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If you have type two DM or are at risk will you follow the new meta analysis recs to lower your HbA1c?

Answered on August 19, 2014
Created May 11, 2011 at 9:03 PM

http://jama.ama-assn.org/content/305/17/1790.short

Be1dbd31e4a3fccd4394494aa5db256d

(17969)

on May 26, 2011
at 05:57 PM

Sweet, that makes sense and explains much. I can't believe nobody is talking about this stuff publicly except for maybe Byron Richards. I suspect that blog of yours will be right up there with the other famous ones.

Ed71ab1c75c6a9bd217a599db0a3e117

(25477)

on May 26, 2011
at 01:49 PM

I agree with you but likely not for the reasons you think. The most important thing with DM 2 is consistency of the exercise not the effort. The reason......UCP3 is broken. Once it is fixed then you can assume a normal regime. That is why I am a big proponent of context. DM 2 is a special case and if you have it you need a doc and a trainer who gets it. Plus one for you.

Ed71ab1c75c6a9bd217a599db0a3e117

(25477)

on May 26, 2011
at 01:47 PM

The answer Stabby is all about UCP3 activation. And to determine that it is primarily controled by leptin and with secondary modifiers from thyroid activation. I will cover this issue in my blog. You will be interested in this because if UCP3 is optimal you can actually eat higher protein and fats. And the fat levels can go up to amazing levels without any issues. But it requires UCP3 to be working well. In fact the cause of most cases of heat stroke in the NFL are due to poor UCP3 activation with heavy exercise and a high carb diet. See Korey Stringer.

Be1dbd31e4a3fccd4394494aa5db256d

(17969)

on May 26, 2011
at 04:46 AM

Exercise is great. The usual mainstream dietary guidelines make me want to punch a kitteh. One would think that they would just give people the advice that fixes their problems but ooooh no. Preaching to the choir, I'm sure. What's your view on carbs vs. fats? Hyperglycaemia vs. lipotoxicity? What's the best macro ratio. Does it matter as long as long as the other stuff gets taken care of?

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2 Answers

3
149af6e19a06675614dfbb6838a7d7c0

on May 26, 2011
at 03:49 AM

Exercise is bullshit with regards to diabetes. It is in the last 5-10% of results. It makes cells more insulin sensitive, gives you balance and strength and flexibility, if done right. However, if your diet is not right...meaning high fat/moderate protein/low carb...all the exercise in the world will not make up for it. As a dude who used to believe in the "exercise balances out an inappropriate diet", I have blown thru Type 2 to now Type 1. I used to exercise 2 hours a day ala Jack LaLanne. I used to believe that exercise was 50% of the equation. This is more of the eat less, move more BS. If you eat right for your diabetes...high fat/moderate protein/low carb, you will feel more like exercising. You just don't have too. Oh, and a normal A1c according to Dr. Bernstein is between 4.3 and 4.7. If exercise helps get you there, god bless it. We just don't need more "eat less, move more". The more fat you eat, the less exercise you have to do to burn off the sugar associated with carbs and excess protein. This is one of those nights I can't find a funny quip to go out on.

Ed71ab1c75c6a9bd217a599db0a3e117

(25477)

on May 26, 2011
at 01:49 PM

I agree with you but likely not for the reasons you think. The most important thing with DM 2 is consistency of the exercise not the effort. The reason......UCP3 is broken. Once it is fixed then you can assume a normal regime. That is why I am a big proponent of context. DM 2 is a special case and if you have it you need a doc and a trainer who gets it. Plus one for you.

0
34a367e60db77270bd7096dc04270fdc

(4171)

on May 11, 2011
at 11:39 PM

My husband has type 2 diabetes and while his diet isn't perfect, he does Crossfit 4-5 days a week - it may be why his a1c has been normal for a couple of years.

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