1/11 Many people cut out sugar + carbs as a way of reversing type 2 diabetes, pre-diabetes or improving their health #LCHF
At a recent group consultation many of my patients shared worries about how to avoid carbs in restaurants as 🇬🇧emerges from lockdown
Here are my top tips👇
2/11 Think carefully about your choice of restaurant - some may be easier to manage than others
3/11 Put aside time to think about the meal in advance
It's hard to think clearly when arriving in a busy restaurant
"If you fail to plan, you plan to fail"
Try looking at the menu online before you go and have a think about your food and drink choices before you arrive
4/11 Think carefully about what you'll drink
Beer has a lot of carbs, wine/spirits far less BUT watch the mixers
A small can of tonic water has about 4 tsp sugar - even diet tonic has 1 tsp
Diet Coke is better than Coke but I wouldn't put either in my body!
Soda water = no sugar
5/11 And remember that alcohol lowers your inhibitions and can affect your decision making
6/11 Watch out for those pre-dinner nibbles. How about some olives?
7/11 Don't worry about being a bit awkward when ordering, it's OK - you're the one that's paying the bill
Think about asking for a salad instead of chips or potatoes or ask for a burger but without the bun
8/11 Swap out the starchy carbs, potatoes, sweet potatoes, pasta and rice for vegetables grown above ground like cauliflower, courgette, peas, broccoli, cabbage, spouts etc
9/11 If you're eating Asian food/curry, Thai etc watch out for the rice and the naan bread. Instead think about having another meat/fish curry or a vegetable side dish (without potatoes) instead. Chickpeas (chana) and lentils (dhal) are good alternatives for many people
10/11 Desserts are always tricky. Options for me include cheese (but no biscuits) but I often simply order a different starter rather than a dessert - I don't mind if the person serving thinks I'm weird! 🤪
11/11 Lastly, don't worry if you fall off the wagon and are disappointed with yourself
Take it as an opportunity to learn how to handle it better next time, put it behind you and move on
It's not a catastrophe, just a bump in the road to better health
Enjoy your meal out 🍽️😋
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New research gives #hope for *EVERYONE* with type 2 diabetes🎉
Our study finds that >3/4 of people with #T2D diagnosed in the previous 12 months can achieve drug-free remission simply by improving their diet
A Twitter thread on our findings...
2/10 This "real world" study covers 8 years and looked at 186 people with T2D in a typical 🇬🇧general practice who decided to try a low carbohydrate approach
Mean duration of low carb diet was 33 months although many have continued to cut out carbs for years more
1/7 This my patient, Bill - I made him cry today 😢
He's said it's OK to share his story
He's 56. 9 years ago Bill had a big stroke affecting his mobility
His weight⬆️⬆️, he struggled to get out of a chair, ate an unhealthy diet + developed type 2 diabetes
A short thread...
2/7 Bill burst into tears😢when I told him he had reversed his type 2 diabetes👏
He had worried about another stroke, wanted to ⬇️his risk + even reverse his T2DM if possible
It was!
Supported by his wife, he reversed his diabetes in only 11 weeks by cutting out sugar #LCHF 👍
3/7 With @lowcarbGP our little practice (9,800 patients) in Southport 🇬🇧has helped nearly 100 people reverse their Type 2 diabetes in the last 5 years
It's not rocket science 🚀
It's simply about cutting out the sugar + starchy carbs (cereals, bread, pasta, rice + potatoes)
This patient of mine is 55 and has mysteriously reversed her type 2 diabetes with a huge drop of HbA1c from 77➡️32mmol/mol (9.2-5.1%) in only 3 months
She is not on any new medications for her diabetes..
2/4 She swears she has NOT made any dietary changes EXCEPT cutting out all sources of sugar like sweets🍬, biscuits🍪, chocolate, cake🧁, fruit juice🧃 + avoiding starchy carbs such as bread🍞, cereals🥣, potatoes🥔, rice🍚+ pasta🍝
I really believe she is telling me the truth🤔
3/4 It's particularly spooky👻because she's the 88th person at my practice to whom this has happened
2/10 Pre-diabetes has many names, often with subtle differences in definition
It's often called:
Impaired glucose tolerence, IGT
Impaired fasting glycaemia
Intermediate hyperglycaemia (preferred by @WHO )
High Risk State of Developing Diabetes (preferred by @AmDiabetesAssn )
3/10 Pre-diabetes is *NOT A DISEASE*
This is really important
It's a *RISK FACTOR* for developing type 2 diabetes
Other risk factors include:
Age >40 (>25 if S Asian)
Family History
Being overweight
People of Asian, African-Caribbean or black African origin, even if born in🇬🇧