pre-diabetic zone.

My last result had hit 46 millimoles per mole (mmol/mol). On the coloured "speedometer" chart doctors use, this was still in the green, but paling towards a cautionary yellow.

The warning had been easy enough to shrug off. I reasoned the change looked a gradual thing. There would be plenty of time to do something about it. Check back in another year.

Yet now, barely six months later, my HbA1c had rocketed to 99 mmol straight into the screaming red zone.

I was broken. And the clue to how bad was that the diabetes speed dial actually topped out at 100. So off the road, down the ravine, tumbling into oblivion, I had to guess.

I was looking for a better explanation than just a decompensation something snapping. But my 10-minute appointment was over. The doctor had his "time's up" face on. The essential news had been delivered.

Being a journalist and science writer used to getting answers I went straight home and got stuck into researching my diagnosis. Thank goodness for Google, YouTube and internet discussion forums.

Three months later I was back at the surgery for a follow-up HbA1c result. My blood glucose had dropped to 56. Down from panic stations to merely serious alarm.

Another three months and it was right down to 35. Not even pre-diabetic anymore. Normal range. To all intents and purposes, fixed.

I was disappointed that my doctor didn't fall off his chair in amazement, only furrowed his brow in mild curiosity.

Conventional wisdom says there is no cure for diabetes. You just use drugs to mask the worst of its symptoms.

However, I had been lucky with my timing. With diabetes reaching epidemic proportions across the world, it looks like our medical understanding of it is also being turned on its head.

As basically a lifestyle disease, a drastic lifestyle change can if not fully cure it put it into remission. Or at least that is what my own story appeared to prove.

THE LOW CARB SWITCHEROO

What did I do? The short answer.

After poring over the many contrasting opinions offered up by the internet, I arrived at the low carbohydrate/high fat (LCHF) diet. Or as some prefer to call it, the low carb and healthy fat diet.

Simply put, take away the fuel of diabetes. Get rid of all dietary sugar. Even your fruit intake needs to be limited.

And then restrict anything starchy as well. Potatoes, bread, flour, oats, rice, noodles, pasta all the stuff which is one step away from being converted to sugar.

Even if standard dietary wisdom is that these are necessary staples, the message is starve the disease.

Yes, I found it a daunting thought too. As humans, we are our habits. I couldn't even imagine mealtimes with these basics missing.

However I got started. Out went marmalade and toast for breakfast, my morning routine for any number of years. In came a couple of eggs scrambled with a large knob of butter. Just that. It looked rather naked and alone on the plate.

Lunch became more eggs usually fried with bacon or some other protein laid on a crunchy bed of green veg and salad. At least on an LCHF diet, you can still eat all the broccoli and cabbage low density carb you could possibly want.

Dinner continued to be roasts and stir fries. Just reinvented to be without potatoes, rice or pasta.

Dessert was reduced to a single square of 90 per cent dark chocolate.

Snacks were a handful of nuts or a cracker piled as high as I liked in peanut butter.

A blessing of the LCHF diet is that fat is back on the menu. It is how you fill up. And as the LCHF pundits promise, the diet is naturally satiating. So you shouldn't end up overeating.

Sugar only turns your appetite on. After one biscuit you are always ready for another. It is an evolutionary thing.

Our hunter/gatherer ancestors were hard-wired to gorge on fruits and berries when they became available during a brief few summer weeks a once-a-year passing treat.

But protein turns our appetite off. We know when we have had enough. So once the habit of having sugar and starch at every meal is broken that built-in expectation there is no particular nagging craving.

I didn't believe it would be the case either. Yet I discovered it was true after I tried.

As well as seeing my blood sugar plummet back to safe levels, I found my waist band shrinking by whole sizes. I was having to punch new holes in my belts, cinch in my trousers, then eventually just go out and buy a new wardrobe.

Another unexpected bonus of joining the LCHF club was it appeared to put me in the middle of everything trendy.

Keto monitors, barbell training, intermittent fasting, bio-hacking, sleep tracking, even turmeric, coconut oil and apple cider vinegar. I was part of the cool crowd for a change.

Of course I was only what low-carbers call an n=1 experiment a single patient clinical trial. Fair warning. My experience might not be your experience.

But how could I doubt the evidence it was working? And the more I looked into the theory behind low carb, the more it seemed to make perfect sense.

FALLING OUT OF BALANCE

YouTube was a great resource. You get to look over the shoulders of scientists as they present their latest research findings in lectures and conference sessions.

And YouTube certainly seems flooded with low carb advocates. The likes of Professor Ben Bikman, Professor Tim Noakes, Dr Jason Fung, Dr Michael Eades, Dr Ted Naiman, and the "fat emperor", Ivor Cummins, stood out for me.

New Zealand has its own community, led by Professor Grant Schofield at Auckland University of Technology (AUT), along with others at his Human Potential Centre, like Dr Catherine Crofts and Dr Caryn Zinn.

Schofield helped host a Low Carb Down Under meeting in Auckland back in 2014. And the pace has picked up so much that Australia ran six Low Carb Down Under events last year.

It has also been moving from the medical fringes a subject largely for physiologists, nutritionists, sports scientists and family doctors to the mainstream.

In 2018, the reinsurance giant Swiss Re teamed up with the British Medical Journal to put on "Food for Thought" in Zurich. LCHF as an answer to diabetes is on the map.

I listened. And what I picked up about my own plight was that after years of silent abuse, I must have finally burnt out my pancreas.

That decompensation was an abrupt failure of the pancreatic beta cells which produce the body's insulin. And it could have been a collapse 20 years in the making.

My diagnosis actually came in August 2017. I was 60 and had just returned from a trip around Europe a holiday dedicated to scone teas and cake stops at every museum cafe.

The only symptom coming home was a thirst. I couldn't wait to gulp down glasses of Christchurch's pure tap water. But also I was suddenly shedding weight. A kilo a week without trying.

A first hopeful thought was that it was the delayed effect of tramping hours a day around European capitals. The truth was my pancreas was shot and the insulin regulation of my blood glucose had just given out.

Click here to read the rest of the article: https://www.stuff.co.nz/national/he...sed-my-diabetes
Reply With Quote
Sponsored Links
  #2   ^
Old Sat, Aug-17-19, 05:29
Ms Arielle's Avatar
Ms Arielle Ms Arielle is offline
Senior Member
Posts: 12,115
 
Plan: atkins
Stats: 255/214/153 Female 5'8"
BF:
Progress: 40%
Location: Massachusetts
Default

A delightful n=1 experience.
Reply With Quote
  #3   ^
Old Sat, Aug-17-19, 06:13
WereBear's Avatar
WereBear WereBear is offline
Posts: 11,896
 
Plan: Epi-Paleo/IF
Stats: 220/123/150 Female 67
BF:
Progress: 139%
Location: USA
Default

Quote:
YouTube was a great resource. You get to look over the shoulders of scientists as they present their latest research findings in lectures and conference sessions.


This is how people learn, now. If they have the slightest ability to understand the principles (and in the US, at least, this might have been never cultivated) one can be conversant, as so many here, are.
Reply With Quote
  #4   ^
Old Sat, Aug-17-19, 06:16
WereBear's Avatar
WereBear WereBear is offline
Posts: 11,896
 
Plan: Epi-Paleo/IF
Stats: 220/123/150 Female 67
BF:
Progress: 139%
Location: USA
Default

Quote:
I listened. And what I picked up about my own plight was that after years of silent abuse, I must have finally burnt out my pancreas.


Burnt out for THAT level of carbs, certainly. Which thought always helps keep me low carbing. I've slipped up here and there, certainly, but I have never gone back to the SAD.
Reply With Quote
  #5   ^
Old Sat, Aug-17-19, 08:48
jschwab jschwab is offline
Senior Member
Posts: 6,107
 
Plan: Atkins72/Paleo/NoGrain/IF
Stats: 285/224.5/200 Female 5 feet 5.5 inches
BF:
Progress: 71%
Default

Quote:
Originally Posted by WereBear
Burnt out for THAT level of carbs, certainly. Which thought always helps keep me low carbing. I've slipped up here and there, certainly, but I have never gone back to the SAD.



Me, too. When I did slip up a lot when I was feeling really sick a couple years ago, A1C did creep up to uncomfortable levels (6.1). Never again!
Reply With Quote
  #6   ^
Old Sat, Aug-17-19, 08:49
GRB5111's Avatar
GRB5111 GRB5111 is offline
Posts: 3,106
 
Plan: Ketogenic (LCHFKD)
Stats: 227/186/185 Male 6' 0"
BF:
Progress: 98%
Location: Herndon, VA
Default

A pancreas "burnt out" from carb overload is easy to restore. The cautionary part is that it's also easy to go back to burn out. Knowing this is a great incentive to stay consistent with what made you experience restored health in the first place.
Reply With Quote
  #7   ^
Old Mon, Aug-19-19, 00:07
Grav Grav is offline
Senior Member
Posts: 1,089
 
Plan: Banting
Stats: 302/187/187 Male 175cm
BF:
Progress: 100%
Location: New Zealand
Default

The same writer has since written another more generalised article about low carb as a follow-up to his earlier opinion piece. This time he sizes up things from a national perspective, introducing us to the key players in New Zealand: Prof Jim Mann who supports the status quo, and Prof Grant Schofield who leads the low carb movement here.

Quote:
BATTLE OF THE MACROS

The situation is urgent. Everyone agrees with that. New Zealand is now the world's third fattest nation and Ministry of Health statistics say 250,000 Kiwis suffer from diabetes double the number of 20 years ago.

Even more worryingly, a quarter of the population is pre-diabetic. So on their way to the disease. In the pipeline as a health cost.

If a low-carb diet can fix people as easily as the people of Taupō seem to think, you would expect to be hearing all about keto from the ministry by now.

What does the science actually say? What is the expert opinion?

On the face of it, there is a ding-dong academic battle going on; a standoff between the nutritional old guard and the keto crowd. But more of a consensus could be emerging.

The argument revolves around the acceptable balance of macronutrients carbohydrate, protein and fat in the standard diet.

Otago University's Professor Jim Mann represents the health establishment view. He is director of the Edgar National Centre for Diabetes and Obesity Research and also a leader of the Government's current Healthier Lives research challenge.

Mann has been blasting away at the safety of keto diets for a good few years now.

He says the irony is that, when he was a young researcher in the 1970s, the recommended approach to diabetes was in fact a high-fat diet. They had thought of the "starve the disease" philosophy way back then.

"It was just eat as little carb as you possibly can. Have as much cream as you like."

However, also in the 1970s, nutritionists were getting worried about cholesterol and its link to the biggest killer of all, coronary artery disease.

Mann says that led to the formulation of modern advice to steer clear of fat. A healthy diet needed to be half carbohydrate. The solid base of any meal should include plenty of starchy stuff like bread, potato, pasta and rice.

Protein would then make up 20 per cent of our daily calories, and fat the remaining 30 per cent with the proviso that saturated fat was restricted to 10 per cent of the total.

Mann says his opinion hasn't changed. Saturated fat is still a dietary no-no. That makes it a wrong thing to recommend even for diabetes or pre-diabetes.

But on the other side is keto fan Professor Grant Schofield, director of the Human Potential Centre at Auckland University of Technology (AUT).

Schofield says Mann is just out of date. Plenty of studies are now showing saturated fat is not the heart attack culprit it is made out to be.

Rather, it is insulin dysregulation from eating too much carb which is producing all the excess fat in our bodies and leading to deposits accumulating in wrong places such as our arteries. Sugar and starch are what increase our stroke and heart attack risk more.

Schofield says that means we should return to the sensible principle of just starving diabetes of its fuel.

With LCHF, the macro balance is flipped. The carb allowance is cut to 20 per cent, while protein stays at 20 per cent and fat is increased to be 60 per cent of the daily calorie intake.

Keto is the term for a more extreme version of this, in which carbs are under 10 per cent a couple of bananas could blow your budget and fat becomes over 70 per cent.

Schofield says if you eat enough fat, your body is forced to be ketotic, as fat is the only fuel you are giving it. And for those with diabetes or pre-diabetes, it can be a logical choice.

However, the fears about fat in the diet are so institutionally ingrained that any form of low carb still sounds like heresy to the old guard.

"To admit they've been wrong for these past 25 years well, humans would rather not do that," Schofield says.

https://www.stuff.co.nz/national/he...ersing-diabetes
Reply With Quote
  #8   ^
Old Mon, Aug-19-19, 04:11
WereBear's Avatar
WereBear WereBear is offline
Posts: 11,896
 
Plan: Epi-Paleo/IF
Stats: 220/123/150 Female 67
BF:
Progress: 139%
Location: USA
Default

Not being convinced by science is the mark of a NONscientist.
Reply With Quote
  #9   ^
Old Mon, Aug-19-19, 08:28
Ms Arielle's Avatar
Ms Arielle Ms Arielle is offline
Senior Member
Posts: 12,115
 
Plan: atkins
Stats: 255/214/153 Female 5'8"
BF:
Progress: 40%
Location: Massachusetts
Default

Seems to me, that phrase applies to most of the MDs I have had contact with. But it is also used as a double sword: there is not data to support that so we cannot do " A."

After dealing with more than a few, they actually are not well informed. And have an excuse for whatever their view is, scientific or not.

Maybe that is it: MDs are not scientists.
Reply With Quote
Reply

Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

vB code is On
Smilies are On
[IMG] code is On
HTML code is Off



All times are GMT -6. The time now is 05:08.


Copyright © 2000-2019 Active Low-Carber Forums @ forum.lowcarber.org
Powered by: vBulletin, Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.