tag:blogger.com,1999:blog-7410445500476013619.post5762896465021249676..comments2024-03-29T05:12:07.517-04:00Comments on Type 2 Nutrition: The Nutrition Debate #112: “Treating the Obese Diabetic”danbrownhttp://www.blogger.com/profile/00119737446791634173noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-7410445500476013619.post-48520994914425918642020-10-30T09:49:46.994-04:002020-10-30T09:49:46.994-04:00This comment has been removed by a blog administrator.Patrice Rozinihttps://www.blogger.com/profile/00334407352425927095noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-72949498534720130922020-10-30T06:01:02.929-04:002020-10-30T06:01:02.929-04:00This comment has been removed by a blog administrator.pirlohttps://www.blogger.com/profile/09680350174764370205noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-19384886002815117002020-10-21T07:24:20.604-04:002020-10-21T07:24:20.604-04:00This comment has been removed by a blog administrator.jouvencehttps://www.blogger.com/profile/00096326839521852080noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-793898675595214132020-08-11T07:44:01.500-04:002020-08-11T07:44:01.500-04:00Thanks, weightlossop.Thanks, weightlossop.danbrownhttps://www.blogger.com/profile/00119737446791634173noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-67098569310743006502020-08-10T16:31:57.884-04:002020-08-10T16:31:57.884-04:00I admire this article for the well-researched cont...I admire this article for the well-researched content and excellent wording. I got so involved in this material that I couldn’t stop reading. I am impressed with your work and skill. Thank you so much. <a href="https://weightlossop.com.sg/lap-gastric-bypass.html" rel="nofollow">gastric band surgery in Singapore</a>weightlossophttps://www.blogger.com/profile/09037087723210509297noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-22720094921225253952013-05-31T08:33:51.612-04:002013-05-31T08:33:51.612-04:00Hi Jan,
Wow. Metformin-related lactic acidosis! If...Hi Jan,<br />Wow. Metformin-related lactic acidosis! If your present doctor doesn’t confirm and acknowledge your diagnosis, you need to change doctors and get this diagnosis confirmed immediately. Stopping the Meformin may have been life saving. This is a very serious condition! This must be your first order of business. If you haven’t already, see this 1998 link to a New Zealand Medsafe article: http://www.medsafe.govt.nz/profs/PUarticles/5.htm. <br />The good news is, to quote you: “I'm totally happy with my low carb diet, though as I've said before it's also low calorie and I still gain weight, and that does not please me. I'm never hungry and my blood sugar stays in a pretty good range.”<br />I didn’t comment on it before (when you mentioned it), but I am having trouble (until this week) losing weight on 1,200kcal/day and I weigh 235 pounds (as of this morning). And I work in the garden 4-6 hours a day. I should be losing at least 2 pounds a week! I like you am never hungry, so I could eat less, but my metabolism slows down to protect my fat mass. My body doesn’t know I am doing this deliberately. It just wants to protect me. <br />Since I am no longer hungry, the impetus to eat is purely non-homeostatic. I eat breakfast (eggs, bacon and coffee) with my wife. I eat lunch (a can of sardines), when I stop to eat lunch, as a vestigial activity. I could just as well skip it and just rehydrate at “lunch time.” I ate lunch in recent years on the Bernstein premise that I should eat protein (with fat) 3 times a day at +/-5 hour intervals. But he’s a type 1 and for tight control needs to be very systematic and regular in his habits. His A1c’s are in the 4s. I have been seriously considering skipping lunch altogether on a regular or irregular schedule. <br />My point in relating these things about me to you is that if you have gained weight on 1,200kcal/day, you may need to eat less. I mean, if I can’t lose weight at that calorie level, and I weigh 235 pounds, you may need to eat less to lose or even maintain. If you’re not hungry, the obstacle to doing that will be mostly cultural or social, not homeostatic.<br />Last night for dinner I had two thin, small lamb chops, and a little over a cup of broccoli with butter and garlic. I wasn’t hungry before dinner, it was delicious, and it was sufficient. I mean I was satisfied. I also had my usual breakfast and lunch, although lunch was optional and just a “treat” or reward for having had such a productive morning in the garden. I love my sardines!<br />Jan, take care of yourself, and make sure you get confirmation and competent medical advice, please.<br />And remember, since you are no longer taking Metformin, not to eat excess protein at any one meal. It will just wind up in your blood as glucose (via gluconeogenesis) when the amino acids that are not taken up in your muscles are returned to the liver. Determine your lean body weight and determine how many grams of protein to eat a day, divide by 2 or 3 (depending on how many meals you eat, and aim for the low side. Remember, Peter at Hyperlipid aims for only 40 grams a day! My new target is 55g, down from 65g, and I have a much larger lean body weight than you.<br />danbrownhttps://www.blogger.com/profile/00119737446791634173noreply@blogger.comtag:blogger.com,1999:blog-7410445500476013619.post-20961455440870711092013-05-30T16:29:00.479-04:002013-05-30T16:29:00.479-04:00Sigh. I had to be one of the few that ended up wit...Sigh. I had to be one of the few that ended up with lactic acidosis from Metformin. Imagine really severe cramps from your toes to your hips every night and stiff, sore muscles all day. My doctor said, "Try magnesium, it can't be the Metformin." That sent my blood pressure down to 61/41 and did nothing to help the cramps. I finally figured it out myself by the process of elimination, and I almost cried when it was obvious the Met was the problem. Now that I have no Met, though, I see it wasn't really doing that much. I'm totally happy with my low carb diet, though as I've said before it's also low calorie and I still gain weight, and that does not please me. I'm never hungry and my blood sugar stays in a pretty good range. I'm not afraid of insulin, either, though I really don't want to get involved with something additional that can cause weight gain. You are so right...the only way is to change your diet and treat yourself. That's why I keep reading all I can from people like yourself who have been there and done that.Jan Blawathttps://www.blogger.com/profile/06697621979002856884noreply@blogger.com