For most folks (not all) with insulin resistance...achieving and maintain a healthy weight is the key part of treatment. For weight loss that is an eating plan with fewer calories than being burned daily. A plan similar to a carb counting plan for diabetes is encouraged, which is usually in the neighborhood of about 40-50% of calories coming from carb containing foods. dietitian Becky
Fitness Minutes: (5,830)
3,200 6/9/12 2:01 P
I am reading more and more evidence identifying low carb as key to correcting insulin resistance. I'm glad to see more doctors encouraging it. My family doctor and his wife (a nurse) are in amazing shape and have followed Atkins diet/lifestyle for years.
There are guidelines established for the introduction of solids and the feeding of infants and toddles. These guidelines would in no way be setting the stage for soda and Ding-Dongs. That comes along with environment and TV viewing and marketing. Dietitian Becky
Fitness Minutes: (15,376)
1,939 6/9/12 9:52 A
I agree that most general practitioners are poorly informed on nutrition. This is due to a combination of being taught very little in medical school about nutrition and the poor state of nutrition research. So very much of the current dogma on eating is based on observational studies that try to suggest a link between an activity and a disease. For example, the Framingham Study. As hard as it is to follow a large group of people over years, it is even harder to connect some habit (like eating saturated fat) and a consequence (like cardiovascular disease). Plus, with large observational studies it is very easy to link any activity with any consequence that happens to fit the study organizer's hypothesis. These studies are taken as gospel when they really need to be used as a template to design actually informative controlled studies (divide a random group into control and experimental and then get them to change one or two things only). Meanwhile, well meaning doctors read an article in the NEJM about some observational study and think it actually means anything.
As for being hard to maintain, a low-carb diet is only hard to maintain because we are so very used to eating a high-carb diet from a very young age. Isn't the first solid food we generally eat a paste made of white rice? Ouch! Think how hard it is to stop smoking or doing cocaine and you can imagine why dropping sugar soda and Ding Dongs is so hard.
Most doctors do not have extensive training in nutrition or fitness (maybe 1 course). Because they see the medical, physical and emotional pain of being overweight/obese (in so many of their patients--probably close to 80-90% of their daily contacts); they seek "anything" that will help. Weight loss is usually not their area of expertise--they do not follow, to any great extent, the research, recommendations, practice guidelines, etc. I know this is not true for all doctors. I find that doctors who have a good working relationship with a Registered Dietitian, or classes run by a hospital or medical weight loss center ---are often more comfortable with this way to refer their patients and know that they are receiving appropriate treatment. But not every community has such a resource. It is a difficult and "scary" situation. I am sure many of you saw "Weight of the Nation" recently. Doctors want to help---but often are at a lose for "how" to help without harm. I struggle with this as well; especially with overweight children---and the concern of eating disorders, emotional pain, etc.
Becky, this is a fad among GPs right now, I think. My mom's doctor, who is not generally a quack, did the same thing to her, only he's trying to get her to stick to 20-30g a day for months. It's so restrictive that the only veggies she can have are cauliflower, celery, and greens. Even onions, peppers, zucchini and tomatoes have "too many carbs." He did it himself for 3 weeks and lost 15 pounds, so he thinks it's the greatest thing since (pardon the pun) sliced bread. He has no idea of how hard it is to sustain.
Luckily she cheats a lot, so I'm not too worried, but I suspect it's more widespread than we realize.
I would ask your doctor, way so low in the carb amount. Yes, it is boring. Often doctors do not realize just how restrictive this amount is. And then when you return to a more "typical" eating style...the weight is regained. You may want to check why you need to be so restrictive. Research has shown that the key thing for weight loss is determining the appropriate calorie range and then finding an "eating style" that you can stick with the rest of your life. This extremely low carb plan does not sound right for you, based on what you are sharing. And I know of no medical or health benefit. SP Dietitian Becky
Fitness Minutes: (452)
6/8/12 5:30 P
Thank you all for your help. my first 2 vweeks im suppose to limit to 20 carbs a week then after that add 10 and stick to 30 for awhile. i dont like nuts. However I do love sea food and cheese.
6/8/12 4:02 P
Lots of green veggies Nuts Cheeses SF Popsicles Meat-If u r tired of beef add in fish, turkey etc
Fitness Minutes: (15,376)
1,939 6/8/12 3:54 P
Becky's question is a good one. At 20 g per day, you are very limited. I hope your doctor doesn't expect you to stay that low for more than a couple of weeks unless you like to. At 40 g carbs per day, you can start adding back in starchy vegetables, cheeses, nuts and maybe even a limited amount of berries. Variety is the spice of life. There are more nuts than just almonds, there are more cheeses than just cheddar and there are more meats than just beef. When I was pretty hard-core low carb, I was typically eating 20 to 50 grams of carbs per day (I have gone up a little since then, but am still very low by SparkPeople standards). I would typically have meat and cheese or meat and eggs for breakfast....a big chicken salad for lunch.....peanut butter on celery for snack.....meat and veggies for dinner. If I ever had a craving I would either satisfy it with something healthy but fatty like avocado and walnuts or I would splurge with some no-sugar pudding or an Atkins bar. The key is to definitely NOT get bored.
Other snack ideas:
nuts and cheese jerky (careful, many have added sugar) deli meat and veggies
How many grams of carbohydrate does your doctor want you to have daily?? Dietitian Becky
Fitness Minutes: (2,581)
6/8/12 1:10 P
Check which fruits and vegetables you're allowed to eat, pick the ones you like, and maybe 2 more that you'd like to try, and add those to your grocery list!
6/8/12 1:06 P
Can you have any vegetables?
How about nuts and seeds?
Fitness Minutes: (8,132)
800 6/8/12 12:08 P
check the various yogurts.. chobani greek organic yogurts have around 20g protein per serving!
Fitness Minutes: (452)
6/8/12 12:06 P
My dr put me on a low carb high protein diet. so far Iv lost 20 pnds on it since May 4th. However im running out of shopping ideas for snacks. I know I can have meats eggs and some cheese.and Im getting burnt out! Any suggestions on a grocery list?
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