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Dietitians

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The head dietician at Glasgow's Western Infirmary and Gartnavel General Hospitals in the 70s ruled with a rod of iron.

I think that she got chucked out the SS for being too cruel!

"You ate what?????????????????????????" 😱😱😱😱

But now, they have very pleasant young girls (or, is it me that's got older?) who are kind, polite and very helpful.
 
Anyway, my diabetes nurse & GP agree that the clinic dietitian isn't for me & they've given me some other names to check out. But the GP clearly thinks it's not very complicated overall: "Eat lots of vegetables, nuts & fish and a reasonable amount of fruit" (which is pretty close to what I do anyway).

Then when I say I'd like to find somebody who can give guidance on possible strategies for getting to remission or even reversal there's some eye-rolling. "I think a <6% target is too low; go for something between 6% and 7%". Which I think is really just a translation of the main guidelines here in Oz (<7% in general, maybe <6.5% if Metformin+lifestyle, following ADA guidelines I believe).

Which is fine; he's a good non-D-specialist GP. It'd be good to bump things up a level, however.

On diet in general, this is the best thing I've found so far:

https://www.annualreviews.org/doi/full/10.1146/annurev-publhealth-032013-182351

... claims abound for the competitive merits of various diets relative to one another. Whereas such claims, particularly when attached to commercial interests, emphasize distinctions, the fundamentals of virtually all eating patterns associated with meaningful evidence of health benefit overlap substantially. There have been no rigorous, long-term studies comparing contenders for best diet laurels using methodology that precludes bias and confounding, and for many reasons such studies are unlikely. In the absence of such direct comparisons, claims for the established superiority of any one specific diet over others are exaggerated. The weight of evidence strongly supports a theme of healthful eating while allowing for variations on that theme. A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention and is consistent with the salient components of seemingly distinct dietary approaches.

 
Anyway, my diabetes nurse & GP agree that the clinic dietitian isn't for me & they've given me some other names to check out. But the GP clearly thinks it's not very complicated overall: "Eat lots of vegetables, nuts & fish and a reasonable amount of fruit" (which is pretty close to what I do anyway).

Then when I say I'd like to find somebody who can give guidance on possible strategies for getting to remission or even reversal there's some eye-rolling. "I think a <6% target is too low; go for something between 6% and 7%". Which I think is really just a translation of the main guidelines here in Oz (<7% in general, maybe <6.5% if Metformin+lifestyle, following ADA guidelines I believe).

Which is fine; he's a good non-D-specialist GP. It'd be good to bump things up a level, however.

On diet in general, this is the best thing I've found so far:

https://www.annualreviews.org/doi/full/10.1146/annurev-publhealth-032013-182351

... claims abound for the competitive merits of various diets relative to one another. Whereas such claims, particularly when attached to commercial interests, emphasize distinctions, the fundamentals of virtually all eating patterns associated with meaningful evidence of health benefit overlap substantially. There have been no rigorous, long-term studies comparing contenders for best diet laurels using methodology that precludes bias and confounding, and for many reasons such studies are unlikely. In the absence of such direct comparisons, claims for the established superiority of any one specific diet over others are exaggerated. The weight of evidence strongly supports a theme of healthful eating while allowing for variations on that theme. A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention and is consistent with the salient components of seemingly distinct dietary approaches.

Eddy - If you wanted to follow the Newcastle protocols, the study protoocols and information are on their website, for all to view and utilise as you wish.

If you are on any medication, you must ensure the changes required for the ND would not wouldn't need a tweak to your meds.

I don't know if you have heard of Richard Doughty? His story is here: https://www.theguardian.com/lifeandstyle/2013/may/12/type-2-diabetes-diet-cure

It just goes to demonstrate that one doesn't have to be carrying much extra weight, or indeed to lose masses of weight for the ND to be useful.

I didn't do it myself, but I can see the attraction of a short, sharp attack on things.
 
On diet in general, this is the best thing I've found so far:

https://www.annualreviews.org/doi/full/10.1146/annurev-publhealth-032013-182351

... claims abound for the competitive merits of various diets relative to one another. Whereas such claims, particularly when attached to commercial interests, emphasize distinctions, the fundamentals of virtually all eating patterns associated with meaningful evidence of health benefit overlap substantially. There have been no rigorous, long-term studies comparing contenders for best diet laurels using methodology that precludes bias and confounding, and for many reasons such studies are unlikely. In the absence of such direct comparisons, claims for the established superiority of any one specific diet over others are exaggerated. The weight of evidence strongly supports a theme of healthful eating while allowing for variations on that theme. A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention and is consistent with the salient components of seemingly distinct dietary approaches.

I love that!
 
A diet of minimally processed foods close to nature, predominantly plants, is decisively associated with health promotion and disease prevention and is consistent with the salient components of seemingly distinct dietary approaches.
That's absolutely my philosophy... Though I'm not sure what they mean by predominantly plants but I do generally have a well balanced diet (sans carbs) mostly made from scratch.

However, I would bet my last dollar that dietitians would not be in favor of my diet as it stands despite the evidence of a healthy guy 6' tall weighing in at 165lb with an A1c in the 5's (due an A1c test soon & expecting low-mid 5's)
 
Eddy - If you wanted to follow the Newcastle protocols, the study protoocols and information are on their website, for all to view and utilise as you wish.

If you are on any medication, you must ensure the changes required for the ND would not wouldn't need a tweak to your meds.

I don't know if you have heard of Richard Doughty? His story is here: https://www.theguardian.com/lifeandstyle/2013/may/12/type-2-diabetes-diet-cure

It just goes to demonstrate that one doesn't have to be carrying much extra weight, or indeed to lose masses of weight for the ND to be useful.

I didn't do it myself, but I can see the attraction of a short, sharp attack on things.

Thanks for that - very interesting.

I'm a nutrition moron - before the DX I had only hazy notions of what carbohydrates, fats, protein were & what foods had which. I really want some trusted guide at hand before I embark on anything major.
 
Thanks for that - very interesting.

I'm a nutrition moron - before the DX I had only hazy notions of what carbohydrates, fats, protein were & what foods had which. I really want some trusted guide at hand before I embark on anything major.
How about this book, Carbs and cals
Back in a mo with a link
It has nutritional info on loads of foods and tons of pics of meals to help you with portion sizes and carb etc counting when eating out.
It comes in a large and pocket book and I believe an app for phones etc

Amongst other books you’ll find both sizes of book here
https://shop.diabetes.org.uk/collections/diabetes-books
 
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oops , I meant to say whatever regime you decide to follow, please make sure that it is one you can follow long term. What I mean is, Diabetes is a marathon not a sprint, whatever regime you follow it’s probably for life , so please don’t t set yourself up to fail by choosing/doing something that you cannot follow long term or by being far to strict with it.
Food imo is meant to be enjoyed not purely just for fuel.
Why not come and see what we eat
what-did-you-eat-yesterday

We have some great cooks who put their recipes here
recipes
 
oops , I meant to say whatever regime you decide to follow, please make sure that it is one you can follow long term. What I mean is, Diabetes is a marathon not a sprint, whatever regime you follow it’s probably for life , so please don’t t set yourself up to fail by choosing/doing something that you cannot follow long term or by being far to strict with it.
Food imo is meant to be enjoyed not purely just for fuel.
Why not come and see what we eat
what-did-you-eat-yesterday

We have some great cooks who put their recipes here
recipes

Thanks very much, Lin!
 
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A classic, from 2007: https://www.nytimes.com/2007/01/28/magazine/28nutritionism.t.html

"Eat food. Not too much. Mostly plants."

This bit had me thinking tho: "Don’t eat anything your great-great-grandmother wouldn’t recognize as food. " So only over-cooked fatty cuts of meat and vegetables boiled to near-extinction; maybe with some curry powder thrown in to complement heapings of salt? I guess that's not what is meant ....
 
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