1

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Diabetes and high intensity jobs

Answered on August 19, 2014
Created December 10, 2012 at 2:27 PM

A diabetic friend of mine is an electrician and at times it can be physically demanding. He said he is unwilling to try the Paleo diet because he needs so many high GI carbs to give him energy that he can metabolise quickly when he needs a boost. For example if he is working at ground level then needs to run up several flights of stairs. He carries muesli bars in his pocket for energy on the job. Some days he might eat none but others he could need 4 muesli bars before lunch. He also can't stop for meal breaks during the day except lunch so he would need small items he can eat on the go for energy.

I thought if he ate lower GI foods his blood sugar levels would stay more even throughout the day rather than forcing spikes to make himself feel energised so that his blood sugar wouldn't drop too low? Dried fruit is low GI, nuts are fats instead of sugars for energy, but these are slower burning and he said he needs a quick burst to keep his blood sugar levels up.

Can someone please fill me in on how a diabetic with an energetic job and a need for instant energy can follow a paleolithic diet?

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:31 PM

You're friend does not have to do low carb to be paleo or to be healthier. I'm not saying it Won't work for him, it probably will. But what I'm saying is that rather than trying to make him conform completely to your dogma, give him information to help him love a healthy life, which in my opinion would be whole foods and HIIT or resistance training along with certain supplements or superfoods.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:28 PM

When you push 1 sided dogma on people without researching the other side it creates a negative stigma with those you're supposed to represent. Paleo is Not necessarily low carb and low carb is not the only way to cure diseases such as diabetes t2.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:26 PM

http://www.ncbi.nlm.nih.gov/pubmed/21868679 , http://www.ncbi.nlm.nih.gov/pubmed/21136047 , http://care.diabetesjournals.org/content/25/12/2335.long

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:25 PM

Okay cool, except you're ignoring the fact that low fat diets are also effective at reversing t2 diabetes. http://www.nutraingredients.com/Research/Low-fat-diet-study-claims-to-reverse-diabetes , http://www.diabetes.org/news-research/research/access-diabetes-research/low-carb-and-low-fat-diets.html . Also there is a correlation between insulin resistance and hyperglycemia, as I stated HIIT, vit k2 and resistance training in part 3 of the paleohacks question I referenced Reduce hyperglycemia along with increasing insulin sensitivity.

B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 06:08 AM

http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316093440 http://ajcn.nutrition.org/content/86/2/276.full

B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 06:06 AM

No, T2 diabetes is a condition of hyperglcemia, it's difficult to get hypergycemic if you restrict your carbohydrate intake sufficiently. Insulin sensitivity is almost irrelevant on a low card diet, since you need much less insulin to deal with the small amount of carbohydrates that you eat.

211d4075d68b24cd0aa7ebfa94262bb9

on December 11, 2012
at 03:23 AM

I interpret the OP as describing someone who is on some sort of diabetes medication and therefore requires carbohydrate ingestion to maintain stable blood glucose when doing some activity that requires physical exertion. In fact the OP specifically states "in order to keep his blood sugar levels up."

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 02:26 AM

Low carb diets don't necessarily help insulin resistant individuals. T2 people are insulin resistant while T1 don't produce adequate/any insulin, correct? It would then follow that he would need to increase insulin sensitivity http://paleohacks.com/questions/166504/the-hands-down-ultimate-hack#axzz2EhqrVEuk (part 3). If he was T1 I'd of suggested http://www.westonaprice.org/blogs/cmasterjohn/2010/06/04/new-evidence-of-synergism-between-vitamins-a-and-d-can-they-cure-diabetes/ .

B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 01:16 AM

Eating glucose tablets is the dumbest thing that a T2 could do (unless he is on insulin and has poor hypo control).

B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 01:15 AM

As a T2 he needs to manage his carbohydrate intake. I agree that whatever carbs he eats should be high quality, but he needs to restrict his intake to <150g a day, probably much less.

211d4075d68b24cd0aa7ebfa94262bb9

on December 10, 2012
at 03:57 PM

Glucose tablets such as Dex4 Naturals are another option.

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4 Answers

1
B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 01:05 AM

I have T2 diabetes, I eat <25g a day of carbohydrate a day, and run half marathons fasted (at 240lbs).

There is no truth in the myth that you need carbohydrates for day to day "energy". A single museli bar would spike my BG to high heaven, there is no way that T2s should be eating that kind of shit.

1
Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 10, 2012
at 02:54 PM

Paleo Diets are not synonymous with Low Carb diets.

For example tubers are paleo, grains are not.

If he needs carbs for whatever reason just encourage him to consume it from whole food sources like starchy tubers rather than grains, High Fructose Corn Syrup or refined sugar.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:25 PM

Okay cool, except you're ignoring the fact that low fat diets are also effective at reversing t2 diabetes. http://www.nutraingredients.com/Research/Low-fat-diet-study-claims-to-reverse-diabetes , http://www.diabetes.org/news-research/research/access-diabetes-research/low-carb-and-low-fat-diets.html . Also there is a correlation between insulin resistance and hyperglycemia, as I stated HIIT, vit k2 and resistance training in part 3 of the paleohacks question I referenced Reduce hyperglycemia along with increasing insulin sensitivity.

B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 06:08 AM

http://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316093440 http://ajcn.nutrition.org/content/86/2/276.full

B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 06:06 AM

No, T2 diabetes is a condition of hyperglcemia, it's difficult to get hypergycemic if you restrict your carbohydrate intake sufficiently. Insulin sensitivity is almost irrelevant on a low card diet, since you need much less insulin to deal with the small amount of carbohydrates that you eat.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:26 PM

http://www.ncbi.nlm.nih.gov/pubmed/21868679 , http://www.ncbi.nlm.nih.gov/pubmed/21136047 , http://care.diabetesjournals.org/content/25/12/2335.long

B3173217a49b5b0116078775a17eb21d

(11488)

on December 11, 2012
at 01:15 AM

As a T2 he needs to manage his carbohydrate intake. I agree that whatever carbs he eats should be high quality, but he needs to restrict his intake to <150g a day, probably much less.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:28 PM

When you push 1 sided dogma on people without researching the other side it creates a negative stigma with those you're supposed to represent. Paleo is Not necessarily low carb and low carb is not the only way to cure diseases such as diabetes t2.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 02:26 AM

Low carb diets don't necessarily help insulin resistant individuals. T2 people are insulin resistant while T1 don't produce adequate/any insulin, correct? It would then follow that he would need to increase insulin sensitivity http://paleohacks.com/questions/166504/the-hands-down-ultimate-hack#axzz2EhqrVEuk (part 3). If he was T1 I'd of suggested http://www.westonaprice.org/blogs/cmasterjohn/2010/06/04/new-evidence-of-synergism-between-vitamins-a-and-d-can-they-cure-diabetes/ .

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on December 11, 2012
at 01:31 PM

You're friend does not have to do low carb to be paleo or to be healthier. I'm not saying it Won't work for him, it probably will. But what I'm saying is that rather than trying to make him conform completely to your dogma, give him information to help him love a healthy life, which in my opinion would be whole foods and HIIT or resistance training along with certain supplements or superfoods.

0
3491e51730101b18724dc57c86601173

(8395)

on December 11, 2012
at 12:56 AM

I don't have diabetes, but I'm insulin resistant with reactive hypoglycemia. Before low carb/paleo, I needed food for energy in stressful situations because the high carb food just doesn't STICK. It spikes your blood glucose up and then drops it down like a stone. It feels like riding a roller coaster all the time.

Since going low carb/paleo, my blood sugar is rock steady. I no longer have those highs and lows, I have nice, even energy for LONG stretches of time. Your friend can't imagine this because he has never experienced it. (And he has to get through induction flu before he will experience it).

0
9e3bf43de29f66e5bb7be9c7d176b5e1

on December 10, 2012
at 04:05 PM

I would argue that his insistence that eating low quality carbs for energy is counterproductive. Just because it quickly spikes his blood sugar doesn't mean it's giving him energy or being helpful in the big picture. If he focused more on the quality of foods and less on that one aspect, I think his overall energy level would be increased and his ability to tap into reserves for a quick burst of energy would improve irrespective of acute snacking.

Just think of how much more intense paleo man's occasional bouts of high intensity exertion were. He had to fight other men and animals to hunt, survive, and protect his family. My guess is that this was just a little bit more demanding than climbing stairs. Now ask yourself how he fueled these activities. I don't think the answer is refined/processed snack foods. An overall diet of whole foods and a healthy metabolism.

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