Training a Diabetic. Any Advice ?

[Dreamliner]

Originally Posted by 96Gatorcise

1) I have not heard that it is an innate preference. What type of sweets are we talking about? natural sweets from fructose (sweet fruits) or processed sugary sweets? I can see a natural tendency if it is the former since the occur in nature and have been around a long time.

2)Do you have a link to the study I have not read it. I agree with your statement, satisfy the tendency but again I think it comes down to selection of carbs (veggies vs. processed or refined) from a hormonal stand point natural carbs are better for stable production.

(1) I can't point to any one study but it is commonly asserted as axiomatic. Do you know anyone, offhand, who doesn't like sweets ? I don't. And I doubt that the source matters, whether fruit, HFCO or even artificial sweetener. In other words, people like to eat things that taste sweet.

(2) It's in Taubes "Why We Get Fat." BTW, are you familiar with Anthony Colpo ? He regularly savages Taubes. He's a former low-carber who switched to extremely high-carb, getting a great deal of his carbs from white rice, white bread, etc.

He also savages Martin Berkhan! As an aside: more and more I'm beginning to think that while IF may confer certain health benefits, it works for weight-loss not because it 'switches on fat-burning mode" but simply because it is, for many people, a convenient strategy for establishing a calorie deficit. In a way, it's a little like turning back the clock to 1980, and further back. Feeding frequency has increased over decades and is correlated with increases in obesity.

[Dreamliner]

Originally Posted by 96Gatorcise

I have seen that and it is an interesting study. My take is Kruze is not against carbs but from his stand point you need to get the your system working to put yourself in an optimal zone to burn fat as a source of fuel and too high a bodyfat stops that process.

you are correct on coritsol, its natural rhythmic cycle is high to low. But when it stays at a constant high rate throughout the day and overtime it wrecks havoc on the other hormones in the body that signal to burn fat. So if you are obese you would want to keep it as low as possible to allow the other hormones (leptin) to signal to burn fat and correct the system, once in balance the natural rhythm would return.

Personally I have started to follow Kruse's leptin Rx and have already have seen results. I have switched to a am feeding window and do more of my fasting evening and over night. My carb cravings have become none existent. My waistline has dropped with little weightloss. I think it was that I was just bloated or inflamed and now as my hormones are beginning to reset the inflammation is reducing. my joints, back and muscles feel great and my day long energy levels feel more consistent. I am going to continue to read his site and track my progress.

I find his view from a biochemical, hormone, brain view to be fascinating.

Sounds great on the bloating, energy levels, etc! I wouldn't blame you for sticking with it. Now, do you suppose that's primarily the diuretic effect of carb reduction ? If so, this begs another question: to dump fluid, must one go ketogenic, or nearly so, or is carb reduction relative ?

Personal example: I usually fluctuate between four-pack and six-pack. I do have a predilection for PB&J sandwiches and bananas. It's basically my favorite meal. Some days I'll eat two of each. Now, when I feel like I'm getting a little heavy (for me) I just cut them out temporarily ... and the abs come out very quickly.

So, the question is, is that because I dropped about 100g carbs or is it because I dropped about 1,000 calories ?

On the brain, when I was studying counseling, in seminary, we spent about half the time on brain research. And not only can the brain be fascinating, it can be downright spooky!

[Dreamliner]

BTW, my trainee's doctor is a looney too. When she asked him whether she had a slow metabolism, his response: "Honey, you don't have a metabolism!"

[mastoidbone]

Some advice----she probably has had diabetes for a LONG time---so expect her to have some degree of neuropathy, issues with balance and gait due to nerve damage, perhaps vison loss----so keep that in mind when giving her activities.

Also---they can have terrible foot problems.

Also---they often have coronary artery disease without symptoms---so keep that in mind when starting exercise.

[Dreamliner]

Originally Posted by mastoidbone

Some advice----she probably has had diabetes for a LONG time---so expect her to have some degree of neuropathy, issues with balance and gait due to nerve damage, perhaps vison loss----so keep that in mind when giving her activities.

Also---they can have terrible foot problems.

Also---they often have coronary artery disease without symptoms---so keep that in mind when starting exercise.

Thanks. Yep, she's a mess. I'm a different kind of trainer in that I don't generally envision 'working the fat off' of morbidly obese people. They need to get a handle on their eating first. The first six weeks I just had her walking a bit. Just this week we've introduced movements like squatting to a sofa and such. I'll save the gymnastics until she's peeled off another 60-70 pounds or so.

Good to see you over here!

[el_lagarto]

and her doctor and nutritionist are at odds with each other over her dosage and type of insulin.

[Dreamliner]

The woman weighed in at 198 yesterday. This is the first time she's been under 200 in many years. But now her nutritionist is telling her that as she gets her blood sugar under control it's going to make it very difficult to lose more weight. She also told my trainee that wanting to lose 100 pounds is unreasonable and that if she goes under 160, on her 5-2 frame, that she'll be 'skin and bones.'

[96Gatorcise]

Originally Posted by Dreamliner

The woman weighed in at 198 yesterday. This is the first time she's been under 200 in many years. But now her nutritionist is telling her that as she gets her blood sugar under control it's going to make it very difficult to lose more weight. She also told my trainee that wanting to lose 100 pounds is unreasonable and that if she goes under 160, on her 5-2 frame, that she'll be 'skin and bones.'

I have nothing more to say........

[Dreamliner]

The woman's blood sugar readings are now normal, between 80-120 from reading to reading.

She quickly lost over thirty pounds, then put about 8-10 back on, very quickly, evidently. due to fluid retention from switching blood pressure medications. She intends to switch back to the original meds, as soon as she can afford it (she recently lost her job), but I'm telling her to keep her eye on the ball: contain calories, be active, shed bodyfat.

I wish that obese folks with degenerative medical conditions everywhere knew what this woman now knows. You don't have to lose all the weight you want to lose to enjoy SIGNIFICANT health benefits. This woman may have already put years back on her ticker.