DM2 Diet Change / Progress

RJM62

Touchdown! Greaser!
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Geek on the Hill
So I got my most recent A1C results a couple of weeks ago. A1C was 7.5, which was as high as its ever been. FBG was also high at about 160. I usually do get a little "dawn effect," but 160 was too high for my liking. So I decided to make some diet changes.

Basically, I did one thing: I eliminated processed foods. Even things like frozen, prepared chicken. I know how to cook, so I just started making everything myself "from scratch," as it were.

Not that I ate a tremendous amount of processed food, anyway, so it wasn't that big a change lifestyle-wise. But now I've eliminated it altogether. Everything from canned vegetables, to store-bought eggplant parmigiana, to frozen breakfast sandwiches (I mean, seriously, I can toast bread and cook eggs myself), to low-carb "meal replacements" supposedly made specifically for diabetics. Gone. All gone. Even artificial sweeteners. Gone. If I simply must sweeten something, I use stevia. It's as close as possible to being natural and unprocessed.

The results have both surprised and impressed me.

After about three days, my self-administered morning blood glucose readings started to fall dramatically. This morning's was under 130 for the first time in quite a while. And about an hour ago, I was pleasantly surprised with a preprandial of 90 mL/d -- the first time I've had a preprandial under 120 in years. (I'd been averaging in the 130 - 150 range over the past few months.)

The thing is, I'd already been reading the nutritional information on every single package of food I bought and staying within the basic ADA diet recommendations. Furthemore, I'm not really eating all that differently now than I was before, other than preparing all my meals entirely from scratch, using fresh ingredients. But the results have been both surprising and encouraging.

I've come to believe that the measured or calculated numbers on food labels don't tell the whole story, even if they're accurate. I think the more removed from nature food gets, and the more it is processed, the more it surprises the bodies' metabolism. The body's expecting the stuff that's been removed to still be there, because it's always been there throughout the course of human evolution; and when it's not there, it tosses a monkey wrench into the works.

In other words, the numbers of grams of carbs, fats, proteins, and so forth on a food package may indeed be accurate. But those components may not be metabolized properly by the body once they're removed from the context in which the body expects to find them.

Or in yet more other words, I think we're concentrating too much on numbers, when we need to concentrate on ... I don't even know if there's a word for it. Naturalness, I guess, comes closest.

I call what I'm doing "Nonna's diet," meaning that I won't eat anything that my grandmother wouldn't eat, which basically boils down to not eating anything that I didn't prepare myself from ingredients that are as close as possible to how they were when they were still alive and walking, flying, swimming, or waving in the wind.

Nonna lived well into her 80's and wasn't sick a single day that I know of until three days before she died. She was still teasing the little ones, chasing them around with a wooden spoon as if she was going to spank them, when she was in her 70's and 80's. She also couldn't spell "cholesterol" in either language, and she outlived quite a few of her doctors. But everything she ate, she prepared herself, from the freshest ingredients she could find.

Anyway, this seemed as good a place as any to post this. I do know that a lot of other folks here also struggle with DM2. Speaking for myself, completely eliminating the prepared, processed stuff has done wonders for my glucose levels. YMMV.

-Rich
 
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I've had a couple of physicals where my FBG was above 110 and the doctor had me keep a log for a couple of weeks for him.

I've found if I ditch the carbs as much as possible I can keep down and not worry about him wanting to something about it.
 
I've had a couple of physicals where my FBG was above 110 and the doctor had me keep a log for a couple of weeks for him.

I've found if I ditch the carbs as much as possible I can keep down and not worry about him wanting to something about it.

It's good to take care of it early.

I get something called "dawn effect," which in a nutshell is a high waking FBG that lowers itself after getting up and moving around. Having some carbs at bedtime actually reduces this effect. (Half of a cheese or peanut butter sandwich works very well.) So when I do the 12-hour fast for the lab blood work, my glucose readings will be higher because I skipped the snack.

Lately, my self-readings had been in the 130 - 140 range immediately upon waking up, but would rapidly drop to the 110 - 120 neighborhood after doing nothing but walking around making coffee and such. But that's still higher than they used to be, so I'd like to get them down a bit. The 160 was very high, though. The highest I'd ever had at the lab was about ~ 140 fasting, or ~ 120 with the snack at bedtime.

Yeah, I know. It sounds backwards. But it's not.

-Rich
 
I get something called "dawn effect," which in a nutshell is a high waking FBG that lowers itself after getting up and moving around. Having some carbs at bedtime actually reduces this effect. (Half of a cheese or peanut butter sandwich works very well.) So when I do the 12-hour fast for the lab blood work, my glucose readings will be higher because I skipped the snack.

...

Yeah, I know. It sounds backwards. But it's not.
I think everybody ought to buy a meter and test themselves every day for a few weeks or more. Not just in the morning, but one and two hours post-prandial too. I know it was really revealing for me to learn how soon and how much eating certain foods will spike the glucose levels. Endocrinologists say that BS over 140 permanently kills beta cells in the pancreas. After the educational period, you can change your habits and forego the testing.

That said, it was also dang confounding trying to predict what affects morning fasting blood sugar. Just when I thought I could predict it, wham, my 'theory' would get blown out of the water and I'd have to revise it again! The "dawn phenomenon" and related "Somogyi effect", I've come to believe, act like valves opening up to let glucose into the blood. How much is available to flow, though, depends on your liver's storage capacity. If the tank is nearly dry, your FBG (fasting blood glucose) will be lower. That 'theory' accounts for some of the surprises I've had in the morning. But, this is the mechanic in me trying to understand it not a doctor trying to explain it. :redface:

I've also read that eating carbs before bedtime keeps the Somogyi effect, or "rebound effect" from spiking your blood sugar if it drops too low during sleep. That sounds like what you are describing to me rather than dawn effect. Cheese and peanut butter are loaded with fat which slows digestion like time-released medicine. But peanut butter is also loaded with sugar! So, rather than peanut butter, I'm wondering if just plain peanuts would work for you and be healthier too? Both fat and sugar are things I try to avoid in my diet. Even better, and what I've been doing lately, is eating some low-fat vegetable protein right before bed. The body can convert protein to carbs before glucose falls low enough to kick on the 'boost pump', meanwhile using up excess glycogen in the liver. At least, that's how this 'mechanic' is currently thinking and it seems to be working better than other theories I've tested in my 'lab'. :)

dtuuri
 
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I think everybody ought to buy a meter and test themselves every day for a few weeks or more. Not just in the morning, but one and two hours post-prandial too. I know it was really revealing for me to learn how soon and how much eating certain foods will spike the glucose levels. Endocrinologists say that BS over 140 permanently kills beta cells in the pancreas. After the educational period, you can change your habits and forego the testing.

That said, it was also dang confounding trying to predict what affects morning fasting blood sugar. Just when I thought I could predict it, wham, my 'theory' would get blown out of the water and I'd have to revise it again! The "dawn phenomenon" and related "Somogyi effect", I've come to believe, act like valves opening up to let glucose into the blood. How much is available to flow, though, depends on your liver's storage capacity. If the tank is nearly dry, your FBG (fasting blood glucose) will be lower. That 'theory' accounts for some of the surprises I've had in the morning. But, this is the mechanic in me trying to understand it not a doctor trying to explain it. :redface:

I've also read that eating carbs before bedtime keeps the Somogyi effect, or "rebound effect" from spiking your blood sugar if it drops too low during sleep. That sounds like what you are describing to me rather than dawn effect. Cheese and peanut butter are loaded with fat which slows digestion like time-released medicine. But peanut butter is also loaded with sugar! So, rather than peanut butter, I'm wondering if just plain peanuts would work for you and be healthier too? Both fat and sugar are things I try to avoid in my diet. Even better, and what I've been doing lately, is eating some low-fat vegetable protein right before bed. The body can convert protein to carbs before glucose falls low enough to kick on the 'boost pump', meanwhile using up excess glycogen in the liver. At least, that's how this 'mechanic' is currently thinking and it seems to be working better than other theories I've tested in my 'lab'. :)

dtuuri

Thanks for that. My doc called it "dawn effect," and I've read about "Somogyi effect;" but by whatever name, the carb / fat combination at night does help keep it at bay.

I do eat just nuts (peanuts or otherwise) sometimes. Other times I have toast and butter, or half a whole-wheat English muffin with a little olive oil on it... hey, you need variety.

That being said, the peanut butter I buy contains no added sugar. The only ingredients are peanuts (and sometimes salt, depending on the brand). Most times I just make it myself at he supermarket -- you pour peanuts (and whatever else you like) in the top of the machine, and peanut butter comes out the bottom.

But I also sometimes stock up on the "natural" jarred brands that have no sugar when they go on sale. Smuckers makes one, along with some other company whose name escapes me at the moment but whose label I would recognize. Price Chopper also sells one under its own store label, but it's not available in every store for some reason. I haven't noticed any difference in effect between the unsweetened peanut butters and whole peanuts.

-Rich
 
And another nice surprise, this one a 2-hour postprandial. (I ate lunch a bit late today.)

-Rich
 

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That being said, the peanut butter I buy contains no added sugar. The only ingredients are peanuts (and sometimes salt, depending on the brand). Most times I just make it myself at he supermarket -- you pour peanuts (and whatever else you like) in the top of the machine, and peanut butter comes out the bottom.

But I also sometimes stock up on the "natural" jarred brands that have no sugar when they go on sale. Smuckers makes one, along with some other company whose name escapes me at the moment but whose label I would recognize. Price Chopper also sells one under its own store label, but it's not available in every store for some reason. I haven't noticed any difference in effect between the unsweetened peanut butters and whole peanuts.

-Rich
Kirkland (Costco) natural peanut butter ingredients: dry roasted valencia peanuts, salt. Sodium is 150mg/32g.
 
That's all good Rich. Now, kick the bread. It's almost all "processed" with genetically modified wheat, which you can digest about as well as card board.
 
Timely thread! Nice work Rich!

I'm just starting to work on "Winter Overload". :lol:
 
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Thanks, everyone.

My blood sugar numbers have been excellent. Morning FBG has been < 110 for about a week. The doc is talking about cutting back the Metformin when FBG's are consistently < 100.

I also lost a few pounds since cutting out the processed stuff. It's amazing, actually, how much of a difference it makes -- and I wasn't eating nearly as much of it as a lot of people I know do. That stuff really is poison.

-Rich
 
Processed food is at best sugar and grains, two great poisons that taste great together. Lotsas time it is worse then that.
 
As I have mentioned before been doing the low carb thing for awhile now down 70+ but has been a little slower over the winter so have been hitting the treadmill 5 days a week for 30 minutes at a fast walk.

One tip I have for low carbers is cook food ahead of time. I am cheap so generally won't pay more than $2 a pound for meat. We eat a lot of chicken, turkey, pork and also eat venison often because we have lots of it. This week chicken legs and thighs were on sale for .58 cents a pound in 10lb bags so we stocked up. What I do is put the whole 10 pound bag in the oven and cook them up. When they cool toss them in a ziplock and throw them in the fridge then eat them throughout the week for lunch. I always make sure there is stuff for salad.

I don't cheat at all and part of the reason is I make sure there are things I can eat available. If you go to the fridge and there is nothing there it creates a great excuse to eat garbage. We also have chickens so eggs are always available and easy. We also have a big garden so at least in the summer and part of the winter lots of vegetables.

One other tip try to eat on schedule. I find if I push meals too late then I tend to eat too much later even though it is low carb it is still calories. It is hard with a skinny wife and kids with decent metabolisms who eat whatever, whenever with no apparent negative result. Apparent being the key here I try to convince them all to eat better in general and avoid the processed garbage but it is a hard sell.
 
Rich

Congrats and best wishes. As a former diabetic (I took radical measures to get rid of it) you might want to consider adding exercise to the mix.
 
I assume those blood glucose meters involve drawing blood?

Yes... blood is needed... but no more than a very small drop. We use a small device called a lancet that pokes a very shallow and very small hole in the tip of the finger. A small drop of blood appears and this is put on to the testing strip already inserted into the meter.

How a Blood Glucose Meter Works
 
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Rich

Congrats and best wishes. As a former diabetic (I took radical measures to get rid of it) you might want to consider adding exercise to the mix.

Thanks.

Right now, shoveling the unending snow is taking care of the exercise part. In the warmer weather, hiking, mowing the lawn (with a muscle-powered reel mower), gardening, swimming, climbing old bridges and towers to take stock photos, and other activities along those lines keep me pretty active. Flying trikes is also slightly physical (although not very much).

I'm really not the gym type. Sometimes I'll whip out my alumni privileges to use the gym or the pool at the college when there's nothing else of a strenuous nature that needs to get done, but usually I prefer incidental exercise. I find working out for the sake of working out pretty boring. (I am considering buying a treadmill or a stationary bike, however, and mounting a laptop stand on it.)

-Rich
 

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Add a 1 to 2-lb shot bag to the shovel... :rolleyes:

Then use the same or a bit more on the pushmower
 
Find a nice simple bodyweight routine. Slow is fast. Easy, do it at home, only takes a few minutes. Marks daily apple has some free routines as does nerdfitness.
 
The Army declared me diabetic back in 1968 and the FAA wanted fasting and two hour blood sugars. Over the years, the two hour numbers (110-125) were usually lower than the fasting (110-130). Then the AME got it changed to just fasting, and even that got dropped

But HgA1c was added which always translates into a higher number than I see when I do a blood test. I use the blood tests as a motivator and to not be surprised at renewal time.

While it all ties together, weight loss seems to be the key however you manage it. Exercise always helps plus it is good for the heart. So far I have avoided medication but my internal meds Dr cautions that my aging pancreas is getting less efficient.
 
Haven't been around here long, but I'm glad to see pilots (at least you) eating better. I see nothing but garbage being ingested at the airport.

I'm amazed at how many people just don't get it. "I don't know why I'm sick/tired/overweight/etc." It baffling.

I started eating better a few years ago and the changes have been drastic. I use the K.I.S.S. method when it comes to this stuff. Don't eat what you can't pronounce and make it yourself whenever possible. For-profit companies DO NOT have your best interests in mind.

Plus, sickness means $$.
 
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