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There's a lot of focus on weight loss as of late; not only in the diabetic community, but in the world in general. New ads for gyms and products claiming fast weight loss come out daily, women feel pressured to lose pregnancy weight within minutes from birthing their children, thin models are being airbrushed until they are nearly unrecognizable and diets are being undertaken without people understanding how/why/if it's really going to be effective. Some of my own friends are chronically doing near-starvation diets to shed weight. People seem to be focused on getting the fat off, but unless long term habits are improved, it's not going to stay off. It's great to fight the obesity epidemic, but we can't allow ourselves to go to the other extreme. Carrying excess weight isn't a good thing, but I think we're losing focus on the importance of health versus aesthetics.
People with diabetes know the score. We've all seen "revolutionary" drugs and treatments introduced with fanfare, and we know that that much of the time they're evolutionary at best. But something has changed in the world of diabetes care.
I've been type 1 diabetic for 15 years. It hasn't been easy and I'm still grasping to keep my feet on the ground medically. Every time I think I've got this disease figured out, something new gets thrown at me and I stumble over and over again. From insulin resistance to pump failures to carbohydrate/insulin sensitivity changes to exercise regimens to health insurance issues to medical bill payments to a seemingly innocent cut on the sole of my foot, etc., I'm getting worn out.
The restriction of protein intake is an outdated thought. It was born of a study by Barry Brenner, at Harvard, back in the 1980s. He did a survey of the diabetologists in Boston asking, "At what blood sugars do you like to keep your diabetics?" The collective answer ultimately was 250 mg/dl.
When I became a type 2 diabetic, I wanted to find a way to manage my weight and blood sugar with diet and exercise. I tried the high carb diet recommended by my doctor and dietitian for a time. It worked wonderfully well while my blood sugar level was high, but when my blood sugar stabilized and I was able to go off medication, I started gaining weight again. The next thing I tried was low carbohydrate dieting. I found it to be a very effective way to lose weight rapidly, but I was unable to endure the regimen for more than a short time.
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