Pre-Diabetic

[Gregor]

My wife was diagnosed pre-diabetic and she’s taking part in an NHS diet plan which consists of shakes, soup and herbal teas which they supply, no regular food for 12 wks

After the 12 wks and the old habits are broken she starts slowly introducing more conventional food.

I’ve gotta say I’m impressed with her commitment that’s a pretty grim and she’s looking and feeling so much better.

[Mr Moofo]

My wife was diagnosed pre-diabetic and she’s taking part in an NHS diet plan which consists of shakes, soup and herbal teas which they supply, no regular food for 12 wks

After the 12 wks and the old habits are broken she starts slowly introducing more conventional food.

I’ve gotta say I’m impressed with her commitment that’s a pretty grim and she’s looking and feeling so much better.

I followed that some 8 years ago and lost 35kg in the time. It's hard work but that actually helped build my resolve. I told everyone I knew both in social life and work. Nobody tried to feed me, nobody plied me with alcohol - they understood why I was doing it

[katana]

42mmol/mol is the lower limit of pre-diabetic so it's an early intervention and you shouldn't need to turn your diet/life upside down.

(In as far as you can compare I think it's about equivalent 7mmol/l...I monitored mine for 3 months and the pm average was 5.7mmol/l....so it wasn't that that was producing the symptoms).

Just being nosey:
Did you do prick tests or constant monitoring?

you shouldn't need to turn your diet/life upside down.

Yeah I do, OK maybe not upside down but I really should get my shit together.

What is interesting (te me) is part of the issue is that the gut brain and the head brain are having communication issues, then drag the liver in to the mix by altering the glucogen control. If that gets messed up then the whole system doesn't work.

Well, if it's any encouragement, I reached a point where I thought 'something must be done' and knuckled down, made a few changes over time and stuck with them and have got rid of about 25% of the old me, for which even my knees have been grateful. My last suite of blood tests came back looking pretty fair too.

It took a while (ie years rather than months) but at long as things were trending in the right direction I didn't worry about it, just kept on keeping on.

Not be rude, but you weren't a portly gentleman when I knew you. Knees, hips and feet thank you Maybe lower back too.

Yeah, that's the plan, just really need to keep an eye on not forming any bad habits, I used to never do desserts, then when the weather picked up had an ice cream once a week, then to one a day, same with pick n mix, had one for a treat on holiday, forgot how much I enjoyed them, then onto ordering a 5kg bucket online.

So yeah, sod that I find total abstinence easier.

Would like to talk about about carb control, and then further in to processed carbs (which are addictive, to some.) But that is a fuck load to type but info is out there.

[katana]

My wife was diagnosed pre-diabetic and she’s taking part in an NHS diet plan which consists of shakes, soup and herbal teas which they supply, no regular food for 12 wks

After the 12 wks and the old habits are broken she starts slowly introducing more conventional food.

I’ve gotta say I’m impressed with her commitment that’s a pretty grim and she’s looking and feeling so much better.

Not ever sure that these schemes work in the long term, feels up there with the slimfast delicious nutrious shake for breakfast and one for lunch and never get a real answer of why normal teas and coffees aren't ok.

The idea of breaking the habit, is probaly (not casting aspersions) more do with not eating lots of cheap highly processed carbs (biscuits are the worst, but not homemade with real ingiedients) Tho, as you say that diet is pretty grim but glad she feels better.

[MrLongbeard]

Would like to talk about about carb control, and then further in to processed carbs (which are addictive, to some.) But that is a fuck load to type but info is out there.

Thanks, but not at this time, I'm happy with my reduction and has worked for me with losing weight in the past

[katana]

I offered that opinion as an opinion. The information came from someone close to me who is a medical doctor, professor of gastroenterology, got an OBE and the Rank Prize for their work in the area as well as being a special advisor to the WHO for c.10 years on the area; and has a pretty much unparalleled Hirsch Index. The information is freely available to all in the peer reviewed literature. Unfortunately it makes a less good news story than "X magic diet will solve your problems easily".

I won't mention it again as it seems to be upsetting you.



Good luck to everyone with their dietary challenges and solutions.

Hey, Im in a duality situation here as I don't want to reply to you. While wanting to show that you are miss informed. But you aren't upsetting me. But I seem to be upsetting you, as you come up with a person whom you think opinion is more right than mine.

So here it is, your opinion is wrong, misinformed and even tho I gave you links to information freely available on the bbc.

As for the person who gave you the information, seems more like a 'I know more than you cos' and here is the reply, so at what point that someone specialising in the GI tract know anything beyond that. Personally, after being around a few GI tract specialists with one being the best in the UK that operated on me, got to learn their limitations. So why not ask your mate his specialisation. As the GI track is made up of many parts. But feel free to give me his number to discuss this. Have learnt so much about my lower GI tract as I'm now missing bits of my sigmoid colon. He should be able to answer the questions that I made to the specialists that said don't know.

As for WHO, what did he do there as fuck all has changed sinced the early 90s on diet. So what adivice did he give?

As for their publishing index, here is an artile that shows what that index is really about. So it is about paleo stuff but is a true reflection of
academia https://www.theguardian.com/science/202 ... ty-origins so your friends publishing is a real pinch of salt. https://www.theguardian.com/science/202 ... ty-origins the sad fact of working in acedemia shows this to be true in most if not all acedemia.

Then the final of what do you know of my qualification. Or the those whom I quotes qualifaction.

So here is my tl/dr list who you want feel free to quote recent studies as we are going through a time of real change.


TL/DR Not upset, you are wrong. Quit the I know more than you cos I have a friend cos shows that you and your mate are wrong

[Count Steer]

42mmol/mol is the lower limit of pre-diabetic so it's an early intervention and you shouldn't need to turn your diet/life upside down.

(In as far as you can compare I think it's about equivalent 7mmol/l...I monitored mine for 3 months and the pm average was 5.7mmol/l....so it wasn't that that was producing the symptoms).

Just being nosey:
Did you do prick tests or constant monitoring?

Well, if it's any encouragement, I reached a point where I thought 'something must be done' and knuckled down, made a few changes over time and stuck with them and have got rid of about 25% of the old me, for which even my knees have been grateful. My last suite of blood tests came back looking pretty fair too.

It took a while (ie years rather than months) but at long as things were trending in the right direction I didn't worry about it, just kept on keeping on.

Not be rude, but you weren't a portly gentleman when I knew you. Knees, hips and feet thank you Maybe lower back too.

I did prick tests twice a day. (post-fasting and post-feeding). I'd had a few symptoms and there's IDD in my close ancestry so, because the kits are readily available, I did self-testing. (This was after I'd shed 3st).

It's a while since we met...I added a few lbs. My weight/BMI/body fat%/waist size wasn't in the obese range but was heading in that direction rapidly through the overweight range ie towards 14st. My BP tended to be high before I added the extra luggage too. I'm now steady at 10st (and wouldn't actually be underweight at 9st). Got a few other issues to deal with and that extra load wasn't helping.

One thing that hasn't been mentioned so far is genetics. Frequently we're battling that too. It's probably fair to say, in many cases your medical history is written when you're born iyswim. Look at your immediate-ish ancestors for ideas on what you might need to do if you want to live longer/better than they might have.

[Mr Moofo]

If you are diabetic or pre diabetic and want to control it by diet, then you have to choose to go low carb. There is a lot of bollocks being spouted on her but Katana is about spot on. Oddly, metabolising fat, carbohydrate and protein all yield about the same energy value. If my biochemistry degree still holds we can convert carbs to fat (for storage) but not the other way round, so we metabolise fat via different pathways.
I am not convinced of the good carbs / bad carbs thing - though I have attended lectures where GI seems to play a role. So I am off to have a looked at the cooled pasta thang because I cannot see why that should have any effect.
Low carb will not harm you long term/short term. Going the shake low calorie (600 cal a day) pathway is not healthy. It should be done for 12 weeks max. But that isn’t about low carb, it’s about low calorie and putting you into serious calorie deficit for a time.
I try and control my type II via diet, more or less successfully, though I do have to cut back on carbs - they have been slowly creeping back up.

[katana]

I did prick tests twice a day. (post-fasting and post-feeding). I'd had a few symptoms and there's IDD in my close ancestry so, because the kits are readily available, I did self-testing. (This was after I'd shed 3st).

It's a while since we met...I added a few lbs. My weight/BMI/body fat%/waist size wasn't in the obese range but was heading in that direction rapidly through the overweight range ie towards 14st. My BP tended to be high before I added the extra luggage too. I'm now steady at 10st (and wouldn't actually be underweight at 9st). Got a few other issues to deal with and that extra load wasn't helping.

One thing that hasn't been mentioned so far is genetics. Frequently we're battling that too. It's probably fair to say, in many cases your medical history is written when you're born iyswim. Look at your immediate-ish ancestors for ideas on what you might need to do if you want to live longer/better than they might have.

They (as in science people) have noted a correlation with a couple of base pairs of DNA linked to Diabetes. No, you can't get that test on the NHS.

Tho science is sill learning, up until a few years ago I spent alot of time being poked and proded. So spent lots of time talking to the researchers as I was giving my time and genetic material so deciding which studies were for general advancement. Learnt alot, and then came to the conclusion we know little about the body and the mind links. At the moment we are at eight types of diabetes! https://londondiabetes.com/news-and-eve ... -diabetes/ so science/research is still learning.

Then the issue of high BG and destroying your fine arteries and veins, not just your feet but the brain too. Tho I used to get a brain scan every six months or so, sometimes with contrast, which I found interesting and joy of seeing dead bits of brain!

[Mr Moofo]

^ the pasta thing is linked to “low GI” then (I have been reading) . Retrogradation in theory makes normal starch harder to digest. The bit I am not sure of is that the body will eventually break down all starch into glucose and absorb it, because that’s what our enzymes and intestines do. If you eat 100g of starch it will produce 100g of glucose (depending on the carbohydrates make up, so in the real world it’s a bit more complicated). That gets absorbed more slowly with lower GI foods.
If you are diabetic , you should still avoid carbs even “good” ones.
As Katana points out, diabetes is actually a cardio vascular disease. The cause of most leg amputations in the UK is diabetes

[MrLongbeard]

Still at it.
Dropped a good 3 - 5 kgs fairly quickly at the outset, now seem to be averaging a loss of 0.5kgs a week, which the internet says is a healthy sustainable weight loss trajectory, but is bloody slow to me.

[Count Steer]

Still at it.
Dropped a good 3 - 5 kgs fairly quickly at the outset, now seem to be averaging a loss of 0.5kgs a week, which the internet says is a healthy sustainable weight loss trajectory, but is bloody slow to me.

0.5kg/week sounds about right.

You're only burning body fat when you're in calorie deficit and turning it into energy, water and carbon dioxide* takes a bit of time. Plus, as you lose weight, you need less calories so it gets a harder to get into calorie deficit. My average, typical daily calorie burn dropped by about 10% after I lost 25% of me. So, if I want to lose more I've got to eat less and burn/exercise more.

* I tried breathing harder but it didn't work.

[MrLongbeard]

- 10Kgs, now to just do that twice more.

[katana]

Just logged on and wondered how it was going?

[MrLongbeard]

Weight loss slowed to a stand still, modifying intake / habits to kick start that again, but most if not all sugary snacks and food pretty much removed from diet.

Not been called in for a follow up blood test yet, until then I won't know where I am