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8:48 pm
February 22, 2010
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QuoteAniruddha:
Thank you for the correction! I must have had too many windows open...
JS
6:27 pm
Part to this paradox about the glycemic index is that fructose does not raise blood sugar or insulin levels directly. However fructose is no panacea, on the contrary it makes glucose look friendly.
Walter:
It is true that fructose overload causes its own set of problems -- most notably fatty liver, which is a symptom of many other problems.
Unfortunately, trying to explain every contingency of the glycemic index often obscures the main point! This is an issue I continually struggle with.
It's also difficult to balance the desire to explain everything with the desire to write only one article, instead of a 5+ article series.
JS
6:26 pm
yes, I would eat a Snickers bar for breakfast. you could do a lot worse.
1:33 pm
The standard diabetic diet is beet nutririon analysisendesigned to have the same number of carbohydrates in each meal (I think it's 40 for breakfast.) This is so the insulin dose is predictable. This has nothing to do with what is needed nutritionally, just an acceptable, familiar diet for most people. I get that. It is beyond my understanding why this EVER got transferred to type II diabetics. All the type II diabetics I know (they all have the same dietician) have a bowl of oatmeal with skimmed milk, two slices of whole wheat toast, juice or fruit, and coffee for breakfast. Yep, about 40. And Splenda, no sugar, every last one of them. Typical post prandial glucose 250-300, even with fasting glucose at goal. This is nuts. They need a different diet. (Nuts, for instance) I think breakfast is the only meal that they go by the dietician's advice, though the senior center serves even higher carb meals so I don't really think it gets better through the day.
1:43 pm
"Breakfast is the most important meal of the day." This propaganda (in the best sense of the word) was started because of studies showing children who have breakfast do better in school. This was a long time ago, and they started hauling poor children to school early and serving them free breakfast. There are new studies out recently, and guess what? The free breakfast kids don't do better in school. It turns out that children from homes that serve them breakfast before school do better in school. It's probalby not the breakfast at all, but some other factor common to families that have breakfast before school.
10:23 pm
February 22, 2010
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Bella
You're correct that Type I and Type II diabetes are not at all the same thing, and require different treatments. It's scary how many doctors recommend insulin to Type IIs. And yes, any meal and treatment plan that spikes BG to 250-300 is killing people, and everyone responsible for recommending or enforcing it should immediately have their professional licenses revoked.
Seriously: we are in the Dark Ages of blood sugar management. These are the same sorts of people that drove Ignaz Semmelweiss into the insane asylum for suggesting that doctors should wash their hands between doing autopsies and delivering babies.
That's a great point about the breakfast studies...I'll bet you that children whose parents feed them breakfast at home are better off financially, more likely to be a two-parent family, and have other qualities that we know are associated with doing better in school. Meanwhile, you might enjoy my articles on "The Breakfast Myth: Part I, Part II.
JS
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