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It's Low-Carb Weak

David Mendosa
David Mendosa
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Medical Journalist Living with Diabetes and Author of Fitness and Photography for Fun, www.mendosa.com/fitnessblog

After earning a B.A. with honors from the University of California,...

David Mendosa

Monday, June 30, 2008
View All of David Mendosa's Posts
This is the low-carb year, not week. At the start of this year the American Diabetes Association finally gave its limited endorsement to a low-carb lifestyle. It's good for weight loss for up to a year, they maintain.Going low-carb for a week just won't cut it. But you might feel weak when you start....
  1. Enzymes
    Gretchen Becker
    Sunday, June 29, 2008 at 09:46 PM

    One reason any dietary change can cause weakness is that the body doesn't produce enzymes it doesn't need. When you're eating mostly carbs, it doesn't produce as much of the fat-burning enzymes, and vice versa.

     

    This is why they tell you to eat a lot of carbs before taking a Glucose Tolerance Test. If you haven't been eating carbs, you won't be producing carb-metabolizing enzymes and you may test diabetic when you're not.

     

    The ultimate low-carb diet is starvation, and people who have been starving will test diabetic on a GTT.

     

    I once read a book by some minister who was preaching to eskimos. At one point his guide, who was on a high-meat, low-carb diet, had planned for them to stop at a village to buy caribou from the residents. When they got there, they found the village had been abandoned, and they were forced to survive on the starchy food they'd brought for emergencies. The eskimo complained that he had no energy on the high-starch diet. It was probably the same phenomenon. He had a lot of protein- and fat-metabolizing enzymes but not a lot of starch-metabolizing enzymes.

     

    BTW, Cordain is wrong if he says the brain can use only glucose. They've found that the brain can use up to 75% ketones after it's given a chance to adapt. The "only uses glucose" is one of those old saws that refuses to die, like the idea that carbohydrates are essential or low-carb diets damage your kidneys and leach calcium from your bones. Like adaption to a LC diet, the brain takes several days to adapt to using ketones, so some people don't feel like themselves for a few days if they go abruptly from a high-carb to a low-carb diet.

     

    Michael Eades mentions this in one blog post, although he doesn't give the percentage. I think I got that from a biochemistry text, but I'm not sure.

    Reply
  2. Need to Gain Weight on Low Carb Diet
    Raghavan
    Tuesday, July 01, 2008 at 02:35 PM

    Dear Mendosa,

     

    I am 37 years, Type II Diabetic for 10 years, vegetarian eating dairy and eggs. I was on Metformin 500 for 3 years till year 2007 and that gave me diarrhea and I lost 15 lbs. My BG levels after food was around 140-170 while taking the medication. I stopped that medication and started on Low Carb diet.

     

    Now, my BG readings after meals are 95-105.

     

    My worry is, I am 110 lbs currently and very slender. If I am on LC diet, I will lose more weight. What can I do to increase my weight?

     

    Right now I am not doing any exercise.

     

    Any help is most welcome.

     

    Thanks

    Reply
    re: Need to Gain Weight on Low Carb Diet
    David Mendosa
    Tuesday, July 01, 2008 at 06:26 PM

    Dear Ven,

    Your problem is the opposite of mine. But the same as a good friend of mine who is a vegetarian on a very low-carb diet.

    Same advice: eat lots of nuts (almonds, walnuts, hazelnuts, macadamia nuts, pine nuts, Brazil nuts). Practically all nuts except cashews, which are too high in carbohydrate. They are tasty, good for you, and will help you gain weight if you eat enough of them.

    Also cheese. There are lots of vegetarian cheeses too. Cheese is really fattening!

    Best regards,

    David

    Reply
    re: Need to Gain Weight on Low Carb Diet
    Anonymous
    Thursday, July 10, 2008 at 01:04 PM

    Have you been checked for type 1 diabetes antibodies? I ask, because you don't seem to fit the profile for type 2 and it's reported that 15-20% of people diagnosed with type 2 are actually type 1. Here's an article about it that might be helpful to you.

     

    http://www.diabetesnet.com/diabetes_types/diabetes_type_15.php

     

     

    Reply
    re: re: Need to Gain Weight on Low Carb Diet
    Venkat
    Monday, July 14, 2008 at 04:25 PM

    Thanks for letting me know. I went through the articles and other relevent articles by searching the net. THis is a news for me. I have been tested for C peptide levels (2.5) and GAD - 65 (0.2) on Aug 2008 and the doctor did confirm that I am a Type II person.

     

    However I will check with the doctor once again; Another factor being - I have been diagnosed and a Diabetic for the past 10 years. My pancreas has been producing insulin even now (may not be as effective as others) - but you never know.

     

    Once thanks for educating me and I will indeed check with my Endo.

     

    Thanks

     

    Venkat

     

     

    Reply
    re: Need to Gain Weight on Low Carb Diet
    Les
    Sunday, August 03, 2008 at 01:42 AM

    An interesting article on thin type 2's. It takes the author until page 4 or 5 to get to an expalnation, after he visits Dr. Berkowitz.

    He talks a lot about reactive hypoglycemia.

    Sorry for the long URL but I can't find my tinyurl program.

     

    http://www.menshealth.com/cda/article.do?site=MensHealth&channel=health&category=other.diseases.ailments&conitem=d4bdb78301459110VgnVCM10000013281eac____&page=1

    Reply
  3. Low Carb and endurance cycling?
    amiller7x7
    Tuesday, July 01, 2008 at 11:36 PM

    David & All

    My exercise of choice tends to be longer distance cycling (50-100 miles) a couple of times a week. (Type 2 Diabetes - controlled A1c of just under 6)  I have not tried a low carb diet per se although I try to limit (in a much less than perfect way) lots of high glycemic starchy inputs on a typical daily basis.  What experiences have you had (or others reading this) on long aerobic exercises on a low carb diet?  (I am wondering if your hiking is comparable?)  Typically I will ride during the summer for 4-8+ hour courses over hills etc. - these tend to be pretty intense at times during climbs (I will often hit 90-95% max heart rates during hill climbs).  I currently use high glycemic items (bread, Cliff Bars, straight sugars (e.g Gu)) during rides as I really need caloric replenishment to avoid bonking.  Any insight on how a low carb approach would work with such endurance related events?  (Like what would I eat during a ride???)  All "conventional" wisdom is pushing me toward carbo consumption for quick calories during the rides.  Any insights would be appreciated.

     

    Thx

    Al

    Reply
    re: Low Carb and endurance cycling?
    David Mendosa
    Wednesday, July 02, 2008 at 09:07 AM

    Dear Al,

     

    On two of my most strenuous hikes in the past year I did bonk. On the second one I was carrying glucose tabs, which very quickly restored my energy level as well as bring my BG up to normal. Now I never hike without a role of glucose tabs.

     

    Best regards,

     

    David

    Reply
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