Gastroparesis is caused by nerve damage to the vagus nerve which controls the emptying of the stomach into the rest of the digestive system. The delayed stomach emptying means that your food will not get digested and absorbed in a normal or timely fashion. If you are using insulin therapy, it can be quite challenging to time your insulin dose to match the time when the food actually gets released into the small intestine, digested and absorbed. In diabetics, gastroparesis is almost always due to having had persistent uncontrolled blood sugar levels. There are medications that can force emptying faster. Dietary recommendations include consuming frequent small meals, avoiding roughage and high fat foods.The success rate for those using dietary measures alone, however, has usually been very low. You should discuss this with your doctor. You might also try delaying the injection of insulin until after your meal instead of before and/or splitting your insulin dose into two or more injections separated by whatever time frame works best for you (requires trial and error; be sure to keep a log or diary to track the results).View Thread
Flute, Canada uses the mmol/L convention. KitKat's 16.9mmol/L would be equivalent to 304mg/dL, the measurement that we use here in the States. That is much too high and it is imperative that KitKat get her blood glucose levels down to 7.8mmol/L (A1c of 6.1 equivalent to 140mg/dL) or lower. Numerous studies have shown that serious damage to one's organs accelerate at levels of 140 mg/dL and above. Dental problems and neuropathy are only the first symptoms. You could even say that those early symptoms are equivalent to a canary in a coal mine (and the canary may already have died). KitKat, if you are the one who started this thread, please give us more particulars. The members here have combined experiences of many decades dealing with diabetes and we will all be happy to assist you with suggestions that may help you turn your life around. However, more details are needed including your BMI, what types of medication you might currently be taking, if any; your diet and exercise levels; etc.View Thread
Back on topic. Sorry to have hijacked your post. There are lots of food lists that cover both the good and the bad. Most still contain (IMHO) incorrect information of "good" vs. "bad" fats. For example, most dieticians and even some notable doctors consider all saturated fats to be bad and throw coconut oil into the mix. However, coconut oil is one of the healthiest oils around and it doesn't even contain long chain fatty acids. Instead, the fats that it does contain are medium chain (MCT) which has been shown to be beneficial to brain health. Diabetic Living Online has a list of twenty-two foods to avoid for PWDs. You can also find a more-generalized chart at this link .
If you haven't yet had an opportunity to browse the chapters of Dr. Bernstein's Diabetes Solution, he does provide a fairly comprehensive list of foods that are safe/good for PWDs as well as a list of "no-nos" or specific foods to avoid. Here's a link to the PDF version of that specific chapter . Hope this helps.View Thread
Sure sounds like you're a victim of Big Pharma propaganda. When I went on a high fat diet (extremely high by most standards), my cholesterol levels DID go up: from a total of 174 to a total of 224. Of this "huge" increase, a whopping sixty percent (60% or 30 points out of the 50) was in HDL, not LDL. Moreover, the special LDL test (which was relatively expensive) showed that most of my LDL is the fluffy type which is supposed to be good. What else transpired during my personal experiment? My triglycerides plummeted to 49 and my HDL to Total ratio dropped from 2.4 to 2.0 (even you will have to admit that is healthy even though my total went up to 224). I have the LabCorp test results to prove it. Okay, so I'm just an anomaly. Other people die from high cholestestol in your eyes, right? Then Google it for yourself: "people over 70 with high cholesterol live longer" or you can just read this excerpt from Dr. Ravnskov's most recent book (I purchased the digital version from Amazon.com when it first came out).
And there's the famous, largest and longest lasting Framingham study that set out to prove your point of view: that the study would validate the diet-heart hypothesis once and for all and prove that cholesterol causes heart disease. If you read the media reports that emerged throughout the study, Framingham FAILED to provide evidence or proof that there was any link, not even remotely. Even Ancel Keys, who in many ways can be considered the "father" of the cholesterol-heart disease hypothesis, had this to say in 1997: "There's no connection whatsoever between the cholesterol in food and cholesterol in the blood. And we've known that all along. Cholesterol in the diet doesn't matter at all(emphasis is mine) unless you happen to be a chicken or a rabbit." The reference to "a chicken or a rabbit" pertained to early studies performed on chickens and rabbits where researchers force-fed these animals extremely high-levels of cholesterol. Since chickens and rabbits are mostly vegetarian, their physiology is not adapted for processing such large amounts of foreign cholesterol. It's really no surprise that they developed atherosclerosis by ingesting huge amounts of a substance that was alien to both their diet and their physiology. The incredible blunder that was made was assuming that the results of this experiment could be extrapolated to humans. Our physiology is so different it's impossible to make or draw any comparisons other than that we're all mammals.
I could cite many hundreds of studies, articles and blog posts that take opposing positions on both sides of the argument but it's unlikely to change any minds. I conducted my own personal experiment and can only verify that the diet-heart hypothesis probably does not apply to me (2.5 years won't definitively prove anything from a scientific point of view; it only gave me insight and skepticism about the claim). A guest lecturer at a 1977 symposium on the topic of statin drugs and cholesterol made this remark:
Well, it looks like we're finally starting to get there. Only time will tell.View Thread
The best advice that I can provide is for you to get good control over your uncontrolled sugars. If you are struggling with your efforts, discuss the use of insulin with your doctor. If you are already on insulin, you will need to learn how to use it properly and effectively to lower your blood sugar into safe ranges. Be fully aware that if your elevated blood sugars persist and remain uncontrolled, its going to lead to a lot of other, more serious complications than just dental problems. Seek competent medical help even if it means changing doctors.View Thread
Sorry Delores, but I don't agree with many of PlantPositive's "factual" positions. This is a bit off-topic but may be necessary to counter the misinformation that often comes from the biased statements that the organization makes. Although I don't fully agree with Anthony Colpo 's views towards Plant Positive, some of his points are valid and can be found at this site . Note that Colpo's blog post dates back to 2011 but nothing much has changed to alter my own views about PP.
My own diet IS primarily vegan but for 2.5 years, I experimented with a very high fat diet (approx. 70% of calories). I did not suffer any health issues during or after my experiment nor did my cholesterol levels rise to unhealthy levels; conditions that are commonly blamed on the ingestion of saturated fats. In fact, my blood tests actually improved (overall) in terms of my cholesterol and lipid levels during this experiment. I have since concluded that all of the bad press and results of ingesting fats may be due to leading sedentary lifestyles, genetic predispositions or those who already have existing cardiac issues.
The evidence linking statins as a causative agent for diabetes in some people is pretty compelling. I won't go into the scientific details but direct you instead, to this Fox News article that discusses the matter. There are even a number of ambulance-chasing sites (class-action law suit attorneys) that solicit clients online. Since different people have different health and genetic issues, it is not easy to prove conclusively that statins are the cause of one person's diabetes vs that of another; only that there is a heightened risk factor.
Your BG trend could suggest that you are headed towards metabolic syndrome and/or diabetes but you should consult with an experienced doctor who can provide you with appropriate testing. I have my own personal biases towards statins but then I am also skeptical of the entire heart-cholesterol syndrome. I lean towards the belief that it was started using faulty data (begun by Ancel Keyes and perpetrated by Big Pharma). But then, that's just me. Uffe Ravnskov , a Danish physician, has done much to debunk what he calls, "The Cholesterol Myths " but that's really a topic for another discussion.
Regarding exercise and BG levels, that is an individual matter. Some people actually experience a rise in BG levels initially before it drops back down an hour or two later. However, the exercise can often keep total blood glucose levels lower overall for 24 to 48 hours afterwards. For me personally, my BG tends to drop during my exercise session, particularly if it involves strength training. I have also experienced fleeting or temporary increases in BG levels when performing other types of exercise but have found it difficult to pinpoint with any degree of accuracy. BTW, welcome to the forums.View Thread
Lynn is correct in stating that there is no one single set of rules that applies to everyone. Diabetes is largely a disease of carbohydrate intolerance but the degrees of that intolerance varies from person to person. If you want some general guidelines, tropical fruits like mangos and pineapple will raise blood glucose levels more than non-tropical fruits such as pears and apples. Leafy green vegetables and above-ground vegetables are healthier for most diabetics than below-ground vegetables such as beets, carrots, potatoes and tubers. Most organic, natural fats are diabetes friendly, even animal fats if the animals are grass-fed and not stuffed with GMOs, antibiotics, synthetic hormones, and other unnatural foods and chemicals. I personally go by the low carb guidelines advocated by Dr. Richard K. Bernstein . You can find free chapters from his book at this link . His chapters dealing with diet and food (Chapters 9 & 10) include some specific lists of good and bad vegetables. To him, the only "good" fruit is avocado but that's because he is a T1 diabetic and produces no insulin of his own. T2's have a little more latitude and this is also addressed.View Thread
Welcome to the forums. The symptoms that you describe could very well be caused by elevated blood glucose levels and even PAD (Peripheral Arterial Disease), depending upon lots of individual factors and how sensitive you are to gluco-toxicity (because we're all different). About two out of three diabetics over the age of 50 suffers from PAD. Much depends on how long a person is exposed to hyper-normal blood glucose levels. It sounds like your doctor is on top of things and your successful lowering of blood sugar levels into safer ranges is probably the reason why your symptoms have abated. As to your fasting (FBG) and after dinner glucose levels, the situation that you describe is actually quite common. When your BG levels have returned to safe levels, your beta cells continue to secrete insulin for basal release. Any excess insulin is stored by your beta cells to replenish your Phase I insulin response (Phase I response is often the first thing to go if the disease worsens). In the morning, usually beginning sometime around 4 am, the liver begins releasing glucose into the blood stream. In addition, your endocrine system also starts releasing cortisol and other hormones to prepare you with the fuel and energy needed to respond to the demands of starting a new day. The effect is commonly called the dawn phenomenon and affects those who are diabetic or metabolically impaired. The net effect will be an increase in your FBG. In non-diabetic people, insulin release is more balanced and the excess blood sugar released in the early hours of the morning is cleared away rather quickly. Your overall numbers, however, are considered to be very good for anyone diagnosed as diabetic or prediabetic. Although your numbers are still higher than what a normal, non-diabetic person would experience, your ongoing efforts at weight reduction, a healthier diet, and active life style will reward you with continued dividends in the years ahead.View Thread