A report in BMJ Open Diabetes Research and Care Sept 2017 shows that in type two diabetes, eating sugar and starch later in the meal halved the blood sugar spike after the meal compared with those who ate the sugar and starch first.
This study was done on 16 people who ate test meals of protein, vegetables, bread and orange juice. Those who were instructed to eat the bread and juice last also had 40% lower post meal glucose levels compared to those who ate all of the meal components in a mixed fashion.
My comment: This is a small study but easily reproducible with yourself and your blood glucose meter. If you do wish to eat sugar and starch best have these last, unless you are treating a hypo.
A landmark decision this week—the American Diabetes Association (ADA) has decided to back low-carb diets for type 2 diabetics.
Diabetes.co.uk reported the announcement this week. The charity has produced a report, ‘Nutrition Therapy for Adults with Diabetes or Prediabetes: A Consensus Report (Consensus Report)‘, published in the journal Diabetes Care.
Last year, the ADA acknowledged the low-carb approached as beneficial for treating type 2 diabetes. The new report goes further, stating that diabetes-focused nutrition therapy is a crucial part of overall diabetes management.
Previous high-carb recommendations
Previous dietary guidelines have focused on high-carb diets for people with or without diabetes.
The report says: “Reducing overall carbohydrate intake for individuals with diabetes has demonstrated the most evidence for improving glycemia and may be applied In a variety of eating patterns that meet individual needs and requirements.
“For select adults with type 2 diabetes not meeting glycemic targets or where reducing antiglycemic mediations is a priority, reducing overall carbohydrate intake with low- or very low-carbohydrate eating plans is a viable approach.”
The report also says it is important to eat non-starchy vegetables, minimise the intake of added sugars and refined grains, and choosing whole foods instead of highly-processed foods.
As one of the authors of the paper, Dr Laura Saslow from the University of Michigan was also the author of a research paper published last year which revealed that 26 percent of users of Diabetes Digital Media’s Low Carb Programme put their type 2 diabetes into remission after a year. Remission was defined as reducing HbA1c to normal levels while taking no glucose-lowering medications or just metformin.
If you’re a low-carb enthusiast (type 2 diabetes or not), you’ll find lots of recipe ideas on this website and you can also buy our book, The Diabetes Diet as a paperback or e-book on Amazon. The book has recipes, meal plans and suggestions for how to adjust insulin when starting on a low-carb eating plan.
JIM NEDVED’S TAKE ON NANCYELLE’S LOW-CARB PIZZA
WITH EGG, CHEESE & HERB CRUST. This is a Neved family favourite which is
delicious, and avoids the excess moisture of cauliflower crusts. You will need parchment or silicone liner and a pizza pie dish with perforations to allow steam to escape.
THIN AND CRISPY PIZZA CRUST
8 ounces mozzarella cheese, shredded
8 ounces cheddar cheese, shredded
(reserve a bit of cheese for sprinkling top, for final 4-5 minute broil)
1 teaspoon garlic powder
1 teaspoon basil, optional
Store-bought spaghetti sauce (lowest sugar content you can find) or use tomato paste.
A bit of olive oil
Toppings of your choice such as:
Peppers (all colors, chopped fairly large)
Italian sweet sausage (raw)
Pepperoni (sliced at store for pizza)
First, pre-bake crust: Mix the cheeses, eggs, garlic powder & basil well. Line 16-inch perforated pizza pan with parchment paper. Evenly spread cheese mixture on parchment, almost to edge of pan, making it as thin as possible. Bake with oven rack in center position at 450 for 15-20 minutes until golden brown. I suggest checking it after about 10 minutes. If it’s getting very dark on the edges and top, turn the oven down to 400 and continue baking until brown all over and no longer pale on the bottom. Pat off any excess grease. Let cool a few minutes. Spread on a 1/2 cup spaghetti sauce with spatula.
Cook toppings – while they’re hot, you’ll top the pre-baked crust with them: Using 2 separate fry pans (1) cook Italian sausage, add pepperoni & warm, thenput onto pre-baked crust which has sauce already on it; (2) in other fry pan, sauté in olive oil your mushrooms, peppers & onions till as done as you want when you eat them; then put onto pizza, on top of meat.NOW INTO THE OVEN FOR A SHORT BROIL: Sprinkle cheese you’ve reserved on top. Keeping oven rack in center position, put in pizza (which already has all the hot ingredients on it) under the broiler until topping cheese & pre-cooked ingredients are bubbly, about 4-5 minutes.
Makes 8 servings
Can be frozen
Nancyelle’s recipe was posted at LowCarbFriends®, a registered mark of Netrition, Inc. On April 5, 2018, Low Carb Friends’ management announced that LCF’s forums would be permanently shut down.
New Year’s resolutions? Pah! One, you can makes changes any time you want, and two, most of us see them as miserable—the lose weight, take up punitive exercise regimes kind. In this part of the world, January is a challenging month. The weather’s dreich, the nights are long and the pennies few and far between. Who wants to add starvation and exhaustion to the mix?
One resolution I do intend to stick to is my campaign to Make Sundays Special again. Years ago, my husband and I used to make a point of doing something on Sundays. He works most Saturdays, so the Sundays were the one day a week we could visit castles, go to Edinburgh, take the motorbike out for a spin, bike to Balloch, drink too much and cycle back via the main road while piddled*. Last year, we fell into the habit of doing nothing. He’d be downstairs catching up on Colombo (why, why, why?), and I’d hide away upstairs working or writing. We added doing the supermarket shopping to a Sunday. As I love food, I don’t mind the supermarket shop but does it belong on a precious day off? I think not.
Cut the screen time
In 2019, I’ve vowed to spend less time in front of a screen. I’m there for work and as a hobby, and I dread to think how many hours I spend hunched over my laptop. On the plus side, I use a standing desk so it’s not as sedentary as it could be. On the other hand, it’s still not healthy. Time to reinstate the Sunday activities, such as:
I have Ben Lomond in my sights. Hill climbing is one of the best activities you can do in Scotland. The Munro is right on my doorstep, and the shame is I’ve yet to climb it.
Three Lochs Walk
I’d also like to walk from Balloch to Helensburgh with Sandy. I’ve done it a couple of times with my friends, and it’s a fabulous walk because of the views you get of Loch Lomond.
We’re members of Historic Scotland and we’ve yet to visit Linlithgow Palace so a train trip there and a pub lunch is in order.
The University of Glasgow offers walking tours. As I work there, it will be fascinating to find out more about this iconic Glasgow building. Another tour that has always piqued my interest is the one you can do of Glasgow Central station. If I book now, we might get there in the summer. (It’s terrifically popular.)
Finally, it’s nice to include special meals in your Sunday plans. As a child, I didn’t like the Sunday roast—probably because it meant sitting at the table waiting for adults to finish so we children could be excused, and I have memories of thick slabs of meat and nasty bits of under-cooked fat. These days, I’m a fully paid up member of the Sunday roast forever club. While the meat is nice, the best bits are the accompaniments – home-made gravy with a decent amount of wine thrown in, roasted parsnips and carrots, crackling if you’re making pork (or just make it as a side dish anyway) and one roast potato as a treat.
Bring on the special Sundays!
What’s your idea of a treat on a Sunday? Is cutting back your time online part of your plans for 2019, and if so what do you intend to do instead?
In the news this week was an article about Vitamin B12 and its deficiency in those with type 2 diabetes*.
A new study by Nottingham researchers has shown that most people (64 percent of those assessed) people taking metformin (for type 2) were not being routinely tested for levels of vitamin B12 in their bodies. The assessment is needed to check for signs of nerve damage, a painful side effect of diabetes. Vitamin B12 is an essential vitamin the body requires to work properly.
The study’s author, Dr Kaenat Mulla from Hucknall Road Medical Centre said: “Current British Society of Haematology guidelines recommend that vitamin B12 levels are checked only when there is clinical suspicion of deficiency. However, peripheral neuropathy is irreversible and it may be too late once symptoms have developed.”
In an article on diabetes.co.uk, she stressed her warning wasn’t intended to discourage people from taking metformin, but she wanted to encourage doctors to monitor vitamin B12 routinely so deficiencies are picked up quickly and can be treated.
Before you all rush to Holland & Barrett to stock up, there are plenty of food sources that are rich in Vitamin B12. And funnily enough, we have a few recipes that feature them… Here’s what you might want to consider.
Liver and kidneys
Animal organ meats are a good source of the vitamin. A lot of people find the taste too strong—and I for one am never going to eat kidneys as their function puts me off—but chicken liver is more delicate than lamb’s for example, and might be more palatable.
Sardines are another source and they are one of the few fish where Omega 3 levels survive the canning process. They are also cheap as chips and packed full of calcium as again the canning process softens the bones enough for you to eat them (and not notice you’re doing so).
Tuna, trout and salmon
More fish products that are super high in vitamin B12. You can find recipes on our site for salmon here and here, and trout here. I prefer trout to salmon as I find the flavour more delicate and it’s a heck of a lot cheaper too.
Milk, plain yoghurt and cheese have decent levels of the vitamin. Make a delicious sweet treat using Greek yoghurt, two teaspoons of good cocoa powder and a tablespoon of granulated sweetener and you’ve got a calcium, protein and magnesium packed pudding. And as for cheese, is there anyone out there who doesn’t love, adore like it? Hard, soft, strong, mild blue or from the cow, goat or sheep, there’s one that suits all. Want to make the most of it? Try our cauliflower cheese, broccoli and Stilton soup or our aubergine and pepper parmigiana.
How do you love animals, hate waste and environmental damage, and yet eat meat, fish, dairy and eggs at the same time?
I ask myself this a lot. I was a vegetarian for years because I called myself an animal lover and meat-consumption didn’t seem to fit. As a long-term lover of vegetables and pulses, I found the food delicious—certainly the stuff I made for myself in the house. I suffered my way through plenty of bad pasta dishes in restaurants staffed by unimaginative chefs.
In 2010, I embraced low-carb living. At first, I only added fish to my diet. You can do a low-carb version of vegetarianism, but it’s limited. Fish added variety and health benefits even if my ethical self shuddered at the thought of being one of ‘those’ vegetarians.
I started eating meat in 2013. The stance didn’t feel as big as a jump as going from vegetarian to eating fish, so it wasn’t such a dramatic shake-up of my internal moral compass. And blimey, bacon… it’s a cliché that many a former vegetarian stumbled at the bacon hurdle and it’s well founded.
The reason for all this pondering is a book I’ve just bought—The Ethical Carnivore: My Year of Killing to Eat by Louise Gray. The premise is that the Daily Telegraph’s onetime environmental journalist decided she would only eat meat she’d killed herself, and the book begins with her first experience of shooting a rabbit.
I’m 75 percent certain I couldn’t kill an animal deliberately. I’m of the generation that’s become completely detached from the animals we put in our mouths. My father shot rabbits and gutted and skinned them, and he could do the same with birds. I have a razor-sharp memory of him standing at the back door, one back foot of a dead rabbit in each hand, and ripping it apart to allow the cats to dig in
Chickens coming to life
Meat’s almost always appeared in front of me packaged, its origins neatly obscured. Handling chickens makes me flinch as I visualise a head sprouting from that gaping cavity or feathers poking through the skin.
Veganism’s argument for greater health benefits doesn’t convince me. An omnivorous diet of unprocessed foods and plenty of fruit and vegetables will provide the same health gains. But I’m still left with the conundrum—how to eat meat that minimises animal suffering and doesn’t cost the planet dearly?
The ethics thing trips me up all the time. Buy free-range eggs—yes, but they clip the birds’ breaks and kill the male chicks at birth in a horrible way, anyway. Buy Red Tractor meat—not according to this article about what it means for animal welfare standards. Eat meat from the Farmers Market—but it’s so expensive. Eat organic dairy—what about the forced separation of cows from calves and what the industry does to male calves?
I’ve only started the book and I’m hoping it will end with a neat set of guidelines. Follow these and you too can be an ethical carnivore kind of thing. I doubt reading The Ethical Carnivore will turn me into a hunter, but if I emerge with a better understanding of what I can do, I’ll be delighted.
How do you deal with the ethics of eating meat? Any tips or advice gratefully received…
Ethics picture – Madhamathi SV and licenced under a Creative Commons Attribution-Share Alike 4.0 International Licence.
Aubergines are fan-flippin-tastic done in a pizza oven. Cut the tops off, half them, score the skin and rub with olive or rapeseed oil, sprinkle with sea salt, wrap in foil and place in the heated oven for fifteen minutes.
Done! The best accompaniment to…well, anything if you love aubergines as much as I do. Traditional matches might be lamb steaks. Or you could wrap up some peppers too and make yourself a big bowl of garlic dip to go with them. Ooh, veggie heaven…
Alternatively, why not try some Baba Ghanoush? Ever heard this aubergine dip referred to as poor man’s caviar? If you’ve tasted the real thing, you’re within your rights to argue the supposed paupers’ option is the much better deal. What would you rather eat—a super silky, lemony-garlicky scented paste you can dip things in? (Fingers if you really must; we won’t judge.) Or fish eggs?
Here’s my version, with an alternative method if you don’t have a pizza oven.
Slice the tops off the aubergines, half them lengthways, score the skin and rub with some of the oil. Wrap in foil.
Slice the onion in half too and wrap in foil.
Either cook in a pizza oven (about 250 degrees C) or place in an oven (180 degrees C). The vegetables will take about 15 minutes in the pizza oven. Unwrap from the foil and place in for a few more minutes to char them.
In the oven, allow about 30-40 minutes. You want the aubergines collapsing. Take the foil off for the last five minutes of cooking.
Scrape most of the aubergines from the skin, although you can keep a bit of it for extra smokiness. Place the aubergines, onions and garlic in a food processor with the rest of the oil, the lemon juice and the tahini. Whizz till smooth.