Type 1 Diabetes: I've been told!!
Thursday, September 3rd, 2009
I must be getting popular…I had a woman post a comment on porphyria the other day explaining the condition is not auto-immune and is instead “genetic”. EVERYTHING is genetic at some point…we have parents, genes are passed along to us. I mentioned to the woman that we have seen people actually put porphyria into remission…but I guess that is small potatoes compared to just living with the condition…
Today I received the warm and chummy piece below from Theresa. This is from the Type 1 Diabetes and CrossFit post. Here is Theresa’s comment, I’ve italicized a few pieces I want to address.
It would seem I’m the minority here, but I find several flaws in this article and your subsequent responses to some of the comments. For one thing, there is absolutely no reason a Type 1 Diabetic can’t run Iron Mans and have an EXCELLENT A1C. Don’t put a guarantee behind your own opinion which has no basis in fact. As a Type 1 diabetic myself, I know it doesn’t have to limit the type of workouts we’re able to do and still have a good A1C…it’s called learning to control your diabetes, not letting it control you. And your comment that Type 2 Diabetes is simply too many carbs? There are many Type 2 diabetics whose pancreases are unable to properly dispense insulin, or whose bodies are unable to utilize the insulin as needed no matter what type of diet they follow. Despite what people often think, Type 2 is not just due to excessive carbs or being overweight, and while it can often be controlled through proper eating and exercise, limiting carbs is not a cure-all.
As for some of the comments from people saying their endocrinologists promoted high-carb diets… I recommend a new doctor. I’ve had diabetes since I was 4 (I’m now 25) and not one of the many endocrinologists I’ve had was a proponent of using MORE insulin unless absolutely necessary. Even in cases where my basal rate needed to increase, the goal was always to achieve better responsiveness to insulin and bring my blood sugars back to a more even keel.
It seems irresponsible to offer a specific daily carb amount for a Type 1 diabetic to maintain when you have limited knowledge of diabetes and no actual background on the subject. A paleo diet may very well be a great option for a diabetic, but I would hope that anyone reading this article does their research before altering their lifestyle based solely on your unsubstantiated opinions.
Additionally, it’s proselytize, not “prostylitize.”
Well, when you get right down to it I should have just italicized the whole mess. First, thanks for catching my spelling error..I don’t doubt there are several others where that came from! Since you obviously have a keen attention to detail and can only wonder how you missed the substantive pieces but the tough-chick emotionality is a pretty good indicator of what is happening here: You don’t want to hear that your chosen activity (IronMan) and the accompanying diet (apparently high carb) might be less than healthy. that’s YOUR problem, not mine and don;t put your psychology off on me. If you had bothered to read the comments folks have dramatically reduced A1C’s and insulin usage. In a few cases folks have even seen recovery of pancreatic function with a low carb paleo diet. HOW did you miss all that Theresa? You also make the impressive stand that people need to “learn to control the diabetes, not let the diabetes control you…” Right…you apparently missed the point where I said folks need to “map” their food and training to build a profile of what their response is not just to given training volumes, intensities and lifestyle factors. But I guess that sounds much less tough-minded and heroic vs saying “Don’t let it control you baby!!”. Yeesh.
Credentials…Thersa, would you like to have a debate on the mechanisms underlying Type1-3 diabetes, and or the nuanced and emergent hybrid form of diabetes in kids which shows both insulin resistance AND autoimmunity? Theresa, several hundred people have dramatically improved their lot with regards to both type 1 and type 2 diabetes as a consequence of this FREE blog…who have you helped?
I’m sorry if I come across a dick, but yours was the bitchiest comment I’ve had in the history of the blog. You obviously have not done your homework on the topic. It would have been far easier to simply scuttle your comment but you certainly got my attention and here’s the deal:
You are wrong and or misguided on every damn point you made. There is a cost-benefit continuum which exists here and I’ll be damned if I’m going to let you muddy that picture with simplistic generalizations and straw-man crap. The reason I posted your comment is so you can’t whine that I’m blocking your opinion. Quite the contrary, I made it front page material. If you are so wise on this topic you construct a BETTER approach than the one I laid out and I’ll publish it here. YOU do a better job of addressing the tradeoffs inherent in high level training and the fueling nightmare that can result for the Type 1. What are your “EXCELLENT” A1C numbers…and are they anywhere near what folks are achieving with a low carb paleo diet? SHOW me one metabolic ward study in which a low carb diet did not reverse ALL markers of insulin resistance (you know, in response to you statements that a low-carb diet is not a fix-all for type 2 diabetes).
As to whether or not what I’ve recommended is responsible Theresa…all the folks in the comments have reported highly favorable changes. If you have something better, let’s see it.