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Medical Forum / Diseases and Disorders / Diabetes / March 2006

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dieticians

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Gary Pewitt - 13 Mar 2006 04:10 GMT
I just got out of the hospital where I was being treated for
diverticulitis and the hospital dietician visited me and enquired
about my meals. I had just gotten off clear liquids and was -very-
hungry. I tested at 87 the morning before my first solid meal.  4
hours afterwards I tested at 277.  I had to have a shot of insulin. We
got to talking and I asked her about the meal which was listed as a
diabetic meal.  It had some nice pork, pasta, sweet potato, apple
sauce, tea with sugar, grape juice, milk,  and cranberry juice.  And
white bread.  I wasn't thinking too well (I blame the morphine) and
ate the whole thing.  She was surprised that I thought the meal
unsuitable for a diabetic.  She had counted only calories (2000) no
thought at all for carbs, fast or slow.  
After I got home and could get on the net I checked the Mayo clinic
web page for diverticulosis and diverticulitis.  White bread is the
worst thing you can eat if you have or don't want to get
diverticulitis.  
I have to go back in on Tuesday for a visit with a surgeon and a
possible operation.  I am thinking of taking a sack lunch.  
73  Gary

Gary Pewitt   N9ZSV
Sturgeon's Law "Ninty percent of everything is crap"
Julie Bove - 13 Mar 2006 05:01 GMT
> I just got out of the hospital where I was being treated for
> diverticulitis and the hospital dietician visited me and enquired
[quoted text clipped - 15 lines]
> possible operation.  I am thinking of taking a sack lunch.
> 73  Gary

That's rather shocking!  I've seen three dieticians and all of them were
keen on the carb count of foods.  And some were rather clueless when it came
to certain things.  For example, they were pushing fat free foods such as
cheese without realizing that those foods contained more carbs than the full
fat versions.  They also had me eating a totally fat free diet, given that I
requested a vegetarian meal plan and then had me adding fat back into my
meals so I'd get enough.  Duh!  I made the switch to real cheese (this is
before I knew of the dairy allergy), real peanut butter, etc.

I'd be curious to know what these dieticians really eat.  The three that I
saw were all very thin and didn't look like they ate much at all.  I do
actually know one person who went to college to become a dietician but this
is not what she does for a living.  She is overweight and if you knew what
she eats, you might be horrified.  She said she didn't go into this business
because while she is good at handing out advice, she can't stick to it.

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Alan S - 13 Mar 2006 05:22 GMT
>She said she didn't go into this business
>because while she is good at handing out advice, she can't stick to it.

Gee - an awful lot of people in service industries,
including medics, would go out of business if that was a
criteria.

Some posters here may have difficulties too (didn't make my
10000 steps yesterday:-)

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
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Alan S - 13 Mar 2006 05:20 GMT
>I have to go back in on Tuesday for a visit with a surgeon and a
>possible operation.  I am thinking of taking a sack lunch.  
>73  Gary

Find a lawyer first. Make sure the lawyer can spell
malpractice.

Yeah - I know you won't make a fuss, but it makes me mad.
Ask Chris J about his hospital meals.

Try ringing ahead and state your needs. If they won't meet
them, then your sack lunch may be the only alternative.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
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Ozgirl - 13 Mar 2006 06:22 GMT
> Try ringing ahead and state your needs. If they won't meet
> them, then your sack lunch may be the only alternative.

I am trying to imagine a sack lunch :)
Alan S - 13 Mar 2006 09:38 GMT
>> Try ringing ahead and state your needs. If they won't meet
>> them, then your sack lunch may be the only alternative.
>
>I am trying to imagine a sack lunch :)

I'm presuming that USA sack = AUS brown paper bag:-)

Now, lunch in the sack is another thing entirely - lots of
fun but also lots of crumbs....

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
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Julie Bove - 13 Mar 2006 10:13 GMT
> >> Try ringing ahead and state your needs. If they won't meet
> >> them, then your sack lunch may be the only alternative.
[quoted text clipped - 5 lines]
> Now, lunch in the sack is another thing entirely - lots of
> fun but also lots of crumbs....

That's what it means in some parts of the country.  But not in others.
Here, if you ask for a sack, you might get a double take.  :)  I only know
the term because I was born in the midwest.
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Julie Bove - 13 Mar 2006 06:44 GMT
> >I have to go back in on Tuesday for a visit with a surgeon and a
> >possible operation.  I am thinking of taking a sack lunch.
[quoted text clipped - 8 lines]
> Try ringing ahead and state your needs. If they won't meet
> them, then your sack lunch may be the only alternative.

I gave up on hospital meals when I had my baby.  I had ordered vegetarian
meals.  Time after time, I got either no meal at all (they forgot to send
it), or something with meat on it.  The only time they ever sent around a
meal card asking me what I wanted was breakfast.  And it didn't matter what
I ordered, I always got the same thing.  Scrambled eggs with bits of ham,
soggy white bread toast, jelly, juice, milk, and coffee.  I'll bet that
hospital must have wasted a ton of money on food that went uneaten!  I did
manage to get a vegetarian meal once, but it was inedible.  It was a
"grilled" cheese sandwich.  The food always arrived under a metal cover.  I
guess it was supposed to keep the food hot, but in the case of toast and
such, all it did was make it soggy.  Luckily there was a fridge there that I
was allowed to use for my food.  I brought in baby carrots, cheese, and a
few other things.  So I didn't starve.

After I had the baby, she had to go back into the hospital for jaundice.
Because I was breast feeding, I was allowed to have three meals a day.  None
of those meals were vegetarian and I found only one to be edible.  It was a
long bun with two meatballs in some red sauce on it.  It sure could have
used cheese, but other than that, not bad.

The best hospital stay foodwise was when Angela went into Children's in
Oakland to have her appendix out.  There, they sent around a menu and you
could order food up until 9:00 at night.  They had tons of kid friendly
choices like string cheese, baby carrots, celery sticks, nachos, etc.  The
portions were very small but you could order as many things as you wanted.
My daughter kept requesting lots of things but she really wasn't up to
eating much and had only a tiny nibble (if that) when the food arrived.  Too
bad other hospitals don't take this approach.

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Freckles - 13 Mar 2006 06:52 GMT
>I just got out of the hospital where I was being treated for
> diverticulitis and the hospital dietician visited me and enquired
[quoted text clipped - 18 lines]
> Gary Pewitt   N9ZSV
> Sturgeon's Law "Ninty percent of everything is crap"

A few months ago I was in the hospital with pneumonia.

I had just been served breakfast when my doctor came to see me.

He told me my BG was terrible and he wanted me to stay in the hospital for
another day or two so he and the other doctors could figure out what
medicines worked best for me.

I told him to look at my breakfast tray. Milk, juices, white toast and
chocolate pudding among other things.
I also pointed out, what the tech had told me the night before. I was
getting breathing treatments which were very heavy in steroids. The tech
told me the treatments would cause my BG to soar, which it did.

Hospitals are no place for sick people.

.
Alan S - 13 Mar 2006 09:41 GMT
>Hospitals are no place for sick people.

Absolutely right.

But I'm having some difficulties convincing them to move the
CT scanner, OR, lab and associated staff into my lounge
room:-)

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
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Jenny - 13 Mar 2006 15:12 GMT
 It had some nice pork, pasta, sweet potato, apple
> sauce, tea with sugar, grape juice, milk,  and cranberry juice.  And
> white bread.  I wasn't thinking too well (I blame the morphine) and
> ate the whole thing.  She was surprised that I thought the meal
> unsuitable for a diabetic.  She had counted only calories (2000) no
> thought at all for carbs, fast or slow.  

Gary,

Write a letter to the director of the hospital recounting your
experience the way you did here, mentioning the AACE recommendations for
hospital blood sugar control (recently published) and demanding that
they send their dietary staff back for some current education.  Threaten
to sue for malpractice.

Years ago when I had my baby in a hospital I was treated by a nurse who
was following out of date medical practice and refused to let me
breastfeed. My doctor asked me to complain to the director of the
hospital, because she said she'd had a lot of problems with this nurse
but unless a patient complained the management would ignore it.

I did complain and I got a very nice letter back that made it sound like
they had paid my complaint some attention. My doctor ended up thanking me.

So let the hospital management know that their dietary staff needs a
major overhaul right now!

--Jenny

http://www.phlaunt.com/diabetes  Diabetes Info

http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood
Sugar Under Control
Ozgirl - 13 Mar 2006 21:10 GMT
> Gary,
>
> Write a letter to the director of the hospital recounting your
> experience the way you did here, mentioning the AACE recommendations
> for hospital blood sugar control (recently published) and
demanding
> that
> they send their dietary staff back for some current education.
> Threaten to sue for malpractice.

And if they do get sent back for training they may come back
sprouting the immortal words "diabetics have the same
nutritional needs as everyone else..." To nutritionists that
means you have to eat lots of carbs to do that, to me it
means I am challenged to find lower carb sources for the
same nutritional benefits. The fact that lower carb
alternatives do exist just does not compute with a heck of a
lot of people in the medical field.
Roger Zoul - 13 Mar 2006 15:47 GMT
:: I just got out of the hospital where I was being treated for
:: diverticulitis and the hospital dietician visited me and enquired
[quoted text clipped - 8 lines]
:: unsuitable for a diabetic.  She had counted only calories (2000) no
:: thought at all for carbs, fast or slow.

More proof that  you can't just trust run-of-the-mill dieticians.  They'll
kill you dead.

:: After I got home and could get on the net I checked the Mayo clinic
:: web page for diverticulosis and diverticulitis.  White bread is the
:: worst thing you can eat if you have or don't want to get
:: diverticulitis.

?? Curious.  I have diverticulosis.  I've never heard this.  Of course, I
don't eat white bread EVER as a diabetic. But still.  I'll go check this
myself.

:: I have to go back in on Tuesday for a visit with a surgeon and a
:: possible operation.  I am thinking of taking a sack lunch.
:: 73  Gary

Good luck.

:: Gary Pewitt   N9ZSV
:: Sturgeon's Law "Ninty percent of everything is crap"
wmmckee@cox.net - 13 Mar 2006 19:30 GMT
> I tested at 87 the morning before my first solid meal.  4
> :: hours afterwards I tested at 277.  I had to have a shot of insulin.
[quoted text clipped - 5 lines]
> :: unsuitable for a diabetic.  She had counted only calories (2000) no
> :: thought at all for carbs, fast or slow.

Gosh, Roger, that sounds like a horror story... Question, was the hospital
on "Elm Street"?

Seriously, it does look like they would know better. It is lucky for you
that you have enough understanding to "take charge" of your own situation,
so to speak. I wish you all the best.

Will, T2
Roger Zoul - 13 Mar 2006 20:23 GMT
:: On 13-Mar-2006, "Roger Zoul" <rogerzoul2@hotmail.com> wrote:
::
[quoted text clipped - 15 lines]
:: you that you have enough understanding to "take charge" of your own
:: situation, so to speak. I wish you all the best.

Thanks, Will, but I think you meant to direct your well wishes to Gary. :)

:: Will, T2
wmmckee@cox.net - 13 Mar 2006 21:06 GMT
>  Gosh, Roger, that sounds like a horror story... Question, was the
> :: hospital on "Elm Street"?
[quoted text clipped - 4 lines]
>
> Thanks, Will, but I think you meant to direct your well wishes to Gary. :)

OOPs, you're right, Roger, sorry Gary....  The above good wishes were
intended for you, Gary, and were instead rendered into the considerate and
kind custody of Roger, pending the correction of my mistake. Here's more
good wishes coming at you, Gary!

More "operator error", I guess....

Will, T2
Gary Pewitt - 14 Mar 2006 00:21 GMT
Roger, the Mayo clinic page listed three things to avoid:
White bread (or anything made from refined flour)
Popcorn
Sunflower seeds

Damn, I like to snack on popcorn and sunflower seeds.  

They strongly recommended fiber from beans, broccoli, or supplements
such as Metamucil or the like.  

The older I get the less things I can eat.  

Bummer

>:: I just got out of the hospital where I was being treated for
>:: diverticulitis and the hospital dietician visited me and enquired
[quoted text clipped - 29 lines]
>:: Gary Pewitt   N9ZSV
>:: Sturgeon's Law "Ninty percent of everything is crap"

Gary Pewitt   N9ZSV
Sturgeon's Law "Ninty percent of everything is crap"
Ozgirl - 14 Mar 2006 01:19 GMT
> Roger, the Mayo clinic page listed three things to avoid:
> White bread (or anything made from refined flour)
[quoted text clipped - 7 lines]
>
> The older I get the less things I can eat.

There is a difference between diverticulitis and
diverticulosis. Diverticulosis is the condition, pockets in
weak spots. Diverticulitis is the inflammation and infection
in these pockets. Along with antibiotics, a liquid diet or
low fibre diet helps the infection heal quicker in
diverticulitis but for diverticulosis the emphasis is on
high fibre. My son has a terrible reaction if he eats bread
with poppy seeds.
Julie Bove - 14 Mar 2006 01:23 GMT
> There is a difference between diverticulitis and
> diverticulosis. Diverticulosis is the condition, pockets in
[quoted text clipped - 4 lines]
> high fibre. My son has a terrible reaction if he eats bread
> with poppy seeds.

My dad doesn't have a problem with popcorn, but he does have a problem with
anything containing tiny seeds, like raspberries.  I would assume poppy
seeds would cause a problem as well.

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Ozgirl - 14 Mar 2006 01:41 GMT
>> There is a difference between diverticulitis and
>> diverticulosis. Diverticulosis is the condition, pockets in
[quoted text clipped - 7 lines]
> My dad doesn't have a problem with popcorn, but he does have a
> problem with anything containing tiny seeds, like
raspberries.  I
> would assume poppy seeds would cause a problem as well.

My son is a chronic low fibre eater. Even with his pain and
1 hospitalisation he still eats low fibre. His father was
the same (probably still is). He can't be told
unfortunately.
Julie Bove - 14 Mar 2006 06:44 GMT
> My son is a chronic low fibre eater. Even with his pain and
> 1 hospitalisation he still eats low fibre. His father was
> the same (probably still is). He can't be told
> unfortunately.

My dad tends to go overboard with everything he does, including the fiber.
The Dr. told him to pace himself.

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Roger Zoul - 14 Mar 2006 02:25 GMT
:: Roger, the Mayo clinic page listed three things to avoid:
:: White bread (or anything made from refined flour)
:: Popcorn
:: Sunflower seeds

Thanks.  I looked but could not find it.  I still don't get the white bread
part, other than being a damn lousy excuse for food (in general).

:: Damn, I like to snack on popcorn and sunflower seeds.
::
:: They strongly recommended fiber from beans, broccoli, or supplements
:: such as Metamucil or the like.

Broccoli - YAY.

:: The older I get the less things I can eat.

Perhaps you're looking at it wrong.  The older I get the better I can eat.

:: Bummer
::
[quoted text clipped - 39 lines]
:: Gary Pewitt   N9ZSV
:: Sturgeon's Law "Ninty percent of everything is crap"
Susan - 14 Mar 2006 02:31 GMT
> :: Roger, the Mayo clinic page listed three things to avoid:
> :: White bread (or anything made from refined flour)
[quoted text clipped - 3 lines]
> Thanks.  I looked but could not find it.  I still don't get the white bread
> part, other than being a damn lousy excuse for food (in general).

I think it's because in the digestive tract, it tends to ball up and get
hard.  At least, that's what the GI doc told me when I had pyloric
stenosis.  He said to avoid it, all bread, actually.

Susan
Roger Zoul - 14 Mar 2006 03:25 GMT
:: x-no-archive: yes
::
[quoted text clipped - 12 lines]
:: get hard.  At least, that's what the GI doc told me when I had
:: pyloric stenosis.  He said to avoid it, all bread, actually.

Interesting.

:: Susan
Loretta Eisenberg - 13 Mar 2006 20:41 GMT
Gary I hope you are doing much better.  My friend was in the hospital
for six weeks.  I felt that the diabetic food they were going to give
her would have sent her into la la land.  I dont know where they get the
amount of carbs they get, but I told her to pick and choose what she
wanted to eat from the menu.

I went on a trip and had lunch on the plane.  I ordered diabetic meal
and the food was so much higher in carbs than the regular meal my
husband had.

You would think hospitals would know better, but they dont.

Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
Michelle - 13 Mar 2006 20:49 GMT
Unbelievable!  But you know it isn't just the diabetics who get
inappropriate meals at hospitals.  I have a friend who has rather
significant heart disease at a young age--started in his mid 40's.
(No, he's not diabetic too.)  Anyway, he is as diligent about his diet
and most of us here are.  It's extremely low fat, about 10% of his
calories, and no red meat ever.  He had to go into the hospital for
angioplasty after a mild heart attack and was totally shocked by what
they fed him:  pork chops with gravy!

What's up with these people anyway?  You'd think they're trying to
assure repeat business.

Michelle
Roger Zoul - 13 Mar 2006 20:55 GMT
:: Unbelievable!  But you know it isn't just the diabetics who get
:: inappropriate meals at hospitals.  I have a friend who has rather
[quoted text clipped - 4 lines]
:: for angioplasty after a mild heart attack and was totally shocked by
:: what they fed him:  pork chops with gravy!

Actually, I'm not convinced that as long as he isn't overeating that this is
a problem.  Certainly, one meal won't do him much damage as might be the
case with a diabetic at 277 (killing beta cells).

:: What's up with these people anyway?  You'd think they're trying to
:: assure repeat business.
::
:: Michelle
Michelle - 13 Mar 2006 21:21 GMT
>Actually, I'm not convinced that as long as he isn't overeating that this is
>a problem.  Certainly, one meal won't do him much damage as might be the
>case with a diabetic at 277 (killing beta cells).

Roger, I agree, the effect may not be as acute as it is with a
diabetic, but it is not totally negligible if you have heart disease.
Consider this:

http://www.umm.edu/features/high_fat_meals.html

So what are the effects of a high-fat meal, even just one?

That's actually what we studied. We did a test to look at the health
of a blood vessel and what we found is that 3 to 5 hours after the very
high-fat meal, the blood vessel's function became abnormal.

Now that doesn't mean if you have a single meal once in a while,
you're at risk. However, if you already have coronary disease and you
eat that high fat meal, it's possible during that period you could be
at high risk of having a cardiac event.

For a normal, healthy person, one high-fat meal may not have any
detrimental effect and you might be okay, but that may be true if
you're at high risk because of heart disease. But certainly, eating
that way chronically, as a lot of Americans do, is detrimental.

Michelle

P.S.  In any case, when one is doing all he/she can to maintain health,
it's rather demoralizing that the people who are *paid* big bucks to
look after your health seem to be doing all they can to undermine you.
Susan - 13 Mar 2006 21:42 GMT
>>Actually, I'm not convinced that as long as he isn't overeating that this is
>>a problem.  Certainly, one meal won't do him much damage as might be the
[quoted text clipped - 27 lines]
> it's rather demoralizing that the people who are *paid* big bucks to
> look after your health seem to be doing all they can to undermine you.

What was eaten *with* the fat?

Susan
Roger Zoul - 13 Mar 2006 21:52 GMT
:: x-no-archive: yes
::
[quoted text clipped - 34 lines]
::
:: What was eaten *with* the fat?

"Your recent study compared blood vessel responses in 36 volunteers after
consuming a 900 calorie high-fat meal consisting of an Egg McMuffin, Sausage
McMuffin, two McDonald's hash browns and a beverage. The volunteers received
four weeks of daily supplementation with a fruit and vegetable juice
concentrate (capsule). Can you tell us about the study and the
implications?"

???

:: Susan
Susan - 13 Mar 2006 21:58 GMT
> "Your recent study compared blood vessel responses in 36 volunteers after
> consuming a 900 calorie high-fat meal consisting of an Egg McMuffin, Sausage
[quoted text clipped - 4 lines]
>
> ???

I spent years searching, and never found a single study that established
saturated fat as a health or CVD risk where carb quantity and quality
was controlled.  There are none.  Other confounding issues are the types
of fat in meat (sausage) that is feedlot raised, compared to the heart
healthy meat from grass fed animals (dairy, too, is heart healthy when
from grass fed cows).

You can't study a diet that manipulates fat content while pretending
that the rest of the diet is hormonally neutral.  It's very basic to
account for control of variables.

I'm not saying that dietary saturated fat is as healthy as some other
fats, but it has never been scientifically established as a cause of CVD.

Susan
Alan S - 14 Mar 2006 00:11 GMT
>x-no-archive: yes
>
[quoted text clipped - 33 lines]
>
>Susan

Hi All

Here is the actual study:
http://tinyurl.com/hhmjd or
http://content.onlinejacc.org/cgi/content/full/41/10/1744?maxtoshow=&HITS=&hits=
&RESULTFORMAT=&author1=Plotnick%2C+G&andorexactfulltext=and&searchid=1&FIRSTINDE
X=0&resourcetype=HWCIT


Maccas have this fascinating page where you can work out
what's in a meal. This is what you get for that menu (all in
gms or cal):
http://app.mcdonalds.com/bagamcmeal?process=flash
Cal        950
Fat         50
Sat fat    16
Trans fat   5
Chol     0.275
Sodium    2.24
Carb        90
Fibre        7
Protein     34

That's not counting the beverage - which may or may not have
been a diet drink (unlikely:-).

Incidentally, according to Maccas, 50gms fat is 77% of your
RDA and 90gms carb is only 30%, implying that the RDA is
65gms and 300gms respectively.

So, in calling it high-fat - he was quite correct. We would
also call it very high-carb - but others may not.

I see little value in the experiment at all as far as
specifically relating fat to the vascular effect - it is
distorted by too many factors, not the least being that no
effort was made to separate the non-fat foods from the
experiment. That's not to say there is no effect - just that
this "study" is hardly the vehicle to display it. One could
equally say that the effect came from 90gms of carb or 34gms
of protein - or the combination of all three, or just from
eating nearly 1000 calories in one meal.

I suppose it depends on what the researcher's aim is. Maybe
I'm a cynic - but let me know when Dr Plotnick et al's new
"fruit/vegetable juice concentrate with or without
adjunctive phytonutrient supplementation" hits the market
over there.

Cheers, Alan, T2, Australia.
d&e, metformin 2x500mg
Signature

Everything in Moderation - Except Laughter.

Ozgirl - 14 Mar 2006 01:13 GMT
> Incidentally, according to Maccas, 50gms fat is 77% of your
> RDA and 90gms carb is only 30%, implying that the RDA is
> 65gms and 300gms respectively.

And there is no RDA for either of those, fat or carbs. I
think these figures come from the US where they altered to
the RDA to become the RDI (intake).
Roger Zoul - 14 Mar 2006 02:22 GMT
:: On Mon, 13 Mar 2006 15:42:09 -0500, Susan
:: <nevermind@nomail.com> wrote:
[quoted text clipped - 45 lines]
:: Here is the actual study:
:: http://tinyurl.com/hhmjd or

http://content.onlinejacc.org/cgi/content/full/41/10/1744?maxtoshow=&HITS=&hits=
&RESULTFORMAT=&author1=Plotnick%2C+G&andorexactfulltext=and&searchid=1&FIRSTINDE
X=0&resourcetype=HWCIT


:: Maccas have this fascinating page where you can work out
:: what's in a meal. This is what you get for that menu (all in
[quoted text clipped - 18 lines]
::
:: So, in calling it high-fat - he was quite correct.

I would disagree....RDA is not a good rule to gauge whether a meal is high
fat or not.  The % calorie composition is.

We would
:: also call it very high-carb - but others may not.

Well, they're roughly the same.

:: I see little value in the experiment at all as far as
:: specifically relating fat to the vascular effect - it is
[quoted text clipped - 5 lines]
:: of protein - or the combination of all three, or just from
:: eating nearly 1000 calories in one meal.

Exactly!  Exactly!  That's a lot of food for one meal, too.

:: I suppose it depends on what the researcher's aim is. Maybe
:: I'm a cynic - but let me know when Dr Plotnick et al's new
:: "fruit/vegetable juice concentrate with or without
:: adjunctive phytonutrient supplementation" hits the market
:: over there.

His aim was the do some "anti-fat" research and get a paper.  Obviously.

:: Cheers, Alan, T2, Australia.
:: d&e, metformin 2x500mg
:: --
:: Everything in Moderation - Except Laughter.
Bit Twister - 13 Mar 2006 21:48 GMT
>>Actually, I'm not convinced that as long as he isn't overeating that this is
>>a problem.  Certainly, one meal won't do him much damage as might be the
[quoted text clipped - 11 lines]
> of a blood vessel and what we found is that 3 to 5 hours after the very
> high-fat meal, the blood vessel's function became abnormal.

Hmmm, looking at the high_fat_meals.html there would seem to be a
question of what exactly caused the BART results, fat or carb load.

The fat might postpone the results of the carbs in a
"meal consisting of an Egg McMuffin, Sausage McMuffin, two McDonald's
hash browns and a beverage."
Roger Zoul - 13 Mar 2006 21:57 GMT
::: Actually, I'm not convinced that as long as he isn't overeating
::: that this is a problem.  Certainly, one meal won't do him much
[quoted text clipped - 29 lines]
:: bucks to look after your health seem to be doing all they can to
:: undermine you.

I agree with your last PS statement.  However, I don't think I believe any
of the results from the link you gave. If I understand things correctly,
that meal was not only a high-fat meal, but a high carb meal, too.  It
simply isn't fair to provide a meal with a mixture of all macronutrients and
then blame any negative reesults on fat contect.  And what about transfats
(hash browns)?  How do we know these results are partially due to those?
It's a diet of junk food, no less.

Anyway, no biggie. I was just commenting....
Michelle - 13 Mar 2006 23:59 GMT
>I agree with your last PS statement.  However, I don't think I believe any
>of the results from the link you gave. If I understand things correctly,
[quoted text clipped - 3 lines]
>(hash browns)?  How do we know these results are partially due to those?
>It's a diet of junk food, no less.

>Anyway, no biggie. I was just commenting....

True, studies that call meals *high fat* are often *high carb* too.
And they frequently fail to distinguish between the trans fats,
saturated fats and monos.  Imho, many studies fail to control properly
for what they are supposedly testing.  Unfortunately, they didn't ask
me to set the parameters when they did the study.  ;-)

Personally, I'm not sure the fats--even the saturated ones--deserve
quite the bad rap that they get because many of the studies are flawed.
However, my friend is basing his diet on a doctor who had severe heart
disease, clogged arteries, the whole 9 yards, (I think it was Pritikin,
but don't quote me on that--I have enough trouble keeping track of
diabetes research) and switched to a severely limited fat diet.  He
lived into his 90's and on autopsy showed no plaque.  Therefore my
friend found the pork chops rather undermining.

Michelle
Susan - 14 Mar 2006 00:02 GMT
>  However, my friend is basing his diet on a doctor who had severe heart
> disease, clogged arteries, the whole 9 yards, (I think it was Pritikin,
[quoted text clipped - 4 lines]
>
> Michelle

Pritikin died of cancer younger than that.

Susan
Roger Zoul - 14 Mar 2006 00:04 GMT
::: I agree with your last PS statement.  However, I don't think I
::: believe any of the results from the link you gave. If I understand
[quoted text clipped - 18 lines]
:: severe heart disease, clogged arteries, the whole 9 yards, (I think
:: it was Pritikin, but don't quote me on that

Ornish, maybe?

--I have enough trouble
:: keeping track of diabetes research) and switched to a severely
:: limited fat diet.  He lived into his 90's and on autopsy showed no
:: plaque.  Therefore my friend found the pork chops rather undermining.

Well, who knows.  What works for one may work for another.  Also, someone
surviving to become 90 after eating an extremely LF diet is good, but can we
be sure of the reasons?  There might have been some other characteristic of
his way of eating that lead to his longevity.  Again, who knows. :)

:: Michelle
Ozgirl - 13 Mar 2006 23:50 GMT
>:: Unbelievable!  But you know it isn't just the diabetics who get
>:: inappropriate meals at hospitals.  I have a friend who has rather
[quoted text clipped - 7 lines]
> Actually, I'm not convinced that as long as he isn't overeating that
> this is a problem.  Certainly, one meal won't do him much
damage as
> might be the case with a diabetic at 277 (killing beta
cells).

While it's certainly incongruous to serve up a meal that may
not be totally in keeping with a heart healthy diet when
someone is recovering from a heart attack, it is after all
usually only a day or so in hospital after stenting. On the
one hand you have the cardiologist giving you statins and
telling you to watch the sat/trans fat and salt, then the
hospital brings you a chop and gravy into the cardiac ward.

Pork is good, certain cuts get the Heart Smart sticker here,
but we don't know whether this chop had a big hunk of fat on
the edge that some people like to eat or what the gravy was
made of (probably worst part of the gravy is the salt (and
artificial stuff) if it wasn't made from pan drippin's ;)
But the best way to get someone to change their way is to
lead by example. A nice cardiac friendly meal in the ward,
post heart attack would be a good example.

I had the opportunity to be with a friend the day after his
heart attack and just before the stenting. The specialists
came in to explain everything, how he needed a statin,
regardless if his cholesterol levels, because whatever they
were now certainly didn't prevent that heart attack. Talked
about BP and need to take meds and reduce salt intake and up
the fibre.

Explained how the body makes enough cholesterol for our
needs and that it is the excess dietary stuff that lays down
on the arteries. Then showed a video of a stent being put in
:) Apparently the meal that night was a fatty beef stew,
tasted salty and had minimal veggies other than potato and a
few overcooked green beans and a slice (yes a slice) of
carrot - sachets of salt and pepper. The traditional
"pudding" followed - canned fruit with custard and jelly. I
was there the next morning to see the breakfast tray
remains. The slip of paper had "cardiac full" on it. It had
been cornflakes, white bread toast, butter, full cream milk,
orange juice. Most of that you wouldn't find on your
Pritikin style diet ;)
Roger Zoul - 14 Mar 2006 00:07 GMT
:: Roger Zoul wrote:
::: Michelle wrote:
[quoted text clipped - 18 lines]
:: telling you to watch the sat/trans fat and salt, then the
:: hospital brings you a chop and gravy into the cardiac ward.

Good point. Do as I say not as i do (NOT).

:: Pork is good, certain cuts get the Heart Smart sticker here,
:: but we don't know whether this chop had a big hunk of fat on
[quoted text clipped - 4 lines]
:: lead by example. A nice cardiac friendly meal in the ward,
:: post heart attack would be a good example.

Agreed.

:: I had the opportunity to be with a friend the day after his
:: heart attack and just before the stenting. The specialists
[quoted text clipped - 17 lines]
:: orange juice. Most of that you wouldn't find on your
:: Pritikin style diet ;)

Gosh....scary!
Chris J. - 14 Mar 2006 08:00 GMT
>I just got out of the hospital where I was being treated for
>diverticulitis and the hospital dietician visited me and enquired
[quoted text clipped - 15 lines]
>possible operation.  I am thinking of taking a sack lunch.  
>73  Gary

Gary, I just saw this.
That's appalling, but sad to say not unusual, both from what I have
heard and personal experience.

I was Dx'd with Dm T2 back in July, with a FBG over 600. So, what did
they try and feed me? White flour spaghetti, white bread, oranges in
syrup, salad with russian dressing, and I kid you not, cake for
desert! There was a cup of purple mystery juice, too.

I refused to eat most of it for obvious reasons, and headed down to
the cafeteria (against their wishes). There, I found a salad with
turkey breast, which I believe was about the ONLY healthy food in that
whole hospital.

Oh, they also tried to feed my honey-graham crackers for desert!  

And, indeed, white bread is one of the worst things for
diverticulitis, and pasta is just about as bad. Also, watch out for
things with small seeds: raspberries, strawberries, etc. My father had
diverticulitis and those would always give him an attack.  

Suggestion: Tell you doc to write you a letter putting YOU in charge
of your hospital diet. Alternatively, use the cafeteria if you are
mobile.

>Gary Pewitt   N9ZSV
>Sturgeon's Law "Ninty percent of everything is crap"

He clearly wasn't talking about hospital food: the percentage would be
far higher.
Michael - 16 Mar 2006 06:57 GMT
>>I just got out of the hospital where I was being treated for
>>diverticulitis and the hospital dietician visited me and enquired
[quoted text clipped - 46 lines]
> He clearly wasn't talking about hospital food: the percentage would be
> far higher.

Chris,

I think it was my junior year at UMass when I first saw this -- graffiti
on a bathroom stall wall:

    "flush twice -- it's a long way to the dining commons."

mt
Sleepyman - 25 Mar 2006 21:27 GMT
>>>I just got out of the hospital where I was being treated for
>>>diverticulitis and the hospital dietician visited me and enquired
[quoted text clipped - 55 lines]
>
>mt
I saw the same graffiti at UMass, only in 1972.

Sleepy

------------------------------------------------------------------
It is easier to make a saint out of a libertine than out of a prig.
-George Santayana (1863-1952)
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