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Medical Forum / Diseases and Disorders / Diabetes / June 2006

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Rice Diet

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Al - 10 Jun 2006 13:19 GMT
Can someone please explain why the Duke Rice Diet program drops blood
sugar so drastically?  It seems to me that 100% carbs (rice and fruit
initially) should do exactly the opposite.  Thank you.
Hans-J. Tilsner - 10 Jun 2006 13:55 GMT
The Rice Diet is a low fat, low salt diet, which despite its name is
not centered on rice. It was developed in the 1930s at Duke
University, and is sometimes known as the Duke University Rice Diet.
The major components of the diet are healthy eating (fruits, grains,
beans, vegetables, olive oil, non fat dairy and lean meat), walking,
and taking time for yourself.
http://www.answers.com/topic/rice-diet
Al - 10 Jun 2006 14:21 GMT
> The Rice Diet is a low fat, low salt diet, which despite its name is
> not centered on rice. It was developed in the 1930s at Duke
[quoted text clipped - 3 lines]
> and taking time for yourself.
> http://www.answers.com/topic/rice-diet

Thanks.  My question, however, is why does the "initial phase" of the
diet ... rice and fruit only, lower blood sugar so drastcally?
Alexander Arnakis - 10 Jun 2006 14:53 GMT
>Thanks.  My question, however, is why does the "initial phase" of the
>diet ... rice and fruit only, lower blood sugar so drastcally?

Does it really? All I know is that rice sends my BG through the roof,
quite rapidly (if I don't compensate by taking enough insulin).
Al - 10 Jun 2006 15:08 GMT
>> Thanks.  My question, however, is why does the "initial phase" of the
>> diet ... rice and fruit only, lower blood sugar so drastcally?
>
> Does it really? All I know is that rice sends my BG through the roof,
> quite rapidly (if I don't compensate by taking enough insulin).

It ABSOLUTELY does.  Takes 2-3 days, and no cheating. Moderate (1-2)
pieces of fruit, and I believe the original diet specified "citrus
fruit".   My choice is cantaloupe. I have done this myself, so it's not
just hearsay.  Main problem is that brown (and I assume white also) rice
tastes like crap after a day or two.
Alexander Arnakis - 11 Jun 2006 18:25 GMT
>>> Thanks.  My question, however, is why does the "initial phase" of the
>>> diet ... rice and fruit only, lower blood sugar so drastcally?
[quoted text clipped - 7 lines]
>just hearsay.  Main problem is that brown (and I assume white also) rice
>tastes like crap after a day or two.

I would guess that you're a Type 2. As a Type 1, my ability to handle
this diet would probably be different.

Anyway, as to your initial question -- you would have to compare this
diet to what you were eating before. One characteristic of rice and
fruit is that they're normally cooked/served without the addition of
much fat. If a carb dish has a lot of fat (such as fried potatoes,
pizza, etc.) the absorption profile is very different from that of
plain carbs, such as rice. The BG response to such a combination food
is slow at first, but then the BG goes high and stays high for a long
time. Rice would be expected to spike the BG immediately, but then it
would return to normal much faster. When exactly are you testing?

Also, awareness of a diet -- any diet -- might lead to stricter
portion control. You may be eating fewer overall calories.
italiangm - 10 Jun 2006 15:32 GMT
> My question, however, is why does the "initial phase" of the
> diet ... rice and fruit only, lower blood sugar so drastcally?

After looking at the program, I'd say extreme portion control, hence
the need for close medical supervision
Hans-J. Tilsner - 10 Jun 2006 15:34 GMT
>Thanks.  My question, however, is why does the "initial phase" of the
>diet ... rice and fruit only, lower blood sugar so drastcally?

the bg does not always follow the rules, but did you read it or test
it with your own meter?
Al - 10 Jun 2006 16:51 GMT
>> Thanks.  My question, however, is why does the "initial phase" of the
>> diet ... rice and fruit only, lower blood sugar so drastcally?
>
> the bg does not always follow the rules, but did you read it or test
> it with your own meter?

tested with a one-touch meter
Jennifer - 10 Jun 2006 17:18 GMT
Perhaps your diet prior to the Rice Diet was even higher in carbs.

Instead of saying it "lowered" your BGs... what were the numbers?

1 hour post meals
2 hour post meals
Fasting

If you were at 250 and now are at 180, you're lower... but still not good.

Jennifer

>>> Thanks.  My question, however, is why does the "initial phase" of the
>>> diet ... rice and fruit only, lower blood sugar so drastcally?
[quoted text clipped - 3 lines]
>
> tested with a one-touch meter
Hans-J. Tilsner - 10 Jun 2006 17:44 GMT
>tested with a one-touch meter

I haven't tried rice yet, but I had some similar success with freshly
ground cereals http://www.dr-schnitzer.de/introe1.html 
With three meals of the kind per day I  did need only 20 units of
insulin instead of the usual about 60.

But the same apple I had needed 4 units of rapid acting insulin to
cover before that trial did still want those 4 units during and after
the trial.

So that special kind of food did not lower my insulin resistance. It
simply had no chance to release too much glucose within too short a
time because it did not contain so much starchy or sugary stuff.

And after 2 months I did not like the taste of it any longer :-(

Hans, T2 since 1990, Germany
Apidra & Lantus
guy - 10 Jun 2006 18:34 GMT
>>tested with a one-touch meter
>
[quoted text clipped - 15 lines]
>Hans, T2 since 1990, Germany
>Apidra & Lantus

As far as I am concerned Rice is just another food.

AT one time I played the  "special food" games.   In the long run I
noted  that the assumed facts occurred n many situations.

Most of it is "noise"  unless a person has a sensitive to
certain foods.

Shell fish is a perfect diet food for me.   In a few
minutes my body tries to get rid of every thing in the digestive
tract.  A mess.

Each person has to find his/her own story.  Most
touted foods are touted  to make money even if it
is at you expense-health wise.mc
Julie Bove - 11 Jun 2006 06:23 GMT
> >Thanks.  My question, however, is why does the "initial phase" of the
> >diet ... rice and fruit only, lower blood sugar so drastcally?
>
> the bg does not always follow the rules, but did you read it or test
> it with your own meter?

Why would we want to do that?  All carbs = high BG.

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Kurt - 11 Jun 2006 07:53 GMT
> > >Thanks.  My question, however, is why does the "initial phase" of the
> > >diet ... rice and fruit only, lower blood sugar so drastcally?
[quoted text clipped - 3 lines]
>
> Why would we want to do that?  All carbs = high BG.

All carbs?  Not necessarily.  For me, my system handles whole grain
brown rice quite well...

http://www.hsph.harvard.edu/nutritionsource/carbohydrates.html

"White bread, for example, is converted almost immediately to blood
sugar, causing it to spike rapidly. It's classified as having a high
glycemic index. Brown rice, in contrast, is digested more slowly,
causing a lower and more gentle change in blood sugar. It has a low
glycemic index."

Best,
Kurt
Julie Bove - 11 Jun 2006 23:04 GMT
> All carbs?  Not necessarily.  For me, my system handles whole grain
> brown rice quite well...
[quoted text clipped - 6 lines]
> causing a lower and more gentle change in blood sugar. It has a low
> glycemic index."

Maybe for you.  For me, the glycemic index is worthless and I can't eat
brown rice in any amount.  I can eat small amounts of white rice mixed in
with something.

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Susan - 11 Jun 2006 23:26 GMT
> Maybe for you.  For me, the glycemic index is worthless and I can't eat
> brown rice in any amount.  I can eat small amounts of white rice mixed in
> with something.

GI isn't worth anything to most folks, in terms of predicting bg
response, only GL *may* do so.

For me, any rice is as bad as white flour or sugar.

And, IIRC, not brown rice, but white converted rice had the lowest GI in
tests.

Susan
wmmckee@cox.net - 11 Jun 2006 23:31 GMT
> Maybe for you.  For me, the glycemic index is worthless and I can't eat
> brown rice in any amount.  I can eat small amounts of white rice mixed in
> with something.

Hi Julie,

I do know what you are saying... Rice is killer for me, too.

A few months ago, I was having this brown rice debate with myself, and I
looked more closely at how the Glycemic Index people came up with the data
for brown rice. Apparently, they used brown rice that was undercooked...Less
than 15 minutes.

Now, I do not know about anyone else, but I find brown rice to be too
crunchy, when it is cooked for only 15 minutes...

The best thing for me is to stay away from it totally, or at most, have only
one or two bites.... for old times sake.

Will, T2
Cheri - 12 Jun 2006 00:10 GMT
Me too with potatoes. There is no such thing as a small amount to me, so
I have to leave them alone completely. :-)

--
Cheri

wmmckee@cox.net wrote in message
<1150064689_41283@sp6iad.superfeed.net>...

>The best thing for me is to stay away from it totally, or at most, have only
>one or two bites.... for old times sake.
[quoted text clipped - 4 lines]
>http://www.newsfeeds.com The #1 Newsgroup Service in the World! 120,000+ Newsgroups
>----= East and West-Coast Server Farms - Total Privacy via Encryption =----
wmmckee@cox.net - 12 Jun 2006 01:18 GMT
On 11-Jun-2006, Chief <Cheif@polyglot.com> wrote:

>  Ever try to enjoy a really good New
> York strip while surrounded by strippers? An odd problem, as your sense
> of taste battles with your senseless sense of sight.

Hi Cheri,

Potatoes are killer for me, too... I have to completely avoid them, or be
prepared to pay the price. Same for bread, rice, cakes, pies, brownies,
sodas, virtually anything with carbs... Although, I find crabs to be really
enjoyable :-)

Will, T2
jacquie - 12 Jun 2006 04:52 GMT
I can eat some potato...but rice spikes me big time.
jacquie
> Me too with potatoes. There is no such thing as a small amount to me, so
> I have to leave them alone completely. :-)
[quoted text clipped - 17 lines]
>>----= East and West-Coast Server Farms - Total Privacy via Encryption
> =----
Kurt - 12 Jun 2006 00:51 GMT
> > All carbs?  Not necessarily.  For me, my system handles whole grain
> > brown rice quite well...
[quoted text clipped - 8 lines]
>
> Maybe for you.

Uh, yeah, that's why I said "for me"...:)  Although I know of a number
of diabetics who can eat a moderate portion of whole grain brown rice
and not have it mess up their bg numbers.

>For me, the glycemic index is worthless and I can't eat
> brown rice in any amount.  I can eat small amounts of white rice mixed in
> with something.

Have you ever eaten real organic whole grain brown rice?  I only ask
because what many people think is brown rice is really just white dirty
rice.  Whole grain brown rice takes about an hour to cook and has a
very distinct almost nutty taste.  Real brown rice usually gets put in
the same category with white rice and other foods that behave much
differently after they are eaten.

Best,
Kurt
Julie Bove - 12 Jun 2006 06:20 GMT
> Have you ever eaten real organic whole grain brown rice?  I only ask
> because what many people think is brown rice is really just white dirty
> rice.  Whole grain brown rice takes about an hour to cook and has a
> very distinct almost nutty taste.  Real brown rice usually gets put in
> the same category with white rice and other foods that behave much
> differently after they are eaten.

Yep.  That's the only kind I've tried.

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Nicky - 12 Jun 2006 08:38 GMT
>> Have you ever eaten real organic whole grain brown rice?  I only ask
>> because what many people think is brown rice is really just white dirty
[quoted text clipped - 4 lines]
>
> Yep.  That's the only kind I've tried.

Wild rice is kind to me, and I prefer its taste to any other kind.

Nicky.

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Quentin Grady - 12 Jun 2006 21:13 GMT
This post not CC'd by email
On 11 Jun 2006 16:51:00 -0700, "Kurt" <kurtwheeling1965@hotmail.com>
wrote:

Julie said:-
>>For me, the glycemic index is worthless and I can't eat
>> brown rice in any amount.  I can eat small amounts of white rice mixed in
>> with something.

G'day G'day Julie,

One reason glycemic index might appear worthless to you is that rice
is a very variable commodity.  If one looks at a popular diet book
that lists a single figure for white rice then one is likely to get a
distorted impression.  IMHO it is better to go to a source such as

http://www.glycemicindex.com/

Click on GI database and enter rice as a search string.

White rice boiled varies from 45 to 112.
Long grain rice varies from 41 to 67

The type of starch makes a vast difference with specialty high amylose
(28%) rice having a GI of 37 and low amylose rice having a GI of 137.

Basmati rice has a GI of 58

In this brief discussion we haven't mentioned parboiling or the
formation of resistant starch when rice is served cold as in sushi.

Kurt said:-
>Have you ever eaten real organic whole grain brown rice?  I only ask
>because what many people think is brown rice is really just white dirty
[quoted text clipped - 5 lines]
>Best,
>Kurt

Brown rice appears to have a GI that varies from 50 to 76.
As I see it, we need individually to test the rice that is available
to us personally.  My situation is different now from what it was a
couple of years ago and this has led me to experiment with options I
wouldn't have considered then. One that I have liked is long grain red
rice. It is like the black rice but decidedly cheaper. It strikes me
that it fits the description you give for brown rice.  I cooked the
red rice with a local seaweed and that undoubtedly affected the
average GI.

Best wishes,

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Julie Bove - 12 Jun 2006 22:32 GMT
> G'day G'day Julie,
>
[quoted text clipped - 21 lines]
> red rice with a local seaweed and that undoubtedly affected the
> average GI.

I presume that parboiling = Minute Rice?  I don't care for that at all.
Never buy it.  I like Basmati rice but that doesn't work for me.  What does
work is the cheap, store brand rice, the Asian kind of cheap long grain
rice, or the pouches of pre-cooked rice sold by Trader Joes.  You simply pop
them in the microwave for a minute.  They're not so tasty on their own.  But
I keep a few around for those times when we are sick.  They are fine mixed
in chicken broth or soup of some kind.

I like wild rice too but it doesn't work well for me either unless I eat
just a couple of bites.

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Kurt - 12 Jun 2006 23:48 GMT
> This post not CC'd by email
>  On 11 Jun 2006 16:51:00 -0700, "Kurt" <kurtwheeling1965@hotmail.com>
[quoted text clipped - 49 lines]
>
> Best wishes,

Thanks for your learned (as usual) observations on this, Quentin.

Best,
Kurt
W. Baker - 12 Jun 2006 01:06 GMT
: > All carbs?  Not necessarily.  For me, my system handles whole grain
: > brown rice quite well...
[quoted text clipped - 6 lines]
: > causing a lower and more gentle change in blood sugar. It has a low
: > glycemic index."

: Maybe for you.  For me, the glycemic index is worthless and I can't eat
: brown rice in any amount.  I can eat small amounts of white rice mixed in
: with something.

Julie, yu do tolerate beans quite well and they are low GI carbs as well
as the proteinetc they contain.  Again, YMMV.  

Wendy
Julie Bove - 12 Jun 2006 06:23 GMT
> Julie, yu do tolerate beans quite well and they are low GI carbs as well
> as the proteinetc they contain.  Again, YMMV.

Yep.  Also potatoes, white bread and plain pasta.  Whole grain bread, forget
about it!  Same with whole wheat pasta.  Spike city!  Oddly, the Surita
whole wheat tortillas are fine but other brands spike me.

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Uncle Enrico - 10 Jun 2006 15:48 GMT
The "old school" approach to diabetic diets was low fat, and high carb
focusing on whole grains, whole grain breads, cereals, fruit, beans and
vegetables.

Dr. Bernstein writes about  being on a high carb diet as a young Type I
diabetic and having to inject  large amounts of insulin while suffering high
blood sugars and the inevitable complications. Interestingly, his doctor who
recommended this approach was the then president of the A.D.A.  It wasn't
until Berstein bought his own very expensive blood glucose meter and began
testing himself  that he realized there was a much healthier diet for
himself and adopted dietary changes. He gradually recovered his lost health.

You can read a condensed bio from the good doctor's book at the link below
under "About Dr. Bernstein."
http://www.diabetesincontrol.com/bernstein/

PS before insulin was discovered, the approach for Type I's was a starvation
diet of 350 calories a day for children. Patients would look like
concentration camp victims but their lives would be extended.

That "old school" diet might work to some limited, mostly ineffective degree
if calories are severely restricted and meals are very small and spaced out
properly.

As a Type II, if I were caught in a disaster of some sort and had no meds,
insulin or meter, I would eat like a bird with tiny meals evenly spaced over
time with maybe 2 hour intervals. I could probably survive on the Duke Diet.

>> The Rice Diet is a low fat, low salt diet, which despite its name is
>> not centered on rice. It was developed in the 1930s at Duke
[quoted text clipped - 6 lines]
> Thanks.  My question, however, is why does the "initial phase" of the diet
> ... rice and fruit only, lower blood sugar so drastcally?
Quentin Grady - 14 Jun 2006 07:21 GMT
This post not CC'd by email

>Can someone please explain why the Duke Rice Diet program drops blood
>sugar so drastically?  It seems to me that 100% carbs (rice and fruit
>initially) should do exactly the opposite.  Thank you.

G'day G'day Al,

 I puzzled over the Duke Rice Diet for a while. In the end I
concluded it worked largely because it dropped calorie intake.
Steamed rice has a high water content.  My guess is this isn't a very
exciting answer but it appears to be the basis of its success.

Another feature to take into consideration is how people define
success.  Until one sees actual numbers for before and after going on
to the Rice Diet a drop of 30 points in bg means nothing much.  To
take an example, some people might get excited with a drop from 200 to
170.  Other people would only get excited that the first group of
people got excited.  For them they would have been hoping to drop a
post prandial blood glucose from 150 to 120 and this wasn't going to
happen.  For many years people such as Pritikin pushing high carb
diets loudly celebrated their success but when one looked at the
figures one saw they were celebrating getting the fasting blood
glucose down to figures like 120.  When they first performed their
experiments such figures were thought to be a success but now the goal
posts have changed as more information has come to hand.

Perhaps you have explained elsewhere in the thread what figures you
are referring to with the comment "drops blood sugar so drastically"

Best wishes,

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