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Re: [IP] The Best Endo

Well Katie, I agree with both the doc and your friend.  Fats don't require
insulin for metabolism.  There's a lot of very convincing evidence for
that.  But I see the same effect after Mexican food.  chinese food , french
food, restaurant food, etc.  So what gives.  We all have our own theories.
Two possibilities: 1) the protein.  This has to be figured in, but unless
you have gastro, there's not much left of anything to digest 7-12 hours
after a meal.  So I'm not sure its all due to the protein.  One thought
that I'm currently investigating is that the metabolized fat somehow alters
the body's need (maybe even the fat cells themselves) for glucose.  So
maybe a big fat meal does indeed alter your basal requirements half a day
later.  I wonder if there is any data on normal people regarding this.  The
dietary literature is often pretty spartan and spread out, but I'm looking.
And i'm going to a French restarange with my wife tonight, so I know I'll
need to square wave big time before bed :-).
- -wm

<<<<<<<<<<<From: email @ redacted

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>>>>>>>>>>>>>>>

Wayne Mitzner
Department of Environmental Health Sciences
The Johns Hopkins School of Hygiene and Public Health
615 N. Wolfe St.
Baltimore, MD 21205
Tel. 410 614 5446
Fax 410 955 0299

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