Thread: A Discussion With a Health Profesional

Originally Posted by chambezio

Since 2007 I have been treated for type 2 Diabetes. I take Glucovance twice a day and keep an eye on diet. Yesterday I went to the Podiatrist because I have developed a painful left heel. It gets worse as the afternoon goes on but I am nearly pain free in the mornings. He reckons I have damaged the ligaments that run on the sole of my foot. He strapped it up and gave me some stretching exercises. This morning, after doing the stretches while watching TV last night, the heel is a lot happier.

Interesting - my symptoms are almost the opposite. It's my right heel that hurts , it get's better as the day wears on but it feels worst in the morning when I first get up and put pressure on it. It has really stymied my dog walking activities.

Yeh Bob its not easy to walk. He asked me a lot of questions about where and how the pain affected me. He said that I had symptoms of 2 complaints. he wanted to know if I had had some sort of "trauma" in that region of my foot but nothing came to mind. With the sretches last night as well as the srapping he applied today it isn't too bad but I have been sitting most of the day. It would be worth your while to get yours looked at least. It is a bugger not to be able to get around other than looking like an "old bloke"
Apologies to Chris Parks for getting off the actual track of the original post

Their has been a small but sizable shift in the last few years (and rapidly gaining momentum) away from a high carb diet to a low carb/high fat diet in managing typ1 and reversing type 2 with very high success rates. Its very promising.

Just a quick edit with some links to a discussion by Troy Stapleton who is a 42 yo radiologist from Australia and this he posted on Swedish Diet Doctor blog (one of the biggest health blog in Europe)
Dear Andreas,
Thank you for your website. It is a fantastic source of information and inspiration.
My name is Troy Stapleton. I am a 42 yo radiologist from Australia. I was diagnosed with type 1 diabetes in October 2012. (hbA1c 11.9). I followed standard advice for two months during which time I would spike over 7.5 mmol every day and have a hypoglycaemic episode about once per week. My insulin dose was 30 units/day.
Then I went low carb and this has resulted in a dramatic improvement in my life. My most recent HbA1c was 5.3. I rarely spike over 7.5 mmol, perhaps once per month and rarely have a hypo. My insulin dose is now 6 units at night.
I was interviewed regarding this on Australian radio in August. Please find a link below to my interview. The comments section underneath also makes for interesting reading with numerous other type 1 and 2 diabetics also describing similar success with a very low carbohydrate diet.
Yours sincerely
Dr Troy Stapleton MBBS FRANZCR
Diet Doctor - Real food for your health


This is the link with the discussion with Dr Norman Swan on Radio National
Low carbohydrate diet to manage type I diabetes - Health Report - ABC Radio National (Australian Broadcasting Corporation)


And the response from Dr Maarten Kamp an endocrinologist and the President of Diabetes Queensland.
http://www.abc.net.au/radionational...interview-about-low-carb-diet-and-dia/4896516

The comments at the bottom of both pages make interesting reading.

Also just an interesting titbit, half the Australian Cricket team are on a low carb/high fat diet, and in October last year Sweden became the first western nation to officially reverse their dietary guidelines from high carb/low fat, to low carb/high fat in an attempt to combat both diabetes and obesity.

Originally Posted by chambezio

Apologies to Chris Parks for getting off the actual track of the original post

No need, it is all interesting. My left heel was very painful, I got it from walking barefoot on a walking machine thingy, Plantar something or other. A cortisone injection was prescribed but I declined on that one and thank you very much. It was what is called a robust discussion but he saw it my way in the end. That was the second time I have had to persuade a doctor his cortisone was not coming anywhere near me. if you buck the system they find it strange that anyone declines to do what they want.

Originally Posted by Chris Parks

No need, it is all interesting. My left heel was very painful, I got it from walking barefoot on a walking machine thingy, . . . . .

Walking barefoot definitely makes it worse and even worse again is walking on soft sand like the beach.
The right heel pain started about 4 weeks after I pulled something in my left leg in mid Nov.
This led to me use my rightly leg more than my left - this could have something to do with it.
The other factor is since I cut back my shed activities this meant I stopped wearing boots/shoes and switched to thongs.

I never wear shoes if I can avoid it and never have. The only time I have them on is if I go out with the family, somewhere special etc. I have never worn them in the workshop apart from if I am welding or cutting and if it is a small job not then either, just stand to one side where the least amount of burning debris will be falling. As a kid I only had one pair of shoes for school and the habit developed there I guess as I spent more time in boats than anywhere else. Yes, I have heard all the shock horror, you will be sorry stories.

G'day All.

Just for your information Type 1 and Type 2 diabetes are two different diseases.

Type 1 is as a result of the Islets of Langerhans being damaged by T Cells, and

Type 2 is as a result of poor quality insulin, having less effect on carbohydrate.

Both diseases affect the way carbohydrate is absorbed by the cells. Before insulin was discovered, a mother kept her child alive for a very long time by giving them a protein diet, which led to those with diabetes being given high protein diets then succumbing to kidney disease.

Chris, what you eat will affect your sugars according to your body. I can have a glass of orange juice and the effect on my body will be completely different to yours.

One of the other things that needs to be considered is that after a "very old age" - about 25-30 years old - you have decreased muscle tone. So it all depends on where you are in the scale of things, what affects you, and how your body responds. Only you can test your sugars and find out what they are and what food affects you how.

Have fun testing.

Ady

ps. Diabetes, both sorts, affects your micro circulation and nerves supply to your feet. Which is why you should always wear shoes that are comfortable, because as the disease progresses you can't feel damage.

My wife has been a type 1 diabetic since before I met her and needs to inject herself regularly during the day before every meal. Hence my experience is based on her condition.

I found that no two diabetics are the same, what is okay for one is not okay for another, symptoms differ and insulin needs and thresholds differ. Even testing for blood sugars differ depending on the hand and finger she uses.

So the best is not to rely on other experiences but see a diabetic specialist rather then your GP. Also become a member of Diabetes Australia for they are the ones that can give better advice and support. In addition they administer the Commonwealth scheme for cheap supplies to diabetics.


Peter.

Originally Posted by Adynaton

Before insulin was discovered, a mother kept her child alive for a very long time by giving them a protein diet, which led to those with diabetes being given high protein diets then succumbing to kidney disease.

The basic understanding by the public was a little different back then when general dietary and medical knowledge was limited. The diet wasnt just a high protein diet, but a moderate/high protein - high fat diet that put the person into mild ketosis, and that forces the kidneys to excrete more sodium, calcium and potassium. Now days its not an issue because most (and doctors) realise that you need to dramatically increase water consumption, especially in the first 3-4 weeks and also minerals and trace elements. Its not uncommon for those who are in Nutritional Ketosis to start the day with 1/4 tsp of celtic or pink himalayan salt in 500ml of water to overcome any kidney issues.