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What exactly is "clean eating"
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<blockquote data-quote="dnfuss" data-source="post: 125051" data-attributes="member: 15487"><p>DragonBits, no one can diagnose you without taking a history, examining you, running the proper labs, etc. But I will say that, in general, I would expect that a patient who presents with a consistent fasting glucose of 100-110 mg/dl and routine post-prandial glucoses of 145, 156, 177, etc. is diabetic, perhaps mildly so, perhaps not.</p><p></p><p></p><p></p><p>Diabetes has a strong genetic component, so this would not be unexpected.</p><p></p><p></p><p></p><p>An HgbA1c of 5.8% (even by the ADA's reckoning, which probably underestimates) is equivalent to an estimated <u>average</u> glucose (eag) of 120 mg/dl. Even an HgbA1c of 5.6% would be equivalent to an eag of 114 mg/dl. These are not the blood sugars of a non-diabetic. But you really can't rely on the HgbA1c test as a diagnostic tool. Even the ADA said it wasn't useful for diagnosing diabetes for many years. They've only changed course because primary doctors just weren't administering very many oral glucose tolerance tests (take too much time in an era of five-minute office visits). HgbA1c is a useful measure of general trends. I have it run myself. But it can't be used to rule out diabetes.</p><p></p><p></p><p></p><p>I hope it's an accurate meter. Most aren't. The <a href="https://www.amazon.com/FreeStyle-Freedom-Lite-Blood-Glucose/dp/B002G3EJ1K/ref=sr_1_2_a_it?ie=UTF8&qid=1535050995&sr=8-2&keywords=freedom+freestyle+meter" target="_blank">Freestyle Freedom Lite</a> meter (that’s the one I use) and <a href="https://www.amazon.com/FreeStyle-Blood-Glucose-Monitoring-System/dp/B001946SKM/ref=sr_1_1_s_it?s=hpc&ie=UTF8&qid=1535052241&sr=1-1&keywords=freestyle+lite+meter&refinements=p_89%3AFreeStye+lite" target="_blank">Freestyle Lite</a> meter (slightly smaller), both from Abbott Laboratories, are highly accurate and recommended by noted diabetologist Dr. Richard Bernstein (they're the only ones he's found to be tolerably accurate at near-normal blood sugar levels).</p><p></p><p></p><p></p><p>That is indicative of poor blood sugar control and is typical in diabetes.</p><p></p><p></p><p></p><p>Numbers like these one hour after eating would be likely indicators of diabetes. They are not the numbers seen in healthy non-diabetics. If they were taken two hours or more after eating, they are almost certain indicators of diabetes.</p><p></p><p></p><p></p><p>These sorts of reactions to exercise are typical in diabetes. Hepatic glucose production rises with vigorous exercise. In non-diabetics, the pancreas produces insulin in the correct amount to cover it. Diabetics do not have the healthy first-phase insulin response necessary to do so.</p><p></p><p></p><p></p><p>Everyone, including pre-diabetics and diabetics, deserves and can have normal blood sugars.</p><p></p><p>For solid information about high blood sugars and how to normalize them, I highly recommend the book "Diabetes Solution" by Dr. Richard Bernstein. The protocol (highly simplified) laid out therein for achieving truly normal blood sugars in a nutshell is as follows (note that each step includes all the previous ones, i.e., if #1 isn’t enough, you add #2, if still not enough you add #3, etc.):</p><p></p><p>1. First and foremost, a low-carb diet. No one with blood sugar control issues can achieve truly normal blood sugars without it, no matter what medications they're on. Dr. Bernstein's diet calls for less than 30 grams of carbohydrate per day for average-sized adults. I try to adhere to that, but it is pretty tough and may not be necessary for everyone. If your blood sugar control is only marginally compromised, you might first try below 100 grams per day. If that's not enough, try going down to 50 grams per day. If that doesn’t do it, try 30.</p><p></p><p>2. If diet alone is insufficient to achieve normal blood sugars, add exercise, both resistance and cardio.</p><p></p><p>3. If still insufficient, add oral agents. Metformin first and foremost. If that doesn't work, there are others to try.</p><p></p><p>4. If still insufficient, add insulin.</p><p></p><p>Good luck!</p></blockquote><p></p>
[QUOTE="dnfuss, post: 125051, member: 15487"] DragonBits, no one can diagnose you without taking a history, examining you, running the proper labs, etc. But I will say that, in general, I would expect that a patient who presents with a consistent fasting glucose of 100-110 mg/dl and routine post-prandial glucoses of 145, 156, 177, etc. is diabetic, perhaps mildly so, perhaps not. Diabetes has a strong genetic component, so this would not be unexpected. An HgbA1c of 5.8% (even by the ADA's reckoning, which probably underestimates) is equivalent to an estimated [U]average[/U] glucose (eag) of 120 mg/dl. Even an HgbA1c of 5.6% would be equivalent to an eag of 114 mg/dl. These are not the blood sugars of a non-diabetic. But you really can't rely on the HgbA1c test as a diagnostic tool. Even the ADA said it wasn't useful for diagnosing diabetes for many years. They've only changed course because primary doctors just weren't administering very many oral glucose tolerance tests (take too much time in an era of five-minute office visits). HgbA1c is a useful measure of general trends. I have it run myself. But it can't be used to rule out diabetes. I hope it's an accurate meter. Most aren't. The [URL='https://www.amazon.com/FreeStyle-Freedom-Lite-Blood-Glucose/dp/B002G3EJ1K/ref=sr_1_2_a_it?ie=UTF8&qid=1535050995&sr=8-2&keywords=freedom+freestyle+meter']Freestyle Freedom Lite[/URL] meter (that’s the one I use) and [URL='https://www.amazon.com/FreeStyle-Blood-Glucose-Monitoring-System/dp/B001946SKM/ref=sr_1_1_s_it?s=hpc&ie=UTF8&qid=1535052241&sr=1-1&keywords=freestyle+lite+meter&refinements=p_89%3AFreeStye+lite']Freestyle Lite[/URL] meter (slightly smaller), both from Abbott Laboratories, are highly accurate and recommended by noted diabetologist Dr. Richard Bernstein (they're the only ones he's found to be tolerably accurate at near-normal blood sugar levels). That is indicative of poor blood sugar control and is typical in diabetes. Numbers like these one hour after eating would be likely indicators of diabetes. They are not the numbers seen in healthy non-diabetics. If they were taken two hours or more after eating, they are almost certain indicators of diabetes. These sorts of reactions to exercise are typical in diabetes. Hepatic glucose production rises with vigorous exercise. In non-diabetics, the pancreas produces insulin in the correct amount to cover it. Diabetics do not have the healthy first-phase insulin response necessary to do so. Everyone, including pre-diabetics and diabetics, deserves and can have normal blood sugars. For solid information about high blood sugars and how to normalize them, I highly recommend the book "Diabetes Solution" by Dr. Richard Bernstein. The protocol (highly simplified) laid out therein for achieving truly normal blood sugars in a nutshell is as follows (note that each step includes all the previous ones, i.e., if #1 isn’t enough, you add #2, if still not enough you add #3, etc.): 1. First and foremost, a low-carb diet. No one with blood sugar control issues can achieve truly normal blood sugars without it, no matter what medications they're on. Dr. Bernstein's diet calls for less than 30 grams of carbohydrate per day for average-sized adults. I try to adhere to that, but it is pretty tough and may not be necessary for everyone. If your blood sugar control is only marginally compromised, you might first try below 100 grams per day. If that's not enough, try going down to 50 grams per day. If that doesn’t do it, try 30. 2. If diet alone is insufficient to achieve normal blood sugars, add exercise, both resistance and cardio. 3. If still insufficient, add oral agents. Metformin first and foremost. If that doesn't work, there are others to try. 4. If still insufficient, add insulin. Good luck! [/QUOTE]
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What exactly is "clean eating"
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