Diabetes

   / Diabetes #31  
Eric,
Tell us what you eat,and how you live without potatoes and bread.I would really like a list of the foods you eat.

I dole out copies of this book to people who want to lose weight or have metabolic syndrome. Last month the 20-page pamphlet was $5.00, now it is over $50.00. Versions of the same diet advice are in the back of the Why We get Fat book I first suggested, as well as in the list of links in the Reversing Diabetes Facebook Group ToolChest which is pinned at the top of the page.

A Low Carbohydrate, Ketogenic Diet Manual: No Sugar, No Starch Diet
A Low Carbohydrate, Ketogenic Diet Manual: No Sugar, No Starch Diet: Dr. Eric C. Westman M.D.: 9781482781250: Amazon.com: Books

At any-rate the pamphlet gives simple instructions about what types of foods to eat and what to avoid. Very simple.

Lifestyle Medicine Clinic
Duke University Medical Center

This diet is found in the Appendix of the book Why We Get Fat by Gary Taubes and is an example of a low carbohydrate diet.

"No Sugar, No Starch" Diet: Getting Started
This diet is focused on providing your body with the nutrition it needs, while eliminating foods that your body does not require, namely, nutritionally empty carbohydrates. For most effective weight loss, you will need to keep the total number of carbohydrate grams to fewer than 20 grams per day. Your diet is to be made up exclusively of foods and beverages from this handout. If the food is packaged, check the label and make sure that the carbohydrate count is 1 to 2 grams or less for meat and dairy products, 5 grams or less for vegetables. All food may be cooked in a microwave oven, baked, boiled, stir-fried, saut馥d, roasted, fried (with no flour, breading, or cornmeal), or grilled.

WHEN YOU ARE HUNGRY,
EAT YOUR CHOICE OF THE FOLLOWING FOODS:

Meat: Beef (including hamburger and steak), pork, ham (unglazed), bacon, lamb, veal, or other meats. For processed meats (sausage, pepperoni, hot dogs), check the label carbohydrate count should be about 1 gram per serving (and be organic if able and nitrate free).

Poultry: Chicken, turkey, duck, or other fowl.

Fish and Shellfish: Any fish, including tuna, salmon, catfish, bass, trout, shrimp, scallops, crab, and lobster (no farmed seafood, there are to many toxins in them).

Eggs: Whole eggs are permitted without restrictions.

You do not have to avoid the fat that comes with the above foods.
You do not have to limit quantities deliberately, but you should stop eating when you feel full.

FOODS THAT MUST BE EATEN EVERY DAY:

Salad Greens: 2 cups a day. Includes arugula, bok choy, cabbage (all varieties), chard, chives, endive, greens (all varieties, including beet, collards, mustard, and turnip), kale, lettuce (all varieties), parsley, spinach, radicchio, radishes, scallions, and watercress. (If it is a leaf, you may eat it.)

Vegetables: 1 cup (measured uncooked) a day. Includes artichokes, asparagus, broccoli, Brussels sprouts, cauliflower, celery, cucumber, eggplant, green beans (string beans), jicama, leeks, mushrooms, okra, onions, pepper pumpkin, shallots, snow peas, sprouts (bean and alfalfa) sugar snap peas, summer squash, tomatoes, rhubarb, wax beans, zucchini.

Bouillon: 2 cups dailyé*�s needed for sodium replenishment. Clear broth (consomm? is strongly recommended, unless you are on a sodium-restricted diet for hypertension or heart failure.

FOODS ALLOWED IN LIMITED QUANTITIES:

Cheese: up to 4 ounces a day. Includes hard, aged cheeses such as Swiss and Cheddar, as well as Brie, Camembert blue, mozzarella, Gruyere, cream cheese, goat cheeses. Avoid processed cheeses, such as Velveeta. Check the label; carbohydrate count should be less than 1 gram per serving.

Cream: up to 4 tablespoonfuls a day. Includes heavy, light, or sour cream (not half and half).

Mayonnaise: up to 4 tablespoons a day. Duke's and Hellmann's are low-carb. Check the labels of other brands.

Olives (Black or Green): up to 6 a day. Avocado: up to 1/2 of a fruit a day.

Lemon/Lime Juice: up to 4 teaspoonfuls a day.

Soy Sauces: up to 4 tablespoons a day. Kikkoman is a low carb brand. Check the labels of other brands.

Pickles, Dill or Sugar-Free: up to 2 a servings a day. Mt. Olive makes sugar-free pickles. Check the labels for carbohydrates and serving size.

Snacks: Pork rinds/skins; pepperoni slices; ham, beef, turkey, and other meat roll-ups; deviled eggs.

THE PRIMARY RESTRICTION: CARBOHYDRATES
On this diet, no sugars (simple carbohydrates) and no starches (complex carbohydrates) are eaten. The only carbohydrates encouraged are the nutritionally dense, fiber-rich vegetables listed.
Sugars are simple carbohydrates. Avoid these kinds of foods: white sugar, brown sugar, honey, maple syrup, molasses, corn syrup, beer (contains barley malt), milk (contains lactose), flavored yogurts, fruit juice, and fruit.
Starches are complex carbohydrates. Avoid these kinds of foods: grains (even "whole" grains), rice, cereals, flour, cornstarch, breads, pastas, muffins, bagels, crackers, and "starchy" vegetables such as slow-cooked beans (pinto, lima, black beans), carrots,
parsnips, corn, peas, potatoes, French fries, potato chips.





FATS AND OILS
All fats and oils, even butter, are allowed. Olive oil and peanut oil are especially healthy oils and are encouraged in cooking. Avoid margarine and other hydrogenated oils that contain trans fats.

For salad dressings, the ideal dressing is a homemade oil-and-vinegar dressing, with lemon juice and spices as needed. Blue-cheese, ranch, Caesar, and Italian are also acceptable if the label says 1 to 2 grams of carbohydrate per serving or less. Avoid æ–—ite dressings, because these commonly have more carbohydrate. Chopped eggs, bacon, and/or grated cheese may also be included in salads.

Fats, in general, are important to include, because they taste good and make you feel full. You are therefore permitted the fat or skin that is served with the meat or poultry that you eat, as long as there is no breading on the skin. Do not attempt to follow a low-fat diet!

SWEETENERS AND DESSERTS
If you feel the need to eat or drink something sweet, you should select the most sensible alternative sweetener(s) available. Available alternative sweeteners are: Splenda (sucralose), Nutra-sweet (aspartame), Truvia (stevia/erythritol blend), and Sweet é®® Low (saccharin). Avoid food with sugar alcohols (such as sorbitol and maltitol) for now, because they occasionally cause stomach upset, although they may be permitted in limited quantities in the future. (Would recommend you stay away from all artificial sweeteners if able or use Stevia, Dr. Craig)

BEVERAGES
Drink as much as you would like of the allowed beverages, do not force fluids beyond your capacity. The best beverage is water. Essence-flavored seltzers (zero carbs) and bottled spring and mineral waters are also good choices.

Caffeinated beverages: Some patients find that their caffeine intake interferes with their weight loss and blood sugar control. With this in mind, you may have up to 3 cups of coffee (black, or with artificial sweetener and/or cream), tea (unsweetened or artificially sweetened), or caffeinated diet soda per day.

ALCOHOL
At first, avoid alcohol consumption on this diet. At a later point in time, as weight loss and dietary patterns become well established, alcohol in moderate quantities, if low in carbohydrates, may be added back into the diet.


QUANTITIES
Eat when you are hungry; stop when you are full. The diet works best on a "demand feeding" basis葉hat is, eat whenever you are hungry; try not to eat more than what will satisfy you. Learn to listen to your body. A low-carbohydrate diet has a natural appetite-reduction effect to ease you into the consumption of smaller and smaller quantities comfortably. Therefore, do not eat everything on your plate just because it's there. On the other hand, don't go hungry! You are not counting calories. Enjoy losing weight comfortably, without hunger or cravings.
It is recommended that you start your day with a nutritious low-carbohydrate meal. Note that many medications and nutritional supplements need to be taken with food at each meal, or three times per day.

IMPORTANT TIPS AND REMINDERS
The following items are NOT on the diet: sugar, bread, cereal, flour-containing items, fruits, juices, honey, whole or skimmed water, milk, yogurt, canned soups, dairy substitutes, ketchup, sweet condiments and relishes.
Avoid these common mistakes: Beware of "fat-free" or "lite" diet products, and foods containing "hidden" sugars and starches (such as coleslaw or sugar-free cookies and cakes). Check the labels of liquid medications, cough syrups, cough drops, and or other over-the-counter medications that may contain sugar. Avoid products that are labeled "Great for Low-Carb Diets!"

LOW-CARB MENU PLANNING
What does a low-carbohydrate menu look like? You can plan your daily menu by using the following as a guide:

Breakfast
Meat or other protein source (usually eggs)
Fat source 裕his may already be in your protein; for example, bacon and eggs have fat in them. But if your protein source is "lean," add some fat in the form of butter, cream (in coffee) or cheese.
Low-carbohydrate vegetable (if desired)裕his can be in omelet or a breakfast quiche.

Lunch
Meat or other protein source
Fat source - If your protein is "lean," add some fat, in the form of butter, salad dressing, cheese, cream, or avocado.
1 to 1 ï½½ cups of salad greens or cooked greens
ï½½ to 1 cup of vegetables

Snack
Low-carbohydrate snack that has protein and/or fat.




Dinner
Meat or other protein source
Fat sourceæ‚*f your protein is "lean," add some fat in the butter, salad dressing, cheese, cream, or avocado. 1 to 1ï½½ cups of salad greens or cooked greens
ï½½ to 1 cup of vegetables

A sample day may look like this:

Breakfast
Bacon or sausage
Eggs

Lunch
Grilled chicken on top of salad greens and other vegetables, with bacon, chopped eggs, and salad dressing

Snack
Pepperoni slices and a cheese stick

Dinner
Burger patty or steak
Green salad with other acceptable vegetables and salad dressing
Green beans with butter

READING A LOW-CARB LABEL
Start by checking the nutrition facts.

Look at serving size, total carbohydrate, and fiber.
Use total carbohydrate content only.
You may subtract fiber from total carbohydrate to get the "effective or net carb count." For example, if there are 7 grams of carbohydrate and 3 grams of fiber, the difference
yields 4 grams of effective carbohydrates. That means the effective carbohydrate count is 4 grams per serving.
No need to worryé*�t this pointé*�bout calories or fat.
Effective carbohydrate count of vegetables should be 5 grams or less.
Effective carbohydrate count of meat or condiments should be 1 gram or less.
Also check the ingredient list. Avoid foods that have any form of sugar or starch listed in the first 5 ingredients.

Sugar by any other name is still sugar!
All of these are forms of sugar: sucrose, dextrose, fructose, maltose, lactose, glucose, honey, agave syrup, high-fructose corn syrup, maple syrup, brown-rice syrup, molasses, evaporated cane juice, cane juice, fruit-juice concentrate, corn sweetener.
 
   / Diabetes #32  
I know that a fatty diet rarely makes one skinny, but I didn't know until recently that eating sugars
was worse for adding on pounds than fat. Fat has always been the big boogeyman, but with that magic little statin pill
we seem to be able to control that problem. No magic pill for sugar and diabetes. It's called celery...

Decades ago I listened to the "experts" about avoiding fat and protein and I have been fighting the results ever since. Now, my granny always said all things in moderation and I think she was right. She also talked about the three evil white foods, white rice, white flour and white sugar. She was saying those things for as long as I can remember and who knows how long she was saying it before I came along. At least 40 years.

I agree that "diets" are usually a waste unless they motivate one to change their eating behavior long term.
I'm now trying to eat a salad almost every night, and I'm skipping traditional deserts. Nor do I eat snack food.
It's the breads that I find so hard to give up, the English muffins in the morning, the sandwich bread for lunch.
It may be 18 grain but it's still lots of carbs.

When I moved to NC, I started eating bagels everyday for breakfast, some times for lunch and dinner too. :licking::shocked: I do miss those bagels. :laughing: One day, I stopped at the bagel place and noticed a French bakery had opened up in the same shopping center. The bagel place was busy so I went to the French bakery. <Insert Evil Music> :laughing::laughing::laughing: I was done. :laughing::laughing::laughing: For years, I would eat at least once a day from the bakery, and many days it was two or three times. :shocked::laughing::laughing::laughing: I swear I kept them in business for their first six months.

The baker is from France and trained in a baking guild. To say he can bake bread is an understatement. Real French bread in NC it is. :laughing::laughing::laughing: We ate more than our fair share too. :licking:

We got to know the owners of the bakery and we miss them and the bread since we moved. While I miss the bread, it likely is a good think we moved. :D

I retired to the South a few years ago. What a huge change, unfortunately not a healthy one, in restaurant menus.
Vegetables seem to always have the magic three added, fat, sugar and salt.
Meat cuts are never trim. It's like, don't waste that good fat...

I can only eat so much fat, especially animal fat, because it will make me feel bad. This is good and bad I suppose. The problem with traditional Southern food is cooking veggies to a soggy mess, usually in fat. :confused2: Makes me sick it does and I don't like the veggies cooked that way.

I get so much exercise walking around my property during the day it's hard for me to think about getting on my treadmill, but I really have to.
In the past I have found that getting exercise, and not necessarily a lot of it either, being careful about what I ate, and drinking extra water helped me lose weight.
So I was wondering if extra water also might help sugar levels. Though i don't think dilution is the solution...

Seriously consider getting a pedometer and see how much you walk and for how long. It really has helped me. Saturday, I was a slug, but at the end of the day, I started pacing the house and got my 10,000 steps and 4.91 miles. :laughing: Without the pedometer I don't think I would have walked as much as I did.

I have found that drinking lots of water when eating dinner does fill you up. Duh. I need to get a government grant to make a "study." :laughing::laughing::laughing: I don't eat much dinner anyway, but I will be drinking the CO2 water and I find I will drink 2-3 pints with dinner which is a bit filling to say the least. :rolleyes::laughing::laughing::laughing: I did not plan on drinking the water to make me feel full but it just kinda happened and I noticed. If you feel full, you ain't eating, and if you ain't eating, you ain't eating carbs. :laughing::laughing::laughing:

Glad you started this discussion since it made me look at my lab results and my glucose is just out of where it should be...

Later,
Dan
 
   / Diabetes #33  
We did the same thing with my mom by putting her on a whole foods plant based diet that was low fat. The diet in the video forgets several things. What is the plaque in your blood vessels made of? Fat. I can't see curing one thing to kill yourself with another. Animal protean feeds cancer, The more of it you eat the more chance you have of developing cancer. Look up "The China Study" It is the largest study on the effects of diet on health ever done. the results are surprising. Ed

Plaque in your blood vessels comes from excess carbs which built up too many triglycerides, themselves the result of insulin resistance that comes from too high of blood sugar, which comes from carbs that spike the blood sugar.

China Study wise, take a look at the following link.

http://well.blogs.nytimes.com/2008/07/21/gary-taubes-on-the-latest-diet-study/

What is interesting about this link is the discussion Holly and Eric Westman have about the China Study back in 2008 before the TED talk and before Dr. Westman gained notoriety for his obesity clinic and reversing diabetes medical practice, and before Gary Taubes published.

Gary explains the Asian rice thing, writing,

"In the China Study, which is often evoked as refutation of the carb/insulin hypothesis, the Chinese ate virtually no sugar. In fact, sugar consumption wasn't even measured in the study because it was so low."

"The point is that when researchers look at traditional populations eating their traditional diets whether in rural China, Japan, the Kitava study in the South Pacific, Africa, etc and find relatively low levels of heart disease, obesity and diabetes compared to urban/westernized societies, they're inevitably looking at populations that eat relatively little or no refined carbs and sugar compared to populations that eat a lot. Some of these traditional populations ate high-fat diets (the Inuit, plains Indians, pastoralists like the Masai, the Tokelauans); some ate relatively low-fat diets (agriculturalists like the Hunza, the Japanese, etc.), but the common denominator was the relative absence of sugar and/or refined carbs. So the simplest possible hypothesis to explain the health of these populations is that they don't eat these particularly poor quality carbohydrates, not that they did or did not eat high fat diets. Now the fact that some of these populations do have relatively high carb diets suggests that itç—´ the sugar that is the fundamental problem. Ultimately we can only guess at causes using this kind of observational evidence. To know anything with certainty we'd need the kind of randomized controlled trials I yearn for in the epilogue of GCBC [Good Calories, Bad Calories].

https://proteinpower.com/drmike/2008/11/17/gary-taubes-responds/

The thing to remember the LCHF diet is used to reverse the consequences of eating a high carb, low fat diet that has led the western world into an epidemic of obesity and diabetes. The Asian diet was never high in refined sugars and carbs which have driven the western world to poor health and increased cancer risks due to the rise of metabolic syndrome (increased blood sugars that trigger insulin resistance, leading to increased insulin which causes the body to convert blood sugar into triglycerides and store triglycerides as fat, leading to a cycle of even greater insulin resistance and so on.
 
   / Diabetes #34  
You can ask for a bunless burger at many places now a days. So many people have done low/no carb diets and the places serving burgers have adjusted. Usually they wrap the burger in lettuce instead of a wheat bun.

I think the "experts" have also gone too far with reducing salt intake. Having said that, we have TOOOOO much salt in food. It is just put in so much processed foods. This is even worse with sugar. Sugar is just everywhere in process foods. I am surprised they have not started coating steak in sugar. :rolleyes:

When we went to China, we ate in mom and pop restaurants, higher end chain restaurants, and hard to believe, McDs! :shocked: There was KFC near where we were staying but we did not go there. :laughing::laughing::laughing:

With the exception of McDs, what really stood out to us was that we could taste the LACK of salt and sugar in the foods we were eating. I never saw a salt shaker on the table. There was a soy sauce factory near the place we were visiting but to over salt something with soy sauce would taste disgusting. The soy sauce was used sparingly to flavor food, not adulterate it like happens in the west with salt and sugar.

We lost weight spending a week in China. We did a fair amount of eating, including noodles most lunches and "pasta" via Dim Sum that we had several times. :licking: The noodles SEEMED to be whole grain of some type. Very good and filling. :licking: We did a fair amount of walking but I don't think we did that much more, if any, compared to what I do today. The only reason we could figure out for the weight loss was the lack of sugar in the food. It just was not there....

Later,
Dan
 
   / Diabetes #35  
....

Gary explains the Asian rice thing, writing,

"In the China Study, which is often evoked as refutation of the carb/insulin hypothesis, the Chinese ate virtually no sugar. In fact, sugar consumption wasn't even measured in the study because it was so low."
...

That right thar is interesting and backs up what we noticed in our visit to one area in China. We really noticed the lack of sugar in foods. It really stood out and we lost weight in spite of eating a big lunch and big dinner most days. I usually have a big breakfast but over there I was eating two hard boiled eggs for breakfast, which is less than I usually do. Lunch was often a noodles dish with some veggies, chicken/pork, I hope it was chicken/pork, :laughing::laughing::laughing:, and a fried egg. My guess was that the noodles was made from whole grain buckwheat but that is a guess. The noodles were brown and not light color like western pasta. Dinner was often a big group event with a fair amount of food. I don't like to overeat, and overeating in the area of China we visted is viewed as a bit rude, so I don't think we pigged out. Having said that, we surely did eat quite a bit. :licking:

One morning we had Dim Sum for breakfast. :licking: Really good. The sweet buns they had looked like they were made with white rice flour with a quarter size glob of sweet bean curd/pork paste on the inside. Really good. :licking: But not really sweet either. Certainly not sweet by Western standards. The sweet "bun" was a baseball sized sphere so there was huge amount of carbs.

We saw fat people in China but we did not see MANY fat people in China. It really was obvious that the population was right sized. The people who were fat seemed to have money based on their clothes and what they were doing so I think they could afford to buy/eat fashionable western food. Going to McDs was a treat for most people since it is not cheap food in China. I can't remember the prices but it seems like a meal would cost a good portion of what a Chinese welder made in a day.

Later,
Dan
 
   / Diabetes #36  
Thanks Eric,
Wish I could find something cheap to take the place of bread.
 
   / Diabetes
  • Thread Starter
#38  
I am drinking my last cup of coffee for the day with a dose of agave syrup.
Label says it is low glycemic (meaning exactly what?) and is slowly absorbed into the blood stream.
Well perhaps relatively slow, but each "serving" of 21 grams was 15 grams of carbs.
Trying to experiment with other means of sweetening my coffee. Currently with non fat half and half, again
excessively loaded with carbs and sugars. No wonder my smart friend who has studied this only uses full cream...

Late breakfast, went to local blue collar restaurant where the tenderloin biscuit was a nice very lightly breaded slice of pork on a home made biscuit.
With gravy on the side. At first I said no gravy, just out of habit. But then, thinking again, fat is satisfaction...I had some on the side, dunked my biscuit
in it, it was utterly marvelous, and I wasn't hungry for at least six hours. And I only ate one half of the biscuit.
I guess fat sticks with you. The problem is other ways it sticks to you.
Have we handled the plaque in the artery problem? When shouldn't you go on a low sugar diet?

Earlier today I had a lite yogurt, which I have been eating for years, and the number four ingredient was sugar and despite 90 calories
it was loaded with carbs. Time to try a different brand and read the labels more closely.

I was amazed and a bit dismayed to see each time I ate how much sugar I was eating. And I don't eat junk food at all.
Wow, no wonder folks are having problems with this.
We seem to need to go back to how we ate one hundred years ago and start making "real" food again.
Of course if Mom is working she is pressed for time to cook that all natural sauce down for hours before dinner...
More like Swansons or something faster. And we all know what is in those fancy "tv dinners".
Maybe the diet ones are ok, makes sense...., guess I need to look in there.
Gosh, four bucks for five ounces. Yum
 
   / Diabetes #39  
Yogurt is no fat. That's why it's added sugar. To make it taste good. Same with all low fat stuff.

Forget what you think about fat. It's not bad. Eat as much of it as you can. It's doesn't "stick to you" and it doesn't clog your arteries.

Gravy is made with wheat flour. That's basically poison. Sorry.

Eggs and bacon is great. Pancakes and syrup are horrible.
 
   / Diabetes #40  
Eggs and bacon is great.

Speaking of: take a cupcake pan, wrap a piece of bacon around the edge of each cupcake hole and then pop in a an egg. Spice to suit and into the over at 350°F for 25 minutes and you have low mess bacon and eggs.
 

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