[Diabetes-talk] excellent article

[Veronica Elsea]

I always figure that in the end, I have to work out a meal plan which 
I can stick with, foods that I enjoy, making changes based on the 
results I get or don't get and not completely going crazy when every 
new fad hits the air waves or internet. I admit to being a pretty 
strong cynic these days just because of how often I've seen things 
change. Now, I'm certainly open to research, but I can be cynical 
about studies too. So at the moment, I doubt that anyone could 
convince me to totally change everything I do. <grin.>
I do happen to be someone who has things in the carb family which I 
really do enjoy. <grin.> And just based on what I've observed in 
people I know taking meds to control type two, I think those sudden 
drops are more unpredictable than mine. No science behind this one, 
for sure. <grin.>
But I do love great disagreements on lists. I love it when I'm made 
to think, research and ponder. So thanks, all of you.

Veronica

At 08:06 PM 6/16/2012, you wrote:
>Hi, Lynn.
>
>I'm afraid that on this one, we shall have to amicably agree to disagree. To
>me, the article at
>
>http://www.healthcentral.com/diabetes/c/17/27575/brain-fuel-myth
>
>is more convincing than the traditional way of thinking. But then I'm going
>at this from the point of view of a physicist who thinks that most research
>on human beings is somewhere between difficult and impossible to carry out
>with scientific rigor.
>
>If nothing else, list participants will have two different points of view
>and, as always with diabetics, will have to make their own judgments. (grin)
>
>Mike
>
>
>-----Original Message-----
>From: diabetes-talk-bounces at nfbnet.org
>[mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Lynn Baillif
>Sent: Saturday, June 16, 2012 7:11 PM
>To: diabetes list
>Subject: [Diabetes-talk] excellent article
>
>Mike,
>
>Interesting blog.  I have a couple comments.  First, don't hate on us
>dietitians.  As a profession, we work hard to provide quality nutrition care
>using our background in the hard sciences and nutrition science.  We follow
>nutrition practice guidelines that are compiled by panels of experts based
>on current scientific data.  The most recent guidelines for nutrition
>management in diabetes are found within the 2012 Guidelines for Medical
>Management of Diabetes published in the January 2012 issue of Diabetes
>Care.  Here is a link to the full text.
>http://care.diabetesjournals.org/content/35/Supplement_1/S11.full
>The section on medical nutrition therapy is quite a ways down the article.
>
>As for the specific question of should a person with diabetes consume
>starch/sugar (carbohydrates) at every meal, I make the following points.
>First, the current recommendation is that the majority of calories in the
>diet come from carbohydrates- preferrably from whole grains, fruits,
>vegetables and dairy.  Carbs are the preferred food source of the
>body (biochemically speaking) and adequate carbs from a variety of sources
>is needed for adequate micronutrients.   Secondly, depending on the type of
>diabetes you have and the type of medication you are on, spreading carbs
>throughout the day may help maintain blood sugar levels.  If you are on some
>medications, eating too little carb will cause blood sugar to drop.  Or, for
>some folks with type 2, the liver releases too much glucose from storage
>when inadequate carbs are eaten.  So, eating too few carbs can cause the
>blood sugar to rise in this situation.  On the other hand, if you take fast
>  acting insulin with your meals and adjust your dose based on the carbs you
>eat- you could eat few carbs at the meal without affecting your blood
>sugar.  But the question arises, was it a well balanced meal?
>
>  In conclusion, should people with diabetes have carbs at every meal? It
>depends.  But, I caution against the belief that carbs should be cut out
>totally in order to control blood sugar.  As usual, moderation is the key.
>And, indivualization of meal planning is key.
>Lynn
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Watch and hear Veronica Elsea's Prayer for a Soldier at 
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831-429-6407