5

votes

horrified general practitioner

Answered on August 19, 2014
Created February 03, 2012 at 2:03 PM

I mentioned to my GP yesterday that I was trying Paleo and she was predictably horrifed. I am a T1 diabetic and have a great deal of difficulty with my body temperature since I have been on Paleo. At night I am way too hot and I keep my room at 63 degrees at night. I wake up several times a night taking off my covers and putting them back on. Is this something common to Paleo dieters?

E32abdc9a483de43def522faf81ed4e9

(0)

on March 18, 2014
at 08:35 PM

I think the concept of a very high fat diet is the concern with the medical community. And limiting or eliminating things that are supposed to be widely "wonderful" (wheat, legumes, fruits). I'm only on Day 5 and I gotta tell you I'm a little freaked out! But hanging in there.

E32abdc9a483de43def522faf81ed4e9

(0)

on March 18, 2014
at 08:33 PM

This is highly encouraging. I have been wondering about what everyone's numbers look like! At least two of you here say they're good?

9a5e2da94ad63ea3186dfa494e16a8d1

(15833)

on April 19, 2013
at 02:16 PM

Absolutely. I gave blood twice about 9 months apart and had lost about 20 pounds in between due to the Paleo diet. The nurse asked me what I did, and I told her diet and exercise -- which is exactly true. She pressed me for details and I said a lot of vegetables, fruits, high protein, and no processed foods or sugars. She seemed to accept this without a problem. This is actually how I eat and I don't eat 5 pounds of meat per day like some people. But it does depend on how you describe it.

C0fcb48d7da4f76fac17318efd2cd6b8

(4069)

on April 05, 2012
at 01:26 AM

wwwwooooorrrrrddd

5e5ff249c9161b8cd96d7eff6043bc3a

(4713)

on February 14, 2012
at 12:57 PM

http://paleophysiciansnetwork.com/

518bce04b12cd77741237e1f61075194

(11577)

on February 14, 2012
at 03:39 AM

I was so confused about this, then realized medical systems work differently in other countries. Slow on the uptake apparently, haha.

1a68c71d62aa058a86c83c5bb0c28650

(150)

on February 04, 2012
at 06:04 PM

Well personally I like shocking people so I might say it. Maybe telling him the truth will open his eyes.

Ec39179d4c06199471827a706adb2896

(242)

on February 03, 2012
at 11:51 PM

"Her eyes got pretty big when she heard quantities..." Classic!

77877f762c40637911396daa19b53094

(78467)

on February 03, 2012
at 07:29 PM

Thanks for that link Nance- still no Paleo docs in BC.

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on February 03, 2012
at 05:41 PM

I love beef, but I think many doctors still believe that today's beef is bad for you. They may agree with some parts of our lifestyle, but they think we should be careful with red meat. If they really believe that then their behavior is honorable.

6714718e2245e5190017d643a7614157

on February 03, 2012
at 05:36 PM

+1 What she said

Ce7e28769d92d5de5533e775b1de966e

on February 03, 2012
at 05:09 PM

What he said...

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on February 03, 2012
at 04:35 PM

Good point, Matt, although since I have a violent intolerance for wheat, possibly even celiac, I think she'll be pretty receptive to no grains as well.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on February 03, 2012
at 04:24 PM

Better yet, talk about your diet by inclusion, rather than exclusion. "I eat meat, vegetables, fruit and nuts." Nobody is going to have an issue with that. "I don't eat grains, dairy, or sugar." That sets off conventional wisdom alarms, you're some wacko on a fad diet!

24df4e0d0e7ce98963d4641fae1a60e5

on February 03, 2012
at 04:19 PM

Has the temperature thing been just with paleo or all the time?

77877f762c40637911396daa19b53094

(78467)

on February 03, 2012
at 03:41 PM

Try sleeping with only a sheet covering you- cooler.

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11 Answers

42
6714718e2245e5190017d643a7614157

on February 03, 2012
at 03:37 PM

flyfrog,

I think if you use different terminology it would spin your diet in a different light. I believe if many of us stopped using the the terminology "paleo diet" and just say that we are changing our diet to eat mainly fresh meat, fresh vegetables, and fresh fruit and exclude processed foods I think doctors and others would see that in a positive light. I think doctors would have a hard time saying anything negative about avoiding processed foods. It is just a matter of describing your diet rather than putting a label on it. Labels on diets can turn people off. Just tell your doc you are eating real food and avoiding processed foods.

Ce7e28769d92d5de5533e775b1de966e

on February 03, 2012
at 05:09 PM

What he said...

C0fcb48d7da4f76fac17318efd2cd6b8

(4069)

on April 05, 2012
at 01:26 AM

wwwwooooorrrrrddd

9a5e2da94ad63ea3186dfa494e16a8d1

(15833)

on April 19, 2013
at 02:16 PM

Absolutely. I gave blood twice about 9 months apart and had lost about 20 pounds in between due to the Paleo diet. The nurse asked me what I did, and I told her diet and exercise -- which is exactly true. She pressed me for details and I said a lot of vegetables, fruits, high protein, and no processed foods or sugars. She seemed to accept this without a problem. This is actually how I eat and I don't eat 5 pounds of meat per day like some people. But it does depend on how you describe it.

13
Ce7e28769d92d5de5533e775b1de966e

on February 03, 2012
at 04:01 PM

In general I'm not very sharing with the "Paleo" moniker, preferring to keep on the DL. It's my preference and I'm happy to discuss when asked but I don't volunteer. I don't lie, I just don't label.

My new doctor during my physical asked me what I typically ate, etc. and did not bat an eye when sugar/grains/legumes were not included in the list. She literally said "sounds like you're eating right, very good." Her eyes got pretty big when she heard quantities but with my activity level and awesome blood work? Full approval.

So! Ninja mode - it's what works for me until people get over their assumptions and bad attitudes.

RE temp: How about no blanket and flannel sheets? They breathe nicely and are way cozy. Might give just the amount of warmth you need.

6714718e2245e5190017d643a7614157

on February 03, 2012
at 05:36 PM

+1 What she said

Ec39179d4c06199471827a706adb2896

(242)

on February 03, 2012
at 11:51 PM

"Her eyes got pretty big when she heard quantities..." Classic!

12
77877f762c40637911396daa19b53094

(78467)

on February 03, 2012
at 03:56 PM

I think it is time we all horrified a lot more medical practitioners. Maybe then they would take the time and trouble to research the Paleo movement to see what it is all about.

10
A968087cc1dd66d480749c02e4619ef4

(20436)

on February 03, 2012
at 02:26 PM

OMG! What? You want to eat real food instead of this crap-in-a-bag? You must be out of your ever loving mind!

My house is 67 and I still can't keep the covers on. I'd set it lower, but my minions would revolt.

Just tell your doc to simmer down! Explain that it's real food and anti-inflammatory. That should help her to understand better.

8
A7768b6c6be7f5d6acc76e5efa66464c

on February 03, 2012
at 03:51 PM

I don't really see much value in even discussing diet and nutrition with most conventional doctors. They are generally ill-prepared to really get into it in a meaningful, holistic way. Most of them don't learn about nutrition as medicine in medical school, and have little time or incentive to do so on their own afterwards, once they are part of the pharmaceutical industrial complex. Their role has been relegated primarily to churning out pharmacy customers, and that's what they do best. To give due credit, the other thing they do very well is managing emergencies/crises. What they don't do so well is health management, maintenance, and disease prevention.

I should add, since I know this opinion will likely offend some folks, that I happen to have a very good doctor, so I know they exist. I'm not talking about good doctors here.

As for your overheating problem, I went through a phase of what I could only figure out was maybe increased thermogenesis as my body became more efficient at burning fat as fuel. I'd thought it was my thyroid medication (I'm hypo and take replacement hormones, and sometimes anti-inflammatory diets can improve thyroid function), but then it kind of faded away without further incident. I would look into that, and I would probably also get my thyroid tested if it persisted for a long time.

Of course, we're all subject to the occasional virus or other infection, many of which can cause low-grade fevers and night-sweats. Most of the time these things go away on their own soon enough. Some paleo folks insist they never get sick, but of course, many paleo people do still get flu, colds, etc. If it was me, I'd ignore it for awhile and see what happens, as long as I was feeling good otherwise. Also I just googled T1 diabetes overheating and it seems a pretty commonly reported symptom.

6
6498694060d879a7960b35913539b75f

(1307)

on February 03, 2012
at 06:36 PM

I'm a Type 2 diabetic and pregnant. My endocrinologist is thrilled with my numbers, and keeps telling me I'm doing the best of anyone in his practice. I don't tell him it's because I'm not following any of his advice. Why bother?

1a68c71d62aa058a86c83c5bb0c28650

(150)

on February 04, 2012
at 06:04 PM

Well personally I like shocking people so I might say it. Maybe telling him the truth will open his eyes.

5
96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on February 03, 2012
at 04:13 PM

I have a physical in 2 weeks and I've already prepared an answer since I've lost a ton of weight.

"No grains, no sugar, no processed foods" should get a warm reception, I think. My doctor happens to be from India and I expect she'll be really comfortable with that.

In general, I give doctors some amnesty on diet--this is just starting to gain awareness, particularly the labels "paleo" or "caveman" while I think many doctors would nod agreement if you say you gave up highly processed foods. I also agree with RichfrmTx that most doctors would support "meat, fresh vegetables and fruit."

We could all do a good thing if we share the link to Primal Docs to our doctors--we can be a part of building more connections about our lifestyle within the medical community. I'm going to print a copy of the front page of the site and take it with me to my physical.

UPDATE: My doctor and PA were very pleased with my blood work so I even used the "paleo" label and all they said was that this is a terrific diet for me. If the blood work had been awful I wouldn't have blamed them for fussing; as it is, they both now have a good opinion of this approach.

77877f762c40637911396daa19b53094

(78467)

on February 03, 2012
at 07:29 PM

Thanks for that link Nance- still no Paleo docs in BC.

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on February 03, 2012
at 04:35 PM

Good point, Matt, although since I have a violent intolerance for wheat, possibly even celiac, I think she'll be pretty receptive to no grains as well.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on February 03, 2012
at 04:24 PM

Better yet, talk about your diet by inclusion, rather than exclusion. "I eat meat, vegetables, fruit and nuts." Nobody is going to have an issue with that. "I don't eat grains, dairy, or sugar." That sets off conventional wisdom alarms, you're some wacko on a fad diet!

E32abdc9a483de43def522faf81ed4e9

(0)

on March 18, 2014
at 08:33 PM

This is highly encouraging. I have been wondering about what everyone's numbers look like! At least two of you here say they're good?

3
Medium avatar

on February 03, 2012
at 11:02 PM

Whenever I find myself in the care of a medical practitioner who expresses horror at my dietary or exercise practices, gets a two-word response. "You're fired." Seriously: get a doc who's on your side.

518bce04b12cd77741237e1f61075194

(11577)

on February 14, 2012
at 03:39 AM

I was so confused about this, then realized medical systems work differently in other countries. Slow on the uptake apparently, haha.

2
006ca81dc32bffe07e580a62b092845d

(60)

on February 03, 2012
at 06:58 PM

i'm type 2 and have similar experience: waking at night sweating. it gets worse when i have had more than a couple of ounces of red wine. what i finally figured out was that i was going a little hypo. you might try checking your blood sugar to see if that's true for you as well. i ride it out and my gluconeogenesis kicks in. but i am needing to adjust the medications and supplements im using right before bed (for example, omitting chromium picolinate and my small dose of metformin before bed: recently both have resulted in middle of the night hypo + higher am fasting glucose. your milage may vary, etc...

2
Ebcbbdcb8b727e69e06eaa102d49a84c

on February 03, 2012
at 05:14 PM

I can't even understand why your doc would react that way to eating natural foods! It's funny because doctors get paid from fixing sick people and this diet helps to cure a lot of ailments that are common with a high sugar/high processed/western diet. She's probably just scared that you won't have to come pay her anymore. :P

But it's funny you mention about waking up hot and cold in the night. That's been happening to me a lot too - regardless of the temperature.

96bf58d8c6bd492dc5b8ae46203fe247

(37227)

on February 03, 2012
at 05:41 PM

I love beef, but I think many doctors still believe that today's beef is bad for you. They may agree with some parts of our lifestyle, but they think we should be careful with red meat. If they really believe that then their behavior is honorable.

E32abdc9a483de43def522faf81ed4e9

(0)

on March 18, 2014
at 08:35 PM

I think the concept of a very high fat diet is the concern with the medical community. And limiting or eliminating things that are supposed to be widely "wonderful" (wheat, legumes, fruits). I'm only on Day 5 and I gotta tell you I'm a little freaked out! But hanging in there.

0
81feb1022a28f534867616b9316c7aa4

on April 19, 2013
at 06:04 AM

Yes Im type1 and I have just this week tried out very low carb (Dr. Bernstein recommendations <30g) and I haven't really been waking up sweating but in the morning my hair looks like i went to bed with wet hair (so this means i must have been sweating in the night) hmmmm I think its a diabetic thing though, something to do with blood sugars? My brother gets sweats some nights and hes not paleo and I used to get random sweating at night before I went paleo too

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