Low Carbohydrate Answers
Dear All,
Wow, I've been away less than 24 hours and Anne-Marie has started this. Below are my response to questions put in this post. If I've missed anything or you have more queries - let me know
Katie
Q. I would like to know what you guys eat instead of carbs. I know you've told me Anne, but C*5_Dodger what do you eat?? So you've replaced carbs by fat, what fat?
A. I eat lots of vegges mainly only those that grow above the ground, green leafy ones are very low carbohydrate Here's a page on which I posted a typical meal and yes after 2 hours my blood glucose was 6.0mmol/L. I find that portion control is important also. I also like protein – all meats and seafoods
http://www.diabetessupport.co.uk/boards/showthread.php?t=2288
With regard to the type of fat I eat the answer is any and all. Typical examples are: Cheese, butter, beef fat, pork fat, lamb fat, chicken fat, olive oil, oily fish etc. The important point here is that I believe that the notion that saturated fat is bad for me is utter nonsense. Throughout the 2 million years or so of our evolution our species has been eating animal fat, which has a high proportion of saturated fat, so that the idea that it is bad for us is crackers. Just as an aside: when you eat too much carbohydrate the liver converts the excess to fat – no prizes for guessing the type – yes its saturated fat!. The liver packages it up as triglyceride, loads it onto VLDL lippoproteins and ships it out for storage in your fat depots – predominately the the ones round your waist. This why people who eat “plenty of carbohydrates” may have high triglyceride (Tgs) blood test results – mine are very low 0.9mmol/L. The latest thinking now is that Tgs are a much stronger predictor of heart disease than high LDL.
Bev
Q: I thought that some proteins and fats have the same affect on your blood sugars hours later after eating them? Someone on the other forum took ages explaining to me in great detail how proteins can break down hours after being eaten and can cause a spike.
A: Here's a quote from Jenny Ruhl's book (page 69)
“...Now its time to face an important fact.
Its the carbohydrates you eat that raise your blood sugar after meals. Sugars and starches. Nothing else. The fats you eat do not raise your blood sugar at all. Technically speaking, protein can raise your blood sugar because your liver is able to convert about 58% of the protein you eat to carbohydrate. But since it takes up to seven hours to digest dietary protein and turn it into glucose, the only people who see a rise in blood sugar after eating protein are those whose diabetes is so severe that they have no beta cell function left at all. So it is unlikely that eating protein will cause an observable rise in your blood sugar...” The important point here is that the process starts soon after you eat protein and is complete after about seven hours – so no glucose spike! For type 1s this low rate of input of glucose does not have to be factored into your carbohydrate calculations.
Ceara
Q: I'm interested in this low carb thing. Is there any specific listing available, like the GI or GL lists, or do you just avoid high carb food?
A: If you have a spreadsheet App, e.g. Excel, I can supply you with a large amount of information – you also may find the book that Steff is considering buying useful. I would need a PM from you giving me your E-Mail address. However, going low/controlled carbohydrate is not a “one size fits all approach” - we each need to tailor our diet in such a way as to meet the blood sugar targets we have set ourselves, since we are all different. It is for this reason that it is essential to test, test and test or a Jenny would say “eat to your meter”. The details of how to do this set set out in her book. The amount of carbohydrates you can tolerate depends upon how far you are along the path to complete beta-cell failure. A newly diagnosed type 2 for example may eat quite large amounts of carbohydrate and still meet the BS targets. Here's the targets from DUK, my 2 hours after meals target is much lower than these. It is now widely believed that we should get as close to normal (A1cs 4% to 5%) as possible in order to reduce the risk of future complications
Children with Type 1 diabetes (NICE 2004)
Before meals: 4-8mmols/L
Two*hours after meals: less than 10mmols/L
Adults with Type 1 diabetes (NICE 2004)
Before meals: 4- 7mmols/L
2 hours after meals: less than 9mmols/L
Type 2 diabetes (NICE 2008)
Before meals: 4-7mmol/L
Two*hours after meals: less than 8.5mmols/L
Regards Dodger