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Over 60% of those using Insulin Pump have HbA1c level above 6.99%?

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Pro-Humanist FREELOVER

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May 22, 2013, 9:40:12 AM5/22/13
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- - -
May 22, 2013
http://www.digitaljournal.com/pr/1261410
- - -

Excerpt [with insert, not part of original
article, included in brackets]:

...

Nearly 40 percent of those using insulin
pump therapy reported HbA1C levels of
less than 7 percent, which is considered
to be controlled [a misnomer, as the glu-
cose level of persons without any glucose
condition is around 5% or thereabouts,
so under 7% is far removed from the
control desired and lost when people
are diagnosed with Insulinitis (old name:
type 1 diabetes)], versus 24 percent of
patients using insulin injections.

...

- - - end excerpt - - -

- - - - - - - - - - - - - - - - - - - -

- - -
Chart for HbA1c and Estimated Average Glucose
http://www.diabeteschart.org/bloodsugarchart.html
- - -

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Comments:

Many consider an average glucose level of
154 (7%) to be too high, suggesting that
glucose levels be less than 6.5% (140) to
be considered acceptable, and of course,
the goal is to have an HbA1c level as low
as can be achieved without experiencing
severe lows, a goal which is currently un-
achievable using any insulin modality (not
with an insulin pump, and not with insulin
injections).

The "control" word, a misnomer for many
reasons, well-documented by yours truly,
not the least of which is the lack of brakes
on exogenous insulin, the inability of insulin
guesses to avoid the glucose level going
too low, and the inability to mimic the auto-
matic ability of those without any glucose
anomaly to have 'perfect' glucose levels
every second of every day and night, with
no effort whatsoever.

The hypoglycemic risk, endured by every-
one with Insulinitis, a risk so high that it
kills up to 11% of us who have Insulinitis
due to having one too many severe low
glucose events.

Notably, the article above did not report
incidence of hypoglycemia or severe hypo-
glycemia, so there's no way of knowing
the impact of insulin pumps on that critical
aspect of dealing with Insulinitis (old name:
type 1 diabetes) from the information pre-
sented in this report.

In any case, a 60% failure rate, compared
to a 76% failure rate for those using insulin
injections, a condemnation of the current
modality of dealing with Insulinitis, a modal-
ity which has had little in the way of signifi-
cant life-improving alterations since it was
first made available in 1922.

The fix? Obviously, insulin pumps aren't it,
and the efforts to develop a glucose-respon-
sive insulin, said efforts which may approach
what many would perceive as a near-cure
for the condition, in addition to efforts to
bring about other dramatic improvements
in treatment (notably, the effort to develop
a non-invasive glucose monitoring capability
which is both affordable and convenient), in
addition to efforts to bring about the holy of
holies, THE CURE, are.

- - -
Pro-Humanist FREELOVER
C.ure I.nsulinitis A.ssociation
http://prohuman.net/cureinsulinitisassociation.htm
- - -

vittyguy

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May 22, 2013, 1:54:01 PM5/22/13
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"the goal is to have an HbA1c level as low
as can be achieved without experiencing
severe lows, a goal which is currently un-
achievable using any insulin modality (not
with an insulin pump, and not with insulin
injections)."

Not accurate, there are type 1 diabetics who use insulin who have an a1c
near 5 without lows.

John Williamson

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May 22, 2013, 1:56:29 PM5/22/13
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True, but Pro isn't one of them. He claims that he can't get
satisfactory control no matter what he does, which means that nobody
else can, either, in his world.

--
Tciao for Now!

John.

Pro-Humanist FREELOVER

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May 23, 2013, 10:53:38 AM5/23/13
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Bernstein's dire diet, untenable and
highly risky and undoable by most for
any but short periods of time for the
overwhelming majority with Insulinitis.

vittyguy

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May 23, 2013, 11:14:33 AM5/23/13
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> "the goal is to have an HbA1c level as low
> as can be achieved without experiencing
> severe lows, a goal which is currently un-
> achievable using any insulin modality (not
> with an insulin pump, and not with insulin
> injections)."

> Not accurate, there are type 1 diabetics
> who use insulin who have an a1c near 5
> without lows.

"Bernstein's dire diet, untenable and highly risky and undoable by most for
any but short periods of time for the overwhelming majority with
Insulinitis."

How do you know? He himself has been doing it for decades, as have many
who do his or modified versions. Type 2 diabetics also do it in various
forms. The key in all versions is to balance the carb intake with the
amount of insulin at hand. Smaller carbs means less insulin to shoot up or
produce. Fewer carbs means far far less chance of triggering the roller
coaster effect from which you suffer.

What you really mean is that you don't want to stop the level of face
stuffing of carbs that does the triggering of your roller coaster effect.

Time to stop whining and to take control.

Pro-Humanist FREELOVER

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May 23, 2013, 1:29:26 PM5/23/13
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On Thursday, May 23, 2013 10:14:33 AM UTC-5, vitty guy wrote:

> [...]

A former poster by the name of pill popper
continually promoted Bernstein for years.
Haven't seen him post for quite some time.

Starvation? If you'd like to come close to
what that would be like, the Bernstein diet
comes close to that.

Recommended? If you want to be on a diet
that comes close to being among the least
successful diets possible of anyone who
has Insulinitis (old name: type 1 diabetes),
the Bernstein diet is among them.

Insulin Dosage Erorr? The tiniest of dosage
errors, -if- you're on the Bernstein diet, you're
especially vulnerable to tiny dosing error as
being on a severely restricted carb intake,
the tiniest error can have major adverse con-
sequences.

Independent Studies? Why have -0- indepen-
dent studies been published with independent
documentation of the plethora of claims made
(low HbA1c claims, low insulin dosage claims,
low weight claims, low hypo risk claims, low
severe low glucose events claims) for the
Bernstein diet?

Bernstein, who was unsuccessful in battling
Insulinitis using the modality that the over-
whelming majority of those with long-lived
Insulinitis (50 years or longer) have used
(well-balanced diet, significant insulin dos-
ages to take the place of insulin production
which was totally or near-totally lost when
Insulinitis transpired, -and- dealing with the
incessant risk of the glucose going so low
that loss of cognizance, loss of conscious-
ness, and death risk are a never-ending
part of the picture).

His lack of success resulted in him advo-
cating his dire diet, low insulin dosages,
bloodpricks galore, and severe adverse
lifestyle consequences for __?__ (unknown,
but from the pitches by pill popper and you,
it appears that his recommendations are
attempted to be shoved down the throats
of everyone with any of the High Glucose
Conditions; however, he may realize that
most are not amenable to such a severe
lifestyle, and most would rather have a
much higher quality of life than that which
transpires with the lifestyle/diet he pro-
motes).

Put another way, this disease is a living
nightmare, and Bernstein's ideology only
makes that nightmare worse (in my opinion,
for most), -but- for anyone willing and able
to subject themselves to such a severe
regimen, I'd urge caution/restraint/careful
consideration of the adverse risks entailed,
and would advise that such an adverse
detriment to quality of life only be used by
those who are desperate and who, like
Bernstein, had a lack of success with the
standard methods of dealing with Insulinitis.

Even then, I suspect, due to the difficulty
of being on Bernstein's program, that most
wouldn't be able to stay on it for life or for
months, and as such, -if- unsuccessful in
dealing with Insulinitis via standard means
or via the Bernstein diet, the only hope that
remains is the holy of holies, THE CURE,
-or- dramatic much-improved treatments.

May we all, whatever lifestyle we've
chosen, whatever glucose anomaly we're
battling, have the benefits of those, the
sooner the better.

p.s. Struggled with cognizance this
morning, and about an hour ago tested
at 48 -- was actually, trying to reply
to your post for hours and am late in
getting to work, but I hope this effort
helps to shed light on the dismal view
that most with Insulinitis have towards
the Bernstein array of adverse lifestyle
admonishments.

vittyguy

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May 23, 2013, 3:19:56 PM5/23/13
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I was going to respond in great detail. Then it occurred that you have not
read about low carb diet approaches, including the one you attempt to trash
in ignorance of it. This became crystal clear when you made claims 180
degree different then the recorded facts.

The ignorant are free to invent all manner of fancy stories, not being
bound by the facts.

Stop whining, start getting the control possible with known and effective
techniques..

Pro-Humanist FREELOVER

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May 24, 2013, 10:04:34 AM5/24/13
to

- - -

Whatever, if you or anyone you know has
the type of High Glucose Condition called
Cellosis (old name: type 2 diabetes), and
choose severe low carb as part of your
treatment profile (and note, the wide array
of medications -and- surgical options like
bariatric surgery for those with a combin-
ation of obesity and Cellosis, and recently,
even marijuana has been indicated as a
possible treatment option for dealing with
Cellosis, -and- other eating options / rec-
ommendations for those with Cellosis, and
those who are seeking to avoid Cellosis,
are widespread), that is your choice.

However, to presume that your choice is
a net plus for anyone else with Cellosis,
or anyone who has Insulinitis (old name:
type 1 diabetes) which I've had for over
52 years (and my HbA1c levels are great,
consequentially resulting in increased risk
of severe lows, and independent studies
confirm that is the nature of low HbA1c
levels) is apart from the actualized nature
of individual choice, desire, and individual
totality of being.

Starvation, or near-starvation, not an option
I plan to participate in. Using a diet which
no independent studies have supported as
for their inordinant claims without anythng
but anecdotal hearsay, and not one iota of
independent confirmation, as if presuming
doing so will yield a lower risk of severe
lows while maintaining low HbA1c levels,
once again, I implore you to find just one
independent study which supports that
near-starvation diet's claims.

If you can find one, you've at least got my
attention, even though a near-starvation
diet is like beating someone 10 times per
day with their having severe lows, and
asserting that beating them 40 times per
day will lessen their chances of having
severe low glucose events. Yikes, what
a choice. )-:

vittyguy

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May 24, 2013, 11:05:16 AM5/24/13
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"Near starvation diet", nonsense. What is limited is carb intake not
caloric intake. Sources of protein and fat and non-starch and sugar leden
foods can be consumed freely. Keeping in mind that weight status is
important in diabetes treatment.

There are ample studies looking at lowcarb diets compared to some other
form for diabetics. That is one reason such s the ada have over the past
decade or so constantly lowered the advised carb intake.

Note also that the same treatment applies to all forms of diabetes.
Regardless of form one seeks to balance the carb intake with available
insulin. In type 1 it is to minimize insulin dose so as to avoid hypos and
large glucose swings and therefore avoid the roller coaster effect and high
glucose damage.

One who is uninformed with the facts is not burdened with them and free to
labor under any delusion that pleases.

Pro-Humanist FREELOVER

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May 24, 2013, 12:08:13 PM5/24/13
to

On Friday, May 24, 2013 10:05:16 AM UTC-5, vitty guy wrote:

> "Near starvation diet", nonsense. What is limited is
> carb intake not caloric intake. Sources of protein
> and fat and non-starch and sugar leden foods can
> be consumed freely.

Not sure what you're referring to with
your "sugar leden foods can be con-
sumed freely". All carbs, including
sugars, are highly restrited on the
Bernstein diet.

Actually, you haven't read the articles
which comment that Bernstein recom-
mends a severely restrictive calorie
intake (I think it's close to 850 calories,
initially, eventually allowing up to 1350
or so calories), so yes, the Bernstein
diet is -both- low carb -and- low calorie,
and, for those with Insulinitis, the careful
injection of precise insulin dosages, even
though the amounts are lower than those
with more carbs, are still required, as is
careful monitoring of glucose levels, and
I'm unclear of what, exactly, his recom-
mendations are in dealing with hypogly-
cemia.

W. Baker

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May 24, 2013, 4:08:13 PM5/24/13
to
Pro-Humanist FREELOVER <prohuman%cableo...@gtempaccount.com> wrote:

: On Friday, May 24, 2013 10:05:16 AM UTC-5, vitty guy wrote:

: > "Near starvation diet", nonsense. What is limited is
: > carb intake not caloric intake. Sources of protein
: > and fat and non-starch and sugar leden foods can
: > be consumed freely.

: Not sure what you're referring to with
: your "sugar leden foods can be con-
: sumed freely". All carbs, including
: sugars, are highly restrited on the
: Bernstein diet.

Read the English, one unit of thought, nonstarch and augar laden . He
means andit is clear to over 99% of te res=aders tht No starach and no
sugar laden foods. these are the foods that cannot be consumed freeley.
If you do several things can happen. If you don't take enoughinsulin
there will be severe hyerglycemia(hig bgs) and you will also gain too
much weight if you try to cover high carb intake with additional insulin.
In addition because many of the starches adn sugar laden foods are fast
acting, if insuling is misjudged you can have a rapid rise in bgs followed
by a crash tolow numbers, or hypos that can kill. Keeping a steadier
level by eating evenly, without big boosts of carbs will help most peole
find the correct amount of insulin to keep their bgs at a reasonable rate
between hyper and hypo-glycemia.

I hope this is simple enough for you to understand.

Wendy
: - - - : Pro-Humanist FREELOVER : C.ure

vittyguy

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May 24, 2013, 5:51:06 PM5/24/13
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> "Near starvation diet", nonsense. What is limited is
> carb intake not caloric intake. Sources of protein
> and fat and non-starch and sugar leden foods can
> be consumed freely.

"Not sure what you're referring to with your "sugar leden foods can be con-
sumed freely". All carbs, including sugars, are highly restrited on the
Bernstein diet."
The "non" goes for both starch and sugar laden.

"Actually, you haven't read the articles which comment that Bernstein
recom- mends a severely restrictive calorie intake (I think it's close to
850 calories, initially, eventually allowing up to 1350 or so calories), so
"

Actually his advice covers both weight loss and intake to maintain a normal
weight. His measure of when one needs to lose weight is a belly fat pinch.
You are confusing weight and glucose control.

"yes, the Bernstein diet is -both- low carb -and- low calorie, and, for
those with Insulinitis, the careful injection of precise insulin dosages,
even though the amounts are lower than those with more carbs, are still
required, as is careful monitoring of glucose levels, and I'm unclear of
what, exactly, his recom- mendations are in dealing with hypogly- cemia."

This is not accurate, it is enough calories to maintain a normal weight and
regarding carbs is to use mininal amounts in non starchy and glucose laden
veggies. His approach for hypos is to have mininal carbs to havoid the
large amounts of insulin required otherwise and thus avoid the hypos in the
roller coaster effect. Blood testing tells one how well and how one needs
to modify what one is doing


In general you are not well informed on his approach, an article here ant
there does not serve. Read his book.

The low carb apprach has many variations that have nothing to do with his
practices.

Stop whining and start taking control of your type 1 diabetes. A low carb
diet, not related to calories, of any variation is one good place to start.

Pro-Humanist FREELOVER

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May 25, 2013, 10:57:48 AM5/25/13
to

- - -

Over 52 years of dealing with Insulinitis.

HbA1c levels great.

Complications, zilch.

Severe lows, consequential as a result
of having great HbA1c levels. By the way,
thus far in May, 0 unconsciousness events.
Diet, well-balanced, lower in fat and carbs
and calories than is the diet consumed by
most. Insulin levels, lower than those given
by most who have Insulinitis. Sugar? As
close to zilch as can be consumed. The
deviation from zilch, the use of glucose
tabs to deal with lows. Fruits? Infrequent.
Sugar-laden snacks? Zilch. Low-fat meals?
Predominant.

Now, to take such a diet and purport that
switching to a dire low carb diet and lower
insulin dosages would have a health benefit,
irregardless of the lowering of quality of
life, and would lessen severe low glucose
risk, all based on anecdotal claims/asser-
tions from the proponent and individual
financially profiting off of the Bernstein
diet, with no independence evidence his
claims are justified?

I repeat, for the umpteenth time, provide
evidence such a switch is justified, hard
evidence, independent studies, and until
you do, you'll be highly unlikely to garner
my support.

vittyguy

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May 25, 2013, 3:03:04 PM5/25/13
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Stop whining about being out of control if you are not prepared to try
those methods demonstrated to work.

But of course any success thereof would rob you of the attention seeking
and pity party posts about your out of control type 1 diabetes.

It is not about one doctor, it is about many people who have success using
the low/lower carb approach to avoid the roller coaster effect.

Pro-Humanist FREELOVER

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May 26, 2013, 12:33:08 PM5/26/13
to

vitty guy wrote:

> Stop [...]

Stop ____ ? You should consider
stopping giving orders and to stop
mischaracterizing my comments.

You should also consider altering
your support for a dire undoable
(for the overwhelming majority of
those us who have Insulinitis, old
name: type 1 diabetes) diet and
for risky (-if- an inadvertent or un-
avoidable error is made) insulin
dosages as if there are no adverse
consequences to using said diet.

You should also find, if it's avail-
able, independent non-anecdotal
evidence supporting the plethora
of claims presented by the primary
proponent of the diet.

- - - - - - - - - - - - - - - -

W. Baker

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May 26, 2013, 2:52:18 PM5/26/13
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Pro-Humanist FREELOVER <prohuman%cableo...@gtempaccount.com> wrote:
I am an older type 2 diabetic for the last 30 years. Ihave been
controlling my disease witha small amount of meds, some exercise(mostly
walking) and a verycontrolled moderater carb diet(60-100 grams per day. I
use testing, particular when I eat theoccsional stupid ting) but not a
frequent as a type 1 these days. maintianing a moderately low carb diet
for many years is far from a impossibility, as I can attest to. It
essentially requires accepting a way of eating(not a diet, which is kind
of a shorter tem concept) that you can live with using what ever
substitutes you find easy and useful. this mornign I had 15 tiny pancaes
made with a low-carb pancake mix with a artificially swwetened pancake
syrup. I can do Frenchtoast too if I use one of the low carb breads I can
interittantly find in stores(some avaiabl on the web I understand).

Reducing and wtching your carb can become prettyautomatic if you give it a
chance. Spreadignthem more evenly throughout the day would be especially
helpful for type 1s as I understand it. doable and life affirming and
saving.

Wendy

Pro-Humanist FREELOVER

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May 26, 2013, 11:41:13 PM5/26/13
to
Well, back early in March, I switched to
a low carb breakfast (6 grams of carbs,
6 grams of fat, 20 grams of protein, 120
calories). -If- my glucose doesn't go too
low, I don't eat a snack before lunch. -If-
it does go too low, I eat a 10 gram toast,
no fat, 50 calories, 4 grams of protein.

Lunch, typically 25-40 grams of carbs,
300-400 calories, 20 grams or thereabouts
of protein, usually low fat (<10 grams).

Typically, I snack at work, but not at home,
with 17 grams of carbs an hour after arriving
at work, and test 2 hours after arriving at
work, and snack with 17 or so grams of
carbs if the glucose is too low. Dinner, sim-
ilar to lunch, though I usually add 3 servings
of vegetables, 10 carbs, usually green beans,
sometimes spinach. So that makes for 35 to
50 grams of carbs at dinner. I snack 30 min-
utes after returning to work, 17 grams of
carbs, and test about 2 hours after going
back to work, and add 17 grams of carb
snacks (the snacks, usually diet chocolate,
my favorite is diet peanut butter cups).

So, total carbs on a typical day (-if- no
severe lows have caused the ingestion of
glucose tabs), from 90 on the low side,
up to 120 -if- I had a 40 gram lunch &
dinner, up to 164 -if- my glucose went
too low after breakfast, and 2 hours after
lunch, and 2 hours after dinner & I had 2
40 gram carb meals.

A cognizance struggle might add up to 10
glucose tabs to that, 40 grams of carbs,
but I'd like to think that is an infrequent
event, perhaps once a week or once every
two weeks or thereabouts.

So, at max, if that occurs in addition to 3
too low snacks, that would be 204 carbs,
so 90 carbs (low) to 120 (if 2 40 gram
carb meals are eaten) up to 164 (if 3
too lows are dealt with and I had 2 40
gram carb meals) to 204 (if a battle or
two with severe lows requires ingesting
up to 10 glucose tabs -and- that occurs
on a day when I maxed out on snacks
& 40 gram carb meals).

As for trying to lower my insulin dosages
and carb intake, and trying to avoid the
glucose going too low, I'm open to sug-
gestions, as right now, with low fat meals,
standard microwavable meals, they don't
really offer low carb, so some alternate
food choices, I'd have to look into those.

On the other hand, if I carefully study the
labels of the low fat choices, I may be
able to find something with low carb, as
I really haven't been trying to find any-
thing like that, other than what I found
for breakfast.

- - - - - - - - - - - - - - - - - - - -

Pro-Humanist FREELOVER

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May 27, 2013, 10:29:53 AM5/27/13
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- - -

Follow-up/correction:

> Well, back early in March, I switched to
> a low carb breakfast (6 grams of carbs,
> 6 grams of fat, 20 grams of protein, 120
> calories). [...]

Actually, 160 calories in 2 servings (2 patties)
of vegetable protein from MorningStar (80
calories / 3 grams fat / 3 grams carb / 10 grams
protein per patty). This morning, for example,
I awoke with a glucose level of 49.

Immediately ate 2 patties and gave 5 Novolog,
20 Levemir added to my bedtime dosage of 6
Levemir, and have a glucose level of 67 two
hours later. -If- I'm able to transition to a lower
carb routine, I anticipate being able to lower
my Levemir and Novolog dosages.

I'll get back to everyone on that, but I anticipate
one of the challenges in that would be having as
much of a variety in meals as I presently have
with 25-40 grams of carbs. Of course, I have
no variety at breakfast, and that's not a problem,
so maybe that won't be a problem at lunch, din-
ner, and snacks, either. That remains to be seen.

vittyguy

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May 27, 2013, 11:02:43 AM5/27/13
to

What follows is a moderate carb diet, not a low carb diet. Diet means what
one consumes, not a weight loss program.

For what it's worth, some Swedish researchers recently published a
study in which a low carbohydrate diet was tested in a group of type 1
diabetics [2]. The study subjects were asked to limit their
carbohydrate intake to no more than 75 grams a day. Blood sugar control
was assessed with a test known as the HbA1c, which provides a measure
of overall control in the preceding three months or so. The HbA1c is
usually expressed as a percentage, with less than 5 per cent generally
being taken to show very good blood sugar control (typically seen in
non-diabetics). The average HbA1c in the study subjects was 7.6 at the
start of the study. The HbA1c was retested at 3 months and 4 years.

As with all things, some stuck with the advice regarding carbohydrate
restriction, and some did not. Those who did not comply with the advice
saw no significant change in their HbA1c levels over time. On the other
hand, the subjects who went with the advice saw their HbA1c levels drop
to an average of 6.0 per cent. Clinically, this would be seen as a very
significant drop clinically, and signal generally much improved blood
sugar control.

The authors make the point that individuals adjusted their insulin
downwards as carbohydrate was restricted. So, what we have is much
better blood sugar control, lower risk of complications, and less need
for medication by adopting a lower-carbohydrate diet.

This is a great study, I think, and the reason I use the words `for
what it's worth' above is because the results are exactly what
practitioners with experience of this approach in clinical practice and
what individuals who have tried this approach for themselves would
expect. But at least now, we have a nice, long-term study proving the
value of carbohydrate restriction in type 1 diabetes. And the level of
restriction was not even `extreme'. Feel free, if appropriate, to
introduce your health care provider to this evidence. Their response to
it might tell you a lot about their capacity to think for themselves.

Pro-Humanist FREELOVER

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May 28, 2013, 8:16:25 AM5/28/13
to

On Monday, May 27, 2013 10:02:43 AM UTC-5, vitty guy wrote:

> What follows is a moderate carb diet, not a low carb diet.
> Diet means what one consumes, not a weight loss program.
>
> For what it's worth, some Swedish researchers recently
> published a study in which a low carbohydrate diet was
> tested in a group of type 1 diabetics [2]. The study
> subjects were asked to limit their carbohydrate intake
> to no more than 75 grams a day. [...]

The study, 48 people with high HbA1c levels.
About half of them stayed on the "no more than
75 grams a day" diet, and lowered their HbA1c
levels. Hypoglycemia impact, haven't been able
to locate any report on hypoglycemia incidence
in that study.

As for me, I'm willing to give it a try. Here's
my plan. Trying lower insulin dosages starting
last night, switched to giving 4 Levemir at bed-
time rather than 6. Today, will switch to giving
16 units of Levemir rather than 20. The goal? To
try to avoid the snacks, which range from 2 up
to 5, a net savings of 78 carbs if I'm able to
avoid all of those. The new diet:

Breakfast (same as before): 6 carbs, with insulin
dosage of 4 Novolog, 16 Levemir.

Lunch : 25 to no more than 30 carbs (I found a
plethora of mostly low fat microwavable
meals with no more than 30 carbs). Insulin
dosage of 2 (of glucose is < 100) to 3
(of glucose is 100 to 130). If the glu-
cose is higher, I will probably find it
difficult to not give more than that.

Dinner : tuna special, with 1 can of green beans
or spinach, total 23 carbs. For variety,
will have an Atkins diet microwavable
meal from time to time, which will have
from 19 to 21 carbs with the can of green
beans or spinach thrown in (unfortunately,
those have 20 grams of fat, and I haven't
found any microwavable meals with low
carb and low fat). Insulin dosage, same
as specified above for lunch.

So, if I can avoid -all- snacks, my total carbs
would be from 50 (low) to 59 (high) per day. If
I'm unable to avoid snacks (today) due to the
glucose going too low, I'll lower my Levemir
tomorrow. If, on the other hand, the glucose
goes too high, I'll have to reconsider my new
Levemir levels. I'll get back to everyone to let
y'all know how this new diet is (or isn't) working
out.

I'll also have to reflect on total calories, as this
may be too low for me to be on safely for very
long, and if so, I'll have to add more protein
(and as a consequence, more fat), to get more
calories.

Later,

W. Baker

unread,
May 28, 2013, 9:22:00 AM5/28/13
to
Pro-Humanist FREELOVER <prohuman%cableo...@gtempaccount.com> wrote:

: On Monday, May 27, 2013 10:02:43 AM UTC-5, vitty guy wrote:

: > What follows is a moderate carb diet, not a low carb diet.
: > Diet means what one consumes, not a weight loss program.
: >
: > For what it's worth, some Swedish researchers recently
: > published a study in which a low carbohydrate diet was
: > tested in a group of type 1 diabetics [2]. The study
: > subjects were asked to limit their carbohydrate intake
: > to no more than 75 grams a day. [...]

Try cooking your own meals and making salads that don't even need cooking
for better enjoyment of food and better healthwith less salt, fewer
extraneou chemicals and an exact knowledge of what you are eating.

Wendy

Pro-Humanist FREELOVER

unread,
May 28, 2013, 10:57:59 AM5/28/13
to
On Tuesday, May 28, 2013 8:22:00 AM UTC-5, W. Baker wrote:

> Try cooking your own meals and making salads
> that don't even need cooking for better enjoyment
> of food and better healthwith less salt, fewer extraneou
> chemicals and an exact knowledge of what you are
> eating.
>
> Wendy

Cooking, something I've never done unless you
count microwaving, something I'm inclined to
use frequently. Of course, with the exact carb/
fat/protein amounts detailed on all microwave
meals, therein resides an advantage over
cooked meals.

In any case, we'll see how my new diet works
out, and if I'm able to totally avoid (or at the
very least, reduce) the snacks and glucose
tab events, and we'll see if I'm able to reduce
the insulin dosages, and most importantly, if
I'm able to reduce the severe low risk.

Of course, even on the current carb and
insulin levels, I've not had any unconscious-
ness -or- severe lows (although I have had
cognizance struggles) in May, and we'll
soon see if the reduced carb and reduced
insulin levels keep that going.

This morning, even with the lower Novolog
and Levemir dosages, my glucose was 53 two
hours after breakfast, so I just popped a
4 carb glucose tab. Tomorrow, if my awaken-
ing glucose level is the same as it was
today, I'll lower my Novolog by another
unit.

W. Baker

unread,
May 28, 2013, 1:06:45 PM5/28/13
to
Pro-Humanist FREELOVER <prohuman%cableo...@gtempaccount.com> wrote:
http://prohuman.net/cureinsulinitisassociation.htm : - - - Perhaps a few
more carbs at breakfast might help. some berries perhaps or a handful of
cherries , which are about 1 gram perlargish cherry and in the Northern
hemisphere , are currently in the stores. I get a low carb bread which is
about 4 total carbs(net fiber) so 4 carbs in Great Britain) which you can
have a slice or two of, toasted or plain. Just some thoughts. Sounds
like you need more in the morning or little or none of the "cover carb"
insulin, not the levimir. Remember, I am a type 2 so am really only
guessng on the insulin after havign red ASD and MHD for many many years.

Wendy

anon...@nowhere.you.know

unread,
May 28, 2013, 6:00:17 PM5/28/13
to

Exercise is well worth the effort for a type 1 diabetic. With at least a
moderate level of physical activity the muscle cells don't require insulin
to remove glucose from the blood. This effect is heightened for a period
following the exercise, an hour or so. Combining this soon after a meal
helps chop the tops off of glucose spikes and less insulin is required.
Testing will best provide use of this insulin lowering effect. If glucose
is over 200 before starting then avoid exercise until it is lower.

Pro-Humanist FREELOVER

unread,
May 28, 2013, 10:39:44 PM5/28/13
to

On Tuesday, May 28, 2013 12:06:45 PM UTC-5, W. Baker wrote:
> Perhaps a few more carbs at breakfast might
> help. some berries perhaps or a handful of
> cherries , which are about 1 gram perlargish
> cherry and in the Northern hemisphere , are
> currently in the stores. I get a low carb
> bread which is about 4 total carbs(net fiber)
> so 4 carbs in Great Britain) which you can
> have a slice or two of, toasted or plain.
>
> Just some thoughts. Sounds like you need
> more in the morning or little or none of
> the "cover carb" insulin, not the levimir.
> Remember, I am a type 2 so am really only
> guessng on the insulin after havign red
> ASD and MHD for many many years.
>
> Wendy

Well, back when I switched to a low
carb breakfast, in early March, I did
that to deal with the glucose going up
(when I ate a 28 carb breakfast) in
the morning.

As for insulin, I'm on Novolog as the
quick-acting insulin given before meals
and at bedtime if needed, and Levemir
is the long-acting (supposed to last 24
hours, although I've found it usually
doesn't last that long) insulin I give
first thing in the morning and last
thing before going to bed.

Today, after lowering my Levemir from
26 total (6 at bedtime, 20 to start the
day) to 20 total (4 at bedtime, 16 to
start the day), -and- going on the 1st
day of trying the carb cutback all day
long, I struggled with lows, so I'm
going to have to lower the Levemir
some more.

After all, I was attempting to cut my
carbs by 50%, and tried eliminating all
snacks, so in 20/20 hindsight, I should've
(on my 1st day, which, after all, was an
experiment) tried cutting the Levemir in
half. I may try that tonight/tomorrow,
switching to 3 Levemir at bedtime, and
10 Levemir first thing in the morning.

o Glucose went up to 80 before lunch,
and I gave 2 Novolog for a 27 carb
lunch.

Lows today:

o 47 before dinner. Ate a 23 carb dinner,
gave 2 Novolog (but when I gave the
shot, I may have erred and given 3
Novolog, so just in case I did that,
I added a 7.5 carb diet chocolate
peanut butter snack)

o At dinner, I gave my shot after I had
eaten enough to get the glucose up.
An hour and a half after dinner, the
glucose was 53. I ate 3 glucose tabs,
12 grams of carbs.

o Over 5 hours later, close to the end
of the work day, got double-vision,
and ate 6 glucose tabs. Shortly there-
after, right before leaving work, glucose-
tested, it was 57, so I ate the last glu-
cose tab I had, ate a bananna (about
15 carbs), and 15 minutes later, glucose
was 79, enabling me to drive home.

o So, today, 8 carb breakfast + 27 carb
lunch + 23 carb dinner + 7.5 carb
after-dinner snack + total of 10
glucose tabs (40 carbs) + 15 carb
bananna, total carbs thus far, 120,
so double what I was aiming for.

Opple0påad

unread,
Jun 1, 2013, 8:51:11 PM6/1/13
to
On 24 May 2013 15:05:16 GMT, vitty guy wrote:

>
>"Near starvation diet", nonsense. What is limited is carb intake not
>caloric intake. Sources of protein and fat and non-starch and sugar leden
>foods can be consumed freely. Keeping in mind that weight status is
>important in diabetes treatment.

You're wrong. Caloric and Carb restricted diets are used.

>
>There are ample studies looking at lowcarb diets compared to some other
>form for diabetics. That is one reason such s the ada have over the past
>decade or so constantly lowered the advised carb intake.
>
>Note also that the same treatment applies to all forms of diabetes.
>Regardless of form one seeks to balance the carb intake with available
>insulin. In type 1 it is to minimize insulin dose so as to avoid hypos and
>large glucose swings and therefore avoid the roller coaster effect and high
>glucose damage.
>
>One who is uninformed with the facts is not burdened with them and free to
>labor under any delusion that pleases.


As you obviously do and are.
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