2

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Help with type two diabetes and psoriatric arthritis?

Answered on August 19, 2014
Created October 25, 2010 at 7:30 PM

I treat (as a physical therapist) a patient with psoriatric arthritis. While doing treatment, we got talking about diet and nutrition. He's really interested in the paleo diet, but he also has type 2 diabetes.

Now I know that a paleo diet (and lifestyle) could really help him, but I've not really read a lot about the specifics that people with type 2 diabetes should take care of.

Do you know sites, blogposts, ... with practical and accessable information about type 2 and paleo?

Thank you!

89e238284ccb95b439edcff9e123671e

(10299)

on December 30, 2010
at 12:01 PM

Thank you very much!

2b8c327d1296a96ad64cdadc7dffa72d

on October 26, 2010
at 07:11 PM

I forgot about Dr. Bernstein! He's been managing well for 70 years now. A stellar example for us all! He has another webcast tomorrow night - sign up here to listen in, or submit a question:http://cdset.c.topica.com/maaohI8ab0AdjaUaAUDbaeQyvr/ and register. or to listen by phone you can call in by dialing (323) 476-3672 (on Sep 29th) Enter Conference ID:900326# For Local Numbers: http://cdset.c.topica.com/maaohI8ab0AdkaUaAUDbaeQyvr/

2b8c327d1296a96ad64cdadc7dffa72d

on October 26, 2010
at 07:10 PM

I forgot about Dr. Bernstein! He's been managing well for 70 years now. A stellar example for us all!

89e238284ccb95b439edcff9e123671e

(10299)

on October 26, 2010
at 04:41 PM

Thanks Aaron, very helpful!

A968087cc1dd66d480749c02e4619ef4

(20436)

on October 26, 2010
at 12:37 PM

This answer is perfect - but I couldn't resist a link to Dr. Harris: http://www.paleonu.com/panu-weblog/2010/2/12/panu-and-type-ii-diabetes.html "Finally, I can’t help but wonder if the same results could have been obtained just by following the excellent advice of Dr. Bernstein. I recommend his book highly, but is there an additional contribution made by focusing on the Neolithic agents like a laser? In addition to carbohydrate reduction, does the reduction in excess inflammatory PUFA and fructose and maybe vitamin D correction add to the effects of just going to 50 g/day of carbs?"

89e238284ccb95b439edcff9e123671e

(10299)

on October 26, 2010
at 11:22 AM

This is really a great answer, thanks!

89e238284ccb95b439edcff9e123671e

(10299)

on October 26, 2010
at 11:22 AM

thank you for the link!

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7 Answers

5
2b8c327d1296a96ad64cdadc7dffa72d

on October 25, 2010
at 08:59 PM

The short answer is, there are a few modifications to a paleo diet that a type 2 should bear in mind:

1) if on medication, be more diligent about checking BG levels throughout the day. When the numbers have dropped by at least 20 points and have leveled there, a medication change is in order. 2) if in insulin or oral meds that can cause a BG low, BE VERY DILIGENT about checking BG levels! That regimen must be carefully monitored to avoid severe lows.

3) exercise helps insulin sensitivity and metabolism. going HIIT too soon (or too hard) can make for a high number post exercise (due to cortisol production). Scaling exercise is really important.

4) rest is very important to help keep insulin sensitivity up, excess inflamation down, and help reduce hunger and cravings. Early to bed is better than sleeping in.

Going strict paleo right off the bat will most likely cause headaches and severe cravings and sometimes excess hunger. If you can muster through, go for it! If the cravings/hunger are severe, try 5-6 mini meals for a few weeks,then cut out one of those meals each week (adjusting calories for other meals or PWO nutrition accordingly), until your hunger has reset.

There are a few blogs of other peoples' experiences in the blogsphere. The reality is that your friend's type 2 experience will be a little different than everyone else's and does depend on how well managed the disease is, how much/many meds are being taken, obesity, other co-morbid conditions. Some people reverse the disease in as little as 30 days, others need 6 months or more.

Paleo can help Type 2 disappear.

Best way to start:

  1. get rid of processed foods. all of them
  2. get rid of grains
  3. get rid of legumes
  4. get rid of added sugars, then reduce all sugar
  5. Resist the urge to try to create paleo-substitutes for things like pasta, pancakes, etc. It will just help the cravings to return.

Cook at home, and plan what to order in advance of going out, including making wiser choices about restaurants.

The reward? You'll be better looking, will weigh less, will look healthier (skin, hair, nails), sleep better (and less), all the while reversing the disease.

A968087cc1dd66d480749c02e4619ef4

(20436)

on October 26, 2010
at 12:37 PM

This answer is perfect - but I couldn't resist a link to Dr. Harris: http://www.paleonu.com/panu-weblog/2010/2/12/panu-and-type-ii-diabetes.html "Finally, I can’t help but wonder if the same results could have been obtained just by following the excellent advice of Dr. Bernstein. I recommend his book highly, but is there an additional contribution made by focusing on the Neolithic agents like a laser? In addition to carbohydrate reduction, does the reduction in excess inflammatory PUFA and fructose and maybe vitamin D correction add to the effects of just going to 50 g/day of carbs?"

2b8c327d1296a96ad64cdadc7dffa72d

on October 26, 2010
at 07:11 PM

I forgot about Dr. Bernstein! He's been managing well for 70 years now. A stellar example for us all! He has another webcast tomorrow night - sign up here to listen in, or submit a question:http://cdset.c.topica.com/maaohI8ab0AdjaUaAUDbaeQyvr/ and register. or to listen by phone you can call in by dialing (323) 476-3672 (on Sep 29th) Enter Conference ID:900326# For Local Numbers: http://cdset.c.topica.com/maaohI8ab0AdkaUaAUDbaeQyvr/

2b8c327d1296a96ad64cdadc7dffa72d

on October 26, 2010
at 07:10 PM

I forgot about Dr. Bernstein! He's been managing well for 70 years now. A stellar example for us all!

89e238284ccb95b439edcff9e123671e

(10299)

on October 26, 2010
at 11:22 AM

This is really a great answer, thanks!

3
286a4ff7c362241c5c4b020df4972212

on October 26, 2010
at 12:46 AM

Yes its been great for me - you should read and get him to read http://www.diabetes-book.com/ Dr Bernstein's book - he does not promote it as Paleo but its much the same thing - best way to treat type 1 and 2!

89e238284ccb95b439edcff9e123671e

(10299)

on October 26, 2010
at 11:22 AM

thank you for the link!

2
149af6e19a06675614dfbb6838a7d7c0

on December 30, 2010
at 05:32 AM

Dr. Bernstein speaks of how all Diabetics have clusters of auto immunes. He has at least 6. He also says that all of his patients have psoriasis. After normalizing BS, after reducing all inflammatory foods, stress, adequate sleep etc. Herbals help. Turmeric tea. 1 teaspoon of turmeric, sprinkle black pepper, ginger. This is a Cox-2 inhibitor and can reduce or eliminate the skin inflammation. 1-2-3-4 cups per day. I add heavy cream and it tastes like a curried cream. http://www.medscape.com/viewarticle/406890 http://www.medscape.com/viewarticle/567028

My web www.tribaldiabetics.com is about diabetes and Paleo. I am a student of Dr. Bernstein and Dr. Ron Rosedale.

89e238284ccb95b439edcff9e123671e

(10299)

on December 30, 2010
at 12:01 PM

Thank you very much!

2
1cbb6b2a813475d6c0b17fd5e898dc50

on October 26, 2010
at 10:35 AM

Steve Cooksey on facebook and these are his websites..... http://www.diabetes-management-info.com/ and http://www.diabetes-warrior.net

89e238284ccb95b439edcff9e123671e

(10299)

on October 26, 2010
at 04:41 PM

Thanks Aaron, very helpful!

2
23814fb403606c0424bf90770dd5c0f5

on October 26, 2010
at 09:11 AM

As a type 2 diabetic myself, I can't begin to emphasize the importance of following Dr. Bernstein's program. While Dr. Bernstein is a type 1 diabetic, his advice is applicable to any diabetic. As stated previously, Dr. Bernstein does not use the paleo moniker, but his program is as close to paleo as anyones'. I also suffer from plaque psoriasis. I have found that after two years of following this way of eating that the most impact this diet has had on my psoriasis is with the total elimination of grains and dairy. So far this has seemed to have reduced my outbreaks by 50% and allowed some of my plaques to completely clear up. I got rid of grains immediately upon starting this and then weaned off dairy gradually. I did notice some relief from my psoriasis initially but the most improvements came as I eliminated the dairy. That's the long answer! The short answer is "yes, paleo will help your patient some." Of course everyone's different so your patient may have different results than I have had. Best wishes

1
62ed65f3596aa2f62fa1d58a0c09f8c3

(20807)

on October 26, 2010
at 05:03 AM

I good way to start might be to limit carbs to whole fruit and natural potatoes (no franken french fries and the like) at first. If you cut out all the other carby sources besides those, then you are cutting out most of the rest of the crap foods. PLus cut out grain oils (those don't taste good anyway so you won't miss em) and any other obviously over processed junk like soy bars and whatever. You can keep on with the whole fruit and potatoes in moderation for a bit until you get comfortable with that, and then slowly lesson the intake of those two as well and see how it goes.

Yes, must watch medication levels and blood glucose levels. The danger is you may get your blood glucose too low if your diabeties improves and you don't less medication in concordance with that. Other than that, there really isn't a ton that you need to worry about for diabetes. Really, paleo/lowcarb is the kind of diet that is especially good for diabetes. The major side effect is your diabetes might get way better! -Eva

0
89e238284ccb95b439edcff9e123671e

(10299)

on October 27, 2010
at 03:33 PM

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