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Oh please, check yourself into somewhere until you get a handle on this. If you feel this out of control, you really need professional help.
If you refuse, then please look into Dr Bernstein’s book. He’s lived with Type 1 for a long time and is now in his 80’s. His expertise has helped millions. Here’s a link: Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars https://www.amazon.com/dp/0316182699/ref=cm_sw_r_cp_api_i_mZUaDb8ZJ850G
Just found his book on Amazon and downloading now.
Just in case anyone sees this article in the future, here is the link:
Dr. Bernstein's Diabetes Solution. My library carries it, so you could check there, but it's a great reference. Worth having, IMO.
I read some comments about Dr Bernstein’s book Diabetes Solution. I listened to the audiobook and it greatly helped my understanding.
It covers among a raft of things, diabetes and gastroparesis. There’s a whole chapter on gastroparesis. He also does a monthly AMA. Could be worth checking out.
https://www.amazon.com.au/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
I'd dispute that the results in this scenario between type 1 and type 2 would be much different. In both cases blood sugar is only raised by your body converting food to sugar, the only difference is the type of deficiency that keeps your body from converting that sugar into energy. So if you're not eating things that your body can turn into sugar, it isn't going to raise your blood sugar. If you'd like to look into it more, read Dr. Bernstein's book on the subject.
You can wean yourself off the insulin pretty quick. Completely if T2 and mostly if T1. It does take some changes to your food, but it's relatively simple.That will then help massively with other meds, for BP, etc. https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=mp_s_a_1_1?keywords=dr+bernstein&qid=1664006665&sr=8-1
If you would like to avoid any complications from T2, you will have to do some changing. Rationalizing why you should be able to eat rice is a symptom of denial. About the worst thing there is for anyone with T2 is denial. You need to accept the fact that it is in your life to stay and will slowly kill you if you ignore it or rationalize eating any carbohydrates. I realize my advice here sounds insulting and bad manners. However, I would like to get your attention centered on choosing life instead of a slow descent to pain and oblivion.
Trying to figure out how you can eat carbohydrates is a very serious symptom of denial. Just accept the fact that carbohydrates are not for you anymore and go on with living a normal life. You wil have to decide whether you want a normal complications free life or if you like carbohydrates so much that you want to cover it with insulin or an insulin pusher and thus increase your insulin resistance and produce complications. Most people choose a slow death from complications rather than change. Most people hate change. I hate change. Those like me who chose life 20 years ago are doing just fine. I had incentive. I worked for over 20 years at a medical school and public hospital. I witnessed the horror of these complications. It got my attention. I realized I needed to change whether I wanted to or not. I was also motivated by my love for my wife. She is autistic and letting myself go with the resulting early death would leave my wife in suffering and chaos. I have to much responsibility to choose the short term pleasure of carbohydrates.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
you might benefit from reading this book.
hi, i want to give you some advice abot t1d:
1.) low carb diet saves life. eat more healthy protein and fat
2.) i recommend you blood glucose monitors because they are the most accurate ones, particularly libre is not really good, i have used it before.
3.) read dr bernsteins diabetes solution
There is a low carb bread called Carbonaut. It's kind of pricey, but a lot lower in carbs than regular bread.
As for figuring out your diet, consider getting a copy of The Diabetes Solution by Richard Bernstein.
Oh, here's a link to the book if you wanna look at it/read the reviews: https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=sr_1_1?crid=1XIG6CE1T3K0E&keywords=diabetes+solution+by+dr.+richard+bernstein&qid=1641092454&sprefix=diabetes+solution%2Caps%2C114&sr=8-1
Get a book called “Dr. Bernstein’s Diabetes Solution.” It’s big and absolutely chock full of information, both about what’s going on in your body and what to do about it. The edition I have is older and doesn’t include info on some of the more modern drugs (SGLP injectables) but the rest is worth the price of the hardback. Basically, you need to drop most carbs (including rice, potatoes and bread) from your diet and test a lot. It will improve your vision and may improve your feet.
Check out Dr. Bernstein's Diabetes Solution. His advice helped me get off and stay off a pump. I still take injections, if course, but it is much much better than it ever was before.
Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars https://www.amazon.com/dp/0316182699/ref=cm_sw_r_apan_glt_fabc_622RQX0C2AXEFPY7G89Y
Read Dr Bernstein - https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
Locate type1grit facebook group for parents with type1 kids who follow Dr Bernstein.
Ive had diabetes for 25 years, and am lucky to have escaped the first 20 years of diabetes with minor complications. I now have a normal non-diabetic range HBA1c and feel great since reading that book 5 years ago.
You may have a chance of prolonging the honeymoon period that is preserving any remaining beta cell function that your daughter may still have. It will make diabetes management much easier if you can.
Good luck.
IMO, the best book I've read about T1 was Dr. Bernstein's book. Some people get pissed about it because it's kind of 'controversial', BUT, my 5.7-6.3 A1c's would argue that it works.
Reading it and hearing how strict he recommends can seem daunting, but, I'm not that strict; I just try my best. Some days that's not so good, but most days...
I know keto is kind of a fad right now, but I've been doing it for years before it was, and can say that its really the ideal diet for diabetics in my mind. It'll attack two of the issues you mentioned, weight loss and blood sugar control. If you're interested in more research, you call look up Dr. Richard Berenstein's book on the matter. He was basically advocating for diabetics to eat keto (though it wasn't called that at the time) back in 1997 when the book was published. Dude is a T1D who's in his 80's with no complications, so i think that says a lot.
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The short version is that if you eat less carbs, you'll need to take less insulin, so your blood sugar will even out. Less highs and lows. Regarding weightloss, if you're eating more fat instead of carbs, it fills you up quicker so you end up eating less calories without even realizing it. Speaking personally, I've lost 80lbs doing keto and kept my A1c in the low 6's.
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The only advice I'll give without going too far down the rabbit hole, is that if you decide to try it, to at least stick with it for a month before you decide it isn't for you. It takes your body a little time to adjust to the changes. That and don't buy into all the keto "supplements". They are all absolute bullshit. Just do your own research, eat your meat and green veggies (and lots of cheese), and you'll be fine.
I'm not a type-1, but a large number of people seem to say that Dr. Berstein's 'Diabetes Solution' is a great resource for those diabetics on insulin who want to try and achieve relatively normal BG levels (something most doctors seem to believe is either not possible, not helpful, or just plain too dangerous).
Unless the pancreas is failing but not yet completely gone. A "sunset" I've heard it called.
Anyway, you need to adjust your medications... all of them... to be in concert with your reduced carb intake.
This might be helpful: https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
The guy became an MD midlife specifically so he could manage his T! (diagnosed as a toddler.)
I would suggest picking up the book The Diabetes Solution by Richard Bertstein. He is an MD and type 1 diabetic that practices and promotes very low carb diets. http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=asap_bc?ie=UTF8
Lots of type 1s keep their a1c in the 4's and 5's. After keeping mine around 6.5-7.0 I started developing minor complications and now I'm in the 5's and inching downwards. Here's a guide.. hope it helps! http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=sr_1_1?ie=UTF8&qid=1450747291&sr=8-1&keywords=dr+bernstein
Well first of all, not having high expectations is good. That way whatever good a keto diet brings(which I am sure it will), will be unexpected and a nice surprise. I myself am about to begin following the diet and don't know all that much. Basically a keto diet is a diet that consists of low carbs and high good fats. Meaning your daily carb consumption is around 30-50 gr(this could vary greatly depending on the person, so could be much different from this). There probably are people on reddit who can explain this to you much better than I can. Here is a book that talks about the keto diet. http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=sr_1_1?ie=UTF8&qid=1431358416&sr=8-1&keywords=diabetes+solution
Many people say it has helped them and it is a good source of information about the diet.
I am sorry for not being able to provide more information since I am too still learning about this diet.
Take a look at this He's a T1 and his practice, I believe, is completely devoted to treating T1.
Also, if you're not going to be able to get on better insulin or a pump or anything for a while, there are ways you can still really improve your control on MDI if you want to bite the bullet to get it done. This guy is hard-core, but if you want to get unbelievable results on a low budget without any modern bells and whistles, you actually can still do it. If you do a quarter of the stuff he says to do, it will still improve your control markedly, and even if you're not ready to do much of it yet, at least you'll know how to when you're ready. In any case, don't get depressed or frustrated. Just take it at your own pace and try to get a little better at things day by day.
When it comes to biology questions, I honestly don't know. So regarding your liver question, I can't speak with authority to that, but...I don't think so.
Will your basal rates change? Mine haven't. I tweak them .05 here and .025 there sometimes, but that's just regular upkeep. I wake up around 70 some days, and so I started giving myself .05 units less per hour from midnight until 8am. That sort of thing. That being said, I'm still sedentary. I work in IT, and haven't started working out yet. Once I do, I expect my basal rates and insulin sensitivity with change.
When it comes to low blood sugars, they're very rare now. It used to get bad for me when I got near 100, but I used to run around 250-300 constantly. Now, I can do ~70 just fine, but if I'm still heading downward or it's too severe, well you just have to bite the bullet and bring it back up. I can usually get away with a quarter or a half of a glucose tab, which doesn't affect things too much.
I recommended Dr. Bernstein's book The Diabetes Solution elsewhere in this thread. Give it a look - it's got great information in there, written by a T1D MD who has been doing a ketogenic diet since the 70's.
Feel free to ask any more as they occur to you.
Buy this book: Dr. Bernstein’s Diabetes Solution – Dr. Richard K. Bernstein. Read it. It's written for you (people in your condition) and will answer a good many of your questions. Seriously.
And yeah, sorry for the affiliate link. It's what I had handy. Google it if you want. The book is really awesome for diabetics (1 & 2).
If she is type-1, I would definitely recommend that she (and you) read the following book:
You will not find a better or more thorough guide to maintaining healthy blood sugar levels, which is her best bet to avoiding peripheral neuropathy, blindness, renal damage, and other potentially horrible diabetic complications.
Diabetics shouldn't be eating any wheat, celiac or not, IMHO. Or other grains. Or sugar. Doctors and the ADA will try to convince them that they can eat all the grains or sugar they want and should just adjust insulin injections appropriately, but they are totally wrong on this one.
<=30 net carbs, per Dr Bernstein. But, fat to protein ratio doesn't matter (or I'm doing it wrong). There should be a lot of Dr Bernsteiners out there, I think it's worth an option.
As a type 1, you need to adjust your insulin basal/bolus ratios when you try keto. Your body is going through lots of changes, after all! There is also a glucose sparing effect that can happen that makes it so you have to count more for carbs/protein than you would have before.
I had the opposite happen when I first started. For the first couple weeks I had some major lows! But I was careful and kept glucose tabs on hand at all times. It's a tough start for us type 1's because we have to experiment and manually figure out our insulin needs, but it's 100% possible and 200% worth it.
Best thing you can do is get the book Diabetes Solution by Dr. Bernstein. He's a type 1 doc who has been doing low-carb for decades, and this book lays out the very specific process he uses to keep his a1c at 5 and sugar levels near-flat. It's revolutionary. There's also a facebook group I recommend you joining. And I've been doing it for awhile myself, so feel free to message me. :)
Neuropathy really sucks. You're in a really rough place because getting really good control over her disease is really something she has to want to do for herself (kind of like quitting smoking, or heroin, or drinking, or deciding to get in really good shape...) It's not something that someone can do for someone else no matter how hard they try.
I'm a big fan of Dr Bernstein's Diabetes Solution (a book, and the guy has a bunch of free youtube videos). He's a 86 year old doctor who has had T1D since he was a kid. Often times neuropathy is reversible if you get really good control over your blood sugar. (Or if your girlfriend gets really good control over her blood sugar.) If you think she's up for doing a low-carb diet and reading a book, I suppose you could get her the book. But from how you describe it she's not really in the mood for it.
I'm pretty confident that if she focused on keeping her blood sugar under really perfect control, with intensive insulin therapy, and a really restrictive diet, she would probably feel a whole lot better by the end of the year. But again, she'd have to decide that she wants to do that. Nobody can really guarantee that it would work for her, but certainly if her diabetes is at all out-of-control (and it sounds like it might be) getting it under really good control is going to be a whole lot better for her.
There's not a whole lot you can do in your situation.
Edit: Link -- The book's less than $20, it's a good read.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
that or Dr B's Diabetes Solution
Have you've tried Dr Bernstein recommendations? Here's the book. https://www.amazon.com/-/es/Richard-K-Bernstein-MD/dp/0316182699?ref_=d6k_applink_bb_marketplace
First off, no need to stress yourself out about the complications. They aren't things which kick in immediately but rather come from years of being out of control. So, relax a bit and give yourself time to learn how to manage things. This is definitely one of those "it's a marathon and not a sprint" situations.
I'd suggest you take a look Dr. Bernstein's book: https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
It was basically the original "self-help" book for diabetics. Not without controversy, though, as much of the diabetic establishment used to be against it. Things have definitely changed!
"Sugar surfing" at https://www.sugarsurfing.com/ is a more modern take. Amazon has the Kindle version for $7 or so. Also a good read.
Both these books are written by authors who actually have type 1 and live with it as we do. So they know.
As for your own situation, I presume you are keeping a log of blood sugar tests. If not, that is the first step. It is also helpful for you to record what you ate when and what insulin you've taken. Charting it out will.definitely be a great aid for you to self-diagnose the issue.
I suspect you may be having a dawn phenomenon issue. Do some reading up and investigation on that as a place to start.
I am a huge fan of Dr Bernstein's Diabetes Solution, it's less than $20 on amazon.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
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He has a whole bunch of free educational youtube videos on his channel too.
Agree, I do LCHF/Bernstein/keto diet, HbA1c dropped from about 8 to 5.8. try it.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
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The best thing your mom can do is self educate - learn as much about the current information as she can. Knowing how diet can help control T2D is such valuable information.
Here is a really good book, written by a medical doctor who is now in his 80's and has been a diabetic since his teens. https://www.amazon.ca/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699 I think this is a good place to start. He also has a web site with lots of video lectures on various topics for both T1 & 2D . Also, I have found trying to find ready-made Low Carb/Keto/Diabetic premade food was hard to find and VERY expensive. It is not that hard to make great food at home that is based on whole food and is high in nutritional value. Now that she is a T2D she must change her lifestyle and relationship with food to live a healthy and complications free life. I have now been on a full keto diet for 4 years and my T2D is totally under control - with NO MEDS. I was taking 3 kinds of meds before changing my diet. Here is my playlist of Keto foods that have keept my BS in the very healthy normal range. https://www.youtube.com/channel/UCWxb2cfHHa24T7pXv6ssnDw/playlists
If you want to help your mom, the best thing is to learn with her about T2D and how a very low carb diet can make a huge difference. Supporting her journey will encourage her and the support is so appreciated (I love that my family are 100% helping keep to my keto lifestyle- they see how much it helped me)> Let me just complement you – you are amazing for wanting to do this for your mom. Best of luck to her and may she get her T2d UNDER CONTROLE!
Hope this helps. CHeers
Keto will drop your blood sugar, but if you drop your insulin to match, it'll work perfectly. Ideally, you can get your doc to work with you on this.
Get a copy of Dr. Bernstein's book. He's a T1 who went back to school as an adult to get his MD specifically to help him treat his own disease. His practice is, I believe, entirely related to glucose control.
There's also a great post from Peter Attia here, and again he's an MD, and researching this stuff is his area of expertise.
There are a number of T1 diabetics on this site who'll answer you, I'm sure, and who are finding real success using keto to help keep their bg under control.
No. Check out Dr Bernstein.
https://www.amazon.com.au/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
Nutrition and Physical Degeneration by Weston A. Price
High insulin during a lifetime is one of the biggest causes of insulin resistance. Continuing to shoot insulin makes type 2 a progressive disease. Using an insulin pusher (a drug that makes the pancreas produce more insulin) does the same thing. Just stop him from eating carbohydrates and watch his BG fall. I can say this from experience. I was diagnosed 20 years ago and took the advice of physicians with whom I worked. They all told be the same thing, "Stop eating carbohydrates. But, I am not your physician and did not tell you this". 20 years later I am still on a extremely low carb diet. I eat about 20 grams per day. I started this diet journey by stopping all carbohydrates. I went through withdrawal for 3 days. It felt awful. After 3 days it was like a miracle. I felt better than I had in so many years. It was like I had 20 years taken off my age. I felt so good that it was a long time before I would even eat anything green.
I highly recommend Metformin to help with you with his journey. I prefer the ER version. It is cheap and has proven itself over the decades. Metformin does not allow you to go ahead and eat carby stuff that is bad for you. It just helps perhaps with most people by knocking off 10 points from your BG meter.
Use your meter often! believe that meter. If you want to know how a food affects his BG, He needs to eat a portion that you would normally eat and then measure every 15 minutes for 2 to 3 hours. You need to detect the spike. Spikes count. Any reading over 140 begins irreversible cellular damage. Taking his BG 2 or 3 hours after he eats does not tell you what you need to know in order for him to stay healthy and expect the same lifespan as a non-diabetic.
Continuing to eat carbohydrates and covering it with insulin or a pusher, will eventually cause serious complications and effect his quality of life in a seriously negative way.
Taking this advice will demand serious change. Most of us hate change. I hate change. Unfortunately, you are not the one in question. If your husband refuses to change, he will experience complications and often very serious complications and a shortened life span. The bad news is that most people will chose the pleasure of eating carbohydrates over protecting their health. What must hurt you is realizing that his poor choices may have a very devastating effect on your life.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
The medical establishment's normal and accepted method of treating type 2 diabetes is with drugs and eventually insulin. The medical establishment assumes that no one will change their life enough to stay healthy by diet and exercise alone. I personally think this assumption is demeaning. My last A1C was 5.2 and my new primary care physician said I must have been misdiagnosed 20 years ago. He said that no one with T2 has an A1C that low. Again, how demeaning, to have my hard work on my diet thrown in the dust bin because he thinks I am not capable of serious change. I had to get him to go through my records and look at the oral glucose test made over 20 years ago. His ego damaged, he said they must have made a mistake with the test. Something about getting that medical degree makes them think they know everything about human beings. Physician arrogance.
I suggest you give up fruit except for special occastions.
High insulin during a lifetime is one of the biggest causes of insulin resistance. Continuing to shoot insulin makes type 2 a progressive disease. Using an insulin pusher (a drug that makes the pancreas produce more insulin) does the same thing. Just stop him from eating carbohydrates and watch his BG fall. I can say this from experience. I was diagnosed 20 years ago and took the advice of physicians with whom I worked. They all told be the same thing, "Stop eating carbohydrates. But, I am not your physician and did not tell you this". 20 years later I am still on a extremely low carb diet. I eat about 20 grams per day. I started this diet journey by stopping all carbohydrates. I went through withdrawal for 3 days. It felt awful. After 3 days it was like a miracle. I felt better than I had in so many years. It was like I had 20 years taken off my age. I felt so good that it was a long time before I would even eat anything green.
I highly recommend Metformin to help with you with his journey. I prefer the ER version. It is cheap and has proven itself over the decades. Metformin does not allow you to go ahead and eat carby stuff that is bad for you. It just helps perhaps with most people by knocking off 10 points from your BG meter.
Use your meter often! believe that meter. If you want to know how a food affects his BG, He needs to eat a portion that you would normally eat and then measure every 15 minutes for 2 to 3 hours. You need to detect the spike. Spikes count. Any reading over 140 begins irreversible cellular damage. Taking his BG 2 or 3 hours after he eats does not tell you what you need to know in order for him to stay healthy and expect the same lifespan as a non-diabetic.
Continuing to eat carbohydrates and covering it with insulin or a pusher, will eventually cause serious complications and effect his quality of life in a seriously negative way.
Taking this advice will demand serious change. Most of us hate change. I hate change. Unfortunately, you are not the one in question. If your husband refuses to change, he will experience complications and often very serious complications and a shortened life span. The bad news is that most people will chose the pleasure of eating carbohydrates over protecting their health. What must hurt you is realizing that his poor choices may have a very devastating effect on your life.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
The medical establishment's normal and accepted method of treating type 2 diabetes is with drugs and eventually insulin. The medical establishment assumes that no one will change their life enough to stay healthy by diet and exercise alone. I personally think this assumption is demeaning. My last A1C was 5.2 and my new primary care physician said I must have been misdiagnosed 20 years ago. He said that no one with T2 has an A1C that low. Again, how demeaning, to have my hard work on my diet thrown in the dust bin because he thinks I am not capable of serious change. I had to get him to go through my records and look at the oral glucose test made over 20 years ago. His ego damaged, he said they must have made a mistake with the test. Something about getting that medical degree makes them think they know everything about human beings. Physician arrogance.
High insulin during a lifetime is one of the biggest causes of insulin resistance. Continuing to shoot insulin makes type 2 a progressive disease. Using an insulin pusher (a drug that makes the pancreas produce more insulin) does the same thing. Just stop him from eating carbohydrates and watch his BG fall. I can say this from experience. I was diagnosed 20 years ago and took the advice of physicians with whom I worked. They all told be the same thing, "Stop eating carbohydrates. But, I am not your physician and did not tell you this". 20 years later I am still on a extremely low carb diet. I eat about 20 grams per day. I started this diet journey by stopping all carbohydrates. I went through withdrawal for 3 days. It felt awful. After 3 days it was like a miracle. I felt better than I had in so many years. It was like I had 20 years taken off my age. I felt so good that it was a long time before I would even eat anything green.
I highly recommend Metformin to help with you with his journey. I prefer the ER version. It is cheap and has proven itself over the decades. Metformin does not allow you to go ahead and eat carby stuff that is bad for you. It just helps perhaps with most people by knocking off 10 points from your BG meter.
Use your meter often! believe that meter. If you want to know how a food affects his BG, He needs to eat a portion that you would normally eat and then measure every 15 minutes for 2 to 3 hours. You need to detect the spike. Spikes count. Any reading over 140 begins irreversible cellular damage. Taking his BG 2 or 3 hours after he eats does not tell you what you need to know in order for him to stay healthy and expect the same lifespan as a non-diabetic.
Continuing to eat carbohydrates and covering it with insulin or a pusher, will eventually cause serious complications and effect his quality of life in a seriously negative way.
Taking this advice will demand serious change. Most of us hate change. I hate change. Unfortunately, you are not the one in question. If your husband refuses to change, he will experience complications and often very serious complications and a shortened life span. The bad news is that most people will chose the pleasure of eating carbohydrates over protecting their health. What must hurt you is realizing that his poor choices may have a very devastating effect on your life.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
The medical establishment's normal and accepted method of treating type 2 diabetes is with drugs and eventually insulin. The medical establishment assumes that no one will change their life enough to stay healthy by diet and exercise alone. I personally think this assumption is demeaning. My last A1C was 5.2 and my new primary care physician said I must have been misdiagnosed 20 years ago. He said that no one with T2 has an A1C that low. Again, how demeaning, to have my hard work on my diet thrown in the dust bin because he thinks I am not capable of serious change. I had to get him to go through my records and look at the oral glucose test made over 20 years ago. His ego damaged, he said they must have made a mistake with the test. Something about getting that medical degree makes them think they know everything about human beings. Physician arrogance.
Just stop eating almost any carbohydrates. If you want a detailed description of how to change your life to attain your goal of no complications and a normal lifespan, here is the book that changed my wife's and my life.
Dr. Bernstein's Diabetes Solution: The Complete Guide to ...
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
It is not a very difficult change in your life. It was difficult for me the first few days, but I found it easy after my initial, OMG I can't have my morning cheerios etc....
You will notice from this book that he is not selling any product other than a lifestyle change. He expects you to do that yourself.
If you are willing to make the commitment that Dr Berstein suggests, your life will go on as if nothing is wrong with you.
I don't want to make any promises about long term effects, but I can say that my wife has followed this diet for over 30 years. A couple of years ago I saw her eating some fruit. I immediately realized that she had forgotten not to eat any carbohydrates. I started testing her every 15 minutes for 3 hours. Her BG never went above 100. It was like she was cured, but we both agreed that it would be likely that if she kept eating carbohydrates the high sugar levels would return. The peach just looked so inviting that she picked it up and ate it without thinking. However, it appears her insulin resistance has become a lot lower. But again, that was after 30 years of extremely low carbohydrate intake. I have been on the good Doctor's diet for 20 years and I am still very sensitive to any carbohydrates. I measure often. Any indiscretion on my part shows up on my meter very quickly.
Keep using your meter. Believe it. I am old and have friends who are old and have T2. They ignore this condition and eat whatever they want. The horror of their complications has confined them to their homes and incontinence. Most people refuse to change. We are not that different than animals. The law of jungle is "Adapt or Die". You will notice that animals will quickly adapt to different situations. Humans are too slow to do it. Well, most of us are too slow. I hope you become one of that rare 15 percent of T2s that treat their condition aggressively with diet and live a normal life. That 15 percent number is just from my own life experience. That actual number may be a larger or smaller. I did notice that those of my friends who chose an extreme low carb diet were well educated. It seems like common sense to me to be choosing life instead of a slow painful death.
The attitude you expressed in your last post makes me optimistic for your outcome and life.
Are you dosing for the protein/fat? For me this rise starts around 2 hours after eating and goes for 3-4 hours. I have my pump set to handle it automatically using a closed loop. Prior to that I used to do an extended bolus to handle it.
The trick is you need to convert the protein and fat into equivalent carbs. These are typically called FPU and can be a bit tricky to work out at the start. Large amounts of fat can really screw with typical carb counts, as anyone who has tried to dose for Pizza can attest.
My calculation is generally 50% of the protein as equivalent carbs, so a meal with 40g of protein and fat would be treated as 20g of carbs, starting in 2 hours and going for 4 hours. This approach leaves my protein curve perfectly flat. Many people suggest using a slower-acting insulin for this if you are doing MDI. Specifically using R, since it has a curve that closely matches the protein absorption.
Bernstein book on diabetes?
Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars https://www.amazon.com/dp/0316182699/ref=cm_sw_r_cp_api_i_VWMFXZVVNBQ31HA44NQX
See r/quantifieddiabetes and Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars https://www.amazon.com/dp/0316182699/ref=cm_sw_r_cp_api_i_V16SA9VMWTCR1HFB4TWZ
Yup, there's a lot diet can do for GP. I'm on a high protein, low carb diet, and I know a lot of others who have had severe GP problems get relief eating that way. If you're curious to learn more, look up the Facebook group "Type One Normal" and search for gastropareisis. I haven't had an A1C over 5.8 since switching to eating this way.
Here's a good book on eating low carb/managing complications w/ diet: https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=sr_1_1?crid=3O4ZKA8KR3R2A&keywords=dr.+bernstein+diabetic+solution&qid=1647998493&sprefix=dr.+bernstein+%2Caps%2C278&sr=8-1
Hello! t is not ony Keto. It is also Dr.Bernstein's nook and regimen. They are related, but Bernstein's work is targeted on diabetes. Check him out, he is great:
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
Dr. Bernstein's Diabetes Solution
There are tons of low carb recipes all over the place.
r/ketorecipes, for instance.
I recommend you read Dr. Bernstein's Diabetes Solution. It's very in-depth about controlling blood sugar and has really helped me.
https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
I originally learned through a diabetes educator, though I was taught the old system so I had to teach myself carb counting. There's a decent number of online resources that helped a lot with the basics.
Personally I found Dr. Bernstein's Diabetes Solution and Think Like a Pancreas very helpful. Dr Bernstein's method is very aggressive and hard to follow but the principals in it transformed my care completely. These days I'm all low carb which makes my management and adjustments pretty easy.
I think the best reason to self-manage is just because your doctor can't possibly know what you're dealing with, so they are largely just shooting in the dark. Remember the trick is slow and small adjustments to ratios and basal rates until things feel good.
Type 1 is definitely a shock. I got diagnosed when I was 19. No DKA fortunately, but my HbA1c was 9%. I don't know what caused it, can be a lot of things. I suppose I won't ever get to know that. I can be something as little as a virus that made your immune system go haywire. Even something that has been dormant for years can cause your immune system to fail when it stops being dormant.
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I remember feeling lost in the beginning as well. Going to do groceries and just thinking; I can't eat anything.
Over time I came to realise actually a lot is possible, you just have to actively be a pancreas on the side. I've seen this tip from others already, but I'll repeat: get a CGM or FGM (continuous / flash glucose monitor). This helps you be a pancreas(: CGM is probably nicer, as it provides warnings when your BG is acting up, but already having an FGM provides you with more comfort, since you can check you BG just with your smartphone with NFC.
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As to weed, definitely possible (I live in the Netherlands). Though I would wait until you've got a better grip on your BG. Alcohol is also possible, but again, I'd wait until you know better how your body responds. Sometimes you just feel like drinking a few beers. CGM/FGM helps you more easily keep an eye on your BG. And I'll admit, sometimes I have a few too many, have my BG shoot up to 20-25 mmol/L (360 - 450 mg/dl). Yeah that's not good long term, but if you have Type 1 you are still a human being. If you're at those levels once in a while, you'll be fine. The thing is to find what works for you and how strict you want to be for yourself.
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As a snack; I like 90% chocolate with peanut butter. Check to make sure there's no added sugar in the PB though. I recommend not starting with 90%, but working your way up. Start with something in the 70 range, from there to 80, then 85 and then finally 90. Otherwise it might be a bit too much, haha.
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About half a year ago, I read this book: https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
Basic premise: small quantities of carbohydrates in, means smaller fluctuations in your blood sugar levels. Might be a bit too much in the beginning, but it might give you some structure if you are looking for it.
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Anyway, I think I speak for everyone when I say, you're not alone. We've all had ups and downs, but kicking its ass is definitely doable.
I found this book very informayive Dr. Bernstein's Diabetes Solution: The Complete Guide to Achieving Normal Blood Sugars https://www.amazon.ca/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
hope this helps. Cheers
I highly recommend Dr. Bernsteins Diabetes Solution
| SECTION | CONTENT |
|---|---|
| Title | Session 38. Protein Does Not Cause Kidney Disease, High BGL Does-Dr. Bernstein's Diabetes Univ.. |
| Description | In Session 38 of Diabetes University, Dr. Bernstein discusses the widespread myth that protein causes kidney disease. Dr. Bernstein's book is available at www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ This video was produced and edited by Dr. RD Dikeman and David Dikeman of TYPEONEGRIT. For more on Dr. Bernstein's book, Diabetes Solution, go to http://www.diabetes-book.com/ Every month Dr. Bernstein hosts a free teleseminar via http://www.askdrbernstein.net/ where y... |
| Length | 0:15:22 |
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read this book and do everything it says: http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699/ref=sr_1_2?ie=UTF8&qid=1433651498&sr=8-2&keywords=bernstein
>No the beta cells are only damaged/die in T1D
Type 1 diabetes is usually caused by autoimmune disorder that kills all or almost all the beta cells. In type 2 diabetes the high glucose levels slowly kill or damage them. This is why someone who has had type 2 diabetes for a while often cannot "reverse" it; their ability to produce insulin is too impaired.
β-Cell Deficit and Increased β-Cell Apoptosis in Humans With Type 2 Diabetes
Glucose Toxicity in β-Cells: Type 2 Diabetes, Good Radicals Gone Bad, and the Glutathione Connection
.
>There is no real evidence that GI has a bearing on diabetes or even most parameters of health
There are so many good diabetes books and studies that say otherwise.
"In large prospective epidemiologic studies, both the glycemic index and the glycemic load the glycemic index multiplied by the amount of carbohydrate of the overall diet have been associated with a greater risk of type 2 diabetes in both men and women." - source
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>Trials have shown that high levels of circulating free fatty acids can cause insulin resistance
This is true. There are books written on diabetes, so my few sentences on it will certainly not cover all factors that contribute to its cause. Here's a study called "Saturated Fatty Acids Synergize with Elevated Glucose to Cause Pancreatic β-Cell Death" which hypothesises possible mechanisms for this. The authors in this study hypothesised that elevated fatty acids along with elevated glucose levels cause beta cell death. One question might be what causes chronically elevated levels of free fatty acids? We know that high carb diets tend to increase blood triglyceride levels, so it's not a stretch to then think that carbohydrates may also cause elevated levels of free fatty acids. I'm not sure about that though; maybe something else has read research on this.
Dr. Bernsteins Diabetes Solution is all you need. It helped me achieve normal bloodsugar with very little effort (after getting used to his method ofc)
The best advice and information I've gotten was from Dr. Berstein's book - The Diabetes Solution. The guy's an MD and he's been a T1D since the 70's (60's?) While he advocates and follows a ketogenic diet (less than 20g carbs per day, which I also recommend) he goes into the details of how long certain insulins work, how to calculate your ratios and sensitivities and all that other stuff that really should be basic knowledge that somehow isn't.
A sorta decent site I found for explaining the ratios is here: http://www.livestrong.com/article/316865-carb-counting-calculations-for-insulin-administration/
However, the Bernstein book has a much more in-depth and detailed method of doing it. This isn't it exactly, but the gist of it is that you fast, take a specific amount of glucose, and then see how much your blood glucose rises in an given amount of time. Then you take 1 unit of insulin and see how much it comes down in an hour. Don't base your numbers off what I just said though - get the book and read through it, it will really help with your understanding of how to deal with this. Once you do, you'll be able to ask your endo better questions which they'll hopefully be able to answer. =)
You could also try asking your endo for these numbers. The averages I keep hearing are that generally 1 unit of fast acting insulin will bring your blood sugar down 50 mg/dL (although mine runs closer to 20) and that 1 unit of insulin will cover 12g-15g of carbs eaten (although I'm closer to 1:5). Those might be a good starting point, but I'm also not a doctor so take it for what it's worth.
I feel really lucky that I discovered Dr. Richard K. Bernstein and his book Diabetes Solution. I dont see how I would have managed without it. What Dr. Bernstein recommends is basically a very low carb diet. Low carb = less insulin = predictable results.
I have gotten my A1C down to 5.5 last time I measured (even though I don't follow his recommendations 100%). Just read the testimonials on amazon, and you will see for yourself.
High BG is what does the damage, whether you're T1 or T2. The advice re: carbs is the same for both (this guy is a T1).
Keto diet, switch your fuel source to fat. It will take time but you will also need less insulin. Less carbs, less insulin.
Read Dr. Bernstein's book, I highly recommend it. He is T1, in his mid 80's and very fit. This guy is in great shape, lifts weights etc.
Info http://www.diabetes-book.com/
For sale on Amazon, buy it used to save a few dollars. https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699
Youtube Channel https://www.youtube.com/channel/UCuJ11OJynsvHMsN48LG18Ag/videos
I highly recommend reading some of Dr. Bernstein's books. It might not be good while you are being taught everything, since you are given so much information so fast. But I found it very useful in my treatment of my diabetes.
So, I’m a physician and everything I said is true. Here’s a good podcast to start with. Also, I’d encourage you to read Dr Bernstein’s book.. Control is not just about A1C average but we now recognize that the very large peaks (excursions) are the more dangerous component.
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