Asknadia: Is My Low Carb Diet Causing A False Pre Diabetes Diagnosis
Dear Nadia, When you are loosing weight on a low carb diet, does this artificially inflate my pre-diabetes glucose test? Paula Corin Linnwood WA Dear Paula, Pre-diabetes statistics have been in the news for several years with great concern for our national population. It is great that you are staying on top of your health and paying attention to your diet to be one less number in the growing diabetes population. The annual increase in pre-diabetes diagnosis is growing at an alarming rate. In 2010, 79 million people were diagnosed with pre-diabetes. Two year later, in 2012, this number grew to 86 million people . The Center for Disease Control and Prevention reports within a five year period, 15-30% of the people diagnosed with pre-diabetes will be be diagnosed with type 2 diabetes. This translates into anther 12.9 to 25.8 million people who are coming up through ranks with a diabetes diagnosis from 2012. What is Pre-diabetes Pre-diabetes is when your blood sugar test reads higher than normal but not high enough to be diagnosed with diabetes. Does a Low Carb Diet Give You a False Pre-diabetes Diagnosis If you take a glucose tolerance test and are eating under 300 carbs a day for three days prior to the test; yes you can get a false diabetes or pre-diabetes diagnosis. Typically when you eat food, the GLP-1 hormone in your body simulates the secretion of the insulin hormone to convert food into energy. With a low carb diet your body secrets less insulin and turns to your reserves to metabolize the fat for energy. Why You Get a False Pre-diabetes Diagnosis A low carb diet will create a slow uptake of insulin which shows a false elevated glucose. It metabolizes your fat reserves. Dr Richard Bernstein, a famous low carb diet advocate and a person with type 1, tells me we can Continue reading >>
Low Carb For Diabetes
To celebrate World Diabetes Day, this is a guest post “Low Carb For Diabetes”, from an eminent Low Carb Diabetes Educator, Kelley Pounds RN. Kelley is a registered nurse, certified diabetes educator and certified insulin pump trainer that conducts a very successful diabetes education program in her community, specifically working with patients that have been unable to achieve their blood glucose and A1c goals with standard advice (Type 1 and Type 2). See below for details of her diabetes programs. Medical Disclaimer -Before embarking on any change in diet or activity, I highly recommend a physical exam and thorough healthcare screening with your primary healthcare provider. This article should not be construed as medical advice, nor should it be substituted for medical advice from your healthcare provider. By continuing to read this article, you assume all responsibilities and risks for instituting lifestyle management of your diabetes. Many with Diabetes are confused by the conflicting dietary advice they receive. And no wonder. The dietary advice given to those with diabetes has been extremely poor. For decades, people with diabetes have been told center their diet around carbohydrates, many being counseled to consume 250+ grams of carbohydrates per day. No person needs to consume 250+ grams of carbohydrates per day, let alone the very people who are unable to effectively process them, those with diabetes. Eating this much carbohydrates daily would mean that one would HAVE to be consuming a great deal of sugar or refined, processed foods. It would be extremely difficult to consume this amount of carbohydrates while EATING REAL FOOD. Further, many are told “calories from sugar can be substituted equally for other carbohydrates as part of a healthy balanced diet f Continue reading >>
Is Low-carb Eating Really Better For Blood Sugar?
A review of popular low-carbohydrate diets finds that while restricting carbs can reduce blood sugar in the short run, evidence in support of long-term benefits is lacking. While very low carbohydrate diets (LCD) promise to cut blood sugars, a review of popular LCDs finds that while very low-carb eating can reduce blood sugar in the short run, little evidence exists to show long-term benefits. The study, published online in the Journal of the American Osteopathic Association, reports that while LCDs may be “slightly better than low fat diets for weight and triglycerides management” they are “not superior for the management of blood glucose, blood pressure, or cholesterol levels.” However, researchers note that physicians should be aware that “available evidence for LCDs is limited because of variable definitions, lack of long-term studies, and lack of patient adherence.” Diets considered ranged from very low carb—less than 20 to 60 grams per day—to less restrictive diets that averaged about 130 grams per day. The American Diabetes Association says diets should be tailored to individual needs, but recommends starting at 45-60 grams of carbohydrates per meal. “Patients can likely follow a version of the low carbohydrate diet for longer than the studies suggest, but we don’t know the health effects of a very low carbohydrate ketogenic diet of less than 20 grams of carbs per day,” says Heather Fields, MD, an author of the study and a doctor of integrative medicine at the Mayo Clinic in Phoenix, Arizona. “With so few people adhering to a truly ketogenic diet long term [more than a year], we will likely never be able to study the health effects in a meaningful way.” Dr. Fields finds that if type 2 patients have not had success with a plant-based, who Continue reading >>
Dear Mark: Does Eating A Low Carb Diet Cause Insulin Resistance?
157 Comments Despite all the success you might have had with the Primal way of life, doubts can still nag at you. Maybe it’s something you read, or something someone said to you, or a disapproving glance or offhand comment from a person you otherwise respect, but it’s pretty common when you’re doing something, like giving up grains, avoiding processed food, or eating animal fat, that challenges deeply-and-widely held beliefs about health and wellness. It doesn’t really even matter that you’re losing weight or seem to be thriving; you may still have questions. That’s healthy and smart, and it’s totally natural. A question I’ve been getting of late is the effect of reducing carb intake on insulin sensitivity. It’s often bandied about that going low carb is good for folks with insulin resistance, but it’s also said that low carb can worsen insulin resistance. Are both true and, if so, how do they all jibe together? That’s what the reader was wondering with this week’s question: Hi Mark, I’ve been Primal for a few months now and love it. Lowering my carbs and upping my animal fat helped me lose weight and gain tons of energy (not too shabby for a middle-aged guy!). However, I’m a little worried. I’ve heard that low carb diets can increase insulin resistance. Even though I’ve done well and feel great, should I be worried about insulin resistance? Do I need to increase my carb intake? I always thought low carb Primal was supposed to improve insulin function. Vince Going Primal usually does improve insulin sensitivity, both directly and in a roundabout way. It improves directly because you lose weight, you reduce your intake of inflammatory foods, you lower systemic inflammation (by getting some sun, smart exercise, omega-3s, and reducing or dea Continue reading >>
Dr. Bernstein’s Low-carb Diabetes Diet
Dr. Richard K. Bernstein is a legend in the diabetes community. He was diagnosed with type 1 diabetes over seven decades ago, created the movement to check blood sugars at home, developed a diabetes management program built on the philosophy that “everyone deserves normal blood sugars” – and then became an endocrinologist so others would take him seriously. In this article, we will look at Dr. Bernstein’s diabetes diet. In essence, it is a low-carb, high-protein and moderate fat diet. He recommends this approach because it maximizes the chances for achieving normalized blood sugars. If you are interested in a less restrictive, more general-purpose low-carb diet, read How to Start a Low-Carb Diabetes Diet. Before we go into the diet itself, let’s look at Dr. Bernstein’s fascinating story. Dr. Bernstein was diagnosed with type 1 diabetes at the age of 12 in 1946. Dr. Bernstein was diagnosed with diabetes during what is commonly referred to as the diabetes “dark ages”. He had to check his urine for sugar by using a test tube heated over a flame. He had to sterilize his needles and glass syringes by boiling them each day. In Dr. Bernstein’s Diabetes Solution, he explains how his blood sugars were not well managed during this time. In fact, back then fat was deemed the ultimate health culprit and so he was put on a low-fat and high-carbohydrate diet. During the first two decades of his life with diabetes, he says his growth was stunted and nearly all his organs quickly began to suffer the consequences of chronic high blood sugar. Heartbreakingly, he suffered many serious complications of diabetes as a young man. Luckily, blood glucose meters were just becoming available. Wikipedia explains: In October 1969, Bernstein came across an advertisement in the trad Continue reading >>
Atkins Induction Diet Improves Glycemic Control In Diabetes
Diabetes is a disease of uncontrolled sugar. In a nutshell, uncontrolled sugar is also a huge contributing factor to obesity and heart disease. When your blood sugar goes too high, insulin comes in to escort that extra blood sugar into the cells where it can be burned for energy. But if insulin doesn’t work effectively, you wind up with too much blood sugar and high levels of insulin and you’re on your way to big health problems down the road. The technical name for this ability of the body to regulate sugar effectively and efficiently is glycemic control. So what’s the number one thing that raises blood sugar anyway? Clearly it’s carbohydrate. And study after study has shown that low-carb diets improve the ability of the body to effectively deal with sugar. Previous research(1) has shown that a low-glycemic diet (i.e. one high in beans, lentils and breads made with flaxseeds) does much better at managing glycemic control for Type ll diabetes than the “traditional” high fiber diet based on whole grain breads and breakfast cereals (which are often loaded with extra sugar). Now a new study shows that when it comes to controlling blood sugar, the Atkins Induction phase program does even better. Eric Westman, MD and his research team put 84 community volunteers with obesity and type 2 diabetes on one of two diets- either a very low carb (Atkins Induction Phase) or a low-glycemic, reduced calorie diet. After 6 months, there was improvement in both groups in glycemic control. But the Atkins Induction group improved more. The main measure of improvement was a blood test called hemoglobin A1c, which is a kind of “Rolls Royce” of blood sugar measurement. While blood sugar levels at any given time fluctuate, Hemoglobin A1c gives us a much more realistic reading of Continue reading >>
- The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus
- Association of Glycemic Variability in Type 1 Diabetes With Progression of Microvascular Outcomes in the Diabetes Control and Complications Trial
- Does Gestational Diabetes always mean a Big Baby and Induction?
What About High Blood Sugar On Low Carb?
December 21 2017 by Amanda kesson in About membership , Blood sugar , Cancer , Keto , Ketosis , Low Carb USA Miriam Kalamian answers questions related to cancer, the ketogenic diet and blood sugar after her presentation at the Low Carb USA conference in 2017. Watch a new part of the Q&A session above, where she answers a question about high blood sugar on low carb ( transcript ). The full video is available (with captions and transcript) with a free trial or membership: Join free for a month to get instant access to this and hundreds of other low-carb TV videos . Plus Q&A with experts and our awesome low-carb meal-plan service . Learn how to do a keto diet right, in part 1 of our video course. What are some common side effects of a keto diet and how can you avoid them? What do you eat on a keto diet? Get the answer in part 3 of the keto course. How does a keto diet work? Learn all you need to know, in part 2 of the keto course. Could protein restriction on a low-carb or keto diet cause problems? What is the current science in support of a low-carb and keto diet? Is there such a thing as an optimal diet? And is a keto diet always the best option? What is it like running the very popular YouTube channel Keto Connect? How should we eat to fight the global mental health crisis? Should you NOT eat your vegetables? An interview with psychiatrist Dr. Georgia Ede. How can you make the transition to a low-carb or keto diet as smooth as possible? Is it possible to ride a pushbike across the Australian continent (2,100 miles) without eating carbs? Low-carb pioneer Dr. Eric Westman talks about how to formulate an LCHF diet, low carb for different medical conditions and common pitfalls among others. "I'll do this or I'm going to die trying" Kristie Sullivan struggled with her weigh Continue reading >>
How Do Low-carb Diets Affect Blood Glucose Levels?
Low-carb diets are all about balancing blood sugar (blood glucose) levels. Beyond weight loss, we eat low-carb diets to keep our blood sugar normal and stable. To fully understand the connection, it's helpful to first familiarize yourself with how the body processes blood sugar in a normal state and even explore how that changes when there's a problem, such as in diabetics. What Do Carbohydrates Have to Do With Blood Glucose? Carbohydrates have everything to with blood glucose. All foods with carbohydrate -- whether rice, jelly beans, or watermelon -- break down to simple sugars in our bodies turning into glucose through metabolic processes. This process is what causes our blood glucose to rise. The carbohydrate in most starchy foods (potatoes, bread) is simply a collection of long chains of glucose, which break down quickly and raise blood sugar . What Do Our Bodies Do When Blood Sugar is High? When our blood sugar goes up, our body responds by secreting insulin to stabilize it. The sugar is then taken out of the blood and converted into fat; insulin's primary function is facilitating the storage of extra sugar in the blood as fat. Diabetics are unable to balance blood sugar when the process of converting food to energy takes place. When sugar levels are high, the ability of cells in the pancreas to make insulin goes down. The pancreas overcompensates for this lack of insulin and insulin levels stay high, as does blood sugar. Over time, the pancreas is permanently damaged and other bodily functions are affected such as hardened blood vessels, among other ailments. What are the Problems with Blood Sugar Going Up? However, for many people, this metabolic process works fine. Sometimes, though, people reach a point in their lives when it goes awry (or it doesn't work well Continue reading >>
A Guide To Healthy Low-carb Eating With Diabetes
Diabetes is a chronic disease that has reached epidemic proportions. It currently affects over 400 million people worldwide (1). Although diabetes is a complicated disease, maintaining good blood sugar control can greatly reduce the risk of complications (2, 3). One of the ways to achieve better blood sugar levels is to follow a low-carb diet. This article provides a detailed overview of low-carb diets for managing diabetes. If you have diabetes, your body cannot process carbohydrates effectively. Normally, when you eat carbs, they are broken down into small units of glucose, which end up as blood sugar. When blood sugar levels go up, the pancreas responds by producing the hormone insulin. This hormone allows the blood sugar to enter cells. In healthy people, blood sugar levels remain within a narrow range throughout the day. In diabetes, however, this system doesn't work the way it is supposed to. This is a big problem, because having both too high and too low blood sugar levels can cause severe harm. There are several types of diabetes, but the two most common ones are type 1 and type 2 diabetes. Both of these conditions can be diagnosed at any age. In type 1 diabetes, an autoimmune process destroys the insulin-producing beta cells in the pancreas. Diabetics must inject insulin several times a day to ensure that glucose gets into the cells and stays at a healthy level in the bloodstream (4). In type 2 diabetes, the beta cells at first produce enough insulin, but the body's cells are resistant to its action, so blood sugar remains high. To compensate, the pancreas produces more insulin, attempting to bring blood sugar down. Over time, the beta cells lose their ability to produce enough insulin (5). Of the three nutrients -- protein, carbs and fat -- carbs have the grea Continue reading >>
Why Low-carb Diets Aren’t The Answer
What raises blood sugar? The simple answer is carbohydrates. So why not just yank them out of your diet like weeds in your garden? Why not quash blood sugar by swearing off bread, pasta, rice, and cereal? Been there, done that. The low-carb craze is on the downswing, and that’s a good thing because over the long haul, very low carb diets simply aren’t good for you, as you’ll discover in this chapter. That doesn’t mean it’s not smart to cut back on carbs—but don’t go crazy. When low-carb diets first became popular, they seemed to be a breath of fresh air after the low-fat (and high-carb) diets that preceded them. Remember low-fat cookies, lowfat snack cakes, and low-fat everything else? With low-carb diets, suddenly people could load up on bacon and still lose weight as long as they were willing to eat hamburgers without buns and pretty much give up sandwiches and spaghetti. People were amazed at how effective these diets could be. Weight loss could happen very quickly, sometimes within days. And amazingly, it often seemed to come with added health benefits, including lower cholesterol, blood pressure, and triglycerides (blood fats linked to heart attacks.) The most extreme kind of low-carb diet was pioneered by the late Robert Atkins, M.D., whose first book, Dr. Atkins’ Diet Revolution, came out in 1972. It promised quick and long-lasting weight loss and prevention of chronic disease, all while allowing high-fat steak and ice cream. Since then, other, more moderate low-carb diets have allowed small amounts of carbohydrate-rich foods, but they still cut out most grains as well as starchy vegetables and even fruit. The Downsides of These Diets The Atkins diet and the many other low-carb diets that followed in its footsteps have turned out to be less effect Continue reading >>
How To Start A Low-carb Diabetes Diet
There is strong evidence that eating fewer carbohydrates helps improve blood sugars. This makes sense intuitively: carbohydrates are broken down by the body into sugar, directly leading to high blood sugars. Eat fewer carbohydrates and you will typically end up with less sugar in your blood. For those with type 2 diabetes or are newly diagnosed with type 1, fewer carbohydrates mean that your body’s natural insulin production will have an easier time processing your blood sugars. If you take insulin, you will have a much easier time taking the appropriate amount of insulin. Before you start a low-carbohydrate diet, talk with your healthcare provider. If you are taking blood sugar-lowering medications, then eating fewer carbohydrates without lowering your medication dosage may cause dangerous low blood sugars. There are studies that show that people with diabetes can achieve success on both low-carbohydrate and high-carbohydrate diets. Those pursuing high-carb diets are often primarily eating more vegetarian or vegan diets that are high in complex carbohydrates and fiber. They are also frequently athletes who burn large amounts of sugar during exercise. We will look at other dietary approaches in a future article. If you would like to dive into the research on low-carb diets for diabetes, please skip to the last section in this article. Also, be sure to read Key Facts About Carbohydrates Everyone with Diabetes Should Know. What Is a Low-Carb Diet? There are many different ways to define and follow a low-carb diet. In this article, we are generally looking at people who wish to eat fewer carbohydrates than they are currently eating. There is no one way to follow a low-carb diet. Generally, people try different amounts of carbohydrates until they reach an amount per day t Continue reading >>
Using Low Carb Diet And Sugar Is Still High, How Do I Get It Lower?
Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Using low carb diet and sugar is still high, how do I get it lower? I have been diabetic type 2 for 15 years. Im now 48. I have been on a very low carb diet for the past 2 months. Ive been on insulin (lantus) for 2 years, I also take glyclazide and metformin. My sugar levels are only stabalized from the hours of 3pm to 6pm. Otherwise im always high. I do not eat after dinner till brekky most days. On the occasion I might have a protein snack, like nuts or cheese. When I exercise my sugar level rises. I have just upped my level of insulin and there has been no change. Im at my wits end. I don't know where im going wrong. I have spoken to my doc about this. He has said a side effect of insulin is weight gain, just do more exercise. Well its not working, my weight is rising.. Im barely eating any carbs. I eat lots of veggies and meat, I snack on nuts, seeds. The only fruit I eat are berries, the occasional apple. Hi and welcome to the forum. I'm tagging @daisy1 so that she can provide you with the standard information for newcomers. You say you are low carb - can you give us an idea of your intake for an average day so that we can maybe help you troubleshoot your diet? Have you tried using myfitnesspal or chono-meter to track you intake so that you can be sure you're sticking to the correct calorie limit for weight loss? You may find this nutritional calculator helpful: Sorry I can't help you with the insulin side of things, but hopefully someone else can. If you take a look around the low carb diet forum you may pick up some useful information also. Here is the information we give to new members and I hope you will find it helpful. Ask as many questions Continue reading >>
Why Your “normal” Blood Sugar Isn’t Normal (part 2)
Hi, I just found this site and would like to participate. I will give my numbers, etc. First, my last A1c was 6.1, the doc said it was Pre-diabetes in January of 2014, OK, I get it that part, but what confuses me is that at home, on my glucometer, all my fastings were “Normal” however, back then, I had not checked after meals, so maybe they were the culprits. Now, I am checking all the time and driving myself crazy. In the morning sometimes fasting is 95 and other times 85, it varies day to day. Usually, after a low carb meal, it drops to the 80’s the first hour and lower the second. On some days, when I am naughty and eat wrong, my b/s sugar is still low, and on other days, I can eat the same thing, and it goes sky high, again, not consistent. Normally, however, since February, my fbs is 90, 1 hour after, 120, 2nd hour, back to 90, but, that changes as well. In February, of 2014, on the 5th, it was horrible. I think I had eaten Lasagne, well, before, my sugars did not change much, but that night, WHAM-O I started at 80 before the meal, I forgot to take it at the one and two hour mark, but did at the 3 hour mark, it was 175, then at four hours, down to 160, then at 5 hours, back to 175. I went to bed, because by that time, it was 2 AM, but when I woke up at 8:00 and took it, it was back to 89!!!! This horrible ordeal has only happened once, but, I have gone up to 178 since, but come down to normal in 2 hours. I don’t know if I was extra stressed that day or what, I am under tons of it, my marriage is not good, my dear dad died 2 years ago and my very best friend died 7 months ago, I live in a strange country, I am from America, but moved to New Zealand last year, and I am soooo unhappy. Anyway, what does confuse me is why the daily differences, even though I may Continue reading >>
Is Your Fasting Blood Glucose Higher On Low Carb Or Keto? Five Things To Know
This past spring, after 18 months of great success on the keto diet, I tested my fasting blood sugar on my home glucose monitor for the first time in many months. The result shocked me. I had purchased the device, which also tests ketones, when I was diagnosed with pre-diabetes in the fall of 2015. As I embarked on low-carb keto eating, I tested my blood regularly. Soon my fasting blood sugar was once again in the healthy range. I was in optimal ketosis day after day. Not only that, I lost 10 lbs (5 kg) and felt fantastic — full of energy with no hunger or cravings. Before long I could predict the meter’s results based on what I was eating or doing. I put the meter away and got on with my happy, healthy keto life. When my doctor ordered some lab tests this spring, I brought the meter out again. While I had no health complaints, excellent blood pressure and stable weight, she wanted to see how my cholesterol, lipids, HbA1c, and fasting glucose were doing on my keto diet — and I was curious, too. To check the accuracy of my meter against the lab results, on the morning of the test I sat in my car outside the clinic at 7:30 am, and pricked my finger. I was expecting to see a lovely fasting blood glucose (FBG) of 4.7 or 4.8 mmol/l (85 mg/dl). It was 5.8! (103 mg/dl). What? I bailed on the tests and drove home — I didn’t want my doctor warning me I was pre-diabetic again when I had no explanation for that higher result. The next morning I tested again: 5.9! (104). Huh??? For the next two weeks I tested every morning. No matter what I did, my FBG would be in 5.7 to 6.0 (102 to 106 mg/dl), the pre-diabetic range again. One morning after a restless sleep it was even 6.2 mmol/l (113 mg/dl). But my ketones were still reading an optimal 1.5-2.5 mmol/l. I was still burnin Continue reading >>
- Postprandial Blood Glucose Is a Stronger Predictor of Cardiovascular Events Than Fasting Blood Glucose in Type 2 Diabetes Mellitus, Particularly in Women: Lessons from the San Luigi Gonzaga Diabetes Study
- Got pre-diabetes? Here’s five things to eat or avoid to prevent type 2 diabetes
- Got pre-diabetes? Here's five things to eat or avoid to prevent type 2 diabetes
Low Carb Vs. High Carb - My Surprising 24-day Diabetes Diet Battle
Twitter summary: What I learned from doubling my carb intake: the same average blood sugar, but four times as much hypoglycemia, more work, stress, & danger. As a teenager, I ate a high carb diet that included lots of Goldfish crackers, white sandwich bread, pasta, and white potatoes. It was tasty, but it put my blood sugars on a wild roller coaster every single day. Things turned around in college when I learned about nutrition, got on CGM, and spent time with health conscious friends. I soon realized that eating less than 30 grams of carbs at one time was a complete gamechanger. I’ve stuck with that approach ever since. But is this lower carb method actually better for my blood sugars, or have I just been fooling myself? To find out, I took on a somewhat terrifying self-tracking experiment: 12 days of my usual, lower-carb diet, which averaged 146 grams of carbs per day (21% of daily calories). My carbs were primarily from nuts, seeds, vegetables, and a bit of fruit. 12 days of a higher-carb, high whole-grain diet, which averaged 313 grams of carbs per day (43% of my daily calories). My sources of carbs were NOT junk food: plain oatmeal, whole wheat bread, quinoa, wild rice, and fruit. Neither of these was unrealistic. My lower-carb diet was nowhere near Atkins level (20 grams per day), and the higher-carb diet was consistent with the “average” 45% carb diet in people with diabetes (according to ADA). Even though this was a one-person (n=1) experiment, I wanted to be as scientific and fair as possible: eating whole, unprocessed foods in both periods; counting and tracking every single gram of carbohydrate (LoseIt! app); wearing CGM 24/7 and downloading the glucose data to document what happened (Dexcom G5 and Clarity); taking insulin before meals (5-15 minutes pr Continue reading >>