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Where Do I Begin Diabetes Booklet

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Dont start your ketogenic diet yet! First, you must watch this video from Dr. Brett Osborn, Three Tips to Getting Started on a Ketogenic Diet. Find out how quickly you should transition your body into ketosis, what causes the keto flu and the difference between a ketogenic diet and a purely low-carb diet. The ketogenic diet can be an incredible weight loss tool, but only if you go about it the right way! Watch this video to learn the basics and set yourself up for success. Dr. Brett Osborn is a board-certified neurosurgeon, nutrition specialist and BPI Sports expert.

Getting Started On Insulin

You Can Make The Difference In Your Diabetes Care! Your doctor has told you it is time to begin injecting insulin as part of your overall diabetes therapy. This website and BD patient education booklets are designed to help you learn the new skills you need to lead a healthy life with diabetes: What diabetes is all about What you need to know to begin taking insulin How to recognize and treat low blood sugar reactions How to check your blood glucose levels Make you aware of the medical tests or tasks needed to manage your diabetes. You will find out why it is important to work closely with your diabetes health care team members as they help develop a treatment plan especially for you. You will also discover why you need to stay with your treatment plan and follow up regularly with your doctor. If your diabetes goes untreated, over time high levels of blood glucose can damage your vital organs. This could lead to heart disease and stroke; high blood pressure;vision problems or blindness; kidney disease; nervous system disease; problems with your teeth and gums; amputations of feet or toes; and complications of pregnancy. However, recent advances in diabetes treatment that you will r Continue reading >>

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  1. gogge

    Protein still gives a similar insulin response as carbs, and the insulin response is still elevated for roughly the same period of time. Here's comparing 50 grams of glucose to 50 grams of protein (ground beef):
    Graph.
    Nuttall FQ, et al. "Effect of protein ingestion on the glucose and insulin response to a standardized oral glucose load" Diabetes Care. 1984 Sep-Oct;7(5):465-70.
    The glucagon response from protein doesn't matter for this, see Stephan Guyenet's "Glucagon, Dietary Protein, and Low-Carbohydrate Diets".
    But most people don't eat more than ~100 grams of protein per day, and you only digest roughly 10 grams per hour, compared to 60-100 grams per hour for carbs, so won't get the same big "spike".
    The rate of amino acid absorption from protein is quite slow (~ 5 to 8 g/h, from Table 2) when compared to that of other macronutrients, with fatty acids at ~ 0.175 g ∙ kg-1 ∙ h-1 (~ 14 g/h) (55) and glucose 60 to 100 g/h (0.8 to 1.2 g carbohydrate ∙ kg-1 ∙ h-1) for an 80 kg individual (56).
    Bilsborough S, Mann N. "A review of issues of dietary protein intake in human" Int J Sport Nutr Exerc Metab. 2006 Apr;16(2):129-52.
    The level of processing is also a big deal for carbs, compare whole apples to purée:
    Chart.
    Stubbs JR "Carbohydrates, Appetite and Feeding Behavior in Humans" J. Nutr. October 1, 2001 vol. 131 no. 10 2775S-2781S
    And this is probably the real problem with carbs, processing makes them quick to eat, quick to digest, quick to absorb, and quick to store. They taste awesome and you eat too much.
    Take this example; if carbs were categorically bad how can the kitavans have a 70% carb intake without getting the same problems with obesity, diabetes, cancer, and heart disease as we do? It doesn't makes sense that all carbs would always be bad. Chris Masterjohn discusses different levels of carb intakes and people thriving on high carb in "Oxidative Stress & Carbohydrate Intolerance: An Ancestral Perspective".
    So the problem isn't just carbs, or just insulin (protein would be bad in that case), it's the combination of carbs and too many calories. Which seems to be a multifaceted problem, but probably boils down to a problem with processed foods (mainly carbs) and how/why we eat them. The BBC has a great video on this, "The Men Who Made Us Fat". Yoni Freedhof's "What's a Food Industry to Do?" also highlights some issues with advertising.
    Here's an article that covers some of it if you prefer reading:
    What follows is a series of small case studies of a handful of characters whose work then, and perspective now, sheds light on how the foods are created and sold to people who, while not powerless, are extremely vulnerable to the intensity of these companies’ industrial formulations and selling campaigns.
    Michael Moss, "The Extraordinary Science of Addictive Junk Food".
    Stephan Guyenet has two good videos on how our diets have changed over the last hundred years or so:
    Stephan Guyenet, "The American Diet" also covers some historical changes.
    Stephan Guyenet, "Obesity; Old Solutions for a New Problem".
    In the general population high levels of insulin is just a marker for a high intake of processed food (or calories), it's likely not what's driving obesity.

  2. maxm

    Good post. I have found that i need to watch my proteins almost as closely as my carbs to loose the last weight on keto. I have been snacking on pork rinds. It suddenly dawned on me that a 100 g of rinds contained 50 g protein. Half of what I need in a day. So now I eat more fats instead. Which have rebooted my loss.

  3. [deleted]

    Wow! I will have to read this A few times.... Very comprehensive post. Thanks a lot. you must be a scientist or something.

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Parents are a BIG part of the transition to college. Check out what some of our students have to say about their parents involvement in their diabetes care, and how CDN has helped ease some parent concerns. You can order your own copies of parent and student "Off to College Booklets" to help prepare for the transition from high school to college from CDN for free! https://www.tfaforms.com/384379

College Diabetes Networks Creates New Booklets For Students And Parents

If you’re familiar with me or my blog, then you probably know about my history with the the non-profit organization College Diabetes Network (CDN). I went from attending meetings as a member, to leading them as chapter president, and now I participate as much as possible as an alum. This incredible organization’s mission is to provide innovative, peer-based programs which connect and empower students and young professionals to thrive with diabetes. Over the years, CDN has grown into a full-blown network with chapters at colleges and universities across the country. As CDN has flourished, the hard-working team at its Boston headquarters has established numerous tools and resources for use by young adults with type one diabetes. Recently, the Off to College Event Hosting Guide (OTC Guide) received an exciting revitalization to better address the need for information to help incoming college freshmen. The OTC Guide is a step-by-step guide for individuals who want to hold an event to prepare high school students with diabetes for the transition to college. Initially, Lilly Diabetes provided a grant that made it possible for CDN to create 200 Event Hosting Kits with the guide, broch Continue reading >>

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  1. Jen74

    Hi folks started metformin today and wondered how soon i can expect to see difference in bg, guess i was expecting quick results but bm 18.4 after lunch and 17.9 after tea, tea was chicken in tika sauce so not excessive carbs etc

  2. Art Of Flowers

    Metformin does take a few days to work. It reduces appetite, so people tend to eat less. In terms of reducing blood sugar, it may not drop much. From 18 mmol/l it might drop to only 16. To drop blood sugar significantly down to the 4-7 range, you need a low carb diet.
    A blood glucose level of 18 is very high. What are you eating?

  3. Freema

    well when it comes to metformin it only helps like 10% the main road to a lower blood glucose is to count ones carbs and try keep under 100 grams on the whole day.. and also upping the amount of exercise one does
    but there are people with a very servere insuline resistance that do need to go under 50 grams of carbs in a whole day or even much lower than that.
    the most easy way to lower the carb intake is to eat a breakfast totally without carbs like for instance :
    ham and cheese , or eggs and bacon or nuts all kinds except peanuts (especially macadamia nuts )and avocado
    the foods to avoid especially untill one do gain total control is : avoid bread, rice, potatoes, corn, cakes all kinds of sugar all kinds of sugary drinks , fruits almost all kinds .... flour and grains
    what one can eat in moderation (but every gram of carbs do count in ) are peanuts, legumes (if they do not skyrocket your blood glucose) roots except potatoes.. berries all kinds with cream
    what one can eat in huge amounts ; cucumbers, all kinds of meat and fish and eggs and sea fruits, and most vegs grown over ground . LIDL´s protein rolls instead of all other kinds of bread... olives and bacon and coconut
    there are lots of very nice recepies to be found other places in this forum with deicious treats and healthy food meals that one can learn to make and enjoy ...
    http://www.diabetes.co.uk/forum/category/food-nutrition-and-recipes.3/

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BEHIND THE SHADOWS INTERVIEW WITH RICHARD COHEN, ESQ. RICHARD POSSESSES MORE THAN 30 YEARS OF EXPERIENCE LITIGATING AND ARBITRATING COMPLEX EMPLOYMENT DISPUTES, CORPORATE, COMMERCIAL, AND IS A TRUSTED ADVISOR TO BUSINESS OWNERS BOTH IN THE UNITED STATES AND INTERNATIONALLY. HIS CLIENTS RANGE FROM INDIVIDUALS AND SMALL BUSINESSES TO MULTINATIONAL CORPORATIONS. RICHARD HAS TRIED AND CONDUCTED NUMEROUS ARBITRATIONS AND OTHER DISPUTE RESOLUTION FORUMS RELATING TO EMPLOYMENT MATTERS, INCLUDING DISCRIMINATION AND HARASSMENT. RICHARD HAS ALSO COUNSELED BUSINESS OWNERS AND HUMAN RESOURCE PROFESSIONALS WITH ANYWHERE FROM 5 TO 50,000 EMPLOYEES REGARDING EQUAL OPPORTUNITY AND OTHER REGULATORY AND ADMINISTRATIVE COMPLIANCE ISSUES. HE REGULARLY APPEARS BEFORE THE EEOC AND OTHER FEDERAL AND STATE ADMINISTRATIVE AGENCIES. RICHARD SERVED AS ADMINISTRATIVE CHAIR OF THE LITIGATION DEPARTMENT FOR THE NEW YORK OFFICE AND IS ALSO A MEMBER OF THE LABOR EMPLOYMENT DEPARTMENT. HE LECTURES AND PUBLISHES WIDELY ON EMPLOYMENT LAW TOPICS. RICHARD IS EDITOR OF HIS FIRM?S EMPLOYMENT BLOG WHICH COVERS ALL ASPECTS OF EMPLOYMENT DISCRIMINATION AND HARASSMENT, INCLUDING NEW COURT DECISIONS AND LEGISLATION, COMPLIANCE, BEST PRACTICES, INTERESTING TRENDS IN WORKPLACE RELATIONS AND EMPLOYMENT-RELATED ISSUES AFFECTING EMPLOYERS.

Diabetes Discrimination Resource Page

While we would like to believe the world is perfect, some of us may experience discrimination due to having diabetes. It is not limited to the workplace, but can even affect the care your child receives when in school, social security benefits, or even in public where they do not accommodate properly for your needs. It’s important to know what your rights are, and what help you are entitled to receive due to this. We have listed the most important resources that you can use to help you with any discrimination issues that you may encounter. Official Federal Legislation Information US. Equal Employment Opportunity Commission (EEOC) The U.S. EEOC enforces federal legislation against the illegal activity of discrimination against an employee or a job applicant because of different factors such as race, color, sex (including sexual orientation, gender identity, and pregnancy), religion, national background, age, disability status, or genetic-related status. The Americans with Disabilities Act (ADA) protects individuals with disability from being treated unfairly in the workplace environment. For more information on the details of the Act and your rights as an individual with Diabetes, Continue reading >>

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  1. roclaw

    Metformin and bowel movements

    Hi. My mother was diagnosed a week ago of her diabetes. We found out from her getting a spider bite and it never healed. Anyway, she is currently on 3 meds. Antibiotic for her spider wound, Metformin and Glucosol (?? Cant remember). Shes told me today that ever since she started meds she cant feel when she has to have a bowel movement. She said she doesnt get sensation that she has to go. She said it happened twice yesterday and she had an accident in her pants. She said its not diarhea she just doesnt feel it come out. I called Dr and waiting on response but has anyone felt this? Please help. This is happening so fast.
    Thank you

  2. furball64801

    Hi and welcome to DD some have issues on metformin with diahrea, but not knowing its happening I have never experienced that.

  3. Nan OH

    Metformin can cause gastro intestinal problems but as it builds in your system it tends to be more of a diarrhea. Antibiotics can also cause an issue. Just as a general precaution your mother should be taking some kind of pro-biotic to restart the natural enzymes in the digestive tract. Antibiotics don't know a good bacteria from bad one.
    The lack of sensation could be caused by many issues, in my opinion this is one where the doctor should diagnose what is going on. Best wishes to you and your Mom.

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