Dear Brunosbud, Thank you for your kind words and support.
I'm quite in favor of keeping the forum "colorful". It would be much less interesting and fun if everyone was polite and appropriate all the time. I enjoy when people are pushing the boundaries of personal expression and making their feelings known. Having said that, I will admit I've occasionally had hurt feelings when someone thinks I'm lame, and it feels good when others speak up in dissent. Thanks again. MichaelView Thread
Dear TanteWaileka, I am so pleased to learn that you have beaten back type 2 diabetes by doing exactly what is necessary. You have set an example of how making a conscious decision to embrace lifestyle change can make all the difference. Good for you! Please let us know if there is anything we can do to help support your efforts to stay healthy and avoid diabetes. I have dedicated my professional career efforts toward helping people try to avoid and/or reverse type 2 diabetes as much as possible through lifestyle change. I have been volunteering my time and efforts to the diabetes community for about 2 and a half years and it has been a great pleasure for me to participate and lead in this way. Once you get to know me you might feel that we see eye to eye on a lot of things. For your possible interest I've pasted some of my views on vegan eating strategy from my "Conquering Diabetes" Blog posted on May 4, 2010 titled Low-Fat Vegan Diet for Reversing Diabetes
"I have often declared that there are many good eating strategies for diabetes reversal. All eating strategies have strengths and weaknesses. In this blog entry, I'll share my thoughts about Dr. Neal Barnard's program for reversing diabetes. I like Dr. Barnard's approach. He is a physician who cares deeply about fighting diabetes and getting at the root causes. He recognizes the power of lifestyle change for reversing and preventing health problems, and he has been a leader in framing type 2 diabetes as a potentially "reversible" condition. He has published several books, including the Program for Reversing Diabetes (Rodale, 2007). Dr. Barnard points out that people with type 2 diabetes or those at risk for diabetes accumulate abnormal fat droplets inside the muscle cells, and this leads to insulin resistance. Eating a high-fat American diet can worsen the problem. He also points out that weight loss can reduce insulin resistance and reduce or eliminate the abnormal fat droplets. This reduction of insulin resistance (or increase in sensitivity to insulin) results in improvement in blood glucose and A1c levels because the available insulin can now work more effectively to usher glucose from the blood into the muscles and organs that use glucose.
Vegan Dinner Elaine Vigneault / CC BY 2.0 In my view, this is a solid eating plan that consistently produces good results when the plan is followed carefully. Whole grains help reverse diabetes in the context of a low-fat eating strategy. Fruits, vegetables and legumes do the same. Most people like these foods and find them filling and satisfying. Unfortunately, most people with type 2 diabetes find the vegan diet challenging to start and continue without exceptional coaching. The vegan diet is a huge leap from the typical Western diet consumed by many with type 2 diabetes. Meat, cheese and animal products are hard for people to avoid after eating such foods daily for decades. Ditto for refined starches and foods high in sugar and fat. All eating strategies require dietary sacrifices (food types and/or portions), and going vegan low-fat may be one of the most ambitious changes one can make. The payoff is high, but the dietary change is just too extreme for most folks. This is unfortunate, and I believe well-trained lifestyle coaches can help patients/clients overcome the barriers in many cases. If we in the medical profession tried harder, we could help a lot of people go vegan and reap the health benefits. I'm grateful for Dr. Barnard's leadership on this issue and see him as a great role model who personally practices what he prescribes. The low-fat vegan diet is not the only way to reverse diabetes, but it is an excellent option that is seriously underrated by patients and health experts. - Michael Dansinger, MD
I've worked with many patients who find Thanksgiving and Christmas to be huge celebrations that can lead to week-long food fests. Other patients have no problem with overeating during the holiday season.
Just curious to know--do you find one holiday to be a bigger threat to your waistline than the other?View Thread
Dear Gatorman, You asked whether one can get snappy and angry after going too long without eating. In my view the answer is "yes" it is possible to become snappy after going too long without eating. I suspect it can be due to surges of various hormones in response to falling blood sugar levels.
Sweet potato has a bit more fiber than a baked potato. That slight difference can be viewed as trivial by some, or as meaningful by others.
For each sweet potato consumed in America, I'll bet there are another 10 white potatoes consumed. By making sweet potatoes "fair game" and white potatoes "food to avoid", it can create an arbitrary distinction that works well within the context of a "moderate carb" or "carb resistricted" eating plan. Most moderate carb eating plans draw arbitrary lines intended to allow some but not all "borderline foods" that are high in both fiber and starch.View Thread
From your previous post: Dr D could you revisit this - pointed comments made to you. Thank you.
DoloresTeresa has not said anything about the bars just the shakes. So are they good for us or not? If there was "arsenic" in the shakes won't one get sick or even die? I thought Arsenic was poison!
Deb, you asked a good question about the nutritional aspects of the Biggest Loser shakes, and I gave a long answer (previously) indicating my mixed feelings about the potential benefits and drawbacks of shakes and bars as meal replacements. I voiced a centrist opinion on the topic, and I stood by the Biggest Loser shakes and bars as the best I could do to make something I could stand behind, given the limitations of the current state of food processing technology. If you're asking if the shakes are healthy my response is yes, if they are used to replace less healthy foods such as processed starches or sweets. Obviously whole natural foods are best.
One of my blog posts dealt with the topic "Are Diabetics Overmedicated?" which I concluded as follows:
"It is very easy for health care providers and patients to rely on medications to get the numbers in line, without paying due attention to lifestyle change . The drugs can easily mask the problems that could be and should be addressed by lifestyle change. It is important to recognize that this is a very different situation than when a patient is making concerted lifestyle efforts, and seeing good results, but the health goals are still not being met. Lastly, I would just like to acknowledge that we often use drugs and other treatments that have little or no benefit as reported in USA Today. Pharmaceutical companies sometimes exaggerate the benefits and downplay the risks of their products, and may do so via the design and interpretation of clinical trials that doctors, patients and the FDA rely on to assess the risks and benefits of drugs. For example, the makers of the diabetes drug Avandia have come under fire recently for unethical practices that were intended to downplay possible safety risks.View Thread