[Diabetes-talk] intuitive eating and textures Re: Excellent Article

[d m gina]

Now that is interesting I would get mixed up on what good days I had or 
what bad days I had smile.
I keep it simple for me.
Then I am trying really hard to get pounds off.
So I think this matters.

Original message:
> Chanelle:

> You've only overexposed yourself if you think you have. To my way of
> thinking, you are in the family of blind diabetics and (barring some tabbo
> subjects that all families have), I think it's healthy to discuss emotions,
> feelings, cravings, treatment conundrums, etc. -- anything that's bugging
> you. Of course, you lay yourself open to comment but that's the essence of
> email lists, blogging, social networking, etc. Anyway, you are mong friends
> so let 'er rip. Insofar as *I* am concerned, there are no taboos.

> You mentioned Dr. William Palonsky's book "Diabetes Burnout" in your
> previous post. He discusses the phenomenon of people who feel their meters
> are accusatory (even though they are inanimate and, in reality, the people
> are accusing themselves). In chapter 1, the case of Mel exhibits exactly
> what you describe -- he didn't look at his numbers often because they were
> always high. Sadly, medical personnel don't always help; on the one hand,
> they advise looking at the numbers as giving information for improving
> control (correctly) while on the other hand, they all-too-often glibly
> assumg the patient is "noncompliant". One cannot have it both ways. But if
> one approaches the numbers as giving guidance for action, it's a little
> better. I remember one video on the dLife site where a doctor says he wishes
> bg meters had a "spouse button" one could punch when one's spouse approached
> that would automatically improve the readings. (grin)

> I have no personal experience with pumpers taking more liberties with carbs
> than is prudent. However, it seems to me I corresponded with another blind
> diabetic who said he'd been on several email lists of pumpers but
> unsubscribed from them in disgust because, according to him, the predominant
> theme of most of the posts was dosing up with their pumps so they could eat
> a whole supreme pizza at one go and still stay in the normal range! So it
> must happen some. Truthfully, I dose up pretty well for a jumbo Mexican
> combo plate. But I might do this once every two weeks. And I remember an
> editorial in Diabetes Forecast wherein one of ADA's doctor advisors says he
> eats "good" two days and "bad" one day and this scheduling satisfies his
> cravings and he stays in good health.

> For good or ill, diabetes is one of the few diseases where the diabetic
> patient has the majority of the power to make himself/herself better or
> worse.

> So we keep on keeping on.

> Mike Freeman


> -----Original Message-----
> From: diabetes-talk-bounces at nfbnet.org
> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Chanelle Allen
> Sent: Wednesday, June 20, 2012 5:11 AM
> To: Diabetes Talk for the Blind
> Subject: Re: [Diabetes-talk] intuitive eating and textures Re: Excellent
> Article

> Thank you for your reply and your words of wisdom. Here is the link to the
> article you mentioned.
> Updating Your Coping Skills
> http://nfb.org/images/nfb/publications/bm/bm10/bm1009/bm100912.htm
> My diabetes was tightly controlled for me as a child, so I rebelled in my
> young adult years instead when I was also diagnosed with major depression.
> With depression, anything and everything feels overwhelming. Medications or
> therapy (which may also seem like work) can definitely help with that.
> Again, one must find benefits to outweigh the cost or trouble when deciding
> to change. Fortunately though, even little changes, such as remembering to
> check blood sugar more often, definitely help. It's interesting how we or at

> least I will monitor my blood sugar more closely when the numbers are good
> and shrink from it when they are bad. Do other people experience this? It is

> easy to feel ashamed of diabetes control or lack thereof when professionals
> don't understand the day to day experience of living with diabetes and when
> many of the diabetics you know are in good control.
> Do people on the pump generally take more liberties with carbs since it is
> easier to immediately compensate for them? Even though I take too many
> liberties (I am trying to work on that), pump or no pump, one still needs to

> watch the carbs.
> In writing this email, I am reminded of the advice to focus on the good
> things we are doing to be healthy and not on the bad.
> I hope that I have not exposed myself too much.
> Chanelle
> --------------------------------------------------
> From: "Mike Freeman" <k7uij at panix.com>
> Sent: Tuesday, June 19, 2012 10:42 PM
> To: "'Diabetes Talk for the Blind'" <diabetes-talk at nfbnet.org>
> Subject: Re: [Diabetes-talk] intuitive eating and textures Re:
> ExcellentArticle

>> Chanelle:

>> The one thing that is universal about diabetes is the old adage symbolized
>> by the initials YMMV -- Your Mileage May Vary. Each person's diabetes is
>> different from that of every other person although there are
>> commonalities.
>> I write this as an introduction to what I shall say below so that you will
>> take it in the "for what it's worth" department rather than as the
>> testimony
>> of an "expert" which I am most definitely not.

>> Once I learned the ins and outs of the wisdom (orthodox and otherwise)
>> about
>> diabetes and switched to intensive insulin management, I ultimately did
>> not
>> and do not find diabetes care to be overly-complex, a burden or requiring
>> the level of vigilance that you apparently do. AS I say, it's a case of
>> YMMV. But perhaps part of the key is that you say you aren't very good at
>> self-discipline (you said it; I did not so this is not criticism). I think
>> it's fair to say that good diabetes control *does* require a fair amount
>> of
>> discipline. There's a good Braille Monitor article about this from a year
>> or
>> two ago; it originally appeared in an issue of Diabetes Self-management
>> Quarterly from some time in 2009. I'll see if I can dig it up although, as

>> I
>> say, it's in the Monitor. The article asserts that many people who have a
>> tough time with diabetes were not all that disciplined in other areas of
>> their lives (they did not have to be) so find it tough getting into the
>> groove re diabetes management. As I say, this is not criticism.

>> As for texture aversions, I don't have many although I did as a kid.
>> Although I liked their taste, I found oranges kind of yuchy in texture;
>> same
>> went for peas, lima beans and avocados. Now the only thing I find kind of
>> weird is peas although I will eat them mixed in with other vegetables or
>> potatos. I think one just sets one's mind to getting over it and keeps
>> trying until one succeeds or decides the effort isn't worth it. I have a
>> nephew that doesn't like the texture of steak or rost beef or ribs -- I
>> think he's terminally mentally ill in this regard but it's his problem,
>> not
>> mine. He likes hamburger, though -- go figure. But I think he just decided
>> it isn't worth it.

>> If you are *truly* low-carb, as in Richard K. Bernstein, I suspect fruit
>> is
>> almost completely proscribed. Both South Beach and Atkins forbid fruit in
>> the first part of getting over carb cravings (the goal of the first few
>> weeks of their diets). South Beach, at least, reintroduces fruit after the
>> first strict phase of the diet when presumably carb cravings have been
>> tamed.

>> I never really had or have carb cravings or even sweet cravings (being a
>> chocoholic as a kid doesn't count). Not having a sense of smell, I can
>> understand why you'd have a sweet tooth. You'll have to work out your own
>> salvation there.

>> Although I tend to go for a somewhat low-carb diet and, unlike the
>> conventional wisdom dictates, I eat all the red meat I want, believing the
>> link between fat -- especially saturated fat -- and heart disease to be
>> tenuous at best, I do eat some carbohydrate.

>> I think it's fair to say that one can get vitamin C and trace minerals
>> from
>> certain vegetables. But, all other things being equal, eating a wide
>> variety
>> of foods (including fruit), tends to make it more likely that one will
>> receive all the nutrients one needs.

>> It certainly helps to be on insulin; although it's probably prudent to
>> keep
>> the carb load down to a dull roar, at least one can compensate when one
>> *does* want something carby!

>> I do tend to subscribe to the intuitive eating theory; to me, it's the
>> most
>> natural and makes sense. Besides, contrary to the current fad of
>> hand-wringing and "woe is me" thinking about American eating habits, the
>> latest statistics show mortality on average is *decreasing* in America,
>> not
>> increasing. However, there is increasing evidence that, as a whole, we eat
>> far too much sugar. So, as Colleen says, ditch the guilt trip and eat
>> something delectable -- just don't get into the habit of it. (grin)

>> I don't suppose this helps much but it's grist for the mill.

>> Mike Freeman


>> -----Original Message-----
>> From: diabetes-talk-bounces at nfbnet.org
>> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Chanelle Allen
>> Sent: Monday, June 18, 2012 9:22 AM
>> To: Diabetes Talk for the Blind
>> Subject: [Diabetes-talk] intuitive eating and textures Re: Excellent
>> Article

>> I too enjoyed listening to the presenter at the DAN seminar last year (I
>> listened to the recording online). It would be wonderful if diabetes could
>> be reduced to a mere nuisance. The problem is that the vigilance, care,
>> and
>> consistency required is overwhelming and takes up too much effort. I am
>> not
>> strong-willed or self-disciplined. The book Diabetes Burnout suggests that
>> we are motivated to continue repeating destructive habits and that we
>> don't
>> change if the costs outweigh the benefits. Just because we know we
>> shouldn't

>> do something to avoid unpleasant consequences, that doesn't hinder people
>> from choosing the same thing again.
>> I started reading Health At Every Size: The Surprising Truth About Your
>> Weight by Linda Bacon, which discusses the intuitive eating approach.
>> Later in the book, Dr. Bacon recommends eating a variety of foods. I have
>> a
>> problem where I gag on foods of certain textures--especially fruit. Even
>> mashed potatoes, which I like gives me that feeling if I eat too much. Has
>> anyone experienced a similar problem not liking certain textures and what
>> have you done to overcome it? I also don't have a sense of smell, so the
>> food I don't like does not have much appeal even if it is supposed to
>> taste
>> good. Even eating the fruit that I like (sweet, crisp apples) doesn't take
>> away my sweet craving. I try to eat lots of vegetables, so maybe that
>> makes
>> up for the lack of fruit. Is eating fruit still recommended on a low
>> carbohydrate diet? I use an insulin pump, so I can't make the excuse that
>> fruit will raise my blood sugar too high (smile).
>> I hope that I haven't gone off topic.

>> Chanelle


>> --------------------------------------------------
>> From: "Bernadette Jacobs" <bernienfb75 at gmail.com>
>> Sent: Monday, June 18, 2012 9:02 AM
>> To: "Diabetes Talk for the Blind" <diabetes-talk at nfbnet.org>
>> Subject: Re: [Diabetes-talk] Excellent Article

>>> On 6/16/12, Mike Freeman <k7uij at panix.com> wrote:
>>>> Diabetics are often bombarded with advice on what's the "best" diet for
>>>> them
>>>> (as if diabetes is just one disease). The American diabetes Association
>>>> tells us not to eliminate carbs from our diet (ignoring the fact that
>>>> the
>>>> Inuit did and are doing quite well, thank you, without much carbohydrate
>>>> in
>>>> the diet). The Atkins people hit us with just the opposite advice but
>>>> arouse
>>>> suspicion in some because of their association with certain types of
>>>> alternative medical therapies.



>>>> It seems as though the advice is driven as much by the current
>>>> politically-correct, medical and scientific fads as it is by solid
>>>> research
>>>> (which is damnably difficult to do when dealing with diets and
>>>> nutrition).
>>>> And seldom is the *real* science behind all these assertions carefully
>>>> and
>>>> rigorously examined. It's high time this changed. It's why I had a
>>>> different
>>>> sourt of dietitian at last year's DAN Seminar and why I often come
>>>> across
>>>> as
>>>> a terminal skeptic.



>>>> Check out the blog post at the link shown below and get what seems to be
>>>> more the straight scoop on all this. Many of our most cherished and
>>>> unquestioned assumptions turn out to have little scientific basis.





> http://www.drbriffa.com/2012/03/05/whats-wrong-with-the-dietary-advice-diabe
>>>> tes-uk-dishes-out-to-diabetics/



>>>> Mike Freeman



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> http://nfbnet.org/mailman/options/diabetes-talk_nfbnet.org/bernienfb75%40gma
>> il.com

>>> Ya know gang, I was at that DAN Seminar and I really appreciated what
>>> that lady had to say.  I think that the way she mapped things out
>>> makes one's diabetes far more manageable.  Blindness, (at least to
>>> most of us here), is a mere nuisance; a characteristic.  We should be
>>> able to make diabetes the same; a mere characteristic or condition
>>> which we ourselves are all able to manage and control without being
>>> forced by myth, misconception, and society in general to regard our
>>> diabetes as a curse!!  Can't have this; can't have that; gotta eat
>>> this; gotta eat that; can only eat one cup of this; and whatever you
>>> do, don't forget your daily allowance of cardboard packaging; so help
>>> you God!!!  After all, ya gotta eat that because if ya eat something
>>> that actually tastes good, it's gonna be bad for ya.  I thought the
>>> bottom line of what that lady said was very simple: If you eat two
>>> pieces of chocolate fudge cake at the end of your meal and two hours
>>> later, you peak at 360, you know better than to ever do that again.
>>> especially if only you've eaten one piece of that cake and your sugar
>>> peaks at 165ish, then you know to allow yourself just one piece.  The
>>> object here is to set and know your peak so that if you rise above it,
>>> you know to cut yourself off.  Like Lynn said previously, the key is
>>> "MODERATION!"  It's not that you can't have what pleasures of life you
>>> wish.  You simply need to use discretion, disciplin and self control.
>>> If you can't control it, don't go there.  Simple as that. My other
>>> advice is test, test, test so you know where you are at all times.
>>> And, if you don't like your numbers, take heed and don't be afraid to
>>> seek counsel if you need.

>>> Bern

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> http://nfbnet.org/mailman/options/diabetes-talk_nfbnet.org/chanellem.allen%4
>> 0gmail.com



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