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Doctor insights on: Carbohydrate Exchange List 7 Days Of Meal Plans For People With Diabetes

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For what reasons should we only take 10 - 15 percent of protein from our diet?

For what reasons should we only take 10 - 15 percent of protein from our diet?

Thats what we need: More than that can put undue stress on the kidney in an attempt to get rid of the extra protein. The 10-15% is all that is ncecessary for growth and maintenance of muscles, healthy tissue, cell repair and turnover. Protein and fat are not good sources of immediate energy, for that we need 65% of our diet from complex carbohydrates since the body runs on sugar-- glucose. ...Read more

Carbs (Definition)

Carbs is an abbreviation for carbohydrates. The human body breaks down carbohydrates into basic sugars such ...Read more


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Acupuncturist recm'd i eat 4-5 small meals a day and 25g of protein @ each meal. Isn't that more than the body can absorb? Pros cons? 145f inactive

Acupuncturist recm'd i eat 4-5 small meals a day and 25g of protein @  each meal. Isn't that more than the body can absorb?  Pros cons? 145f inactive

Thoughts: Hello it is recommend that adult males need 56 grams/ day & women need 46 grams /day of protein. I know that high protein diets are recommended when used w auricular acupuncture for weight loss. I don't know the specific reason you are receiving acupuncture. I am an acupuncturist, but i don't have enough knowledge about situation to comment on the amt of protein recommended. You have complex >>. ...Read more

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I'm taking 50 mg per day of metformin for type 2 diabetes. My after meal blood sugar levels are sometimes between 190-210. Is that a problem?

I'm taking 50 mg per day of metformin for type 2 diabetes. My after meal blood sugar levels are sometimes between 190-210. Is that a problem?

Yes: You probably mean 500 mg per day, as it does not come in 50mg pills. This is a very low dose of metformin. Also, it depends how long after your meal you are measuring your blood sugar. Typically we like to use the 2 hour post-meal blood sugar. If your 2 hour post-meal blood sugar is 200, that is too high and you do need to address it with your doctor to work on getting that lower. ...Read more

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Due to an eating disorder, I don't want to take the glucose tolerance test for gestational diabetes -50 g of sugar/ 200 calories. Any other options?

Due to an eating disorder, I don't want to take the glucose tolerance test for gestational diabetes -50 g of sugar/ 200 calories. Any other options?

Eating disorder: Let your doctor know your illness and get help so you will get better and give birth to a healthy child. You and the infant need you to be well. ...Read more

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How many grams of carbs should someone with gestational diabetes have per day?

How many grams of carbs should someone with  gestational diabetes have per day?

2000 kcals.: Depending on your weight and height; most women should consume 1500-2500 kcals daily while on ada diabetic diet. ...Read more

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How many carbs for pre diabetes of 6.1 each meal?

How many  carbs for pre diabetes of 6.1 each meal?

Avoid All & go HiFat: Diabetes Mellitus develops over decades, glucose not upper normal until well down the road. Optimal HbA1c for lowest cardiovascular events in human trials 5.0%, well below 6.1%. While >250 gene variants involved, a primary driver is carbohydrates. Study: DietDoctor.com, Mary Enig, FatChance.html, Gary Taubes, Peter Attia, NUSI.org, Science for Smart People, etc. ...Read more

Dr. Ward Dean Dr. Dean
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Type 2 diabetic for 7 years.No meds; diet & exercise. After eating counts are good, but fasting counts are rising. Suggestions on how to lower?

Dr. Ward Dean Dr. Dean
2 doctors agreed:

Take Metformin: As we grow older, we tend to shift in a "diabetogenic" direction. We become Insulin resistant, and our blood sugar and Insulin both tend to rise. Meformin restores Insulin receptor sensitivity, and blocks the production of sugar by the liver (gluconeogenesis). I understand your reluctance to take "drugs." metformin is a derivative of the french lilac, used for diabetes for hundreds of years. ...Read more

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Low blood sugar- extreme weakness;shakes;fits of rage. Only full meals w/ bread, meat & lots of sugar begin to make me feel better. Been ill for years & >30 doctors - no help. No diagnosis. What to do?

Low blood sugar- extreme weakness;shakes;fits of rage. Only full meals w/ bread, meat & lots of sugar begin to make me feel better. Been ill for years & >30 doctors - no help. No diagnosis. What to do?

Complex problems : When a person has a set of serious symptoms that have persistently defied diagnosis, sometimes the best approach is a logical, team-based process. For example, a primary care doctor working closely with a neurologist, endocrinologist, nutritionist and psychiatrist (to help manage symptoms) might be the best way to go. ...Read more

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What is the daily recommendation of carbs for persons who are following a 2, 000 calorie diet?

What is the daily recommendation of carbs for persons who are following a 2, 000 calorie diet?

1200-1300 calories: 1200-1300 calories, preferably as whole grains, and not processed or refined sugars. It comes out to 60-65% of the diet. 20 % should be protein and 20% or less as fat, . ...Read more

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How many grams of carbohydrates should a person with type 2 diabetes or gestational diabetes intake a day?

How many grams of carbohydrates should a person with type 2 diabetes or gestational diabetes intake a day?

No definite #: There is no definite # on that. It will depend on your prepregnancy weight, the weight you've gained throughout your pregnancy, the severity of your diabetes. The calorie intake increases in the second and third trimester by ~ 300 calories/day. Of which ~65% should come from carbohydrates. ...Read more

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What is your diagnosis? Age 65. Type II diabetic since 2002. Novolog on sliding scale with meals + lantis 55 units @ bedtime. Take avapro 150mg/2x and htcz 12.5mg/2x to control hbp. Most recent CBC panel revealed for first time low values for white ce

What is your diagnosis? Age 65.  Type II diabetic since 2002.  Novolog on sliding scale with meals + lantis 55 units @ bedtime.  Take avapro 150mg/2x and htcz 12.5mg/2x to control hbp.  Most recent CBC panel revealed for first time low values for white ce

I : I agree with you that it sounds like you are doing a very good job overall. I am glad that you are so active and can do your own yard work, and feel well. I am concerned that you are so anemic. A hematocrit of 30.2 is very low. It needs to be determined if that has been worked up, and if that is a stable hematocrit for you. Your a1c sounds like it has been improving but htat is stll quite high. I agree with you that portion control can be very helpful, and it sounds like you are quite active so that will also help you. ...Read more

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Can blood sugar for type i diabetic (age43), onset 3 years ago, be controlled with minimum lantus (insulin glargine) and strict diet of protein, vegetable and fruit?

Can blood sugar for type i diabetic (age43), onset 3 years ago, be controlled with minimum lantus (insulin glargine) and strict diet of protein, vegetable and fruit?

No: If you are truly a type 1 diabetic, then the main treatment for you is insulin. Avoiding Insulin in a type 1 is just going to make you sicker. Lifestyle changes can decrease the amount of Insulin needed to keep your blood sugar normal but you do need to consume adequate amount of calories. ...Read more

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If a type 2 diabetic can maintain A1C scores <6 through exercise & diet alone, what are the pluses & minuses of taking metformin 500mg twice a day?

If a type 2 diabetic can maintain A1C scores <6 through exercise & diet alone, what are the pluses & minuses of taking metformin 500mg twice a day?

Depends: Hi. If you're keeping your A1c in the 5's with diet and exercise, you don't need metformin. The only benefit(s) might be augmenting diet & exercise to prevent worsening of control over time, and/or liberalizing diet a little bit. Keep up your awesome healthy lifestyle! I hope you don't smoke (PLEASE stop if you do!). We docs out here are very proud of people like you who control diabetes! ...Read more

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Have symptoms of diabetes, sugar level is 6.2 fasting.Up to 7 .1 after meal (2hrs) Have Graves' disease.Healthy & fit. Can adults get type 1 diabetes?

Have symptoms of diabetes, sugar level is 6.2 fasting.Up to 7 .1 after meal (2hrs) Have Graves' disease.Healthy & fit. Can adults get type 1 diabetes?

Confusing question: The standard reporting of blood sugar results are in mg/dl.Your stated values are obviously in some other system because that level is incompatible with alertness/ life. Type 1 DM is due to loss of insulin production capability.It could happen at any age, but rarely does in older adults.When it does, the patient can lose 10 lb/week while eating almost continuously. ...Read more

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Can a 430lbs men go on a 1000 calorie diet by having 2 meal replacements and a very low calorie dinner all this with type 2 diabetes?

Can a 430lbs men go on a 1000 calorie diet by having 2 meal replacements and a very low calorie dinner all this with type 2 diabetes?

Possible: I recommend you do this under the supervision of your physician to monitor your electrolytes and adjust your diabetes medications as you start losing weight. Remember the best diet is one you can maintain for life so unless there is a medical reason to do something this drastic, i think you should talk to your doctor and come up with a sustainable plan. Good luck to you. ...Read more

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Are sugars straight from fruits bad for phase 3 of the hCG diet?

Small amounts ok: In the recovery phase you must weigh yourself daily, and if weight increases than , skip breakfast and lunch, drink plenty of water; eat huge steak with an apple and raw tomato for dinner. ...Read more

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At risk for diabetes. How many grams of carbs daily to aid in weight loss?

At risk for diabetes. How many grams of carbs daily to aid in weight loss?

Quality not grams: Eat 6 equal meals with fresh vegetables, non sugary fruit, high quality protein, and olive oil and coconut oil, and quinoa as the best grain. Avoid processed foods and processed meats and artificially sweetened foods. Get a good night sleep, exercise and manage stress skillfully. See kelly mcgonigal's the will power instinct for optimal health and weight loss. ...Read more

Dr. Quang Nguyen
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Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more