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Medical Forum / Diseases and Disorders / Diabetes / June 2008

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DiabetesDietitian - 13 May 2008 14:23 GMT
Hello,

My name is Christine and I just joined.  I am a Registered Dietitian
and Diabetes Educator.  I became very interested in Diabetes when my
father was diagnosed with Type 2 several years ago.

It looks like you cover a good variety of diabetes topics.  I hope I
can add to your group by answering questions to help support the day
to day management of diabetes.

Christine
John - 13 May 2008 14:37 GMT
> Hello,
>
[quoted text clipped - 7 lines]
>
> Christine

I have a question:

Why to dieticians recommend that T2 diabetics eat so many carbs. T2 is the
bodies carb metabolism gone awry (amongst other things). If I ate the
recommended diet I was given by the dietician/diabetes educator I saw, I
would be on meds right now.

As it is, I have been taken off all diabetes medicines, have a current A1c
of 5.7, eat a balanced, healthy diet and am probably in the best shape of my
life. My endocrinologist has said she'd like to package me and give me to
her other patients. My answer to her was simple: Tell them to eat less carbs
and get more exercise.

John C.
Alan S - 13 May 2008 14:41 GMT
>Hello,
>
[quoted text clipped - 7 lines]
>
>Christine

Repeating from m.h.d.

Welcome.

I look forward to our future discussions. It will be great
to have a qualified person to bounce our ideas off.

I do hope you enjoy spirited debate, and don't become easily
offended. Be aware that we can be a wary bunch; we do see
all types here. Real - and unreal. So, nothing personal, but
we tend to ask people who claim to have qualifications for
some support for that. Of course, you don't have to do
anything; just letting you know what will be coming along.

I also hope that you are aware of the nature of usenet and
can filter out the spam, kooks, twits and other junk and
still glean the pearls of wisdom that can be found here.

While you wait for the others you'll get some idea of my
personal views on diabetes diet here:

http://loraldiabetes.blogspot.com/2006/11/diabetes-authorities.html

I would be interested in a qualified opinion on that. Of
course, I'm only speaking for myself; others here may hold
different views.

Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraldiabetes.blogspot.com
Latest:What to Eat Until You Get Your Meter.
and Cambodia
http://loraltravel.blogspot.com/2008/03/cambodia.html
Susan - 13 May 2008 14:53 GMT
> Hello,
>
[quoted text clipped - 7 lines]
>
> Christine

Welcome, Christine, thanks for your interest.

More than likely, we'll be able to answer many questions for you, and to
provide citations from the relevent peer reviewed literature.

Susan
Susan - 13 May 2008 14:56 GMT
Piggybacking on my own post, here are the two links that I believe are
the  most reliable and helpful for diabetics seeking to understand and
control their disease:

www.phlaunt.com/diabetes

and:     http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

Susan
Ozgirl - 14 May 2008 00:16 GMT
> x-no-archive: yes
>
[quoted text clipped - 14 lines]
> More than likely, we'll be able to answer many questions for you, and
> to provide citations from the relevent peer reviewed literature.

Not to mention the vast personal experience. I had the pleasure of reading
an Australian Diabetes magazine this morning and the featured dinner was
Mother's Day dinner - total dinner with starters and dessert for the
diabetic mum was 100 gr carb! Not to mention in another part of the mag
where it is recommended to eat lots of wholegrains because Metformin robs a
type 2 of B12. Hello, a bit of brewer's yeast a day does the same and
better. As I say often, there is more than 1 way to skin a cat.
Susan - 14 May 2008 02:23 GMT
> Not to mention the vast personal experience. I had the pleasure of reading
> an Australian Diabetes magazine this morning and the featured dinner was
[quoted text clipped - 3 lines]
> type 2 of B12. Hello, a bit of brewer's yeast a day does the same and
> better. As I say often, there is more than 1 way to skin a cat.

I can't figure out why the diabetic associations recommend *any* grains,
and say they're high in fiber.  They're loaded with oxidants, calories
and carbs.  Substituting veggies and fruits gives you loads of anti
oxidants, more fiber and nutrients, with far fewer calories.

DOH.

B12 deficiency is epidemic in vegetarians.  I don't think omnivores have
a source or an absorption problem.

Of course, if you're eating an ADA recommended diet, you're going to
have huge nutritional deficits.

Susan
BlueBrooke - 14 May 2008 06:17 GMT
>B12 deficiency is epidemic in vegetarians.  I don't think omnivores have
>a source or an absorption problem.

I might be mis-reading or misconstruing your statement, but I just
wanted to throw in that I was diagnosed with a B12 deficiency many
years ago.  The first thing the doctor asked me was if I was a
vegetarian.  When I told him "no" he said it was an absorption problem
and I needed monthly shots.  As soon as I started getting them, I did
feel better, but only did it for a year or so.  Before that, I was
pretty sick.  I think they called it "pernicious anemia" or something
like that.  

If this doesn't apply to your point, just ignore it.
Julie Bove - 14 May 2008 06:19 GMT
>>B12 deficiency is epidemic in vegetarians.  I don't think omnivores have
>>a source or an absorption problem.
[quoted text clipped - 9 lines]
>
> If this doesn't apply to your point, just ignore it.

My grandma had that.  She wasn't a vegetarian.
Ozgirl - 14 May 2008 09:13 GMT
>>> B12 deficiency is epidemic in vegetarians.  I don't think omnivores
>>> have a source or an absorption problem.
[quoted text clipped - 11 lines]
>
> My grandma had that.  She wasn't a vegetarian.

My father had it and could have been the ADA poster boy with regard to diet.
I thought it was a lifetime thing, he had the regular B12 shots.
BlueBrooke - 14 May 2008 13:56 GMT
>>>> B12 deficiency is epidemic in vegetarians.  I don't think omnivores
>>>> have a source or an absorption problem.
[quoted text clipped - 14 lines]
>My father had it and could have been the ADA poster boy with regard to diet.
>I thought it was a lifetime thing, he had the regular B12 shots.

Yes, apparently it is a lifetime thing.  I just couldn't afford the
shots anymore.
Susan - 14 May 2008 14:25 GMT
> Yes, apparently it is a lifetime thing.  I just couldn't afford the
> shots anymore.  

I used to inject myself with prescribed B12; it was $4 for a vial of 10
shots and the syringes were about $23 for 100.

Susan
DiabetesDietitian - 14 May 2008 17:07 GMT
> x-no-archive: yes
>
[quoted text clipped - 5 lines]
>
> Susan

Thank you for the welcome.

Natural B12 food sources come from animal products such as meat, dairy
products and eggs.
So, a strict vegetarian (vegan) who eliminates all animal products
will need to look for
plant based foods that are fortified with vitamin B12 such as
fortified soy milk OR take a B12 vitamin supplement.

For those who take in adequate vitamin B12, it is still possible to be
deficient if you lack an intrinsic factor
to aid in absorption.  This factor is required to move B12 into the
blood stream from the intestine.  If you lack this factor, B12 shots
are necessary to bypass the intestine and ensure vitamin B12 is
absorbed.

Christine
Nicky - 14 May 2008 22:30 GMT
>For those who take in adequate vitamin B12, it is still possible to be
>deficient if you lack an intrinsic factor
>to aid in absorption.  This factor is required to move B12 into the
>blood stream from the intestine.  If you lack this factor, B12 shots
>are necessary to bypass the intestine and ensure vitamin B12 is
>absorbed.

Christine, is there anything you can injest that might aid absorption?

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Dennis - 15 May 2008 03:59 GMT
In article <96791f11-eddf-4224-a35e-499f0111ee18
@l28g2000prd.googlegroups.com>, DiabetesDietitian@gmail.com says...
> > x-no-archive: yes
> >
[quoted text clipped - 23 lines]
>
> Christine

I also read that since B12 is water soluble, someone with low levels
(common with age) could take mega doses of B12. Even if only a small
percentage is absorbed, the excess is simply secreted. This does not
work for all. However, it is useful for those who have low, but not
critically low B12 levels. Dose ranges I saw were 1,000 mg to 2,500 mg
orally per day.

Dennis
Susan - 15 May 2008 14:47 GMT
> I also read that since B12 is water soluble, someone with low levels
> (common with age) could take mega doses of B12. Even if only a small
[quoted text clipped - 6 lines]
>
>  

I think that was sublingual, not necessarily oral, that compared
favorably, by avoiding the digestive tract.

Susan
Nick Cramer - 15 May 2008 08:08 GMT
> > Yes, apparently it is a lifetime thing.  I just couldn't afford the
> > shots anymore.
>
> I used to inject myself with prescribed B12; it was $4 for a vial of 10
> shots and the syringes were about $23 for 100.

Thanks, Susan. I'll have to ask the doc about prescribing B12 for me. I've
got a zillion syringes from when I was shooting insulin.

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

Nick Cramer - 15 May 2008 08:04 GMT
> On Wed, 14 May 2008 18:13:10 +1000, "Ozgirl"
> >> "BlueBrooke" <me@invalid.invalid> wrote in message
> >>> On Tue, 13 May 2008 21:23:14 -0400, Susan <nevermind@nomail.com>

> >>>> B12 deficiency is epidemic in vegetarians.  I don't think omnivores
> >>>> have a source or an absorption problem.
[quoted text clipped - 17 lines]
> Yes, apparently it is a lifetime thing.  I just couldn't afford the
> shots anymore.

Yep. I'm not a vegetarian. I eat a lot of beef, fish, pork, chicken, Lamb,
etc. My diabetician wanted me to come in for B12 shot every month, said my
2,000 mcg of pills a day wasn't enough. Oh. well. ;-(

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

Oleg Lego - 15 May 2008 10:14 GMT
>> On Wed, 14 May 2008 18:13:10 +1000, "Ozgirl"
>> >> "BlueBrooke" <me@invalid.invalid> wrote in message
[quoted text clipped - 23 lines]
>
>Yep. I'm not a vegetarian. I eat a lot of beef, fish, pork, chicken, Lamb,

Yum! Lamb chops and lamb crown roasts are MY favourite vegetable!

>etc. My diabetician wanted me to come in for B12 shot every month, said my
>2,000 mcg of pills a day wasn't enough. Oh. well. ;-(

Signature

roses are #FF0000
violets are #0000FF
all my base
are belong to you

Nick Cramer - 15 May 2008 10:26 GMT
> >> On Wed, 14 May 2008 18:13:10 +1000, "Ozgirl"
> >> >> "BlueBrooke" <me@invalid.invalid> wrote in message
[quoted text clipped - 4 lines]
>
> Yum! Lamb chops and lamb crown roasts are MY favourite vegetable!

I love to smoke (BBQ) lamb shoulder, leg or chops. My favorite, too. Do you
also like Haggis, Neeps and Tatties (in moderation, of course) and Single
Malt Scotch? The latter is always available here. The others on January
25th.

Slainte!

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

John - 15 May 2008 12:59 GMT
On May 15, 5:26 am, Nick Cramer

> I love to smoke (BBQ) lamb shoulder, leg or chops.

Doesn't that make you cough?

John C.
Nick Cramer - 15 May 2008 15:03 GMT
> On May 15, 5:26=A0am, Nick Cramer
>
> > I love to smoke (BBQ) lamb shoulder, leg or chops.
>
> Doesn't that make you cough?

Tsk tsk. I don't do that anymore. ;-)

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

Oleg Lego - 16 May 2008 04:32 GMT
>> >> On Wed, 14 May 2008 18:13:10 +1000, "Ozgirl"
>> >> >> "BlueBrooke" <me@invalid.invalid> wrote in message
[quoted text clipped - 7 lines]
>I love to smoke (BBQ) lamb shoulder, leg or chops. My favorite, too. Do you
>also like Haggis,

It's OK. Nothing to write home about. I eat it about once per year,
when I visit the Scottish Pavilion at a local multicultural festival
called "Mosaic".

> Neeps and Tatties (in moderation, of course)

No idea what those are.

> and Single Malt Scotch?

I cannot abide the flavour of Scotch; any kind of Scotch.

Signature

roses are #FF0000
violets are #0000FF
all my base
are belong to you

Nick Cramer - 16 May 2008 06:47 GMT
> >> >> On Wed, 14 May 2008 18:13:10 +1000, "Ozgirl"
> >> >> >> "BlueBrooke" <me@invalid.invalid> wrote in message
[quoted text clipped - 11 lines]
> when I visit the Scottish Pavilion at a local multicultural festival
> called "Mosaic".

I eat it once a year, when I can get it. Burns Night, Jan 25th.

> > Neeps and Tatties (in moderation, of course)
>
> No idea what those are.

Turnips and potatoes, boiled, then mashed separately with lots of butter.

> > and Single Malt Scotch?
>
> I cannot abide the flavour of Scotch; any kind of Scotch.

That's what I thought when I was drinking cheap bar Scotch. Same with
Brandy, until I discovered Robin-St. Germain.;-)

Take care.

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

Oleg Lego - 16 May 2008 06:54 GMT
>> >> >> On Wed, 14 May 2008 18:13:10 +1000, "Ozgirl"
>> >> >> >> "BlueBrooke" <me@invalid.invalid> wrote in message
[quoted text clipped - 26 lines]
>That's what I thought when I was drinking cheap bar Scotch. Same with
>Brandy, until I discovered Robin-St. Germain.;-)

I was given a drink of what a friend called the best Scotch available.
It was ridiculously expensive, and very old. I can't remember the name
of it. I have probably blocked the memory of it in a fit of mental
self--preservation.

I still gagged on it.

Signature

roses are #FF0000
violets are #0000FF
all my base
are belong to you

Quentin Grady - 15 Jun 2008 22:00 GMT
>>> >I love to smoke (BBQ) lamb shoulder, leg or chops. My favorite, too. Do
>>> >you also like Haggis,
>>>
>>> It's OK. Nothing to write home about. I eat it about once per year,
>>> when I visit the Scottish Pavilion at a local multicultural festival
>>> called "Mosaic".

While I have never had haggis, when I was a child I had a slice of
Scottish Xmas cake.  Instead of icing it had a cinnamon flavoured
pastry crust.  Thought it was rather special at the time.

Best wishes,
Signature

Quentin Grady       ^  ^  /
New Zealand,       >#,#< [
                   / \ /\    
"... and the blind dog was leading."

http://homepages.paradise.net.nz/quentin

Chris Malcolm - 15 May 2008 10:55 GMT
> ... I'm not a vegetarian. I eat a lot of beef, fish, pork, chicken, Lamb,
> etc. My diabetician wanted me to come in for B12 shot every month, said my
> 2,000 mcg of pills a day wasn't enough. Oh. well. ;-(

A medical condition? Or too much alcohol? :-)

Signature

Chris Malcolm        cam@infirmatics.ed.ac.uk              DoD #205
IPAB,  Informatics,  JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

Nick Cramer - 15 May 2008 11:20 GMT
> > ... I'm not a vegetarian. I eat a lot of beef, fish, pork, chicken,
> > Lamb, etc. My diabetician wanted me to come in for B12 shot every
> > month, said my 2,000 mcg of pills a day wasn't enough. Oh. well. ;-(
>
> A medical condition? Or too much alcohol? :-)

Probably the latter, although as Mark Twain observed, "Too much of anything
is not good, but too much of whiskey is barely enough!"

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

MI - 14 May 2008 22:40 GMT
On 5/14/08 1:13 AM, in article 68vl96F2tkb34U1@mid.individual.net, "Ozgirl"
<are_we_there_yet@maccas.com> wrote:

>>>> B12 deficiency is epidemic in vegetarians.  I don't think omnivores
>>>> have a source or an absorption problem.
[quoted text clipped - 14 lines]
> My father had it and could have been the ADA poster boy with regard to diet.
> I thought it was a lifetime thing, he had the regular B12 shots.

My mother was treated for pernicious anaemia as a teenager. Doctor said it
was common in that age group. Who knows. Mother would be over a hundred now
if she were still alive. She told me the treatment was to eat raw liver! She
said she wouldn't eat it unless my grandmother dipped it boiling water for a
couple of minutes. Ugh. In her 50's she again had trouble and she was on B12
shots for awhile and then the problem cleared up. I guess it depends "on
your genes".

Signature

Martha T2 Canada
1500mg. Metformin, 4mg. Avandia

Susan - 14 May 2008 14:24 GMT
> I might be mis-reading or misconstruing your statement, but I just
> wanted to throw in that I was diagnosed with a B12 deficiency many
[quoted text clipped - 6 lines]
>
> If this doesn't apply to your point, just ignore it.  

I didn't mean that non vegetarians never get pernicious anemia, only
that it's epidemic among vegetarians due to source problems.

Susan
BlueBrooke - 15 May 2008 16:17 GMT
>I didn't mean that non vegetarians never get pernicious anemia, only
>that it's epidemic among vegetarians due to source problems.
>
>Susan

Ah -- got it.  Thanks.
Trinkwasser - 14 May 2008 21:03 GMT
>>B12 deficiency is epidemic in vegetarians.  I don't think omnivores have
>>a source or an absorption problem.
[quoted text clipped - 9 lines]
>
>If this doesn't apply to your point, just ignore it.  

Yes mother gets that, in her case it was due to having part of her
intestine removed but there are other reasons for malabsorbtion.
Julie Bove - 13 May 2008 15:56 GMT
> Hello,
>
[quoted text clipped - 5 lines]
> can add to your group by answering questions to help support the day
> to day management of diabetes.

Welcome to the group!
Nicky - 13 May 2008 18:59 GMT
>Hello,
>
[quoted text clipped - 5 lines]
>can add to your group by answering questions to help support the day
>to day management of diabetes.

I'm sure we can help you a lot too : )

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Ozgirl - 14 May 2008 00:13 GMT
Welcome Christine. We are a proactive bunch here and don't accept everything
given to us because it comes from a professional. We question, we
experiment, we research and we share information.

> Hello,
>
[quoted text clipped - 7 lines]
>
> Christine
Andrew B. Chung, MD/PhD - 14 May 2008 00:20 GMT
> Hello,
>
[quoted text clipped - 7 lines]
>
> Christine

Welcome :-)

Be hungry... be healthy... be hungrier... be euglycemic:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://TruthRUS.org/BeRight
Nick Cramer - 14 May 2008 03:32 GMT
> Hello,
>
[quoted text clipped - 5 lines]
> can add to your group by answering questions to help support the day
> to day management of diabetes.

Hi Christine. Welcome to the group. I take it you're not a Club member. The
rules are simple. Just jump in when you have something to say. ;-)

Signature

Nick. Support severely wounded and disabled Veterans and their families!
I've known US vets who served as far back as the Spanish American War. They
are all my heroes! Thank a Veteran and Support Our Troops. You are not
forgotten. Thanks ! !             ~Semper Fi~

krom - 14 May 2008 07:37 GMT
howdy do!

KROM

> Hello,
>
[quoted text clipped - 7 lines]
>
> Christine

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