Mon, Dec-28-09, 17:15
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Northern Mike
Posts: 20,757
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Plan: This time? LOL..
Stats: 251/228/190
BF:Weight in journal
Progress: 38%
Location: Houston, TX
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Hi again,
In rereading your original post, it struck me that maybe you were as interested in information for your patients as for yourself. Interestingly enough, that sparked some different ideas in my head. btw, I totally agree that one size does not fit all. My family was very concerned when I went on a LC diet, but I told them the biggest risk to my health was staying at my previous weight. Although my bad cholesterol has not gone down, my HDL has gone up and my triglycerides have gone WAY down.
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Originally Posted by doc parker... just because I think it's a cool name.. lol
My particular interests at this point are:
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-----how to overcome the high drop-out rate seen with low-carb eating
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I don't believe the drop out rate is higher with LC (but if you've got facts, please share), but let me lay out a couple of the reasons I've seen people drop out.
1) They hit a stall in weight loss - most people experience them. During my first stall I lost at least a couple inches in my waistline. I was ok with the idea of a stall knowing that I was trading fat for muscle (see picture below) but a lot of people get frustrated with the scale not moving and give up. btw.. I have no scientific facts, but I "believe" LC is more likely to make you trade fat for muscle than other diets (see the other picture).
2) They are doing LC, but they are overindulging on sweets with low "net carbs", i.e. with sugar alcohols. For me, the only carbs I subtract from the carb count are fiber. Russell Stover sweets are notorious for this (unless they've changed since the last time I looked)
3) LC is different than other diets because it actually diminishes cravings. Since going LC actually cuts out cravings, falling off the wagon brings cravings back. So do you want a diet that helps you with the cravings or one that makes you deal with them every day.. for me LC was the way to go... but some people fall off hard, and never make it back.
The forum here is a GREAT source.
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-----application of low-carb eating to people with type 2 diabetes, overweight or not
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Well, you are the doctor, so you make the call. You said you were no longer concerned with any cardiovasular risks from LC. If you're not concerned about the fat aspects of a LC diet, LC eating would be AWESOME I would think for people with diabetes. It's low to zero sugar, and when people do eat carbs, they usually look for those with lower absorption rates... and here's the thing.. LC actually tastes GREAT.
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In 2009 I spent 80 hours reviewing the scientific literature supporting the reigning medical establishment's position that dietary fat, saturated fat, and cholesterol are detrimental to cardiovascular health.
I found the evidence weak or nonexistent.
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Do you have any of the information or links anymore that led you to that conclusion?
Hope your own LC success continues!
Mike
Last edited by DaddioM : Mon, Dec-28-09 at 17:24.
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