D-solve - Solve Diabetes Using Low Carb & Low Insulin Diabetes Management

Low-carbohydrate diet in type 2 diabetes. Stable improvement of bodyweight and glycemic control during 22 months follow-up.

AbstractDue to failure to achieve control twenty-two patients with type 1 diabetes with symptomatic fluctuating blood glucose started on a diet limited to 70-90 g carbohydrates per day and were taught to match the insulin doses accordingly. The caloric requirements were covered by an increased intake of protein and fat. The purpose was to reduce the blood glucose fluctuations, the rate of hypoglycaemia and to improve HbA1c. After three and 12 months the rate of hypoglycaemia was significantly lowered from 2.9 + 2.0 to 0.2 + 0.3 and 0.5 + 0.5 episodes per week respectively. The HbA1c level was significantly lowered from 7.5 + 0.9 % to 6.4 + 0.7 % after three months and was still after 12 months 6.4 + 0.8 %. The meal insulin requirements were reduced from 21.1 + 6.7 I.U./day to 12.7 + 3.5 I.U./day and 12.4 + 2.6 I.U./day after three and 12 months respectively. Furthermore the triglyceride level was significantly lowered whereas the levels for total cholesterol and HDL-cholesterol were unchanged. Conclusion: the present report shows that a 70-90 g carbohydrate diet is a feasible long-term alternative in the treatment of type 1 diabetes and leads to improved glycaemic control.

This is a wonderful powerpoint presentation by Eric C. Westman, M.D M.H.S. of the Department of Medicine at Duke University Medical Center in Durham NC presented at the American Society of Bariatric Physicians on November 1, 2006.It presents some great scientific research on the topic of GI in comparison to Low Carb diets in the management of diabetes and makes the following astutue analysis (again see the data in the presentation):Very low carbohydrate diets are low glycemic dietsLow glycemic diets are not necessarily very low arbohydrate diets (i.e., a low glycemic index diet may still have 50% of calories from carbohydrate)Effects in normals and diabetics will probably be differentIf “low GI” is better than “high GI,” what about “no GI”

The Insulin Calculator is in two parts: the program “Insulincalc.exe” and the ini file “Insulincal.ini” – both of these need to be in same directory for the program to run. It’s a pretty simple program to use – you configure the program with parameters suitable for the diabetic by going to configuration and entering values in the tabs for “Blood Sugar” (currently only supports mmol/L and not mg/dl--see note below on how to convert) , “Weighting” and “Carbohydrate” for each meal – these are then stored in ini file.Note:To convert mmol/l of glucose to mg/dl, multiply by 18.To convert mg/dl of glucose to mmol/l, divide by 18 or multiply by 0.055.

This PDF contains lots of useful info on intense exercise (focused on cycling) for those with Type 1 and Type 2 diabetes. While it has a lot of good info I would recommend balancing it with the advice given by Dr. Bernstein with respect to exercise and diabetes specifically Chap. 14: Using Exercise to Enhance Insulin Sensitivity .