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Re: [IP] The Best Endo



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Katie,
This is consistent with my experience although my Mexican food hits a little later
- -- 9-12 hours, again consistent with the delay from my gastroparesis.  I think I
remember a John Walsh piece that says this too although the bit in Pumping Insulin
is too vague to be very helpful here.  At any rate, it's phenomenon my endo does
recognize and I've heard a few dieticians and a couple of specialists recognize it
as well.  Most conventional doctors or endos with "traditional" experience will
not be familiar with this patten. The ADA diet model precludes its existence.

email @ redacted wrote:

> Marilyn White wrote:
> > he is supposed to be
> >  the best endo who specializes in DM
>
> Yesterday a friend told me that his endo whom he trusts and respects, the endo
> who helped him achieve A1c of 5-6 and to get to 8% body fat has told him
> something he doesn't think is right.
>
> It was pertaining to calulating for fat. He eats Mexican food or some other
> "splurge" food every friday and has documented his results maticulously.
> First, he boluses for the full number of carbs in the meal, takes that just as
> if there were no fats in the meal. Testing through the night all is fine, no
> increases. Then seven hours later (repeatedly) his bgs rise. He has solved his
> problem by reprogramming his basal rate for that evening.
>
> His doctor insists that it is not the fats and that he is miscalculating.
>
> I laughed and told him he had now enter the zone of knowing more than 90% of
> the Diabetic Specialists out there. I told him to definitely go with what he
> believes b/c the docs often miss the "YMMV." They may know that it is not the
> "fat" (rather some melding of genetic codes <grn>) but we know the end
> results. The practicality of eating a high fat meal. And that with each person
> YMMV no matter what the doc says. - Katie
>
> 
> Insulin-Pumpers website http://www.bizsystems.com/Diabetes/



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<HTML>
Katie,
<BR>This is consistent with my experience although my Mexican food hits
a little later -- 9-12 hours, again consistent with the delay from my gastroparesis.&nbsp;
I think I remember a John Walsh piece that says this too although the bit
in <I>Pumping Insulin</I> is too vague to be very helpful here.&nbsp; At
any rate, it's phenomenon my endo does recognize and I've heard a few dieticians
and a couple of specialists recognize it as well.&nbsp; Most conventional
doctors or endos with "traditional" experience will not be familiar with
this patten. The ADA diet model precludes its existence.

<P>email @ redacted wrote:
<BLOCKQUOTE TYPE=CITE>Marilyn White wrote:
<BR>> he is supposed to be
<BR>>&nbsp; the best endo who specializes in DM

<P>Yesterday a friend told me that his endo whom he trusts and respects,
the endo
<BR>who helped him achieve A1c of 5-6 and to get to 8% body fat has told
him
<BR>something he doesn't think is right.

<P>It was pertaining to calulating for fat. He eats Mexican food or some
other
<BR>"splurge" food every friday and has documented his results maticulously.
<BR>First, he boluses for the full number of carbs in the meal, takes that
just as
<BR>if there were no fats in the meal. Testing through the night all is
fine, no
<BR>increases. Then seven hours later (repeatedly) his bgs rise. He has
solved his
<BR>problem by reprogramming his basal rate for that evening.

<P>His doctor insists that it is not the fats and that he is miscalculating.

<P>I laughed and told him he had now enter the zone of knowing more than
90% of
<BR>the Diabetic Specialists out there. I told him to definitely go with
what he
<BR>believes b/c the docs often miss the "YMMV." They may know that it
is not the
<BR>"fat" (rather some melding of genetic codes &lt;grn>) but we know the
end
<BR>results. The practicality of eating a high fat meal. And that with
each person
<BR>YMMV no matter what the doc says. - Katie

<P>
<BR>Insulin-Pumpers website <A
HREF="http://www.bizsystems.com/Diabetes/">http://www.bizsystems.com/Diabetes/</A></BLO
CKQUOTE>
&nbsp;</HTML>

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Insulin-Pumpers website http://www.bizsystems.com/Diabetes/