The Doctor Asked: “What Have You Done?”

Yet another story from a person with type 2 diabetes, who has tried an LCHF diet:

At an appointment with my doctor, after being on an LCHF diet for one year (diabetes checkup):

The first thing she asks me is…. “What have you done?” – with a big smile.
“I started eating an LCHF diet”, I say.
“I just knew it had to be something like that!”, she says.

All numbers are good. Blood sugar normal, cholesterol numbers good, blood counts…. everything that can be measured is great (all was not good a year ago). My waistline has shrunk by 5 inches, and I have lost more than 30 pounds (have acquired more muscle mass too, so my fat loss is probably significant).

In addition I have completely stopped taking some antidiabetic medications (don’t need them anymore), and am currently taking half the dose of the last remaining antidiabetic medication that I take daily. I don’t need more than that when I eat an LCHF diet.

Then comes the funny part (or the not so funny part). She tells med that many of her patients have changed their diets to an LCHF diet on their own. And they all lose weight, they all improve their health markers, become healthier and feel much better.

“Isn’t this amazing?!”, she says, adding “And I am not allowed to recommend this to my patients, because we have to follow the official guidelines. Our whole society is sugar-poisoned.”

Congratulations!

The doctor’s idea that she is not allowed to recommend an LCHF diet is a common urban legend, that is spread by ignorance. As a physician in Sweden you may certainly recommend an LCHF diet. I have done so to appropriate patients more or less daily for the past six years, with results similar to the above.

Previously on diabetes

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Dr Attia at TEDMED: What if We’re Wrong About Diabetes? 21
Why are Asian Rice Eaters Thin? 283
The Sad Truth Behind The Biggest Loser 36
Great Cholesterol Numbers After 4 Years on an Ultra-Strict LCHF Diet 86
Get Your Hormones Checked and Lose Weight 19
Stunning: Saturated Fat and the European Paradox 165
Swedish Expert Committee: A Low-Carb Diet Most Effective for Weight Loss 54
Lose Weight by Achieving Optimal Ketosis 112
New Study: Is Today’s Wheat Bad for You? 53
Happy Ketones 42
It’s the Insulin, Stupid 154
Is Overeating Carbs Worse Than Overeating on an LCHF Diet? 102
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58 Comments

Top Comments

  1. Sabine
    It is unfortunate, that practising medicine has become so restrictive, and dominated by rules enforced by organizations representing and enforcing "standards" supported by dubious interests.
    It is also terrible, that many people stumble upon healthy low-carb eating so late into metabolic disease, and that for many years they are being pushed ever deeper into their demise by following standard eating advice.
    Diabetes comes on slowly and intrepidly. It starts with relatively innocent looking and obscure symptoms like sleep disturbances, fatigue, exercise intolerance, depression, anxiety, chronic fatigue, arthritis and muscle soreness, pimples, mood swings, polycystic ovary syndrome, later on hypoglycemia and weight gain, susceptibility to infections..........
    I believe, that the official numbers are underestimating the extent of the problem. I believe, that most people eating the standard diet are in various stages of insulin resistance/diabetes mellitus.
    I am glad, that there is now this small counter movement, educating those, who are seeking for something better, on a healthy life-style. Thank you Andreas and all you supporters for helping all of us!
    Read more →
  2. Steve
    The irony in the US is that so much of this is a direct result of our federal government getting into the food business. I know much of this was debated in the NY soda ban post, but it bears repeating. It is ONLY because the government picked a side in this battle, the wrong one, that the food companies followed up by creating food products that fit the program and of course big pharma then produced drugs to treat the problems created by the program.

    You have an entire bureaucracy built up around this bad idea, its like a giant snowball rolling down hill, picking up momentum and killing those in its path. Government does not change course fast enough to respond, especially one like we have in which lobbyists hold greater sway over our so called leaders then the people they are elected to represent. This is why so many of us cannot accept the idea of the soda ban, so long as we continue to try band aides on this gaping wound we will never turn the rudder, and will continue to bash our collective skulls against the iceberg.

    Reply: #16
    Read more →

All Comments

  1. FrankG
    Great story and I am happy to read it.

    As to Doctors, or other health care professionals recommending such a diet, unfortunately I understand that she is correct at least here in litigious N. America :-(

    I have had this discussion with my Family Doctor (GP) and Dietitians who, despite their personal feelings, feel bound by the official guidelines of their licensing bodies...

    Imagine the scenario where a late diagnosed (as in, it was missed for too long) Type 2 Diabetic is recommended LCHF by their Doctor and the next week they have a heart attack (MI) which they were likely going to have anyway... this could put the Doctor in a precarious situation regarding their malpractice insurance if they did NOT follow official guidelines.

    It is OK if the patient comes to the decision of their own accord as in this case. I have a constant game with my GP over diet, statins etc... she trots out the guidelines and I smile politely.

    I expect it is different in Sweden... after all you had that landmark decision where a Doctor was being sued by Dietitians for recommending LCHF and the Doctor was finally vindicated by the evidence. Now we just need to help the rest of the world to catch up with common sense :-)

  2. Just adding a comment on the past week's Diabetes UK Annual Professional Conference: a lot of sessions understandably on obesity and diabetes, on earlier mortality in diabetes people, but not a mention of giving people an option that would not necessitate taking so many medications. Apparently, now T1DM people in age range 25-40 must be persuaded to take statins to reduce their early cardiovascular mortality. Help!
    This mortality is firmly attributed to atherosclerosis, which in turn is caused by eating too much fat!
    There was one presenter who advocates lots of physical activity and low fat diet and not taking treatments in T2DM.
    We have a long trek ahead of us in the UK.....
  3. what is lchf stand for pls
    Replies: #4, #5, #6
  4. FranKG
    Hi Grace, please check out the rest of Doctor Andreas's site :-)

    http://www.dietdoctor.com/lchf

  5. jen
    low carb high fat
  6. Zepp
    LCHF is the Swedish name used for an Atkins type diet, to treat diabetes, lose weight or just be healty!
  7. I'm a dietitian in the US who recommends eating LCHF on my blog; however, in my full-time job at a teaching hospital, I advise patients to eat whole foods rather than processed foods and limit carbs to one cup or less per meal. If someone is already eating LCHF, I don't talk them out of it, of course. My hope is that in the very near future I'll have the authority to recommend low-carb diets to my patients without fearing retaliation.
  8. I'm curious to know which country this was in - my guess it's the US. It's shocking to think that GPs might be aware of healthier diets than low-fat/high-carb but are not allowed to even hint that they might be worth following. Is this the case in the UK? I know of one private GP who certainly recommends a Stone Age diet to all her patients.
  9. Michelle
    Jan C

    I'm in the UK and went to my doctor not so long ago and she asked me what I was doing. When I told her that I was LCHF she said that 'people have died doing this'.

    Reply: #29
  10. Very sad that the medical profession feels that way. But when they are getting $$ dividends from massive pharmaceuticals to push their statins, hbp drugs, etc....and the USDA recommends massive amounts of 'healthy whole grains' to profit American massive farming industry...not surprising.
  11. Sabine
    It is unfortunate, that practising medicine has become so restrictive, and dominated by rules enforced by organizations representing and enforcing "standards" supported by dubious interests.
    It is also terrible, that many people stumble upon healthy low-carb eating so late into metabolic disease, and that for many years they are being pushed ever deeper into their demise by following standard eating advice.
    Diabetes comes on slowly and intrepidly. It starts with relatively innocent looking and obscure symptoms like sleep disturbances, fatigue, exercise intolerance, depression, anxiety, chronic fatigue, arthritis and muscle soreness, pimples, mood swings, polycystic ovary syndrome, later on hypoglycemia and weight gain, susceptibility to infections..........
    I believe, that the official numbers are underestimating the extent of the problem. I believe, that most people eating the standard diet are in various stages of insulin resistance/diabetes mellitus.
    I am glad, that there is now this small counter movement, educating those, who are seeking for something better, on a healthy life-style. Thank you Andreas and all you supporters for helping all of us!
  12. LarryB
    If a doctor is part of a clinic, they're often required to follow protocols including conventional-wisdom diet recommendations that don't work for many (probably most) patients. Their malpractice insurance may not cover them either.

    At least this is the case in the US.

    My story is similar, except that my doctor said that after the standard approach failed that I should experiment with different diets and gently pointed me in the right direction.

  13. Jeanne
    I'm having great success with the Precison Xtra ketone monitor, (hope to astound my doctor in a few months) but am wondering if there is a source online for less expensive ketone strips.
    Does anyone in this community know?
  14. LarryB
    Oh, I should add that in the last 18 months I've lost 70 pounds (from 255 to 185 - that's 32kg from 116 to 84). My blood work is better than ever and I'm completely off of diabetes medication. My ability to metabolize sugars (fruits and a bit of dark chocolate only) is vastly improved, returning to the normal fasting range in about an hour.

    I still get my blood work done every quarter so I get a clear picture of the trends.

  15. Steve
    The irony in the US is that so much of this is a direct result of our federal government getting into the food business. I know much of this was debated in the NY soda ban post, but it bears repeating. It is ONLY because the government picked a side in this battle, the wrong one, that the food companies followed up by creating food products that fit the program and of course big pharma then produced drugs to treat the problems created by the program.

    You have an entire bureaucracy built up around this bad idea, its like a giant snowball rolling down hill, picking up momentum and killing those in its path. Government does not change course fast enough to respond, especially one like we have in which lobbyists hold greater sway over our so called leaders then the people they are elected to represent. This is why so many of us cannot accept the idea of the soda ban, so long as we continue to try band aides on this gaping wound we will never turn the rudder, and will continue to bash our collective skulls against the iceberg.

    Reply: #16
  16. FrankG
    Steve - are you looking to rehash the "proposed NYC cap on soda serving sizes in restaurants" (what you emotively like to call a "soda ban") in *every* other thread AFTER you apparently stopped responding in the original post, leaving questions over there unanswered?

    Or perhaps you only feel that YOUR views on this, are the ones which "bear repeating"..?

    Even accepting that you may be largely correct in that it was probably "McGovern-ment" intervention (just a Senate sub-committee) which started this downhill snowball rolling and that "Big Food" jumped on the bandwagon seeing $$$ in their eyes! Nixon probably egged the whole thing on by trying to catch extra votes with cheap food. Although strictly speaking I think the farm-bill and subsidies predates all this and was started with the good intentions of helping to feed the country and provide farming jobs during the depression and dust-bowl era but nevertheless let's not quibble about details... I wonder what kind of a country it would be today of only they had allowed the free-market and Darwinian laws to play out then...

    So even accepting that much, I'm still waiting to hear (among other pressing questions) how "exactly* you expect this situation to turn around WITHOUT government intervention?

    If you just drop the corn subsidies, many farmers would go bankrupt overnight... then where do we get our food? Who would consider and decide how best to redirect those monies?

    As for divorcing government from monied and vocal lobby groups (again I agree that this is something we need to do) how do you see that happening *without* some kind of legislation to regulate it?

    You seem to be just raging against the system without any practicable solutions as to how to generate change. You live (I assume) in what is often called "The Greatest Democracy In The World" and yet it seems you (and the many others you speak for) have given up on the democratic process... perhaps it is time for another revolution?

    You seem to think that this massive social, economic and political change can occur with the snap of your fingers.. oh if only people would listen to you! I'd remind you that in your scenario it started small, with just a single senate sub-committee and has taken decades to grow to what we face today.

    My suggestion is to also start small -- say with a forward-thinking city Mayor proposing a common-sense cap on soda serving sizes -- and gradually build you own groundswell of public opinion, swinging back against the tide of "Big Food". With enough people on board, the government has to listen, or get voted out of office. And I am confident that we can grown this "movement" much faster these days, due in great part to the internet :-)

    But so long as you fixate on "civil liberties" and see threats in every small attempt at change, you are part of the problem rather than the solution.

    My advice is that you "pick your fights"... if you want to talk about infringement of civil liberties first have a long talk with an Holocaust survivor, or the descendents of the slaves who built the USA economy (still happens to a large extent with cheap and disposable illegal immigrants), or even just folks from my parents and elder siblings generation who lived through rationing in the UK after WWII. Then you might have a different perspective on this issue.

    Reply: #20
  17. Quality standards are important for doctors. Clinical guidelines in general are based on scientific evidence. Therefore it is important that doctors comply with those. However, there are situations where complying with guidelines may not be the best thing for the individual patient.

    I find it extraordinary how carbohydrate restriction is repeatedly rejected by the medical community as an alternative approach for obesity, the metabolic syndrome and type 2 diabetes. I look forward to the day when low-carb, high-fat diets are accepted by public health representatives and medical associations for the treatment of these disorders.

    See also: "Low carb diets and heart disease - What are we afraid of? http://www.docsopinion.com/2013/03/17/low-carb-diets-and-heart-diseas...

  18. Jennifer
    I'm currently 24 weeks pregnant with our fifth child and I was diagnosed with gestational diabetes about three weeks ago. The diagnosis was no surprise - I have long suspected insulin resistance as I respond so very, very well to a LCHF diet. I've eaten that way off and on for many years and, in fact, use that sort of diet to lose weight post-partum... which leads to another pregnancy! :)

    During my appointment (at a military medical facility in the United States) I was given the standard dietary advice... which I ignored. The nurse said a bedtime "treat" of ice cream was perfectly acceptable!

    Instead, I came home and embarked on the diet that is all too familiar and promptly dropped fifteen pounds of bloat and brought my blood glucose levels far below their recommended acceptable range. I went in for a follow-up Friday and the attending physician asked if I was on medication to do this... I happily responded that a HFLC diet was the key to my success!

    I appreciate this site and the prescient work of the late Dr. Atkins. It is far easier now, particularly with the arrival of the Internet, to make this way of eating "work!"

  19. bill
    ...brings tears to my eyes...
  20. Steve
    FrankG,

    I simply don't believe the solution to the problem is more of the same. Further the "Size limit" is really being done as calorie reduction measure, its once again attacking the symptom with not so much as a glance to the cause.

    In the unlikely event that Bloomberg's "size limit" were to have any measurable impact it would encourage them to go further with more government intervention into our lives and not as reason to re-examine the root cause. In the very likely even that this fails as miserably as I expect, it will simply encourage them to double down, we must do more! Its a lose/lose situation.

    I don't see the issue as one of us vs. "big food". They will do their best to supply whatever demand exists and so long as 90% of the public believes that the garbage we are being sold is in fact healthy we will continue to buy.

    The first amendment to the constitution's purpose as it applies to religion is to keep government from sanctioning a specific religion because once it does all others will be forbidden. In the same sense we have sanctioned a single nutritional religion at the expense of even considering another. It is virtually impossible to fund research with the goal of disproving the current nutritional religion.

    I do not believe that the answer to government overreach is more government. The answer is to elect those who will shrink the monster, or better, stop electing those who have faith in the monster as the answer to all that ills us.

    Yes, I'm angry, and have no faith in my fellow citizen to think for themselves anymore. If we are to stupid to see that a nanny state is wrong, then maybe those who keep pushing it are right. :(

    Reply: #21
  21. FrankG
    If you read my posts you would see that a "nanny state" is the last thing I am advocating for but there you go again with the emotive rhetoric... or perhaps I am just [too] stupid to even know what it is that I want :-P but then at least I have offered practical suggestions as to how to get the process started.
    Reply: #22
  22. Steve
    Frank,

    How about if we edit that to "Helping hand", would that remove enough "emotive rhetoric" to make you comfortable? :)

    It doesn't matter what we call it, taking away choice because they don't believe we exercise it well is simply absurd to me.

    As for practical solutions, I simply don't see one. I believe that like an addict we are at a point where the general population are going to have to feel the pain of rock bottom before they will consider the consequences of handing their personal responsibility over to someone else to manage.

  23. FrankG
    To my thinking there is no more "taking away of choice" than when smoking was limited to outside restaurants... you can still smoke as much as you want but maybe now you need to think twice about it. In a short space of years that simple move led to a rapid change in society. Why not give a limit on soda serving sizes a try before you dismiss it out of hand... it seems like you have no better ideas and it is just a gut reaction against your perception of a "nanny state" that is stopping this initiative from even being tried. Are you the problem or the solution?

    Beyond that I suggest that if you really want to discuss it further the best place is on the original post and not here where it is off topic.

  24. yuma
    Dear FrankG as much as I agree with your views on LCHF and your enthusiasm defending it, at times exaggerated but it's OK, I regret to inform you that I totally disagree with what I believe to be your view that FDR's farm-bill and subsidies, which were started with the good intentions of helping to feed the country and provide farming jobs during the depression and dust-bowl era, were preferable to the free-market and Darwinian laws (I thought Darwin had to do with biology) to play out.

    Dire consequences followed Roosevelt's administration's implementation of this policies. It tried to raise farm prices by destroying vast amounts of produce — at a time when hunger was a serious problem in the United States. It imposed minimum wage rates that priced unskilled labor (mostly minorities) out of jobs, at a time of massive unemployment.

    Behind both policies was the belief that what was needed was more purchasing power and that this could be achieved by government policies to raise the prices received by farmers and workers.

    But higher prices do not automatically translate into greater purchasing power, unless people buy as much at higher prices as they would at lower prices — which they seldom do.

    if you have more interest in this topic, may I suggest "FDR's Folly" by Jim Powell. Powell’s analysis is thoroughly documented, relying on an impressive variety of popular and academic literature both contemporary and historical.

    BTW. are you Frank Gore with the niners?

  25. Jenny
    I'm in Australia and my doc recommends LCHF paleo/primal type eating but she is definately not a typical doc. She also prescribes bioidentical hormones and encourages use of supplements and is happy to help people avoid being on synthetic pharmaceuticals!!! I travel 3 hours to see her as there is no one local who has similar values!
  26. David B
    Hi Jenny,

    Where in Australia is your LCHF doctor? I've tried finding one in my area with no luck.

    Cheers, David

  27. Jenny
    Hi David, I see Dr Anne Chappel at Pymble Grove Clinic in Gordon in Sydney.
  28. Fiona Jesse Giffords
    One thing i am not able to understand that if someone is supposed to be succeed i a case than why can't she recommend to any other person.
  29. David F
    Michelle, could you ask your GP to back up her statement with evidence. Any papers I have seen do not support this but I don't want to be trapped by confirmation bias.
  30. Galina L.
    I commented before that my GP and OBGYN nurse told me that they read nutritional blogs, and they both approved my diet. My doctor also asked me what I did after I got my health back and lost weight on a LC diet, because before I did it he observed a decline in my health and could offer nothing except meds to manage symptoms..
  31. Jo tB
    FrankG and Steve. Wow what a war on words you yanks are throwing around here. Living in Holland I am ever amazed at how people respond to instances like the mayor of New York wanting to downsize the supersized sodas. Even the smalles soda is still huge by European standars!! Have either of you ever been to Europe. Then you would know how incredibly infantile the reactions people make when their civil liberties are at stake. Instead you should both be apploading the mayor for at least TRYING to do something about it instead browbeating him for encroaching on their ciivil liberties. You haven´t got any liberties civil or otherwise when big food and big pharma rule the country through their lobbying. Lobbying wouldn´t take place if your elected officials showed some backbone and don´t bow to the lobbyists. They´re afraid of losing your votes.

    I´ve just read on Dr Mercola´s site the article called Why are Americans Getting So Little in Return for the Highest Medical Bills on the Planet?
    I was appalled at what I was reading. I´ve known for years that health care in the US was bad, but as bad as rolled out in this article was beyond my comprehension.

    http://articles.mercola.com/sites/articles/archive/2013/03/16/high-he...

    Replies: #32, #34
  32. FrankG
    Jo I don't think you have actually read my comments above... I DO applaud and support Mayor Bloomberg's efforts. I think that the cries of "civil liberties" are out of all proportion to the situation. I'm sick and tired of what amounts to spoiled brats who think they have some divine right to get whatever, whenever, or they will stamp and scream until they get their way!

    I already have a European perspective in these issues as I grew up in the UK and although I now live in N. America I am definitely not a "yank" :-)

    Reply: #33
  33. Steve
    FrankyG, look who's using that dastardly emotive rhetoric now!! :)

    I'm hardly a spoiled brat, and when it comes to sugar water I haven't drank that garbage for more than two decades.

    I guess us spoiled brats simply aren't interested in swatting at flies when its the manure causing the infestation.

  34. Steve
    Jo,

    This debate tends to become political because it is politicians who have herded us into this corner. The reason why I do not applaud Bloomberg's initiative is because, as I've stated over and over and over, he is not taking on the core problem. His reason for this size limit is portion control. How long have we been hearing that portion control is the issue? I'm sure even the good doctor who hosts this site would agree that while Bloomberg's goal is noble his aim is horrendous.

    As for it being an attack on personal liberty, again, its part of a larger trend in which elected officials continue to use these tactics rather than dealing with actual issues. They do this because dealing with the real issues we face will negatively effect voters, and thus, there political careers. Whats gone wrong in the US is our government, and many of us are simply apposed to more government as the answer.

    You want to applaud people, how about Dr. Annika Dahlqvist? Here is a woman who put her career on the line to do what was right, not what was expedient.

    For to long we've focused on whats wrong with our society, rather than what is causing it. Personally, I'm done with symptoms.

  35. Jo tB
    Frank, I read all 30 comments before replying to your and Steve's comments. I agree with both of you that the USA is up shit creek big time. But is government the problem, because we ELECT the officials into government. I agree that more government won't solve the problem. But aren't we just putting the blame onto someone else, as an excuse for not doing anything about it ourselves. WE have a problem, not the goverment. There is a saying in Holland: change the world begin with yourself. And isn't there a saying in English: change begins with one step.

    We let the situation we're in now happen, we let greed get the upper hand, and now we don't like what has happened. So we have to change that one step at a time. My step doesn't amount to much, but if 3 billion other people also take that one step, then enormous change will happen.

    I agree that Bloomberg may not be taking the right step, but at least he IS taking a step. It may be for the wrong reason in your eyes, but it could be the right reason in my eyes, as it wakes me up to the ridiculous direction supersizing has taken us. Now all I have to do is take that one step to change things in my life. By letting my voice be heard, by refusing those oversized things at every occasion. I don't buy anything anymore out of a tin, package, jar, or box, processed, or otherwise. And when in a checkout lane and see someone in front of me putting all fresh items on the counter, I say wow you are eating healthy. You'd be surprised at how big an impact that makes on the person in question. I'm acknowledging that that person has also taken that one step.

    To get back to what this thread is all about. In the US doctors will only treat someone after he has done 1001 tests to cover his back, because he wants to avoid a malpractice suit. So he or she is never going to advise someone to go LCHF because of this fear of a malpractice suit that could bankrupt him. We don't have that in Holland, but we do have treatment protocolls set by the health board which all doctors have to adhere to. So in a different way we are in the same boat. We have to become our own doctor and figure out for ourselves what the best diet is for us. The question for all of us how do we get that message across to masses who are still eating that crap Standard American/Anglo/Aussie diet.

    Reply: #36
  36. FrankG
    Jo -- in comment #16 I wrote "My suggestion is to also start small -- say with a forward-thinking city Mayor proposing a common-sense cap on soda serving sizes -- and gradually build you own groundswell of public opinion, swinging back against the tide of "Big Food". With enough people on board, the government has to listen, or get voted out of office. And I am confident that we can grown this "movement" much faster these days, due in great part to the internet"

    and again in comment # 23 "Why not give a limit on soda serving sizes a try before you dismiss it out of hand... "

    and in my first response to you "I DO applaud and support Mayor Bloomberg's efforts."

    Now if all that adds up (in your eyes) to my not agreeing with your statement "...Bloomberg may not be taking the right step, but at least he IS taking a step." then one, or the other of us is confused :-)

    So far as I am concerned: it is EXACTLY this kind of small step (and those you mentioned) which stand the best chance of turning the tide and leading to the massive changes which, I agree with Steve, need to happen but I don't agree with his vague notion that it will somehow just all happen at once!

    "Never doubt that a small group of thoughtful, committed people can change the world. Indeed, it is the only thing that ever has." - Margaret Mead.

  37. Jo tB
    Don't be confused Frank. You is used in the general sense of you against me (oposing sides of the arguement) not you personally. Whatever side you personally are on there will always be an opposing side. Wasn't it Lincoln who said: I will always have 50 % of the people against me, no matter what I say.

    This is a David and Goliath fight. and most people will let inertia win the day even before they start as it would cost them too much effort to fight. They hand themselves over to fate without so much as an inkling of a fight. It is this defeatism that makes my blood boil. I would like to shove an atom bomb up their arses to get them going. When they are in denial it is nearly impossible to get them out of it.

    That is what we have to do, get the easily discouraged get off their backsides and start changing their lives one step at a time. They don't have to change yours or mine, we can take care of that ourselves. But it all adds up.

    Look at how paleo is taking off. 8 years ago when I first heard the term, there were maybe 2 bogs: Mark Sisson an Art de Vany. It has snow-balled beyond my imagination. So I see hope in the blackest of clouds. I just keep plugging along as you and Steve do.

    From other sources I have heard that LCHF/Paleo has really taken off in Sweden. Butter sales are through the roof and margarine sales are down so low that food industry is panicking with the strangest adverts in order to win back market share. I can't say the same for Holland, but who knows.

    Reply: #38
  38. FrankG
    Just on your last point Jo, concerning Holland: I was watching a recent BBC Horizon Documentary "The Creative Brain: How Insight Works". There was a piece about a researcher at a Dutch University who was successfully increasing creativity by encouraging people to try doing things differently. In this segment, it seemed that a popular Dutch breakfast is chocolate chip sandwiches! Now I have no issue with dark-chocolate, or even whole-grain (rye?) bread for those who can tolerate it but what I did note with dismay was that they were spreading the bread with what appeared to be margarine from a tub :-(
  39. Jo tB
    Frank, that'd be right. In Holland a popular breakfast is to eat sweet things on their wholemeal bread (we don't eat much rye bread) including chocolate chips. If it's from a tub, then it would definitely be margarine.

    http://www.google.nl/search?q=chocolade+hagelslag&hl=nl&tbm...

    I'll see if I can find that episode and watch it t who the Dutch researcher was.

    And I meant to say a rocket up their arses and not an atomic bomb. We wouldn"t get much done after that goes off!!!

  40. Jo tB
    I watched the episode you mentioned. Yes, it was Becel Light in the blue tub, and it is definitely margarine manufactured by Unilever. The slice of bread is what we typically call mass-produced supermarket bread. It will sell for about 1 Euro a loaf, where a proper loaf in a baker's shop would cost dsouble the price. A lot of air and not much substance.

    The scene was filmed in the canteen of the Radboud University in Nijmegen. If I have it correctly they do a lot of research in the medical field as the Radboud Hospital is one of the major hospitals that pioneer new treatments. It is one of 3 hospitals in Holland that do heart transplantations.

    The scene smacks of product sponsoring, because the chocolate chips box was predominately in view as was the margarine. I wouldn't be surprised if de Ruijter is a subsidiary of Unilever.

    That the BBC fell for it....

  41. Interesting article.

    The food cartels have one objective and that is to make money. Your health and well being is far down their pecking order.

    That's why I made the simple choice of eating whole natural foods. Anything in a packet I avoid like the plague.

  42. Shelley
    Hi, I am new to this lchf diet and have been doing it for 3 days now. Can someone let me know where all my calories are going. I am putting my food entry into "my fitness pal" and the outcome is as follows (on average):

    total fat 179g
    total carbs 32g
    protein 78g

    I am still eating around 2000 calories. Will I still lose weight eating this amount of calories or not? If so, what happens to all the fat I am eating?

    Thanks

    Replies: #43, #50
  43. Zepp
    You should folow your apetite.. get attention on your bodys signals, figure out what it means.

    Its about calories anyhow, and after some time your body takes more energy from your fat depoes, then your apetite get lower.

    You know, you got an built in calorie counter.. it regulate your apetite.

    It looks quite fair for me, let it be regulated by it self.

    First you have to be converted to be a fat burner.. it take som weeks more, in meantime the apetite get lower as your body take some of its energy from depoes.

  44. Nemer
    @Shelley
    According to one of the specialists of LCHF in my country, the most favorable ratio of protein to fat and carbohydrates is 1:2,5-3,5:0,6. Next issue is "mass due". For example, if a man is 180 centimeters tall, it should weigh about 76-78 kilograms. Then the daily intake should be 47g protein, 117g-165g of fat and 28g carbs .
    Counting calories is not necessary because it's not the calories turn into fat on your belly and mainly carbohydrates converted to fat by your liver. Excess intake of fat is expelled and no one gram does not turn into fat on your body because your body can not put fat intake. This is the key to LCHF. Eat fat and lose the weight.

    I'm sorry that my English is not the best but I am self-taught and began education when I was more than 40 years old.

    Regards, Nemer

  45. nat
    what are the official guildlines out of curiosity?
  46. Deb
    My husband was diagnosed with T2 diabetes two and a half years ago, after some reasearch i decided we should both switch to Dr Bernstiens diabetes diet

    one little titbit - his diabetes counselor told him right from the start that the damage was done, he couldn't turn this around and even if he strictly followed her reccommended diet he would be on injected insulin within 2 years...we did not follow her suggested diet

    so, two and a half years on, on a strict ketogenic diet...

    he's lost about 30kgs, he weights about 85kgs, it fluctuates depending on exercise, he could lose another 10 but he looks really good

    his blood sugars sit at about 4 (72) most of the time, he can test 20 min after a meal and it will still only vary by about a point

    his HbA1c was 6.1, i think it might have been lower but he indulged a little over christmas
    his fasting sugar was 6.4 - if he wasnt already diagnosed as diabetic that would be classed as non diabetic (diabetic is >7)

    his blood cholesterol is 5.4 - keep in mind, because of the necessary requirements of a ketogenic diet to maintain a high fat ratio in the diet, i cook with butter, never cut the fat off meat, salad dressings are mostly olive oil and lemon and he eats at least 4 eggs a day. BUT i've dropped all other common vegetable oils from our diet, no margarine and especially no canola or sunflower oils. Our diet would be moderately high in saturated fat, no question. So we can confidently conclude that saturated fat does not raise cholesterol levels (mine is 4.8 )

    conclusions?

    a ketogenic diet is very good at controlling or even completely reversing type 2 diabetes, end of story, and yes, you can stay on a ketogenic diet permanently.

    oh, and how bout the prediction of injected insulin?

    Reply: #47
  47. And what has his diabetes counselor said about the fantastic results?
    Reply: #48
  48. Deb
    we dont see the diabetes counselor anymore, she scoffed at what we were doing and told us it was a mistake, he'd stroke out or have a heart attack - i decided i just didnt need to deal with that negativity
  49. "It is unfortunate, that practising medicine has become so restrictive, and dominated by rules enforced by organizations representing and enforcing "standards" supported by dubious interests."

    This is a case of a doctor --- an intelligent, caring, well-meaning doctor --- from a socialist country, so used to seeing herself as essentially an arm of the state, that she doesn't realise she can actually practise medicine according to her conscience (even there). Great that she can recognise physiological reality, not so great that she doesn't even know she is allowed to practise medicine.

    Seriously, she should know what she can and can't prescribe. I hate to say it, but not knowing that is a form of negligence bordering on malpractice.

  50. Hi, I am new to this lchf diet and have been doing it for 3 days now. Can someone let me know where all my calories are going. I am putting my food entry into "my fitness pal" and the outcome is as follows (on average):
    total fat 179g
    total carbs 32g
    protein 78g

    I am still eating around 2000 calories. Will I still lose weight eating this amount of calories or not? If so, what happens to all the fat I am eating?

    Thanks

    Just so you know, the Diet Doctor is not a huge fan of calorie counting and has several posts, including a recent post, to that effect. Among the problem he sees with it is that many published calorie figures are just wrong (and often self-serving on the part of the food producer or restaurant in question).

    Further, it just isn't necessary. The idea is to eat the healthful sorts of food mankind evolved on, natural good food without all the processed junk, and gradually as your insulin and other food-related hormones normalise, your appetite will return to normal and you'll eat a healthy amount naturally.

    The vast majority of people who improved their health on this diet didn't count calories as such. Some counted carbs (and many didn't).

    So I can't answer your question directly, but perhaps not worry about it too much? Just focus on eating according to the principles, and see how you go?

    That may well solve your weight problems and many of your other health problems right there right there.

    If not, here are 14 weight loss tips (and counting) from Dr. Andreas Eenfeldt, more or less in order of importance.

    Note that not one of them involves counting calories! Best wishes to you.

  51. Ugh, I spent 5 minutes editing that comment, and there was no button to actually post the edit.

    Anyway, I meant to correct a typo and add a word on fat.

    It provides your energy and doesn't upset your body's insulin levels. It's good. Don't worry about it.

    In the absence of excess carbohydrate, fat keeps you feeling satisfied and is important to your body. I typed more in the other comment, but alas can't be bothered doing so twice.

    Search for info on this site about fat!

  52. Galina L.
    Christoph,
    No one will be able to predict how much fat another person may loose based on the number of calories. It is all individual, and we are not calorimeters. Many LCarbers have to disregard a very popular advise to put butter everywhere and drink heavy cream.
    2000 calories seems to be ok, especially at the beginning. Avoid snacking between meals, there are LC foods people often eat for fun even when not hungry. Excessive nuts and cheese could be especially problematic .
  53. Galina, I'm not saying one needs to put butter on everything.

    I'm saying that for most people, their appetites will adjust to eating a reasonable amount of food when they eliminate almost all unhealthy food from their diet. I'm saying it's not necessary (and is probably borderline impossible) to accurately count calories for everything, and that focusing on food quality and physiological hunger symptoms is the way to go.

    I do believe there's something such as "emotional hunger", which needs to be addressed. Eating out of boredom, for stress relief, etc.

    An extremely fascinating and important --- and too-little appreciated including in the Paleo/Primal/Low-Carb, High-Fat communty --- study is the "Adverse Childhood Experiences" study.

    This study started out originally studying obesity, and noted that children who had had more adverse experiences during their childhood had a far greater likelihood of being obese as adults. I believe emotional trauma, through a variety of mechanisms, is the proximate cause of this, and its inverse is a major factor in why some people are able to maintain leanness despite the poor dietary options which are prevalent in society.

    It's complex and it isn't necessarily a straight line, but I do believe childhood trauma plays a major role.

    Here's an interview with Dr. Felitti, the director of the Adverse Childhood Experiences project.

    A high ACE (Adverse Childhood Experiences) score has been shown to be correlated with a great many problems in later life, from obesity to cancer to depression to anxiety to suicidality to crime and so on.

    Raising children in non-traumatic loving homes is vital. And moral.

  54. Joe
    I think what the doctor was trying to say is not that she "cannot" prescribe a LCHF diet. What she probably meant was that it would be too risky to do so. Unfortunately, if a doctor prescribes LCHF to a patient and they have a heart attack 3 months later the doctor can be sued and held liable much more easily. With a traditional diet, doctors are more protected against malpractice claims. It's really too bad, because stupid political garbage like that really holds back the state of nutrition.
  55. Karel
    I'm a 62-year-old female with 35 pounds to lose (again!) My cholesterol levels have always been excellent. My most recent lipid panel, though, came back not so great:

    272 mg/dl cholesterol (last year: 188)
    59 mg/dl HDL (was 65)
    200 mg/dl LDL (was 111)
    4.6 Chol/HDL ratio (was 2.9)

    My triglcerides are fine at 65 mg/dl (previously 59).

    I was just one week into LCHF (with 6.6 pounds lost!) when I had this blood work done. I've no intention of starting statins because I believe these numbers will turn around. (I also wonder if the elevation may be due to taking glucosamine chondroitin supplements, since there's anecdotal evidence this raises cholesterol in some people.)

    So here's my question: Is it common for LDL cholesterol levels to temporarily rise immediately upon adopting a LCHF diet?

    Thanks in advance for any insight.

    Reply: #58
  56. Benboom
    >So here's my question: Is it common for LDL cholesterol levels to temporarily rise immediately upon adopting a LCHF diet?

    Short answer: yes. If you are losing weight you should wait until it stabilizes to check these levels.

  57. Moo
    How about checking ones ketone level with blood ketone meter as a more precise determiner , especially in the case of difficulty managing the diet with only appetite as a guide. Though many can manage just fine with the simple guidelines, perhaps others ,at least in some point of their journey in weight loss and maintenance of health may decide on that.
  58. Zepp
    Yes it quite comon in the begining.. my values sky rocket.. and then landed on a lower value then befor LCHF!

    Its still not perticaly good, and was not good befor either.. but now its nearly in the upper normal range!

    And some of us is hyperresponders!

    http://ajcn.nutrition.org/content/77/5/1098.full.pdf+html

    Take a recheck after a half year.

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