Nutrition Question Please

Bob Newman said:

After being a diabetic for 25+ years (currently
diet/exercise controlled) and a recent open-heart surgery
patient, I have been following my diet VERY strictly. My
question is this: All the recommendations I see are for
less than 30% of calories from fat, a minimum is never
mentioned. I know you do required some fat though. I have
been running low to mid teens fat percentage with some days
in single digits. Is this okay? Where do we draw the line?
Any input would be greatly appreciated.

--
Thanks in advance... Bob

Fitday.com helps you track all those stats really well. It
will tell you what percent of your calories are from fats,
carbs, and protein as well as break down your fat calories
into saturated, polysaturated, and monosaturated fats. I
read that saturated fat should be less than 15 grams on a
2000 kcal diet and total fat between 30 and 40 grams. I
don't have diabetes or heart disease, so that may not be
appropriate for you.

I do know that too little fat may cause problems with your
gall bladder which are not pleasant.

Terri

"Bob Newman" <[email hidden]> wrote in message news:<[email hidden]>...

Quoted message said:

After being a diabetic for 25+ years (currently
diet/exercise controlled) and a recent open-heart surgery
patient, I have been following my diet VERY strictly.

Are you overweight? If your BMI is more than 20, your
weight may not be ideal especially for someone with type
II diabetes. Has anyone informed you about metabolic
syndrome (MetS)?

Quoted message said:

My question is this: All the recommendations I see are
for less than 30% of calories from fat, a minimum is
never mentioned. I know you do required some fat though.
I have been running low to mid teens fat percentage with
some days in single digits. Is this okay?

I would be concerned that either carbohydrates or proteins
or both are excessive.

Quoted message said:

Where do we draw the line?

I prefer a balance where there is reductions across the
board so that relative proportions are maintained.

Permanent weight loss is the only known way to "cure" MetS.

Quoted message said:

Any input would be greatly appreciated.

You are welcome, Bob :-)

Servant to the humblest person in the universe,

Andrew

--
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Board-Certified Cardiologist
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Bob Newman said:

After being a diabetic for 25+ years (currently
diet/exercise controlled) and a recent open-heart surgery
patient, I have been following my diet VERY strictly. My
question is this: All the recommendations I see are for
less than 30% of calories from fat, a minimum is never
mentioned. I know you do required some fat though. I have
been running low to mid teens fat percentage with some
days in single digits. Is this okay? Where do we draw the
line? Any input would be greatly appreciated.

Trying to look at a person's dietary regimen with
reference to only one macronutrient is likely to be bad
guesswork at best.

What are the dietary guidelines you're observing now? What's
the general state of your health? Are you overweight and if
so, by how much (using whatever standard you use)? How many
calories do you consume in a normal day and, if you know,
proportionately, from what kinds of sources? How active are
you, with what sorts of activities?

What would you consider an ideal breakdown of your dietary
components? Do you consume alcohol and if so, in what
amounts, how often?

Bob

Quoted message said:

After being a diabetic for 25+ years (currently
diet/exercise

controlled)

Quoted message said:

and a recent open-heart surgery patient, I have been
following my diet

VERY

Quoted message said:

strictly. My question is this: All the recommendations I
see are for

less

Quoted message said:

than 30% of calories from fat, a minimum is never
mentioned. I know

you do

Quoted message said:

required some fat though. I have been running low to mid
teens fat percentage with some days in single digits. Is
this okay? Where do

we draw

Quoted message said:

the line? Any input would be greatly appreciated.

What about asking in

alt.support.diabetes

?

BTW, from what I have read there, limiting fats and
increasing carbs is deadly advise for T2 diabetics.

Mirek

Wieght is always a strugglle but I'm not obese. Can usually
lose 5-10 pounds although I am just about right at this
time. Balance is my intention also.

Bob

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote
in message
"]news:[email hidden]...

Quoted message said:

"Bob Newman" <[email hidden]> wrote in message

news:<nfzmc.47885$Xj6.810803@bgtnsc04-
news.ops.worldnet.att.net>...

Quoted message said:

Quoted message said:

After being a diabetic for 25+ years (currently
diet/exercise

controlled)

Quoted message said:

Quoted message said:

and a recent open-heart surgery patient, I have been
following my diet

VERY

Quoted message said:

Quoted message said:

strictly.

Are you overweight? If your BMI is more than 20, your
weight may not be ideal especially for someone with type
II diabetes. Has anyone informed you about metabolic
syndrome (MetS)?

Quoted message said:

My question is this: All the recommendations I see are
for less than 30% of calories from fat, a minimum is
never mentioned. I know you

do

Quoted message said:

Quoted message said:

required some fat though. I have been running low to mid
teens fat percentage with some days in single digits. Is
this okay?

I would be concerned that either carbohydrates or proteins
or both are excessive.

Quoted message said:

Where do we draw the line?

I prefer a balance where there is reductions across the
board so that relative proportions are maintained.

Permanent weight loss is the only known way to
"cure" MetS.

Quoted message said:

Any input would be greatly appreciated.

You are welcome, Bob :-)

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

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No alcohol, weight under control (I've had gastric bypass
surgery), some diabetic conequences of glucose abuse over 20
years though. Other than the heart surgery most of the
problems have been relatively minor. Cellulitis and lost a
toe. I take forever to heal from anything (nornal for a
diabetic I know) but it drives me nuts anyway. It try to get
a higher % than normal of protien (doctor's advice because
of the stomach surgery). Also I haven't been THAT corned
about the low carbs because I do a lot of bicycle riding,
somes serveral hundred mile at a time and the carbs are
needed for that.

Bob

"Bob (this one)" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Bob Newman said:

After being a diabetic for 25+ years (currently
diet/exercise

controlled)

Quoted message said:

Quoted message said:

and a recent open-heart surgery patient, I have been
following my diet

VERY

Quoted message said:

Quoted message said:

strictly. My question is this: All the recommendations I
see are for

less

Quoted message said:

Quoted message said:

than 30% of calories from fat, a minimum is never
mentioned. I know you

do

Quoted message said:

Quoted message said:

required some fat though. I have been running low to mid
teens fat percentage with some days in single digits. Is
this okay? Where do we

draw

Quoted message said:

Quoted message said:

the line? Any input would be greatly appreciated.

Trying to look at a person's dietary regimen with
reference to only one macronutrient is likely to be bad
guesswork at best.

What are the dietary guidelines you're observing now?
What's the general state of your health? Are you
overweight and if so, by how much (using whatever standard
you use)? How many calories do you consume in a normal day
and, if you know, proportionately, from what kinds of
sources? How active are you, with what sorts of
activities?

What would you consider an ideal breakdown of your dietary
components? Do you consume alcohol and if so, in what
amounts, how often?

Bob

The note is on thwe diabetic group as well.

Bob

"Mirek Fidler" <[email hidden]> wrote in message news:2g1bfgF2lpa6U1@uni-
berlin.de...

Quoted message said:

Quoted message said:

After being a diabetic for 25+ years (currently
diet/exercise

controlled)

Quoted message said:

and a recent open-heart surgery patient, I have been
following my diet

VERY

Quoted message said:

strictly. My question is this: All the recommendations I
see are for

less

Quoted message said:

than 30% of calories from fat, a minimum is never
mentioned. I know

you do

Quoted message said:

required some fat though. I have been running low to mid
teens fat percentage with some days in single digits. Is
this okay? Where do

we draw

Quoted message said:

the line? Any input would be greatly appreciated.

What about asking in

alt.support.diabetes

?

BTW, from what I have read there, limiting fats and
increasing carbs is deadly advise for T2 diabetics.

Mirek

Mirek Fidler said:

Quoted message said:

After being a diabetic for 25+ years (currently
diet/exercise

controlled)

Quoted message said:

and a recent open-heart surgery patient, I have been
following my diet

VERY

Quoted message said:

strictly. My question is this: All the recommendations I
see are for

less

Quoted message said:

than 30% of calories from fat, a minimum is never
mentioned. I know

you do

Quoted message said:

required some fat though. I have been running low to mid
teens fat percentage with some days in single digits. Is
this okay? Where do

we draw

Quoted message said:

the line? Any input would be greatly appreciated.

What about asking in

alt.support.diabetes

?

One possible reason would be that there are no real heart
doctors there.

Quoted message said:

BTW, from what I have read there, limiting fats and
increasing carbs is deadly advise for T2 diabetics.

BTW, from what you read here, increasing fats is deadly
advice for coronary patients.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

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Bob Newman said:

No alcohol, weight under control (I've had gastric bypass
surgery), some diabetic consequences of glucose abuse over
20 years though. Other than the heart surgery most of the
problems have been relatively minor. Cellulitis and lost a
toe. I take forever to heal from anything (nornal for a
diabetic I know) but it drives me nuts anyway. It try to
get a higher % than normal of protien (doctor's advice
because of the stomach surgery). Also I haven't been THAT
concerned about the low carbs because I do a lot of
bicycle riding, somes several hundred mile at a time and
the carbs are needed for that.

Bob, the combination of factors that you list make it
hazardous to look at your dietary regime and make
suggestions.

My only suggestion is to sit with a professional and do a
rather thorough look at all the conditions facing you with
an eye to generating a tailored program for you.

Speaking for myself, I wouldn't try to get fat calories down
to single-digit amounts. It generally means skewing the rest
of the macronutrient intake too high.

Again, I suggest doing a complete workup with a pro who will
be able to factor in all the situations and conditions you
have. You have a balancing act to perform and the sort of
information you'll get here will, of necessity, be
incomplete.

Bob

Quoted message said:

"Bob (this one)" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Bob Newman said:

After being a diabetic for 25+ years (currently
diet/exercise controlled) and a recent open-heart
surgery patient, I have been following my diet VERY
strictly. My question is this: All the recommendations I
see are for less than 30% of calories from fat, a
minimum is never mentioned. I know you do required some
fat though. I have been running low to mid teens fat
percentage with some days in single digits. Is this
okay? Where do we draw the line? Any input would be
greatly appreciated.

Trying to look at a person's dietary regimen with
reference to only one macronutrient is likely to be bad
guesswork at best.

What are the dietary guidelines you're observing now?
What's the general state of your health? Are you
overweight and if so, by how much (using whatever
standard you use)? How many calories do you consume in a
normal day and, if you know, proportionately, from what
kinds of sources? How active are you, with what sorts of
activities?

What would you consider an ideal breakdown of your
dietary components? Do you consume alcohol and if so, in
what amounts, how often?

Bob

Bob Newman said:

Wieght is always a strugglle but I'm not obese. Can
usually lose 5-10 pounds although I am just about right at
this time. Balance is my intention also.

Bob

Weight should be as close to "ideal" as possible for someone
with T2DM.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

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Bob Newman said:

The note is on thwe diabetic group as well.

Bob

Have you received any helpful information from there?

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
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Yo Bob:

Here's the deal - having a toe removed, bypass surgery+ and
healing slowly are not relatively minor. Sorry.

What do you mean you do a hundred miles of cycling at
a time? That seems very high. What other exercise are
you doing?

Are you tracking your food intake at Fitday.com? It is
very helpful.

My personal opinion is that the diabetic guidance to food
intake is designed for the masses. If you are truly
interested in living longer, you can make great
improvements on it.

Low carbs are great. What else are you eating?

j

"Bob Newman" <[email hidden]> wrote in message
news:miLmc.28692$Ut1.824196@bgtnsc05-
news.ops.worldnet.att.net...

Quoted message said:

No alcohol, weight under control (I've had gastric bypass
surgery), some diabetic conequences of glucose abuse over
20 years though. Other than

the

Quoted message said:

heart surgery most of the problems have been relatively
minor. Cellulitis and lost a toe. I take forever to heal
from anything (nornal for a

diabetic

Quoted message said:

I know) but it drives me nuts anyway. It try to get a
higher % than

normal

Quoted message said:

of protien (doctor's advice because of the stomach
surgery). Also I

haven't

Quoted message said:

been THAT corned about the low carbs because I do a lot of
bicycle riding, somes serveral hundred mile at a time and
the carbs are needed for that.

Bob

"Bob (this one)" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Bob Newman said:

After being a diabetic for 25+ years (currently
diet/exercise

controlled)

Quoted message said:

Quoted message said:

and a recent open-heart surgery patient, I have been
following my diet

VERY

Quoted message said:

Quoted message said:

strictly. My question is this: All the recommendations
I see are for

less

Quoted message said:

Quoted message said:

than 30% of calories from fat, a minimum is never
mentioned. I know

you

Quoted message said:

do

Quoted message said:

Quoted message said:

required some fat though. I have been running low to
mid teens fat percentage with some days in single
digits. Is this okay? Where do

we

Quoted message said:

draw

Quoted message said:

Quoted message said:

the line? Any input would be greatly appreciated.

Trying to look at a person's dietary regimen with
reference to only one macronutrient is likely to be bad
guesswork at best.

What are the dietary guidelines you're observing now?
What's the general state of your health? Are you
overweight and if so, by how much (using whatever
standard you use)? How many calories do you consume in a
normal day and, if you know, proportionately, from what
kinds of sources? How active are you, with what sorts of
activities?

What would you consider an ideal breakdown of your
dietary components? Do you consume alcohol and if so, in
what amounts, how often?

Bob

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message
"]news:[email hidden]...

Quoted message said:

Mirek Fidler said:

Quoted message said:

After being a diabetic for 25+ years (currently
diet/exercise

controlled)

Quoted message said:

and a recent open-heart surgery patient, I have been
following my diet

VERY

Quoted message said:

strictly. My question is this: All the recommendations
I see are for

less

Quoted message said:

than 30% of calories from fat, a minimum is never
mentioned. I know

you do

Quoted message said:

required some fat though. I have been running low to
mid teens fat percentage with some days in single
digits. Is this okay? Where do

we draw

Quoted message said:

the line? Any input would be greatly appreciated.

What about asking in

alt.support.diabetes

?

One possible reason would be that there are no real heart
doctors there.

Quoted message said:

BTW, from what I have read there, limiting fats and
increasing carbs is deadly advise for T2 diabetics.

BTW, from what you read here, increasing fats is deadly
advice for

coronary

Quoted message said:

patients.

Andrew:

I am hopelessly lost when it comes to lipids. Do you
think that increasing even monounsaturated fats is
deadly? If so, why?

j (Your favorite nurse)

Quoted message said:

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
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Julianne said:

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]>
wrote in message news:4538539e12fa3a4835911a0444762e60@ne-
ws.teranews.com...

Quoted message said:

Mirek Fidler said:

> After being a diabetic for 25+ years (currently
> diet/exercise
controlled)
> and a recent open-heart surgery patient, I have been
> following my diet
VERY
> strictly. My question is this: All the
> recommendations I see are for
less
> than 30% of calories from fat, a minimum is never
> mentioned. I know
you do
> required some fat though. I have been running low to
> mid teens fat percentage with some days in single
> digits. Is this okay? Where do
we draw
> the line? Any input would be greatly appreciated.

What about asking in

alt.support.diabetes

?

One possible reason would be that there are no real
heart doctors there.

Quoted message said:

BTW, from what I have read there, limiting fats and
increasing carbs is deadly advise for T2 diabetics.

BTW, from what you read here, increasing fats is deadly
advice for

coronary

Quoted message said:

patients.

Andrew:

I am hopelessly lost when it comes to lipids. Do you think
that increasing even monounsaturated fats is deadly?

It can be.

Quoted message said:

If so, why?

Hyperketonemia --> increased lipid peroxidation.

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

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"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> píse v diskusním
príspevku "]news:[email hidden]...

Quoted message said:

Quoted message said:

I am hopelessly lost when it comes to lipids. Do you
think that

increasing

Quoted message said:

Quoted message said:

even monounsaturated fats is deadly?

It can be.

Quoted message said:

If so, why?

Hyperketonemia --> increased lipid peroxidation.

And if you stay away from ketosis? Are there any other
reasons why MUFAs are dangerous (in isocaloric diet)?

Mirek

Mirek Fidler said:

"Dr. Andrew B. Chung, MD/PhD" <[email hidden]> píse
v diskusním príspevku news:2d94a00f8b3fa59d022111bd2882b2-
[email hidden]...

Quoted message said:

Quoted message said:

I am hopelessly lost when it comes to lipids. Do you
think that

increasing

Quoted message said:

Quoted message said:

even monounsaturated fats is deadly?

It can be.

Quoted message said:

If so, why?

Hyperketonemia --> increased lipid peroxidation.

And if you stay away from ketosis? Are there any other
reasons why MUFAs are dangerous (in isocaloric diet)?

No.

(The problem is that when any macronutrient is emphasized,
people tend to go hypercaloric).

Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
heartmdphd.comheartmdphd.comOpen ↗

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Who is the humblest person in the universe?
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