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CINDYSUE48's Photo CINDYSUE48 Posts: 3,264
6/23/08 11:25 A

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etbjsoda headaches are common when first starting low carb, so I guess it can happen when switching back even after just a day or two of higher carb. Just like stopping caffeine, each of us react to reducing carbs in different, but predictable ways. "Induction flu" is common with newbies and all the symptoms are a result of our bodies getting used to using a different fuel.

Cindy Moore

Low Carb and Paleo advocate

Palindromic Rheumatoid Arthritis diagnosed September 2007

Raleigh Low Carb Examiner
ETBJSODA's Photo ETBJSODA SparkPoints: (0)
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6/23/08 12:47 A

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Dear Cindy Sue:

I have another question please.

I eat low carb for several days (and feel good) and then something comes up where I eat carbs for a day or two. When I go back to low-carb I experience really bad headaches for a day or two.

Is this common?

etbjsoda

It's never too late to improve your health.


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XANADUREALM's Photo XANADUREALM Posts: 7,243
6/22/08 9:43 P

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Thania, it seems that if you would just vow to stay away from the fruit for the two week induction, you would be ahead of the game. After the two weeks try having a small amount of berries to be your added 5 carbs. This might help you a lot. I don't do induction or owl so I am not sure this is allowed, but it might help you stay on the plan. Keep up with the supplements and they take the place of all the foods you can't eat.

Xana



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CINDYSUE48's Photo CINDYSUE48 Posts: 3,264
6/22/08 2:06 P

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THANIA1 maybe a different plan would be better for you? My understanding is that South Beach offers more fruits (of course not in the first 2 weeks) and grains....maybe you could substitute fruits instead of veggies? or grains?

I'm not a big fruit eater, so the limits don't bother me. I eat veggies, but I'm pretty picky about them too.

Cindy Moore

Low Carb and Paleo advocate

Palindromic Rheumatoid Arthritis diagnosed September 2007

Raleigh Low Carb Examiner
THANIA1's Photo THANIA1 Posts: 1,053
6/22/08 5:32 A

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Cindy,

Thanks, I find it too that when I eat low-carb I feel much better. How ever I haven´t managed to do not even two weeks induction , some where along the line I mess it up.
The food on Atkins is the one I like, but I miss so much fruits, I used to be a huge fruit eater almost 2lbs a day.

I thought it was due to supplements that I was not taking, hence leading my body to miss some vitamins and nutrients, so now i am supplementing with a multivitamin , chromium(to reduce sugar craving), Q10 & L-carnitina (fat burners). These are the ones recommended in Atkins book. I still miss the fruit which makes my plan to fail.

I guess I need to improve my will power and get away from immediate gratification once for all.
emoticon

Learn to be calm and you will always be happy.

I started again with SW: 185lbs in Jan 2009


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MARIADALE's Photo MARIADALE SparkPoints: (0)
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6/20/08 4:29 P

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Thank you, it is hard work to maintain but worth it!

Maria

The only real failure is quitting!

It doesn't matter how many times you begin again. It only matters that you begin again.

"Never confuse a single defeat with a final defeat."
– F. Scott Fitzgerald

"Do not fear mistakes, there are none."
– Miles Davis

"I have not failed, I have just found 10,000 ways that don't work."
-Thomas Edison



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ETBJSODA's Photo ETBJSODA SparkPoints: (0)
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6/20/08 3:14 P

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Maria - I like your sig line alot. It is inspiring. And that's amazing that you've lost and maintained 120 pounds! That is a great accomplishment.

It's never too late to improve your health.


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ETBJSODA's Photo ETBJSODA SparkPoints: (0)
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6/20/08 3:13 P

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Cindy Sue,

Thanks for the advice and tips! Hopefully this will get easier.



It's never too late to improve your health.


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MARIADALE's Photo MARIADALE SparkPoints: (0)
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6/20/08 1:29 P

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I find that by eating low carb 95% of the time the social events where I do indulge to not send my blood sugar sky high...it is only if I slip for days that I notice the effect on blood sugars.

Maria

The only real failure is quitting!

It doesn't matter how many times you begin again. It only matters that you begin again.

"Never confuse a single defeat with a final defeat."
– F. Scott Fitzgerald

"Do not fear mistakes, there are none."
– Miles Davis

"I have not failed, I have just found 10,000 ways that don't work."
-Thomas Edison



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CINDYSUE48's Photo CINDYSUE48 Posts: 3,264
6/20/08 10:15 A

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ETB....become a picky eater! I don't consider this a restrictive diet, but I can see where there are times when *nothing* is "allowed".

I've gone to conferences, family trips and vacations and stuck with my plan. At conferences it may mean eating my meat plan....or simply going for the veggies, but bringing a snack or two has helped tremendously. (One conference I went to was almost all pasta every meal, so snacks I brought came in handy)

For family events it's often best if you simply say that you are on a special diet ordered by your physician. Family and friends should at least be willing to accomodate if it's explained that it's a health issue. Personally, I'd lie and say it was MD orders (which in my case it is), even if it wasn't.

It certainly can be a challenge, but with a little work you can do it. If you *must* eat carbs, at least try to keep it to a minimum.

I've been living low carb for several years now and with just a few exceptions, I've been able to stick with my plan when I've wanted to. Almost every time I've gone off plan it was my choice to do so....sometimes simply because I wanted to (bad bad bad thing to do!) and a couple of times because choices were limited. Planning is a big part of low carb. Learn from each event and it gets easier.

Cindy Moore

Low Carb and Paleo advocate

Palindromic Rheumatoid Arthritis diagnosed September 2007

Raleigh Low Carb Examiner
DENISEA1's Photo DENISEA1 Posts: 8,379
6/20/08 6:31 A

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THANKS CINDY!!

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ETBJSODA's Photo ETBJSODA SparkPoints: (0)
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6/20/08 12:15 A

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LIVING LOW CARB IN THE REAL WORLD

I am on the verge of type 2, and when I eat low carb I feel soooo much better. I have very few hypoglycemic episodes. But I find it almost impossible to live any kind of normal life with this restrictive diet. There is always some vacation, activity, social event or whatever where I don't have access to the kind of food I need, and end up being forced to eat carbs.

How can one eat this way and still have a life?


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CDELIGHT's Photo CDELIGHT Posts: 689
6/19/08 10:12 P

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It does seem self evident: eating less carbs will keep your BS lower without hypogycemic responses. Seems like there is no way around it. Low carb has to be part of a good type 2 plan. Makes me wish more for a way to check my BS without having to puncture myself to get it. Thanks for helping to keep us up to date.
CC

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CINDYSUE48's Photo CINDYSUE48 Posts: 3,264
6/19/08 8:14 P

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Dr Westman is the doc at Duke that I see. He actually gave me this article to read....I've been waiting for it to be published!

Has carbohydrate-restriction been forgotten as a treatment for diabetes mellitus? A perspective on the ACCORD study design

Abstract

Prior to the discovery of medical treatment for diabetes, carbohydrate-restriction was the predominant treatment recommendation to treat diabetes mellitus. In this commentary we argue that carbohydrate-restriction should be reincorporated into contemporary treatment studies for diabetes mellitus.
Introduction

In the early 20th century, before any medications were available for the treatment of diabetes mellitus, experts recommended dietary carbohydrate-restriction [1,2]. The dietary recommendation for diabetes in a prominent internal medicine textbook from 1923 was 75% fat, 17% protein, 6% alcohol and only 2% carbohydrate [3]. The recommended total daily energy intake was 1,795 Calories per day. After the discovery of insulin and oral hypoglycemic medications, experts gradually changed the dietary recommendations to include more carbohydrate intake because most experts reasoned that the medications could be used to keep the glucose in control.

The NIH NHLBI Action to Control Cardiovascular Risk in Diabetes (ACCORD) group recently announced termination of the intensive insulin therapy arm of their study after an interim analysis showed that mortality was significantly higher in this group than in the other two less intensive glucose control groups [4,5]. Because lead investigators from the ACCORD trial and other experts have stated how unexpected this finding was, and have suggested that the concept of normal glucose control among patients with type 2 diabetes may not be desirable, we feel compelled to provide an alternative view.
Discussion

From our perspective of familiarity with dietary carbohydrate-restriction and diabetes, these results are not surprising–in fact, they are predicted. We believe that it is unlikely that the increased mortality was due to the tight glucose control but rather due to the particular method for trying to achieve it. When high carbohydrate diets are consumed and intensive medication therapy is used to "cover the carbohydrate," it is very difficult to achieve normal glycemic control without hypoglycemic reactions. In our clinical practices, we frequently see individuals who are instructed to eat high carbohydrate diets and use intensive injectable hypoglycemic therapy, and they are susceptible to hypoglycemic reactions. Severe hypoglycemic reactions are associated with an increased morbidity and mortality [6].

There are other ways to improve glycemic control without the risk of hypoglycemic reactions; one of these is carbohydrate-restriction. Carbohydrate-restriction makes pathophysiological sense because type 2 diabetes is, in essence, a case of carbohydrate intolerance. We have observed that the same patients who have hypoglycemic reactions with high carbohydrate diets and aggressive medication therapy no longer have hypoglycemic reactions with carbohydrate-restriction. Moreover, the continued concerns about carbohydrate-restricted diets have never materialized and recent scientific studies show general health benefits including reduced cardiometabolic risk factors [7-10].

Based on the clinical experience of others, and published clinical trials, we use carbohydrate-restriction in clinical practice for the treatment of diabetes mellitus [11-15]. At the end of our clinic day, we go home thinking, "The clinical improvements are so large and obvious, why don't other doctors understand?" Carbohydrate-restriction is easily grasped by patients: because carbohydrates in the diet raise the blood glucose, and as diabetes is defined by high blood glucose, it makes sense to lower the carbohydrate in the diet. By reducing the carbohydrate in the diet, we have been able to taper patients off as much as 150 units of insulin per day in 8 days, with marked improvement in glycemic control-even normalization of glycemic parameters. Due to the potent effect of carbohydrate restriction in decreasing blood glucose levels, we must reduce the insulin by 50% on the first day of dietary carbohydrate-restriction to avoid hypoglycemia. As the weeks pass, most patients achieve normoglycemia without medication, obese patients lose weight, and patients save money because they are not paying for medications. It is not so far-fetched to predict that these savings will also be passed along to the health care system and self-insured companies because there will be less expenditure on medications and the long-term diabetic complications.
Conclusion

The inattention to potent dietary therapy in all recent major diabetes studies, including the recent ACCORD trial, should not lead us to forget about carbohydrate-restriction as a means to achieve weight loss and glycemic control without hypoglycemia. We urgently need controlled studies comparing the newer "higher-carbohydrate diet with or without medication" approach to the earlier "carbohydrate-restricted diet without medication" approach for type 2 diabetes mellitus. One of the important advantages of carbohydrate-restriction is that there is no risk of hypoglycemia if medications are not used. We believe that carbohydrate-restriction has come of age for the treatment of obesity and diabetes mellitus and should be urgently translated from clinical practice to intensive testing in studies relating to mechanism, health services research, and public health.
Competing interests

ECW has received unrestricted research grant funding from the Robert C. Atkins Foundation. MCV has written a book about the treatment of diabetes with carbohydrate-restriction.

References

www.nutritionandmetabolism.com/conte
nt
/5/1/10


Cindy Moore

Low Carb and Paleo advocate

Palindromic Rheumatoid Arthritis diagnosed September 2007

Raleigh Low Carb Examiner
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