Now that was fun

[TexasProgresive]

7. I certainly don't want to get in between you and the nutritionist

Here's an interesting article from a retired MD with type 1 diabetes.

Why Your Doctor May Question a Low Carb Diet

Keith Runyan, MD | March 08, 2016
Category: Food & Nutrition

snip:
Overall I would say that despite the mounting evidence of the benefits of a low carbohydrate diet for many medical conditions, it has not yet been accepted as “standard of care” in 2016. I doubt there will ever be a sudden declaration of its benefits and safety. Rather, there will be a gradual move over to its acceptance in small steps. For example, the American Diabetes Association in its Standards of Medical Care in Diabetes-2016 states the following: “As there is no single ideal dietary distribution of calories among carbohydrates, fats, and proteins for people with diabetes, macronutrient distribution should be individualized while keeping total calorie and metabolic goals in mind.” I hope you can appreciate the subtlety of this statement. It is not a specific endorsement of low dietary carbohydrate, but it is acceptance of it. However, physicians who may read that one sentence of the 112 page document might not interpret it in the same way.

snip:

Dr. Keith Runyan is a retired physician who practiced Emergency Medicine, Internal Medicine, Nephrology, and Obesity Medicine during his 28 year career. In 1998, he developed type 1 diabetes at the age of 38 and struggled to manage his blood glucose due to hypoglycemic episodes. When he started regular exercise in 2007, his sports nutrition (sugar) exacerbated his glycemic control further. While preparing for an ironman distance triathlon, he discovered the ketogenic low carbohydrate diet that had been used for all persons with diabetes prior to the discovery of insulin in 1921. It was resurrected by Dr. Richard K. Bernstein and Dr. Runyan adopted his method of diabetes management. To Dr. Runyan’s surprise, his hypoglycemic episodes dramatically improved as did his glycemic control. He remains active with swimming, cycling, scuba diving, and more recently olympic weightlifting. He writes about his experiences to help educate others with diabetes in his blog, Ketogenic Diabetic Athlete.

http://asweetlife.org/feature/why-your-doctor-may-question-a-low-carb-diet/

Is Your Dietitian Crazy?
How to find a dietitian who really helps and skip the ones who don’t.
By Amy Campbell MS, RD, CDE
5. You’re the expert in your diabetes. Another wise reader mentioned this in the discussion thread and I, too, learned this years ago: everyone’s diabetes is different. Advice from healthcare professionals, friends, neighbors, and others on this website can be helpful, but at the end of the day, it’s up to you to decide what’s best for you. Diabetes medications don’t always work the same way in different people. Low-carb diets may be right for some people, but not everyone. Walking may be a great exercise for certain folks, but possibly not for people who have peripheral neuropathy. Your dietitian can recommend how much carb to eat, if and when to eat a snack, or whether the Paleo diet might be beneficial for you. It’s up to you, however, to decide if these recommendation will work for you. And sometimes you won’t know until you try things out. But you’re in charge and you get to decide what’s best for you.

http://www.diabeticconnect.com/diabetes-information-articles/general/2345-is-your-dietitian-crazy

How to Talk to a Dietitian About Your Diabetes Diet

Choosing what, how much and when to eat following a diabetes diagnosis can be overwhelming. But don’t worry: There is help.

Your primary care doctor or endocrinologist might refer you to a certified diabetes educator (CDE) or registered dietician (RD) to learn more about managing your diabetes and diet. If he or she doesn’t refer you, ask.

This guide isn’t a replacement for a doctor’s visit. Here we’ll cover tips to help you communicate effectively with your dietician or CDEO and specific questions to ask — all things to help you get the most out of your relationship with your healthcare provider.

http://www.diabeticconnect.com/diabetes-information-articles/diet-and-exercise/getting-started/657-how-to-talk-to-a-dietician-about-your-diabetes-diet