Saturday, September 29, 2012

a post in which i will collect yummie low carb recipes

this recipe makes something with the texture of french toast/apple fritters out of eggplant.  at the family farm there is tons of free eggplant i'm going to get tomorrow and try this out!!!!

again the incomparable jenny ruhl has lots of yummie suggestions:

for the above cheese cake:  "...substitute DaVinci sugar free syrup for the sugar and bake for a few minutes longer than usual. Instead of graham crackers, use a crushed nut crust made by chopping walnuts or almonds and pressing them into the pan."  -thanks Jenny!

also from Jenny:  Homemade low carb cocoa (Hershey's cocoa, Davinci syrup, and half and half)

Saturday, September 15, 2012

who will get diabetes- what points the way

The 1-Hour Glucose Tolerance Test Not the Fasting Glucose Testing Accurately Identifies Diabetes Risk

Most doctors who screen you for diabetes give you a fasting glucose test or an A1c test--though the American Diabetes Association specifically states that the A1c test should not be used for diagnosing diabetes. But research published in 2008 that was based on studying a group of 2,442 subjects who were free of type 2 diabetes at the beginning of the study found that fasting glucose tests were a very poor predictor of who in this group would develop diabetes. 

The researchers found that people whose one hour glucose tolerance test results were over 155 mg/dl and who had markers for metabolic syndrome--such as a concentration of fat around the belly and high blood pressure were those who were more accurately predicted to be likely to develop diabetes. 

Fasting Versus Postload Plasma Glucose Concentration and the Risk for Future Type 2 Diabetes Muhammad A. Abdul-Ghani et al. Diabetes Care 32:281-286, 2009 DOI: 10.2337/dc08-1264

the above is from Jenny Ruhl's site

what i have learned about diagnosing diabetes- mostly thx to jenny

this is what i have learned:

1. test your blood glucose with the most accurate meter you can get. in the diabetes solution book dr. bernstein doesn't recommend a meter since he says the technology is always improving. dr. bernsten says in the book to call his office and his secretary will tell you what they are currently recommending. his number is: 914 698 7525. as of now his secretary says he recommends the accuchek viva. so the strips are a little expensive. nov 2011 consumer reports mag also lists this meter as one of the most accurate. could be 15 point off in either direction and this is the most accurate!!! that means a reading of 85 might mean anything from 70 to 100. so you want to shoot for 85 because 70 to 100 is the healthiest range we can shoot for with the current technological accuracy of meters.

2. don't share a meter with someone- you never know if they have a blood borne disease and you don't know if you sterilized the meter/lancer well enough. i'm on the careful side and i can afford an $18 meter for peace of mind.

3. realize plenty of people can have a normal fasting glucose but also have high, even damaging post prandial blood glucose numbers that they don't even know about. don't just depend of the fasting glucose test.

4. don't just depend of the A1c test either since it is an average of blood glucose levels and doesn't reflect spikes. it is years of blood sugar spiking over i believe 140 which damages organs. my mom has delayed stomach emptying since her vagus nerve has been damaged by high blood sugars. that makes taking insulin even harder for her- she has to be careful not to give herself too which would risk life threatening low blood sugar.

5. if your numbers look good on fasting blood glucose, the A1c, and your do-it-yourself post eating testing, you still need to test how much insulin your pancreas is pumping out. maybe you have good numbers because of a massive amount of insulin your pancreas has to put out because you are insulin resistant. professor de vany recommends the fasting insulin test. i have seen the c peptide test recommended by bernstein for this. i don't know if one is better than the other or not. hence the title of this thread.

6. here is the kicker for me. if you only get the fasting insulin test that professor devany recommends- it still may not be revealing enough. professor de vany says a low fasting insulin result means you are insulin sensitive. but what if you have a low level of fasting insulin because your pancreas for whatever reason ( like auto immune disease casuing beta cells to be destroyed as in LADA; beta cell burn out)is not pumping out sufficient insulin? then a low fasting insulin level can be a sign of disease. on the NMR lipoprofile test i got an insulin resistance score of 2. that means i'm not insulin resistant. i should be putting up great post prandial numbers if i am that insulin sensitive, shouldn't i? my lipid numbers are all excellent and not indicative of insulin resistance. so in that case, more extensive testing needs to be done. now i have to go around begging medical professionals for GAD antibody tests.

- i'm laying this all out so that if anyone sees any flaws in my logic that can point it out to me as andrew has been. it would make my life easier to be proven wrong.