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Low-Carb High-Fat (LCHF)

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Self-experiment with Continuous Glucose Monitor (CGM)

bigleg profile image
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In November 2017 Dr David Unwin (@lowcarbgp) used a CGM for a month. I recorded all his Twitter images and comments and copy/pasted them into a document that I share with people I talk to as a local Healthwatch and Council Community Health Champion Volunteer as they are so educational.

A fellow GP partner Dr Simon Tobin (@DocRunner1) in their GP practice is currently doing a similar self-experiment. I rarely tweet, but do find following certain people incredibly interesting and valuable. I do recommend any who can follow this current self-experiment do so.

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bigleg
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cheritorrox profile image
cheritorrox

Don't really know much about tweeting (life's too short to add yet another media...) - very interesting stuff but unfortunately preaching to the converted here - how do we get it across to people who need to know?

bigleg profile image
bigleg in reply to cheritorrox

I also do not know much about tweeting, but I have learnt that Twitter it is a great resource to pass on information to others. I just use the copy/paste facilities to record these amazing self-experiments posted on Twitter into a word document, that I then share with those wanting to learn more but not able/interested in following these self-experiments on Twitter. Just brilliant data.

Activity2004 profile image
Activity2004 in reply to bigleg

I use a CGM since I'm type 1. I've been using my CGM for 4 years. It helps see how my blood sugar control is when eating certain foods at different times of day. It also helps to alert me when I'm running low since I don't know that I'm going low ( I don't feel lows). My CGM has alarmed a few times during the night/early morning hours and I had needed to have a snack here and there. My CGM is suppose to alarm when it gets at 80 mg/dl or lower.

cheritorrox profile image
cheritorrox in reply to bigleg

May try it!

Icicles profile image
Icicles

Thank you bigleg I’m going to follow both. I continue to struggle to lose weight, but think that my thyroid may be involved as I am trying to stabilise my levels. I have read some tweets from both docs. Very factual and comments from other professionals very helpful also. Dr Tobin is also doing ‘requests’. The news about porridge has not gone down well 😂

bigleg profile image
bigleg in reply to Icicles

Icicles - I was privileged to listen to Dr Unwin live back in 2016, just after he was awarded NHS Innovator of the Year - the only GP to have won that award. Since then I have heard him live on 3 further occasions. The news on Porridge does not go down well, just illustrates how we have been misled for too many years! I suspect that if not metabolically damaged, one can continue to consume - but once experiencing insulin resistance, we do have to be more careful on any of the foods that spike blood sugars. In your journey have you come across dietdoctor.com - it is a brilliant resource. Dr Unwin has done a course for medical professionals supporting patients following the low carb approach.

Icicles profile image
Icicles in reply to bigleg

I have looked at dietdoctor, but will have to spend some time applying it, I am struggling to lose weight and could do with some help!!!

Cooper27 profile image
Cooper27

Thanks for sharing! I'm following now, although I very rarely sign into Twitter, so might forget...

bigleg profile image
bigleg

I usually try to check at least once a day - often when sitting on a bus - as it is a brilliant way too to keep in touch with the interesting issues.

Cooper27 profile image
Cooper27 in reply to bigleg

It's a good idea :)

in reply to bigleg

Twitter is the only social media I use, and for the reason you do too. Follow people who are on the front lines of LCHF to keep up with what's going on.

bigleg profile image
bigleg

Very interesting responses to a letter in the Times by Prof Raymam and deserved. Sad that people in such high places are so out of touch with evidence. The discussion is his response to Hospital Food.

TheAwfulToad profile image
TheAwfulToadAmbassador in reply to bigleg

Any link to this, bigleg?

I think it's beyond sad. When you're a doctor or researcher, deliberately ignoring* evidence that contradicts your pet theory is professional misconduct.

*ignoring evidence is not the same as, say, debating its validity on methodological grounds. There's a lot of bad science around and it's quite acceptable to point out flaws in experimental procedure. However, the high-carb advocates invariably use the most awful arguments - eg., ad hominem attacks and "won't somebody think of the children?"

bigleg profile image
bigleg in reply to TheAwfulToad

TAD - I hope this link will work: twitter.com/clarkjames70/st.... I picked it up from a Tweet by Prof Noakes on 26th

TheAwfulToad profile image
TheAwfulToadAmbassador in reply to bigleg

I can't get the link to work. No worries - I'll google it later, I'm sure it's out there somewhere!

bigleg profile image
bigleg in reply to TheAwfulToad

I was not sure if a Twitter link would work. Quite challenging to refind even though the discussion was only 2 days ago.

Subtle_badger profile image
Subtle_badger in reply to bigleg

Years late, but we can now include images, so I thought I would add it

Don’t hold your breath re hospitals, Aseem.

This letter in today’s The Times (note the author) is astounding.

That’s what you’re up against

cc

@ProfTimNoakes

@lowcarbGP

Letter page of The Times
Sewnknit profile image
Sewnknit

Yes!!! I knew it! A few years ago, I tried porridge for breakfast - 'keeps you full for longer' etc.

Piffle.

The sugar crash mid-morning was horrific. I thought I was doing it wrong. I would have my usual snack of fruit to compensate and be starving by lunch time.

I have never been tested for diabetes etc. but strongly suspect I was heading that way.

Since starting LCHF things have been great and no slumps.

TheAwfulToad profile image
TheAwfulToadAmbassador

I'm just blown away by the level of commitment Dr Unwin is putting into this. He seems to be almost single-handedly turning NHS dietary policy around. It's slow, and it seems like two steps forward and one step back, but it is moving roughly in the right direction. Maybe by the end of the century we'll see an end to this low-fat nonsense!

bigleg profile image
bigleg

Totally agree with you TAD. However he always says it was 2 clever women he owes his amazing journey. The first is the patient who entered his surgery with her diabetes in remission and looking amazing and Jen, his wife, the clinical psychologist in helping to develop a different approach to patients. Basically, asking them what goals would they like to achieve in place of simply prescribing treatments, which of course can include 'what you eat'.

TheAwfulToad profile image
TheAwfulToadAmbassador in reply to bigleg

Interesting stuff. Behind every great man is a woman or two, right? :) I'm guessing Jen isn't getting much of the official credit for developing the treatment protocols.

It would be awesome if Dr Unwin (or Jen!) could drop in on this group and offer some advice and encouragement, but I'm guessing he's way too busy ...

After many conversations on HU, I've come to the conclusion that psychology is a big factor in the obesity/diabetes epidemic - not in the sense that obesity is a psychological malfunction (eg, "fat people are just lazy and gluttonous") - but that people are trapped within a scripted behaviour pattern which is heavily reinforced by authority figures. They find it almost impossible to re-write these scripts without "permission" to do so.

I wish I'd pursued a potential career in psychology with a bit more enthusiasm (instead of going off on a completely different tangent) because in view of what I've learned about diet, I might have been able to put it to some practical use. Oddly, it's the tangent I went off on (engineering) that got me interested in the science behind LCHF.

bigleg profile image
bigleg in reply to TheAwfulToad

Dr Jen Unwin does get plenty of credit and is often a speaker at conferences as well - often they share presentations - this presentation has a fun start: youtube.com/watch?v=kTDaWkw... . She led the organisation of the Real Food Rocks Festival at Ambleside in July - a brilliant event. There are many of their excellent presentations available on line.

The biggest issue I see with patients putting their diabetes into remission and usually resolving other metabolic conditions, including obesity is being provided with the right information. For too long we have been fed a plethora of mis-information with the Eatwell Guides dominated by industrial foods. Thanks to Dr Unwin and other's work, the Public Health England eatwell guide today does not meet the NICE Diabetes Guidelines. Over the past few years there is a plethora of evidence and scientific papers that prove the science. Dr Unwin only has a twitter account, but he regularly posts patient graphs: twitter.com/lowcarbGP/media.

A few months ago The Daily Mail ran a feature for 6 days. The Sun is in the middle of a similar feature - this week (started last Saturday) the feature is focusing on The Diabetes.co.uk Low Carb program that is now NHS approved. The Daily Mail had a recipe book alongside that was authored by a chef who has is own personal T2D story and his wife, with David Unwin writing the science in the first 50 pages - the book is The Diabetes Weight-Loss Cookbook by Kaite & Giancarlo Caldesi. Slowly the information is becoming more widely available.

BridgeGirl profile image
BridgeGirl

Another doctor doing her bit. fatismyfriend.co.uk/

It would be interesting to hear any reports on the behavioural changes groups in Warrington, mentioned here. Looks like they are ongoing

bigleg profile image
bigleg

BridgeGirl - Dr Joanne McCormack is also a founder member of the PHC (Public Health Collaboration). This is her twitter account: twitter.com/JoanneReynold14 and I found this link in her Blog: fatismyfriend.co.uk/4-exper... It is a radio recording.....she is talking about her local group and how she came to the low carb real food approach. Her blog site also references several groups she runs. If you go to You Tube and put in Dr. Joanne McCormack there are several of her PHC Conference talks.

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