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Author: admin, 21.12.2014
After the first and second active weight loss ketogenic phases, participants ate what sounds like a traditional Mediterranean diet. A key take-home point for me is that the traditional Mediterranean diet prevented the weight regain that we see with many, if not most, successful diets.
The improved lipids, blood sugars, and lower blood pressure may have simply reflected successful weight loss and therefore could have been achieved  by a variety of diets. The authors attribute their success to the weight-losing metabolic effects of the ketogenic diet (particularly the relatively high protein content), combined with the traditional Mediterranean diet preventing weight regain. The Mediterranean diet is associated with a longer life span, lower rates of coronary heart disease, hypercholesterolemia, hypertension, diabetes and obesity.
The moderator asked his experts twice whether carbohydrate restriction is important, and never got a straight answer. I’m still looking for clinical studies of various diets for South Asians (aka Indian Asians) with prediabetes and diabetes.
Compared to a mildly carbohydrate-restricted American Diabetes Association diet, a very-low-carbohydrate ketogenic diet was more effective at controlling type 2 diabetes and prediabetes, according to University of California San Francisco researchers.
MCCR: American Diabetes Association-compliant medium-carbohydrate, low-fat, calorie-resticted carb-counting diet. LCK: A very-low-carbohydrate, high-fat, non-calorie-restricted diet aiming for nutritional ketosis. Participants followed their diets for three months and attended 13 two-hour weekly classes. By food recall surveys, both groups reported lower total daily caloric intake compared to baseline. The low-carbers apparently reduced daily carbs to an average of 58 grams (the goal was 20-50 grams).
Very-low-carb diets help control type 2 diabetes, help with weight loss, and reduce the need for diabetes drugs.
PPS: Carbsane Evelyn analyzed this study in greater detail that I did and came to different conclusions. This is an invaluable resource for 1) anyone recently diagnosed with type 2 diabetes or prediabetes, 2) those who aren’t responding well to their current therapeutic regimen, and 3) type 2 diabetics who want to reduce their drug use. I have gradually come to realize that most of my sedentary type 2 diabetes patients need to start a work-out program in a gym where they can get some personal attention. The diet advice herein focuses on replacement of a portion of carbohydrates with proteins, healthy oils, and vegetables. As it turns out, 30% of my hospitalized patients happen to have diabetes, at least 95% of which is type 2.
Since I have no outpatient clinic, I have no way of knowing how many of them adopt a low-carb way of eating. If one of my diabetics prefers to eat Bernstein or Atkins-style over my program, I have no problem with that at all. The long-term carbohydrate intake range I recommend for diabetics is 60-80 g of net or digestible carb daily. Rollo’s diet led to loss of excess weight (original weight 232 pounds or 105 kg), elimination of symptoms such as frequent urination, and reversal of elevated blood and urine sugars.
Diabetes and prediabetes always involve impaired carbohydrate metabolism: ingested carbs are not handled by the body in a healthy fashion, leading to high blood sugars and, eventually, poisonous complications. A cousin of type 2 diabetes is “metabolic syndrome.”  It’s a constellation of clinical factors that are associated with increased future risk of type 2 diabetes and atherosclerotic complications such as heart attack and stroke.
Diabetics and prediabetics—plus many folks with metabolic syndrome—must remember that their bodies do not, and cannot, handle dietary carbohydrates in a normal, healthy fashion.
PS:  The American Diabetes Association recommends weight loss for all overweight diabetics.
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Take Charge of Your Diabetes was written to help you take important steps to prevent problems caused by diabetes. You can fit spaghetti squash into both the Ketogenic Mediterranean Diet and Low-Carb Mediterranean Diet.
Other cooks simplify the process and just place the squash halves flat-side down on a baking sheet and cook for 30-60 minutes.
One cup of cooked spaghetti squash has 75 calories (I’ve seen 42 elsewhere), 10 g of carbohydrate, 2 g of fiber, 8 g of digestible carb, 4 g of fat (predominantly MUFA), minimal protein, and a fair amount of vitamins A, niacin, B6, and C. To avoid carbohydrate toxicity—high blood sugar—eat this over spaghetti squash rather than pasta. The Mediterranean-style diet, with a focus on vegetables, fruit, fish, whole grains and olive oil, has proven to reduce cardiovascular events to a degree greater than low fat diets, and equal to or greater than the benefit observed in statin trials.
The only bone I’ll pick with that quote today is that folks with diabetes and prediabetes often have unacceptable blood sugar spikes when they eat whole grains. Most women should undergo a screening test for gestational diabetes around the 24th to 28th week of pregnancy.  Screen earlier if undiagnosed type 2 diabetes is suspected or if risk factors for diabetes are present. The American Association of Clinical Endocrinologists also has a type 2 diabetes treatment algorithm, published in 2013.
PS: My Conquer Diabetes and Prediabetes book is now available on Kindle and other digital formats. Prescribed macronutrients were 25 or 33% carb, 27 0r 31% protein, 41 or 44% fat, and about 91 g carbohydrate.
Average prescribed macronutrient distribution was 57% carbohydrate, 15 % protein, and 27% fat.
Long Term Successful Weight Loss with a Combination Biphasic Ketogenic Mediterranean Diet and Mediterranean Diet Maintenance Protocol. The low-carbers ended up with 58% of total calories being from fat, a number achieved by reducing carbohydrates and total calories and keeping protein the same. Preuss recognizes the primacy of lifestyle modification over drug therapy for type 2 diabetes, as long as drugs can safely be avoided or postponed. He recommends a minimum of 113 minutes a week of low intensity aerobic work, citing evidence that it’s more effective than higher intensity effort for improving insulin sensitivity. HIIT holds great promise for delivering the benefits of aerobic exercise in only a quarter of the time devoted to lower intensity aerobics.
Preuss’s scientific references involved humans, particularly those with type 2 diabetes.
He suggests, if you can tolerate it, drinking straight (undiluted) red wine vinegar or apple cider vinegar – 2 tbsp at bedtime or before carbohydrate consumption. Preuss gave me a free copy of the book, otherwise I have received no monetary compensation for this review. She had some reasonable questions for me and I thought you might be interested in my answers.
I’m writing an article on low-carbohydrate diets for Diabetes Self Management magazine and was hoping to ask you a few questions about your experience treating your patients with the Diabetic Mediterranean and Ketogenic diets.
I do get unsolicited emails from diabetics who have adopted the Low-Carb Mediterranean Diet or Ketogenic Mediterranean Diet, and they report satisfying results with weight management and glucose control. The carb restriction helps me control my weight, and I’m seeing some preliminary evidence that it may help with prevention of dementia and mild cognitive impairment.
John Rollo (a surgeon in the British Royal Artillery) in 1797 published a book, An Account of Two Cases of the Diabetes Mellitus.
Over time, excessive carbohydrate consumption can turn obesity and metabolic syndrome into prediabetes, then type 2 diabetes.
100% Satisfaction Guarantee: If you are not satisfied with the product you purchased for any reason, please contact us for a return instruction within 30 days for a refund. Certified Diabetes Educator Gretchen Scalpi also provides you with techniques for helping children with pre-diabetes gain control of their health. Many diabetics who don’t notice that their blood sugar levels spike too high when they eat pasta. That’s why I favor doing as much as reasonably possible with lifestyle modification, such as diet and exercise, before stacking up multiple drugs. It was smart for the investigators to place that second ketogenic phase just before the typical regain would have started! Carbs were mostly from non-starchy low-glycemic-index vegetables. Protein gram intake was to remain same as baseline. But remember the comparator diet in this study was already mildy to moderately carbohydrate-restricted. Nearly all of these diabetics have an established diagnosis of diabetes and a relationship with an outpatient doctor who is treating it.


An added benefit for diabetics is that they may be able to avoid the cost and toxicity of some diabetes drugs.
The problem is that we live in a highly carb-centric culture: temptation abounds, we form firm dietary habits in childhood, carbs are cheap, and, frankly, many taste very good. He discussed his experience treating a diabetic Army officer, Captain Meredith, with a high-fat, high-meat, low-carbohydrate diet.
I will not be discussing “causes” for the disease specifically in this particular written work but readers can find more about causes and treatments in my companion book titled: “Peripheral Neuropathy Causes and Treatments”. To stay alive, the majority of these people will have to depend on insulin injections for the rest of their lives. Left unchecked, these symptoms could lead to more serious medical conditions such as heart disease, cancer, and diabetes.
The Everything Guide to Managing and Reversing Pre-Diabetes, 2nd Edition can help you find ways to alter your lifestyle and avoid type 2 diabetes. With this expert guide, you can recognize unhealthy behaviors and eating habits–and stop diabetes in its tracks!
For someone who doesn’t know much about diabetes there are a lot of webs sites, magazines, and books that can help you understand better of the nature of diabetes. Many folks with diabetes get unacceptable blood sugar spikes when they eat typical wheat-based spaghetti or other pastas. You’ll probably have to transfer that mix to a pot, then add all remaining ingredients and simmer on low heat for two or three hours.
If you need drugs, and most with diabetes do, lifestyle modification can help you minimize drug use. His science-based recommendations are familiar to me since I reviewed many of his references at my blog, Diabetic Mediterranean Diet. I treat a great variety of problems, like pneumonia, heart failure, cellulitis, pancreatitis, urinary tract infections, headaches, strokes, GI tract bleeding, cholecystitis, altered mental status, out of control diabetes, etc.
Not once in two years has anyone ever contacted me to report they were harmed by the diets or that they didn’t help at all with glucose control. What you don’t eat immediately stays fresh in the refrigerator for at least several days. Avoid that with a spaghetti substitute called spaghetti squash (click for the recipe and nutritional analysis).
If you use the honey or table sugar option below, it will increase the digestible carb count in each cup by three grams. If you have other uses for spaghetti sauce other than over spaghetti squash or grain products, please share in the Comments. If they cut down to 58 grams, they most likely will see more than a 0.6% drop in hemoglobin A1c after switching to a very-low-carb diet. One of every five high blood pressure patients can’t handle normal levels of salt in the diet; they have to cut back or their pressure’s too high.
Kemper, Savage, Niederbaumer, and Anthony (2005) explored differences in knowledge about diabetes among low-income persons who had varying levels of formal education. Whatever your favorite non-caloric sweetener, use the equivalent of two tablespoons of table sugar (sucrose). If there is a warning that diabetic people should consult their doctor before using the product, then do so. The present study proposes to extend Kemper et al.’s study to examine the predictive relationship between diabetes self-management knowledge and level of formal education on depressive symptoms in low-income persons with diabetes mellitus. All of my hospitalized diabetics get a business card referring them to my Low-Carb Mediterranean Diet website (Diabetic Mediterranean Diet).
Results may guide nurses in designing effective diabetic education for low income persons who have varying degrees of depression symptoms and varying degrees of diabetes self-management knowledge.
Prescribed carbohydrate was about 30 grams a day, with macronutrient distribution of 12% carb, 36 or 41% protein, and 51 0r 52% fat. We also consider cost (if you bring it up), convenience, patient preference, what our local colleagues are doing, what other illnesses the patient has, potential adverse drug effects, etc.
B the founder and leader of the modern carbohydrate-restricted diabetes diet movement.) No more than one of every 100 follows Dr.



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