Wednesday, February 13, 2019

How I learned to Control my T2 Diabetic Blood Sugars


I learned that I was diabetic because my mother is thrifty. She was and is ‘addicted’ to constant doctor visits, and she does what she is told. When she had a bad cholesterol reading, she obediently went on a statin drug— and promptly got full-blown diabetes. 

She controlled her diabetes with pills, got bad low-fat-based nutritional advice, and learned to test her blood sugar every morning with a blood sugar meter. When her ‘health-care provider’s’ corporation moved the patients on to a different brand of blood sugar meter, she gave me her old one because, as someone who grew up during the Great Depression, she wasn’t going to take a thing that was worth money and throw it away.

I tested my blood sugar one day just for kicks— it was over 300. Scary! So I went to mom’s ‘health-care provider,’ a nurse-practitioner, and she put me on Metformin— one of the few diabetes pills that doesn’t make you gain weight.

I had already learned about low-carb living, since I’d bought copies of various Atkins diet book from St. Vincent de Paul thrift shops. I KNEW that my weight problem already showed that my body had a problem handling carbohydrates. 

As a child I had read a REALLY old home medical book my mother had, that had two or three whole chapters about diabetes, which was very keen on the discovery of insulin injections which was new when the writer was younger. I learned that diabetes was a disease where you had to ‘give up sugar forever.’ As I grew older and learned about Atkins and low-carb, I knew that carbs in general were the problem, not just sugar and not just ‘added sugar.’

The Metformin did bring my blood sugars down. I tested my blood sugars about 3 times a day when I was ‘being good.’ I was mostly eating less carbs, but my father had recently died and so I felt I had to go out to eat with my mom a lot. We do not have fancy restaurants where we live; going out to eat meant eating hamburgers, fried chicken or a fish fry. Carb city!

I got a second blood sugar pill added. In time I realized that the only way to get good blood sugar readings was to be on strict keto as well as taking the pills. Which I mostly did.

I had a bad kidney test, and was sent to a series of nephrologists (kidney specialists.) After a lot of angst, my most recent and least competent kidney doctor took me off all meds— she said that the Metformin probably damaged my kidneys. She also said that no diet change would help my kidneys, and that I needed to prepare to go on dialysis. 

I was scared to go off my meds, but I found that going off, while staying on strict low-carb/keto, made no difference. My blood sugar was controlled by my diet, not the presence or absence of pills. And my kidney tests improved when I was strict with my diet. My kidney doctor didn’t believe that result, though my ‘health-care provider’ (physician assistant) did notice that. So I let that particular kidney doctor go though I kept the ‘health-care provider’ (because I’m on Medicaid, I can only change ‘health-care providers’ once a year, and they won’t tell me when.)

I read “Dr. Atkins Diabetes Revolution” when it came out, and the two books by Dr. Richard Bernstein, “Dr. Bernstein’s Diabetes Solution” and “The Diabetes Diet.” Both were very helpful in getting me to get my diabetes under control through diet. I noticed, though, as I grew older the low-carb diet I had been doing for years took longer to take effect when I restarted after going off the diet. Carb binges did more damage, and had longer lasting effects. Just a part of getting older.

The final piece of the puzzle was when I read Dr. Jason Fung and Jimmy Moore’s “The Complete Guide to Fasting.” Fasting brought down bad blood sugar numbers quicker than keto alone. And when I started fasting, already being in ketosis, the fasting was easy. In fact, on a keto diet I often skipped mealtime without thinking about it, if I was already busy with something. 

If you have been diagnosed with T2 diabetes, I hope you will learn to control your blood sugar with your (low-carb, ketogenic) diet instead of with pills that only work for a few years for most people. (My mom, in spite of her carb-filled diet, still gets fairly good blood sugars because of her two diabetes drugs— and since she is 91, I’m hoping the drugs will continue to work for the rest of her life.)

If you are lucky enough, you can find a doctor or a nutritionist who regularly encourages patients to eat low-carb. Ask your current ‘health-care provider’ if they know of someone like this. If no luck, ask your friends if they know of anyone. There are even online lists of keto-oriented doctors and medical people. Look it up, there may be someone good you can get to.

I didn’t have such luck. All the doctors and medical people in my area are part of the same big medical corporation and they don’t seem to have or allow keto-oriented dissenters. So I had to work on learning all about keto for myself through books and podcasts. I did notice that once I lost weight and got better blood sugar numbers on a diet that doctors discouraged me from following, they encouraged me to stick with it.

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