as an every day way of eating I believe it is.
il tell you what.  if I can get away with working out
the way I want to with out my back messin up again.
I promise you that you will see the maximum results
of what a type 2  at age 42.. (will be 42 this April.)
can do. stick around. but also keep in mind that I am not saying
I agree with the way you are eating and I am not saying I disagree.
I was going to see a dietitian until I found out that my total cholesterol
was only 140.
however if my back allows me I will pay a visit within a month to see her
again.
I can not say in which direction things will go as far as carbs fat and
protein because
I feel that even if I had a clone doing the same exercises - with his likes
and dislikes not to mention
slight differences in activity after work outs will effect
the end result of the diet and will be different than mine.  more then just
the calorie amounts change
as your calories increase.  jmho.. you seem to really be determined to learn
as much as you can about nutrition.
not to put down the advice you received here but from collective knowledge
we all learn.  I do believe I have
posted to online dietitians in the past or better yet sit down with one :).
believe it or not I have even learned a thing
or 2 by watching Alton Brown ( good eats ) not everyday but I do love how he
gets into the science of cooking
and also sometimes nutrition.  its always good to do your own research as
well.

Obviously, the calories are not an issue because you're fit and trim,
son congratties come first.  :-)

I guess my first observation would be that although your % of protein is
 extremely low, because your diet is so high calorie, it's certainly
adequate, even for building and maintenance of muscle.  Your fat is
lower than lipid researchers believe is healthy; fats are essential for
healthy functioning.  In fact, in human nutrition, there are only
essential fats and proteins, but no essential carbohydrate.

I'm going to assume that such a high carb count means you're getting a
lot of them from starches and/or sugars?  If I were to recommend
anything as utmost in importance, it would be to flip those over to
leafy, fibrous, colorful veggies and low glycemic fruits.  I'm keeping
in mind that you may be nowhere near diabetic; I'd tell anyone to ditch
the starches for veggies and fruits, with their zillion times higher
nutrient density.  You can eat boatloads of carbs by volume this way,
getting all the nutritional advantages without the high insulinogenic
effects, and without such a whopping % of diet being carbs.

I'd make up any caloric deficit with nuts, olives, avocadoes, etc. and
similar kinds of fats and oils in dressings, etc.

You sure are a good student!

Susan

422gm of carbs is nothing for a body that is healthy.

My husband isnt diabetic and he can safely eat an
entire med pizza while at work, and wash it down
with 2-3 regular cokes.

Eating carby foods doesn't make one a diabetic.. it's
the LACK of exercise, perhaps a thyroid issue which
causes weight gain.. or for those of us that are T1's
a nasty antibodies invasion.

if you aren't overweight nor on the heavy side.. you
exercise regularly then you really dont have much
too worry about.

Also, a simple infection that your body is fighting off
will cause a slightly higher glucose reading in non-diabetics
which is why 2 over 126mg fasting tests are required for
diagnosis.  Now, how abt go pig out on mc nasty's with
a couple burgers, fries and shake then test at 90mins and
come tell us what your reading is... THAT is closer to being
a true reading if you're leaning the scale towards becoming
a t2 or not.

best of luck.. btw, I'm not overweight... I used to do a lot of
walking which kept weight off and I could eat whatever I
wanted.. .well kind of still do, ;-) --- my carbs for one day
reached 731 once (this was after I was dx'd and added up
one of the many trips to mickyland and weirdo-walk)

RK, t1 Animas pumper

Wow!  Your calories for lunch alone are almost as much as I eat in a day!
When I was pregnant, I was supposed to consume about 225 grams of carb,
broken down to 2 servings for breakfast, 5 each for lunch and dinner and
then 2 snacks of one serving each.  1 serving being 15 grams of carb.  Now I
am not counting non starchy vegetables into that carb count.  I was allowed
4 servings a day of those.  If I ate more than 4 servings, I had to cut back
on the carbs.  I was to count milk and fruit as carbs, although I drank no
milk and ate very little fruit.

I can't remember the total number of calories I was to eat per day, but I
think it was something like 2,000 or 2,200.  This was just far too much food
for me!  I remember sitting there at meals and crying when I looked at all
the food in front of it.  I'd struggle to eat it all and never could, except
for breakfast.  Breakfast was always small and that was doable.  I didn't
even want the snacks most of the time, except for the bedtime snack.  I tend
to stay up late, so I do get hungry after dinner and before bed.

It looks to me that your breakfast and lunch are too far apart.  And your
dinner is too close to lunch, considering the amount of calories you are
taking in at lunch.  You'd probably do better if you moved part of your
lunch carbs and calories to an earlier time.  Ideally, you want to space out
your meals so they are about 4-5 hours apart.

Do you really need to be taking in all those calories and carbs?  Perhaps if
you are really active, you do.  I don't know.

I'll let the others comment. Wow. You really must have an
active lifestyle.

I'd love to see an extra two columns beside each of those
meals:

One hour post-prandial BGs.  Two Hour post-prandial BGs.

Cheers, Alan, T2, Australia.

Well, here's my take. Thus far you have an impaired fasting
bg only?

Just as an aside, my kids eat more carb than you :) But they
are young, skinny and healthy and extremely active.

I have been "lucky" enough to have had a number of  glucose
problems in my life that are considered pre-cursors to
diabetes type 2. In my opinion, if I had known exactly how
to prevent type 2 I would have taken more notice of these
'signs" rather than just treat each individual "pre-cursor".

Ok,

1. I am 52 years old and had reactive hypoglycemia since age
25, right after giving birth to child number 3. It was
tremendously debilitating. A small bowl of oatmeal with
skimmed milk at breakfast would cause me to have the
hypoglycemic reaction half an hour after the meal. I would
literally drop to the ground, all energy totally  gone to
the point my legs couldn't hold me up. I would shake and
slur my words badly. If I was alone I had to crawl to get
food otherwise call a child or spouse.  I eventually learned
how to cope with it (more later).

2. I had gestational diabetes (pregnancy diabetes) 4 times
and one doctor thinks I had it with a 5th (the 3rd child
where I had the first RH episodes right after the birth).
Each pregnancy saw the GD worse than the time before and
appearing sooner in the pregnancy, eventually needing
insulin shots.

3. For a number of years before diabetes I saw my fasting
bg's creep up.

Now, being told I had pre-cursors was helpful - only for the
fact that I knew I would get type 2 eventually. What wasn't
helpful was not being told that it can be prevented.

How can it be prevented? For most people it would mean
watching diet, not gaining weight and keeping up with some
sort of exercise. But that's not the whole story. With
reactive hypoglycemia the types of carb a person eats, how
often and in what quantities matters greatly. Something that
hits the system faster invokes and insulin response that for
the impaired glucatory system can mean you have more than
you need and for a bit longer so wham, bg drops very very
fast. Most of the RH symptoms are from the rapid drop not
the actual resultant bg measurement.

Sooo... logically, invoking insulin responses like that are
something to be avoided. The little and often mantra is
something I heard for years in respect of the RH but I once
again heard it after diabetes diagnosis. In other words,
small amounts of carb and more often are better for people
with glucose problems than 3 meals of higher carb levels.

That brings us finally to the type of carb. Carbs that take
a lot longer to breakdown will have an effect of flattening
any bg rise and lessening the need for the pancreas to try
and squirt out large amounts of insulin. A lot of people eat
to the glycemic index, the GI. Foods lower on the GI will be
the ones most likely to keep the bg's more even than those
that are high GI. Simply put, slow carbs are preferable to
fast carbs. Where is all this leading? Ok, we agree you are
displaying an impairment in your fasting bg's? Eating too
many of the faster carbs like the ice cream and choc syrup
etc can assist in overworking the pancreas. Also the snack
is bedtime? Try to change the bedtime snack to some rye
crackers with say a piece of cheese and your red wine, see
if that makes a difference to your fasting bg's.

Wherever possible try to have carbs that are lower on the GI
and leave the fast, sugary carbs for special occasions. Keep
up the exercise, keep the weight down and you will go a long
way towards preventing a type 2 diagnosis. At this point in
time, with the fact you are maintaining weight on those
calories, I can only see a need to re-adjust your type of
carb and perhaps the frequency. Spreading the same carbs
over more meal/snacks. I think the idea of moving some of
the carbs to the pre workout time sounds good. Then have a
smaller lunch - curious to know what you have for lunch that
is more than the total calories I eat if I need to lose
weight ;)

Not surprising... see explanation below.

Your intake is 668 gms  (24 ounces) plus 5 ounces (the wine) totalling
29 ounces which is 3 ounces shy of 2 lbs.

Therefore the explanation for why you are not gaining weight is that
the amount you are eating is in line with the 2PD-OMER Approach.

Not for me.  On some days, my diet has more than 700 gms comprising of
carbs though the total amount remains in line with the 2PD-OMER
Approach.

Those who play with fire tend to get burned.

Instead, **all** participants of ASD are cordially invited to the
following on-line event that will take place tomorrow from 6-7 pm EST
in Paradise:

http://tinyurl.com/cpayh

There will also be other guest experts participating to field questions
about diabetes.

For those who are put off by the signature, my advance apologies for
how the Lord has reshaped me:

http://tinyurl.com/bgfqt

In Christ's love and service forevermore,

Andrew
--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
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(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129

Yes, testing may reveal your BG rising before, during, and/or after your
workout.

Alcohol is 7 calories per gram plus it will have a small amount of carb in
it and possibly a miniscule amount of protein.

I would break that lunch into before and after workout parts.  The amount of
carb is dependant on your meter.  The types of carbs is important, too,
fiber is good, less refined is good.  A lot of us have trouble tolerating
carbs in the morning.  The thing that strikes me about your snack is it
seems mostly carbs, sugar and flour, with little protein and fat to slow it
down.   That could factor into your FBG.    If you run low in the middle of
the night you can get a liver dump plus the dawn phenomenon from the usual
morning hormone surge.

Hi,

I don't keep up with this board very well, so I don't know what your
previous posts have been, but from reading the replies it sounds like
you are young and fit. Can I ask how young and what you do for
exercise? Are you an athlete? Are you male? Are you very tall?

I'm just astounded at the amount you eat. On days I run 6 miles, I
still take in only about 2000 cals. (I'm 5'5", female.)

I'm not trying to add to your embarrassment about what you ate, but I
would imagine you could get that LDL down and HDL up pretty easily by
eating more healthfully. I mean, to be able to work off 3200 calories
and still have LDL of 135 and HDL of 71 seems out of whack to me.

-Tina