Supporting spouse with type 2


#21

You mention that your husband is trying diet again. An important piece of info is the question of how many carbs he is eating? Also important is how many hidden sugars he is consuming. Even though you note that his A1c is at about 7.1, there are two ways to achieve that. First, you could take massive doses of insulin to keep the sugars down. The problem with that is that insulin is the fat storage hormone. The other drawback is that you could be cycling between extremes of high and low sugars to get that 7.1

The second approach is to lower the carb intake. This is the low carb-high fat approach. This will almost always lower insulin requirements. In fact, I would focus on lowering insulin requirements and let weight loss follow. If you and he don’t know how many carbs he is consuming, now would be a good time to learn!

Some good advice I’ve learned is to shop the outside aisles of grocery stores. That’s where you’ll find all the fresh vegetables, meats, cheeses, etc. If it comes in a bag and has ingredients you can’t pronounce, slowly back away from the shelf! The downside to all this is that you spend more time doing meal prep. But that sounds like a small burden compared to what is happening to you now. And you should never be hungry.

I also think finding some emotional help would be critical to making this work. We can make suggestions, but having someone local as a coach would be beneficial. Since money is an issue, I would suggest a pastor or a local charity. Some years back a friend was experiencing financial problems and I arranged for them to talk to someone at the Salvation Army. I don’t think there was any financial help, but just having someone to talk to was helpful. And even if you pick the wrong church or charity, they may be able to guide you to other resources. Don’t neglect the emotional aspect of your situation.

A couple of YouTube videos have been helpful for me. Look up Dr Robert Lustig, Keto Cooking with Kristie and Dot2Trot’s Low Carb Living. There are many more, but these are certainly worth exploring.

Continue to let us know how things are going.


#22

Is there any chance that he could start to exercise a little? Exercise is a wonderful but often over looked mood, energy and health booster.

I’m not talking about anything strenuous. I’m talking about a brisk walk once a day in the fresh air. Ideally a half hour would be desired, but he could work up to that. Could he be talked into taking a walk with you after dinner or before you go off to work? Start slow and walk in a direction five minutes from the house, then turn around and walk back. Do that much until it feels comfortable then start lengthening it. Until you are walking a half hour every day at a good pace.

Exercise, especially walking, gets blood to your brain and fresh oxygen, it also gets blood to the feet and legs-very important when diabetes is involved. It lifts your mood. You can think better, sleep better and get a little help with the blood sugar control. He might even require less insulin and possibly drop a couple of pounds. And, walking is something that almost anyone can do. No special equipment needed, just a good pair of sneakers. It’s free too. I can’t say enough about it.

Is there any chance you could coax him out?


#23

So sorry for what you and your husband are going through. You might like to look at The Mastering Diabetes website. It is run by a couple of type 1 diabetics. Many type 2’s follow this way of eating and some lose hundreds of pounds and get off all their meds. If insulin dependent the amount of insulin given can often be greatly reduced. It is a low fat plant based diet. As long as a person eats the correct foods, he or she can eat a whole lot of food. It is also a very supportive community. The diet lowers insulin resistance, so many more carbs can be consumed in the form of fruits, vegetables of all kinds including potatoes, beans, lentils etc.


#24

I only took a quick look at this website (www.masteringdiabetes.org,) but I was underwhelmed by what I saw. They make a number of unsubstantiated claims. And they list experts that they rely on. There are nice photos of each, but zero info on who they are and what their expertise is. Of course, they have testimonials. But anyone can get testimonials for anything!

They claim that a low carb diet is harmful in the long term, but again provide no evidence. As many of our forum members know, Dr Richard Bernstein has been on exactly this diet for many years. I talked with him in 1976 and he had been following this diet for some years before that. He also conducts free monthly seminars and goes into far more detail than this website.

Maybe I’m jumping to conclusions, but I see neither the evidence nor the rational for the foods that get the red light or green light.


#25

Sorry you were underwhelmed with the website. Actually the experts I listened to today were extremely qualified, as are the two young men who run the website. Both of them are type 1 diabetics. Cyrus Khanbatta has a PhD in Nutritional Biochemistry from Berkeley. He is extremely bright.

Yes, Dr Bernstein is doing extremely well on his low carb diet which I followed faithfully for 11 yrs with an A1c as low as 4.7. In the long run for me that woe didn’t work, because my LDL kept getting higher and I ended up with heart stents, kidney stones, and migraines.

I don’t agree with everything Cyrus and Robbie say and being young men trying to make a living their advice comes with a cost, although they are in the process of publishing a book. I gladly paid their fee and received much personal attention and encouragement as I was transitioning to their diet which made me much healthier and changed my ability to eat carbs. At 68 and having had type 1 for 60 yrs, I now ride my exercise bike 10 miles a day. For me, this woe greatly increased my energy levels.


#26

Hi @Marily6,

I think we should move this discussion to its own thread if we want to go much further. However, I suspect we will just end up disagreeing about the topic.

You list some symptoms and outcomes after many years (e.g. stents.) But how do you conclude that those symptoms were caused by the low carb diet? People without diabetes or not on a low carb diet have those outcomes too. Are there any studies that show these outcomes are more frequent on this diet? The brothers don’t say if they have conducted any studies or where they gleaned their conclusions. They just assert because they said so!

A number of doctors and nutritionists are endorsing a low carb diet. And these people appear to be independent of Dr. Bernstein. At least he never mentions them on his website or free seminars. I’m not aware of any similar consensus for the two brothers. So the question is: where can I go to hear independent doctors or researchers to confirm these findings?

Nothing wrong with earning money for sharing important knowledge. But I think there has to be some basis provided in the free stuff to establish your credibility. So far, I’m just not seeing it.


#27

Thanks for your input on the diets, etc. I think this also highlights the issues diabetics face in the real world - conflicting information, lack of information, etc.

At the end of the day, you have to be your own advocate. Only you know best what works for your situation. You have to be in the drivers seat, and take charge.


#28

There was a typo in the call out for @Marilyn6; hopefully now she’ll see your message.


#29

Good Morning Diabetes Oldie, I have been to the Mastering Diabetes website this morning, and am trying to figure out how to get the references Dr Khambata listed, for why he thinks the low carb diet isn’t healthy, from my iPad to this discussion. I am not very computer literate.
I will work on it. I might just have to send you to where I found them.

The Mastering Diabetes team are not brothers and have very different backgrounds. Cyrus Khambata is the one with the PhD in Nutritional Biochemistry.

I don’t know for sure why I have stents. It could be because of 22 yrs of urine testing and poor control during those years. I also have a grandfather who had a heart attack. Maybe the debilitating migraines, fatigue, horrible insulin resistance, eventual weight gain and kidney stones I had on the low carb diet were just coincidence, but I truly don’t think so.

I am in very good health with no complications of having diabetes for 60 yrs. No neuropathies that I know of. At 68, I feel better than I have ever felt since getting diabetes. My A1c is decent at 5.5.

A low fat vegan diet is another option for people with diabetes and it is the diet that I recommend.

Also, I found lots of free info that the guys at Mastering Diabetes offer.


#30

Hi Marilyn6,

I’d enjoy reading what they have to say — a link would be fine.

Like you, I’ve been Type 1 for 60 years and only had the urine tape for the early years. I may have a touch of neuropathy in my feet, but can still pass the whisker test. Otherwise, I’m pretty free of complications. And I’ve not had any of your complications. But I’ve only been on low carb for perhaps 1.5 years, so not many data points there. Thanks for any info you can pass on.


#31

Hi DO, I just listened to Joel Kahn, MD who is taking part in the seminar that the Mastering Diabetes team is giving this week. He is a well known cardiologist who is talking about studies which have been done on the low carb diet vs. low fat plant diet. I realize that if you go to YouTube and type in Joel Kahn, you can find what I just listened to. Joel Kahn, MD Mastering Diabetes 2019.

I think it is great that you are a fellow Type 1 of 60 yrs! I have no idea what the whisker test is. Since we were talking about neuropathy in the feet, is it the test for feeling? So far I can feel all the pin pricks.


#32

If it isn’t legal for me to post this here, I assume it will be removed.

Insulin Resistance
Scientific Literature
Understand the TRUE Dietary Causes and Effects of Insulin Resistance in Type 1 Diabetes, Type 1.5 Diabetes, Prediabetes, and Type 2 Diabetes

The Causes of Insulin
Resistance in Type 1
Diabetes, Type 1.5
Diabetes, Prediabetes
and Type 2 Diabetes
Insulin resistance is the common thread that underlies blood glucose variability across all forms of diabetes. This document contains references from the evidence-based research about the true dietary causes of insulin resistance.
Below is a list of evidence-based research dating as far back as 1930, demonstrating that insulin resistance is caused by the accumulation of fatty acids in tissues that are not designed to store fat. Please feel free to read the references listed below for more information about the evidence behind this fascinating biological phenomenon.
Cyrus Khambatta, PhD Nutritional Biochemistry References

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#33

Hi Diabetes Oldie, I forgot to tag you. I should have started a new topic, but didn’t think of it when I last posted.

Here is the information that you requested. Don’t know if you are still interested.

Marilyn