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	<title>Comments on: is it bad for diabetics to eat whole grains and fruits..my doctor told me (early stage diabetes maybe) to not?</title>
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	<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not</link>
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		<title>By: xaxorm</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1691</link>
		<dc:creator>xaxorm</dc:creator>
		<pubDate>Mon, 02 Nov 2009 04:32:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1691</guid>
		<description>Your diet is out of control.  Whole grains and fruits are good foods...normally.  But with your medical condition, they will elevate your blood sugar and it won&#039;t come down easily.  And you don&#039;t want that.  So, balancing the healthy food aspect and the sugar problem, we can decide that you don&#039;t NEED fruits or grains, and especially not honey!  You can get fiber from the vegetables that are much lower in carbohydrate (not potatoes, cereals or rice, but greens!) and the only thing you are getting from fruit is vitamin C, which you can get from a pill, or from veg, or from non-sweet fruit like lemons or limes.  If you miss the acidity, which can also be good for your digestive system, you can get that from vinegar if you like it on salads.
So, you don&#039;t NEED sweet fruit or grains.  You can get the calories, and other nutrients you need from veg, meat, fish and dairy.

I know diabetics who do eat fruit and grains...but then I know some who eat sugar pops and ice cream too.  It depends on how good your sugars are.  If you really need fruit for a treat, then go ahead and limit it carefully. Also, it may be that you can exercise your way down from a high blood sugar after eating.  I find it hard to work out after food though. I think artificial sweeteners are healthier on the whole than sweet fruit for diabetics.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;The veg. we mean (legumes not starches) are NOT generally a carbohydrate, fat or protein food.  They are devoid of most forms of nutrition.  They have vitamins and fiber. Type 2 Diabetes and pre-diabetes are arbitrary definitions.  They are defined by a range of fasting blood sugars.  They don&#039;t call anyone with slightly non-ideal sugars diabetic. Those numbers are high...diabetic high.  But I agree with those doctors for suggesting the obvious first:  Avoid ALL carbohydrate and see if you can control it.

Also, vitamins are cheaper than daily fruit. You don&#039;t need those silly herbal supplements.  You should be eating less overall, but comparatively more veg, more meat, less carbs.</description>
		<content:encoded><![CDATA[<p>Your diet is out of control.  Whole grains and fruits are good foods&#8230;normally.  But with your medical condition, they will elevate your blood sugar and it won&#8217;t come down easily.  And you don&#8217;t want that.  So, balancing the healthy food aspect and the sugar problem, we can decide that you don&#8217;t NEED fruits or grains, and especially not honey!  You can get fiber from the vegetables that are much lower in carbohydrate (not potatoes, cereals or rice, but greens!) and the only thing you are getting from fruit is vitamin C, which you can get from a pill, or from veg, or from non-sweet fruit like lemons or limes.  If you miss the acidity, which can also be good for your digestive system, you can get that from vinegar if you like it on salads.<br />
So, you don&#8217;t NEED sweet fruit or grains.  You can get the calories, and other nutrients you need from veg, meat, fish and dairy.</p>
<p>I know diabetics who do eat fruit and grains&#8230;but then I know some who eat sugar pops and ice cream too.  It depends on how good your sugars are.  If you really need fruit for a treat, then go ahead and limit it carefully. Also, it may be that you can exercise your way down from a high blood sugar after eating.  I find it hard to work out after food though. I think artificial sweeteners are healthier on the whole than sweet fruit for diabetics.<br /><b>References : </b><br />The veg. we mean (legumes not starches) are NOT generally a carbohydrate, fat or protein food.  They are devoid of most forms of nutrition.  They have vitamins and fiber. Type 2 Diabetes and pre-diabetes are arbitrary definitions.  They are defined by a range of fasting blood sugars.  They don&#8217;t call anyone with slightly non-ideal sugars diabetic. Those numbers are high&#8230;diabetic high.  But I agree with those doctors for suggesting the obvious first:  Avoid ALL carbohydrate and see if you can control it.</p>
<p>Also, vitamins are cheaper than daily fruit. You don&#8217;t need those silly herbal supplements.  You should be eating less overall, but comparatively more veg, more meat, less carbs.</p>
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		<title>By: erin10009</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1690</link>
		<dc:creator>erin10009</dc:creator>
		<pubDate>Mon, 02 Nov 2009 03:51:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1690</guid>
		<description>You are both right, and both wrong.  You can eat whole grains and fruits, IF you use something else to manage blood sugar.  I have type one and eat those things all the time, but I have to take insulin to match the food.  If you eat fruit and other carbohydrates and don&#039;t take medicine, or in the case of some people with type 2 at least exercise to counterbalance the carbohydrates your blood sugar will be too high. 

If you want to manage your diabetes only with diet (this is impossible for type1, if you have type 1 you HAVE to take insulin, period) you need to pretty much eliminate carbs.  If you want to include fruit and whole grains in your meal plan you can, but you&#039;ll need to lower the G.I. of the total meal by eating meat or other protein at the same time as the carbs, and you&#039;ll need to exercise or take medicine to help your body use the carbs.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>You are both right, and both wrong.  You can eat whole grains and fruits, IF you use something else to manage blood sugar.  I have type one and eat those things all the time, but I have to take insulin to match the food.  If you eat fruit and other carbohydrates and don&#8217;t take medicine, or in the case of some people with type 2 at least exercise to counterbalance the carbohydrates your blood sugar will be too high. </p>
<p>If you want to manage your diabetes only with diet (this is impossible for type1, if you have type 1 you HAVE to take insulin, period) you need to pretty much eliminate carbs.  If you want to include fruit and whole grains in your meal plan you can, but you&#8217;ll need to lower the G.I. of the total meal by eating meat or other protein at the same time as the carbs, and you&#8217;ll need to exercise or take medicine to help your body use the carbs.<br /><b>References : </b></p>
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		<title>By: ?Beth?</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1689</link>
		<dc:creator>?Beth?</dc:creator>
		<pubDate>Mon, 02 Nov 2009 03:11:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1689</guid>
		<description>I seriously think you should get a new doctor - who knows what they&#039;re on about. I eat fruit and carbs and stuff all the time, and im not dead yet!!! I even had one of those sherbert tubes the other day, and here i am, typing away!! i don&#039;t know much about type 2, but i know a lot about type 1, and honestly, my dietitian said, no sugar, little carbs, not much fruit juice, e.t.c, so i went home and ate everything she told me not to eat. Even my nurse said, &#039;don&#039;t bother about what you can and cant eat, eat anything!!&#039;

dont cut any of these things out of your diet, without carbs, you&#039;ll be skinny as hell. You have to eat, so just do it!!

hope this helps!!&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;type 1</description>
		<content:encoded><![CDATA[<p>I seriously think you should get a new doctor &#8211; who knows what they&#8217;re on about. I eat fruit and carbs and stuff all the time, and im not dead yet!!! I even had one of those sherbert tubes the other day, and here i am, typing away!! i don&#8217;t know much about type 2, but i know a lot about type 1, and honestly, my dietitian said, no sugar, little carbs, not much fruit juice, e.t.c, so i went home and ate everything she told me not to eat. Even my nurse said, &#8216;don&#8217;t bother about what you can and cant eat, eat anything!!&#8217;</p>
<p>dont cut any of these things out of your diet, without carbs, you&#8217;ll be skinny as hell. You have to eat, so just do it!!</p>
<p>hope this helps!!<br /><b>References : </b><br />type 1</p>
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		<title>By: crazyowl</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1688</link>
		<dc:creator>crazyowl</dc:creator>
		<pubDate>Mon, 02 Nov 2009 02:23:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1688</guid>
		<description>Both my husband and I are type 2 diabetics I am controlled on insulin my husbands by diet exercise and oral medications, never have we been told to avoid fruit and grains. A couple of the nurse specialist we have seen have said that one of the most helpful ways is to use the GI diet and we have found this helps but we use in in conjunction with other methods. Each food is ranked with a GI index as a diabetic you need to try and stick with low to medium GI foods and this would include fruit, vegetables and probably grains. Try getting a diet book for diabetics if you can that will give you ideas as to what can be included in your diet. See the web site below for more information I hope it helps. The one piece of information that we have been given that is consistent is that NO food is completely forbidden in any diabetic diet these days, some foods need to be restricted but not many.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;http://www.glycemicindex.com/
Retired nurse</description>
		<content:encoded><![CDATA[<p>Both my husband and I are type 2 diabetics I am controlled on insulin my husbands by diet exercise and oral medications, never have we been told to avoid fruit and grains. A couple of the nurse specialist we have seen have said that one of the most helpful ways is to use the GI diet and we have found this helps but we use in in conjunction with other methods. Each food is ranked with a GI index as a diabetic you need to try and stick with low to medium GI foods and this would include fruit, vegetables and probably grains. Try getting a diet book for diabetics if you can that will give you ideas as to what can be included in your diet. See the web site below for more information I hope it helps. The one piece of information that we have been given that is consistent is that NO food is completely forbidden in any diabetic diet these days, some foods need to be restricted but not many.<br /><b>References : </b><br /><a href="http://www.glycemicindex.com/" rel="nofollow">http://www.glycemicindex.com/</a><br />
Retired nurse</p>
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		<title>By: Its Me</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1687</link>
		<dc:creator>Its Me</dc:creator>
		<pubDate>Mon, 02 Nov 2009 02:01:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1687</guid>
		<description>You can but it may also depend on your doctor orders. If you carb count then you can take more insulin for what you eat. Ask you doctor again&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>You can but it may also depend on your doctor orders. If you carb count then you can take more insulin for what you eat. Ask you doctor again<br /><b>References : </b></p>
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		<title>By: CCrighton</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1686</link>
		<dc:creator>CCrighton</dc:creator>
		<pubDate>Mon, 02 Nov 2009 01:23:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1686</guid>
		<description>Just a quick question how old are you? 
If you are under 30 (though it can appear after this age) then  It may be type 1 diabetes, my daughter was diagnosed early and her A1c was 8.3 but she still had fasting blood sugars of 4- 5moll 72-90 for the first 3 months only when she ate did her blood sugars rise.  Your pancreas may be still releasing insulin and after fasting able to cope with sugar levels.   This will not last and you should really be starting to get insulin treatment, it can not be treated with diet and exercise alone. I would go back to a medically registered doctor untreated type 1 diabetes can result in DKA and death.

If you are older and overweight (then again this is not always the case) it may be type 2 diabetes then a lot of people try diet and exercise first before medication. 

I would get a another opinion.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>Just a quick question how old are you?<br />
If you are under 30 (though it can appear after this age) then  It may be type 1 diabetes, my daughter was diagnosed early and her A1c was 8.3 but she still had fasting blood sugars of 4- 5moll 72-90 for the first 3 months only when she ate did her blood sugars rise.  Your pancreas may be still releasing insulin and after fasting able to cope with sugar levels.   This will not last and you should really be starting to get insulin treatment, it can not be treated with diet and exercise alone. I would go back to a medically registered doctor untreated type 1 diabetes can result in DKA and death.</p>
<p>If you are older and overweight (then again this is not always the case) it may be type 2 diabetes then a lot of people try diet and exercise first before medication. </p>
<p>I would get a another opinion.<br /><b>References : </b></p>
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		<title>By: German Shepard</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1685</link>
		<dc:creator>German Shepard</dc:creator>
		<pubDate>Mon, 02 Nov 2009 00:41:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1685</guid>
		<description>What is early stage diabetes?  You do not have early stage diabetes  or pre diabetes with numbers in the 200-600 range, that is diabetes.  With numbers that high drinking lots of water will dilute it, but if you are ever over 400 again you need to have someone drive you to the nearest ER.  You are doing major damage to your body!!
The best method on determining what foods to avoid is to use your meter.  Test before your first bite and one and two hours afterward, the goal is to not spike more than 40 mg/dl or 2.2 mmol/l.  Once you narrow down when you spike you only need to test before the meal and then at that time.  Example, through testing I spike 75 minutes after the first bite, my brother is at 60 minutes.  If your spike is greater than that you need to identify the item that caused the spike and either reduce portion size or eliminate that food from your list of foods you can tolerate.  You will probably find some fruits are ok and some grains taken in moderation are ok.  Also some foods like oatmeal you may spike too high at breakfast but can eat it later in the day.  
Testing in this manner is the only way to know what foods do what to you, what they do to me will be different so you have to test yourself.
By going overly restrictive this doctor is setting her patients up for failure.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;diabetes.org</description>
		<content:encoded><![CDATA[<p>What is early stage diabetes?  You do not have early stage diabetes  or pre diabetes with numbers in the 200-600 range, that is diabetes.  With numbers that high drinking lots of water will dilute it, but if you are ever over 400 again you need to have someone drive you to the nearest ER.  You are doing major damage to your body!!<br />
The best method on determining what foods to avoid is to use your meter.  Test before your first bite and one and two hours afterward, the goal is to not spike more than 40 mg/dl or 2.2 mmol/l.  Once you narrow down when you spike you only need to test before the meal and then at that time.  Example, through testing I spike 75 minutes after the first bite, my brother is at 60 minutes.  If your spike is greater than that you need to identify the item that caused the spike and either reduce portion size or eliminate that food from your list of foods you can tolerate.  You will probably find some fruits are ok and some grains taken in moderation are ok.  Also some foods like oatmeal you may spike too high at breakfast but can eat it later in the day.<br />
Testing in this manner is the only way to know what foods do what to you, what they do to me will be different so you have to test yourself.<br />
By going overly restrictive this doctor is setting her patients up for failure.<br /><b>References : </b><br />diabetes.org</p>
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		<title>By: Bolt</title>
		<link>http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not/comment-page-1#comment-1684</link>
		<dc:creator>Bolt</dc:creator>
		<pubDate>Mon, 02 Nov 2009 00:21:59 +0000</pubDate>
		<guid isPermaLink="false">http://diabetesanddiet.net/diabetes-fruits-and-vegetables/is-it-bad-for-diabetics-to-eat-whole-grains-and-fruits-my-doctor-told-me-early-stage-diabetes-maybe-to-not#comment-1684</guid>
		<description>early stage diabetes maybe?  What kind of doctor doesn&#039;t run a test to know for sure?  

Veggies are carbs just like grains and fruits are, so I&#039;d get a second opinion from a qualified medical doctor and liecensed nutritionist.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;Edit:  Are you sure the HMO didn&#039;t refuse to include her on their list?
1 - HMOs do not force a doctor to take more patients than they can handle (or they wouldn&#039;t sign up)
2 - HMOs pay a fixed rate for services, often less than overpriced doctors would like
3 - she sells suppliments, so she has a vested interest in diagnoses that &quot;need&quot; them (which is questionable, and likely a reason the HMO would have turned her down)
4 - Her nutrition advise is also questionable (veggies are carbs, afterall, or does she not know that?)

BTW an A1c of 5.9 is just under 120 mg/dL which is high normal, but you&#039;re having readings over 200, sometimes even over 600? 

And she won&#039;t run a test for cholesteral because you aren&#039;t following her advise?  That&#039;s a guilt trip designed to sell you stuff, especially with her &quot;supposed&quot; helpfullness in reducing her office visit cost.  Ever bought a car? They do this, too.</description>
		<content:encoded><![CDATA[<p>early stage diabetes maybe?  What kind of doctor doesn&#8217;t run a test to know for sure?  </p>
<p>Veggies are carbs just like grains and fruits are, so I&#8217;d get a second opinion from a qualified medical doctor and liecensed nutritionist.<br /><b>References : </b><br />Edit:  Are you sure the HMO didn&#8217;t refuse to include her on their list?<br />
1 &#8211; HMOs do not force a doctor to take more patients than they can handle (or they wouldn&#8217;t sign up)<br />
2 &#8211; HMOs pay a fixed rate for services, often less than overpriced doctors would like<br />
3 &#8211; she sells suppliments, so she has a vested interest in diagnoses that &quot;need&quot; them (which is questionable, and likely a reason the HMO would have turned her down)<br />
4 &#8211; Her nutrition advise is also questionable (veggies are carbs, afterall, or does she not know that?)</p>
<p>BTW an A1c of 5.9 is just under 120 mg/dL which is high normal, but you&#8217;re having readings over 200, sometimes even over 600? </p>
<p>And she won&#8217;t run a test for cholesteral because you aren&#8217;t following her advise?  That&#8217;s a guilt trip designed to sell you stuff, especially with her &quot;supposed&quot; helpfullness in reducing her office visit cost.  Ever bought a car? They do this, too.</p>
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