I describe my diet as high fat, normal protein, and low carb. If I were faced with kidney issues, I would try to increase the fat portion of my diet to compensate for the reduced calories coming from protein. Since fat has more than double the calories of protein (9 vs. 4) you would only have to eat about 1 gram of fat for every 2 grams of protein cut from your diet.
Fat is well-know for producing satiety. Carbohydrates, on the other hand, are easily metabolized and are notorious for creating hunger cravings long before the next meal is due.
100 grams of carbs/day is a large reduction from the standard diet eaten in most Western developed countries. It seems like you could easily satisfy your nutritional and metabolic needs with that level of carbs, a lowered intake of protein, and an increased amount of fat. Just my 2 cents.
Hi Terry. Thank you for your 2 cents. It's amazing to me; when I wrote that question I had no idea how much incredibly good information I would get back. Also, I feel stunned by the amount of information NOT coming from the endo group I see. Maybe it's because I wasn't asking the right questions, or maybe it is that I was never formally trained on how to use the information the cgm contributes. Maybe when the student is ready, teachers abound:)
I think what you wrote is a good idea, and I can do that by being less worried about the amount of healthy fats I eat. Today I have stayed with 30 carbs per meal and feel satiated. So that is right around 100, like Clare does, which I think is pretty usual for me. Maybe less change than I thought yesterday, when I was mourning fewer bananas, oranges and apples in my life.....
I will need to learn by doing, in the dual and square wave departments.....
Hi Clare. I like that very long sentence because some glucolift tabs are shipping as we speak! What a blast I have had communicating with you over these months, and what an incredibly valuable site this is.
Hmmm. Coffee nails me and I wonder why it doesn't affect you. I dual or square 1.7 for two cups because the adrenaline or caffeine or whatever it is doesn't affect me immediately. If I don't bolus for it, I go up over the course of the morning. hmmmmm...maybe I just need an increase of basal. I smell a fast tomorrow morning....
Okay, so time to go work out. Thanks for all you do on this site. This morning I tracked your comments and they were interesting and caring. Typed words are just that, but I love how personalities feel embedded in them...Okay, going going gone.........
When it comes to day-to-day, moment-to-moment insulin dosing to control BGs, endocrinologists are mere babes in the woods. They may know the textbook endocrinology and biochemistry but they know very little when it comes to dosing insulin. I've lived with this disease 24/7/365 for 30 years now. That's over 250,000 hours of experience!
I think I expected too much from my doctors over the years. I now just expect my endo to detect and alert on anything unusual in my blood-work or any indication of a diabetes complication. I've got the insulin dosing down and I seek no advice from them on that. Besides, they can't even begin to make time to analyze the mountain of data necessary to offer any advice.
I used to buy into the whole idea of assembling a medical team for my diabetes, but that never worked for me. I'm fine with the division of labor as it sits now. I've limited my endo visits to 2x/year. Short and sweet and no expectations.
I'm with Terry on the whole endo thing, but I have over 332,000 hours of experience and you have even more than both of us. I expect my endo to write prescriptions and keep an eye out for any complications, beyond that I know far more than she could ever hope to know about my D and my body. None of us was ever really formally trained on using the CGM data. Terry has a wealth of information regarding the Dexcom Studio reports and I have learned a lot from him. I bring my laptop with me when I meet with my CDE and just show her the stuff I think is important. She leaves me to adjust my pump settings and if something is really off I value her opinion to help me get back on track. But she doesn't live with it 24/7 and doesn't have to deal with the repercussions of a sleepless night or hypo hangover so she tends to give her 2 cents, but expect that I will figure it out by myself most of the time.
which is sort of unnatural, as I don't think "straight" people without diabetes do that all that often. Obviously, there's lots of times where they look like this:
Which is also OK as that's the day I ran the 2012 Chicago Marathon and had a really excellent buzz. BG all over hell's half acre but whatever. They had potato chips at the end of the race!!
While I love the concept of the Flatliner's Club, it's been rather moribund for a while. We had a bunch of people who were hitting it all the time and there was quite a bit of elan brewing but it sort of slowed down.
Another interesting person to find is Dr. Stephen Ponder, I believe he's a pediatric endo who's had T1 for a pretty long time. I'm not sure if he's here but I ran into him on FB and he has another site, "The Power Within" and talks about strategies like this, he tosses out flatlines pretty regularly, talks about approaches to Mexican food and other pretty interesting topic and is a pretty cool guy. He also has a bearded lizard named Rango...
