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What exactly is "clean eating"
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<blockquote data-quote="dnfuss" data-source="post: 125685" data-attributes="member: 15487"><p>Lots of focus on insulin use because it's tough to manage and critical to those who need it (many Type 2s and all Type 1s). The rest of the book applies to those like yourself, especially the focus on carbohydrates. No one with blood sugar control issues will ever achieve truly normal blood sugars without limiting carbohydrates.</p><p></p><p></p><p></p><p>High carbohydrate intake and alcohol can raise triglycerides. Fats alone do not. Triglycerides are part of the chain of hepatic blood sugar production, but the beginning of the process is carbohydrates, not fats.</p><p></p><p></p><p></p><p>I just said I assumed you had a doctor, lots of people do, pretty reasonable assumption. If you don't have one involved, that's fine, too, as long as you can get any desired insurance coverage, etc. I made a reasonable but, as it turns out, incorrect assumption, but don't see where I used vague language.</p><p></p><p></p><p></p><p>If that works for you, great.</p><p></p><p></p><p></p><p>So if you do want to work with him, discuss your observations and see if he'll order an OGTT and go from there. C-reactive protein is a marker. There are no studies indicating that reducing it per se has any positive effect on actual health outcomes (as opposed to other markers). There is, however, tremendous clinical evidence that normalizing blood sugars will prevent diabetic complications. The two main things that reduce triglycerides are lowering carbohydrate intake and reducing/eliminating alcohol consumption.</p><p></p><p></p><p></p><p>Yes, C-peptide is valuable for Type 1s and very advanced Type 2s in gauging how much insulin their bodies may or may not be making, in effect trying to see how much beta cell function is left. I agree that it probably isn't indicated for you. He doesn't discuss testing insulin because it doesn't really tell you anything actionable. I.e., so you find your insulin level is "x," how would that change your treatment?</p><p></p><p></p><p></p><p>Sigh. I read the paper (couldn't see the raw data because it's only available in the online version of the journal which costs $200 to access). The primary study subjects were mice, with the human portion as an adjunct, and was focused on changes to the gut microbiota. You can't know what the rise in blood sugar was without access to the raw data, but I doubt it was meaningful (and don't know composition of artificial sweetener matrix used, see caveat in following paragraph). The sample size (seven subjects) was way too small to be useful. And Obin, quoted in the last line of text, had no connection to the study whatsoever, he just read it. I wouldn't attach any significance to this study, and to my knowledge its conclusions regarding human blood glucose response to artificial sweeteners has not been reproduced.</p><p></p><p>But if you're concerned, do what millions of diabetics do every day, drink a beverage containing artificial sweetener and see what it does to your blood sugar in contrast to what drinking one without sweetener does. The overwhelming consensus from diabetics who do this is that artificial sweeteners do not raise their blood sugars. But you have to be careful. Look more closely at Dr. Bernstein's book. As he points out, most of the artificial sweeteners you see in packets actually contain some dextrose (sugar)! Less than in a sugar packet, but not none. It is not an amount that matters to those with normal blood sugars, but it matters to diabetics. If you are trying to manage your blood sugars and use artificial sweeteners, read Dr. Bernstein's book regarding how to do so. I don't use sweeteners in my coffee, etc., so I haven't had to pay close attention to this.</p></blockquote><p></p>
[QUOTE="dnfuss, post: 125685, member: 15487"] Lots of focus on insulin use because it's tough to manage and critical to those who need it (many Type 2s and all Type 1s). The rest of the book applies to those like yourself, especially the focus on carbohydrates. No one with blood sugar control issues will ever achieve truly normal blood sugars without limiting carbohydrates. High carbohydrate intake and alcohol can raise triglycerides. Fats alone do not. Triglycerides are part of the chain of hepatic blood sugar production, but the beginning of the process is carbohydrates, not fats. I just said I assumed you had a doctor, lots of people do, pretty reasonable assumption. If you don't have one involved, that's fine, too, as long as you can get any desired insurance coverage, etc. I made a reasonable but, as it turns out, incorrect assumption, but don't see where I used vague language. If that works for you, great. So if you do want to work with him, discuss your observations and see if he'll order an OGTT and go from there. C-reactive protein is a marker. There are no studies indicating that reducing it per se has any positive effect on actual health outcomes (as opposed to other markers). There is, however, tremendous clinical evidence that normalizing blood sugars will prevent diabetic complications. The two main things that reduce triglycerides are lowering carbohydrate intake and reducing/eliminating alcohol consumption. Yes, C-peptide is valuable for Type 1s and very advanced Type 2s in gauging how much insulin their bodies may or may not be making, in effect trying to see how much beta cell function is left. I agree that it probably isn't indicated for you. He doesn't discuss testing insulin because it doesn't really tell you anything actionable. I.e., so you find your insulin level is "x," how would that change your treatment? Sigh. I read the paper (couldn't see the raw data because it's only available in the online version of the journal which costs $200 to access). The primary study subjects were mice, with the human portion as an adjunct, and was focused on changes to the gut microbiota. You can't know what the rise in blood sugar was without access to the raw data, but I doubt it was meaningful (and don't know composition of artificial sweetener matrix used, see caveat in following paragraph). The sample size (seven subjects) was way too small to be useful. And Obin, quoted in the last line of text, had no connection to the study whatsoever, he just read it. I wouldn't attach any significance to this study, and to my knowledge its conclusions regarding human blood glucose response to artificial sweeteners has not been reproduced. But if you're concerned, do what millions of diabetics do every day, drink a beverage containing artificial sweetener and see what it does to your blood sugar in contrast to what drinking one without sweetener does. The overwhelming consensus from diabetics who do this is that artificial sweeteners do not raise their blood sugars. But you have to be careful. Look more closely at Dr. Bernstein's book. As he points out, most of the artificial sweeteners you see in packets actually contain some dextrose (sugar)! Less than in a sugar packet, but not none. It is not an amount that matters to those with normal blood sugars, but it matters to diabetics. If you are trying to manage your blood sugars and use artificial sweeteners, read Dr. Bernstein's book regarding how to do so. I don't use sweeteners in my coffee, etc., so I haven't had to pay close attention to this. [/QUOTE]
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What exactly is "clean eating"
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