What my Doctor Said

I got off Insulin a year ago so I haven’t needed to go to my MD in two years. I decided for the one year anniversary of starting ketogenic eating to go to my doctor and get my blood tests. So I anxiously checked my email for the results of my blood tests.

The number I was most interested in was the HbA1C number. That’s the measurement of the average blood sugar level of the past three months. The test showed my HbA1C to be 5.8. That is at the bottom of the Pre-Diabetic range. 5.6 or less is considered to be non-diabetic. The value of 5.8 is an average Blood Glucose value of 120. That matches pretty well what my meter shows.

The doctor told me he has never seen this before or heard of this happening to anyone. I told him how I did it (documented in this BLOG). How I took off a week from work and decided I was going to figure out how to Hack my Type 2 Diabetes.

I recommended that the doctor look up Jason Fung and find some of his videos on Diabetes. Here’s one that YouTube has:

Has It Really Been One Year? – July 2017

Yes, it has been a year. Looking back where have I come? Lost somewhere around 75 lbs. At my college weight. Waist size of my pants went from 42 to a loose 34. Every suitcoat I have bought fits and most of them are really, really loose. All of my 18-1/2″ collar shirts are really, really loose. All of the 3X shirts in my closet are really, really loose. Trips to Goodwill to buy clothes to fill the gaps. Down to Large Shirts. Unsubscribed from all the Big and Tall clothing email lists.

But that’s not why I started any of this. I started this with the purpose of Hacking My Type 2 Diabetes. How has that worked out? Fantastically! My blood sugar meter shows my 90 day average at 110. I took a blood test on Friday so I will have to see what my HbA1C number is but it should be good. No longer on Insulin. The Medtronics Insulin Pump is gathering dust in a plastic shoebox somewhere. Thousands of dollars of insurance costs.

No longer on Metformin.I stayed on it until a couple of months ago and then decided to stop. Yes, my Blood Sugar is 10-15 points higher, but I am not on ANY meds for diabetes.

Right now I am fighting a nasty case of poison ivy and my blood sugars are “sky high” at 140. I’d be worried but I remember what it was like when I was on Diabetes drugs. My numbers would be in the 200’s with this sort of poison ivy case. So even with the stress of a pretty big infection I am doing pretty well.

In the past year I have done four ten day fasts. My last fast started after a weekend where the previous fast had just ended before the weekend (10 ten day fasts separated by 3 days). I also did several three and four day fasts until I discovered that day 3 is the “tough day”. It really is true.

What was an experiment a year ago is now a way of life.

Glycemic Index vs Glycemic load (Reprinted from Aug 2016)

The ADA site has an interesting study listed. The conclusions state:

No association was observed between glycemic index and SI, fasting insulin, AIR, disposition index, BMI, or waist circumference after adjustment for demographic characteristics or family history of diabetes, energy expenditure, and smoking.

This is a bit hard to accept but I have to question the results. How do they adjust for a family history of diabetes? I get the other categories but how does the American Diabetes Association (ADA) adjust for diabetes? Isn’t this what they are supposed to be figuring out?

Associations observed for digestible carbohydrates and glycemic load, respectively, with SI, insulin secretion, and adiposity (adjusted for demographics and main confounders) were entirely explained by energy intake.

This is true at least in part. The LCHF diet is most just LC and not so much HF. It’s easy to eat meats and miss the high fat sources. The end result of cutting out carbs is a lower energy intake than not dieting. Lower energy intake leads to lower body weights.

So this finding does in fact support a LC diet. It’s easier than counting calories.

Here’s the next interesting point:

In contrast, fiber was associated positively with SI and disposition index and inversely with fasting insulin, BMI, and waist circumference but not with AIR.

Fiber continues to look to be a good thing but if you are not eating a lot of plant roughage then you need to take it in supplement form. I think Dr Atkins recommended psyllium husk. But that would be another BLOG post…

 

Leptin and Insulin Resistance (Reprinted from Aug 2016)

Time for the next paradox. (Science is: Relationships between changes in leptin and insulin resistance levels in obese individuals following weight loss).

Moderate weight reduction in obese participants over a short period significantly improved Insulin Resistance.

Maybe this isn’t really a paradox as much as it is a challenge. How do you possibly lose weight when you are on large doses of Insulin?

Next, which was the cause and which was the effect? Did what they do reduce the weight improve Insulin Resistance or did what they do reduce the insulin resistance result in weight loss?

Either way, we’ve now discovered at least one way to reduce Insulin Resistance – weight loss.

One Man’s Resistance is another man’s Sensitivity

Resistance and sensitivity are the inverse of each other. The goal is to improve our cells ability to deal with insulin. Saying it either way as Increase Insulin Sensitivity or Decrease Insulin Resistance is saying the same thing.