Diabetes in Hibernating Mode

Anna's avatar

I believe that the Diabetes Hibernating Mode can happen under some special circumstances and a little bit of luck. It’s what some call CURE. Cure sounds good but not good enough for me so I went around the net looking for the definitions.

ADA dances around the issue saying that “defining cure of diabetes is not as straightforward as it may seem” and that “the distinction between successful treatment and cure is blurred in case of diabetes.” Meaning that you can easily mistake one for the other. They could have just said that there is no cure for diabetes, period.

What is cure?

Medically, cure is defined as restoration to good health, while remission, on the other hand, is defined as disappearance of the symptoms that might be not permanent and can reappear. It is believed that only acute illnesses can be cured while chronic ones can be only put into…

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Don’t be stuck for words on your holiday with Duolingo

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Duolingo is a free site that offers you easy to do chunks of language learning in your own time.

Going on holiday with diabetes, particularly if you use insulin, can be trickier than average, so a little basic language can help you a great deal if you need to see a doctor or visit a pharmacy.

Duolingo gives modules on all of the basics that you can cover in 5-20 minutes a day. You set your own learning goals. You can even compete with your friends.

Food, directions, feelings, sports and medical words and phrases are all covered, as indeed are many other topics. For more advanced learners tenses are covered in more depth towards the end of the course.

All European and Scandanavian languages are covered. So are Russian, Ukrainian, many Asian and African languages. You can even learn Esperanto and Klingon! (Well you never know…)

 

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Avocado, pancetta and pine nut salad

 

pine-1088680_960_72012 slices pancetta                              50g pine nuts

balsamic vinegar                                olive oil

6 ripe avocados                                  4 big handfuls baby spinach

Serves 4

 

  1. Heat a frying pan and fry the pancetta till crispy. Remove from pan and set aside. In the same pan, lightly toast the pine nuts.
  2. Combine 1 tbsp balsamic vinegar with 2 tbsps olive oil and season with salt and black pepper.
  3. Taste to make sure dressing is balanced.
  4. Lay out avocado on serving plates, sprinkle over spinach leaves, pancetta and toasted pine nuts. Season well and drizzle dressing over.

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Can young or thin people get type 2 diabetes?

Anna's avatar

If you think they can’t, think again.

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There is a certain stereotype of a person afflicted with type 2 diabetes as being overweight and inactive, like a couch potato chain-munching on Twinkies, and may be even smoking at the same time.

And the breaking news is, thin people get it, too.

The risk for developing type 2 diabetes is smaller if you’re thin but still, it’s real.   There is no standard definition for thin, says Everyday Health website.   Besides, weight isn’t the only contributing factor; this has to be in your genes.   If your parent or a sibling has T2D, you have at a greater than 3 times higher risk of developing it, too, compared with those that have no family history.

Genetics may explain why (some) thin folks develop type 2 diabetes while (some) of the overweight ones don’t.  And that is the truth.

Then there are lifestyle choices that…

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Drugs that change your weight

Researchers conducted a systematic review and meta-analysis  of 257 randomised controlled trials and  summarized the evidence about commonly prescribed drugs and their association with weight change.

They included 257 randomized trials (54 different drugs; 84,696 patients enrolled). Weight gain was associated with the use of: amitriptyline (1.8 kg), mirtazapine (1.5 kg), olanzapine (2.4 kg), quetiapine (1.1 kg), risperidone (0.8 kg), gabapentin ( 2.2 kg), tolbutamide (2.8 kg), pioglitazone (2.6 kg), glimepiride (2.1 kg), gliclazide (1.8 kg), glyburide (2.6 kg), glipizide (2.2 kg), sitagliptin (0.55 kg), and nateglinide (0.3 kg).

Weight loss was associated with the use of: metformin (1.1 kg), acarbose (0.4 kg), miglitol (0.7 kg), bupropion (1.3 kg), and fluoxetine (1.3 kg).

For many other remaining drugs (including antihypertensives and antihistamines), the weight change was either statistically nonsignificant or supported by very low-quality evidence.

 

JP Domecq. The Journal of Clinical Endocrinology and Metabolism Drugs Commonly Associated With Weight Change: J. Clin. Endocrinol. Metab. 2015 Jan 15;100(2)363–370, From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Published in Diabetes in Control Feb 1Metformin_500mg_Tablets

 

Dana Carpender: how can low carbers overcome difficulties?

Chris_Sharma_Climbing_in_Yangshuo,_China (1).jpgIn part two of my interview with Dana Carpender, author of several low carb cookbooks, Dana gives words of experience and wisdom concerning lack of support at home, dealing with emotional blackmailers and gives her favourite online resources to help you.

Q. Dana, what do low carb dieters tend to struggle with the most? What strategies help them to overcome these difficulties?

Low carb dieters often feel like the odd man out. This is especially true if they have no support at home, or even face opposition.

I have heard some real horror stories. One that has stuck with me since my self-published days was a woman who wrote to say that she had been morbidly obese and had diabetes, but had committed to low carb, lost a lot of weight, and greatly improved her health. Her husband, for some unpleasant reason of his own, was threatened by this. He would bring home a box of expensive chocolates, open the box, and set it on the sofa next to her. She had taken to slipping a few into a baggie and tucking them under the seat cushion, so her husband would think he was “winning.”

I told her that while I admired her patience and strategic thinking, I would have marched the whole box of chocolates straight to the bathroom and flushed them down the toilet. Let him spend his money feeding the septic tank and maybe he’d cut it the heck out. But then, I’ve never been known to be a shrinking violet.

Support is vital. If a low carber doesn’t find it at home, s/he needs to seek it out. There are hundreds, if not thousands, of low carb Facebook groups and message boards, each with its own culture. Anyone can find a few where they fit in (and quit the ones that aren’t a good fit). A low-carb Meetup (www.meetup.com), perhaps for Saturday brunch, can be a great source of local support. Consider starting one.

It also helps to develop an attitude. No apologizing, no listening endlessly to all the people who are “concerned” that you’re not eating a “balanced diet,” or who parrot “all things in moderation.” A quick “Thanks for your concern,” perhaps — the first time, not the tenth — and then quite deliberately change the subject. (Eventually you’ll very likely be able to say, truthfully, “My doctor says I’m doing great.” When people tell me that a low carb diet will give me heart disease, ruin my kidneys, yadda-yadda, I make big eyes at them and plaintively ask, “When?”)

It helps, too, to read a few blogs or listen to some podcasts that will keep you filled in on the rapidly accumulating research showing just how beneficial a low carb/high fat diet is. Jimmy Moore does a great job both blogging and podcasting. I love Tom Naughton’s Fathead blog. Andreas Eenfeldt’s Diet Doctor is always good for a quick shot of enthusiam, while for geeks like me, Dr. Michael Eades at Protein Power does a terrific job with more detailed medical analysis. Gary Taubes, Dr. Malcolm Kendrick — there are so many smart and credentialed people writing on the topic, there’s no reason to let yourself be scared by the “But all that fat!” boogeyman. Katharine, you are doing one of the most helpful things possible for the low carb community.

Along with feeding your body the right food, feed your brain the right messages.

Sooner or later you will deal with a food pusher. In particular, female relatives tend to do this — Mom, mother-in-law, grandma, etc. You’ll be at Thanksgiving/Christmas/Fourth of July/whatever, and it will start:

“But you can’t diet on a holiday! You have to treat yourself sometime! Anyway, Aunt Suzy made her sweet potato casserole just for you! It’s tradition! You have to have some!” Etc, etc, etc. We all know the 1001 verses to this song.

Be clear on this: It is always polite to say, “No, thank you.” If you feel like you’re being rude, ask yourself how you would react if you were violently allergic to the item being offered, to the point that you would collapse right there from anaphylaxis. Would you feel you were being rude to say “No, thank you?” Would you feel “loved” by the pressure to eat that food, and your health be damned? You would not. You’d wonder if they’d taken out a sizeable life insurance policy on you.

As for “You have to treat yourself,” ask yourself this: Why does no one say this to sober alcoholics? Or people who have finally managed to kick a two-pack-a-day cigarette habit?  Carb addiction is just as deadly. It takes longer, that’s all.

But you know as well as I that the family food pusher will not take a simple “No, thank you” for an answer. There will be endless push-back.

What you must not do is JADE: Justify, Argue, Defend, or Explain. You do not have to justify your choices to anyone, and any argument or explanation will be seized upon as ammunition to argue you out of your stance. Instead, try this neat bit of social ju-jitsu: Say “No, thank you,” and then immediately change the subject. Do this by asking a question of the group at large, or at least of someone other than the food pusher.

Let’s practice, shall we?

“You always loved my homemade banana bread! I made it just for you! You have to have a slice!”

“No, thank you. Hey, does anyone want to hit the sales first thing tomorrow?”

“You can’t diet on Thanksgiving! You have to have at least one piece of pie!”

“No, thank you. Hey, has anyone seen cousin Jamie’s new baby? Any photos?”

“Just a little bit won’t hurt! I made it from Grandma’s recipe!”

“No, thank you. Hey, Henry – you’re graduating this year, right? Have you started applying to colleges?”

I recommend you come up with a list of questions before you attend this sort of event, anything from “Has anyone seen (insert current movie)?” to “I’m thinking of going to Playa Del Carmen on vacation. Has anyone been?” By doing this, you make the food pusher look a trifle obsessed if she continues – she, rather than you, becomes the oddball.

 

Dr Bernstein’s Diabetes University on You Tube

Diabetes in Control Advisory Board member, Dr. Richard K. Bernstein, has recently created, “Dr. Bernstein’s Diabetes University,” a complete course of video classes geared towards patients, which is now available on Youtube. Dr. Bernstein’s Diabetes University Playlist includes these short videos: “Basic Science of Diabetes,” “Values and Methods of Exercise,” “How Much Protein,” plus much more. Just follow this link for more information: Dr. Bernstein’s Diabetes University Playlist
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Dsolve.com back in action

 

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Ryan Whitaker, a Colorado IT specialist, set up the dsolve.com site nine years ago. The aim was to have an online site for low carbing diabetics to share news and resources and to host the educational course that we developed from the experience of Dr Richard Bernstein’s Forum members at the time. At the time this was the first comprehensive diabetes educational course to go online. And best of all it was free, and still is.  This course, the How to.. course now features on diabetesdietblog. com.

After an absence of two years we are very pleased to say that dsolve.com is back in action.

Feel free to pay a visit.

Ryan is one of the many type one diabetics who has had excellent blood sugar control as a result of following a low carb diet and using insulin techniques originally developed by Dr Bernstein.  These are explained in the course material and of course in our book Diabetes Diet.

Diabetes duration and control affects intellectual decline

 

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People who have diabetes diagnosed in midlife have a higher risk of cognitive decline over the following 20 years compared to people with normal glucose levels. A prospective study done in the USA showed that there was a 19% increased risk of cognitive decline over the 20 years for those who had diabetes. This meant that having diabetes aged cognitive function by about five more years than normal.

The level of decline was associated with the degree of control of the diabetes. Those with HbA1cs over 7% were more at risk than those with a better degree of control.  Increased duration of diabetes also led to a higher risk.

The study reviewed 13,351 year olds who were aged 48-67 at the start of the study for 20 years. Associate professor of epidemiology Elizabeth Selvin of John Hopkins University said of her findings, ” The lesson is that to have a healthy brain when you are 70, you need to eat right and exercise when you are 50. Maintaining cognitive function is a critical aspect of successful ageing. Preventing diabetes and improving glucose control in people with diabetes offers important opportunities for preventing cognitive decline and delaying progression to dementia”.

 

Low-Carb Almond Chocolate Truffles

Chokladbollar

 

Almond Chocolate Truffles

  • Difficulty: easy
  • Print

  • 1 cup whipping cream
  • 50 g dark chocolate
  • 25 g butter
  • 1 teaspoon vanilla extract
  • 3 cups ground almonds
  • desiccated coconut

Heat the cream, add chocolate and stir until it is melted, add butter and stir until you have a truffle texture.
Add the vanilla and stir in the almond flour, you may need a bit more almond flour if the mixture is still too soft. Roll into balls. Dip the balls into the coconut flakes. Keep in the fridge. Eat. Enjoy.