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My dad has type 2 diabetes and he wants to change his diet and reverse it. He hasn't used sugar in years but sometimes eats candy(the single wrapped kind) that people give him which he has stopped. He works at a fast food restaurant on the weekends so he eats food/lunch there and the rest of the week food from home. His diet staple is rice, and alot of it. He also can't give up the pasty supermarket bread. He did start eating butter again though and coconut oil, chicken with the skin on etc. but he still thinks it is going to make him fat, or "give him cholesterol" as he says. So what my question is, if he was willing to give up anything necessary to reverse his diabetes and become healthy again what are the steps? How did any of you reverse your diabetes? What should his diet look like? If he can have carbs how much can he have a day, and can you compare that to something he can relate to such as small bowl or how many tablespoons/cups etc.? If I missed asking something that you think would be beneficial you can comment on that. You can also write some meal ideas for work/breakfast/dinner/ etc. I think you all get the point that any information would be great. Oh and I almost forgot, what should his blood glucose levels be? When should he test throughout the day? How much is it after eating etc?

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Dr. Bernstein's "Diabetes Solution" book is very good - not totally paleo, but chock full of good info for a diabetic. – Dave S. Jul 10 at 13:54

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Here's a site that might help: http://www.diabetes-warrior.net/ Best of luck to your dad!

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That dude is AWESOME! Great link! – Karin Jul 10 at 2:36
Yes this site is great, thanks so much I've bookmarked it. – Soul Jul 10 at 3:17
Great site and totally Dr. Bernstein compliant. Even beter, because it's paleo! (okay primal...) – Dave S. Jul 10 at 16:54
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The general answer, as in the one I would give my family members, is a low carb paleo approach with an appropriate amount of both HIT and walking.

In sizes thats no grains, no legumes, no startches. After a period of time with stable blood sugar he may be able to increase his carb amount, but this is how I would start.

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Jenny Ruhl's website is very good http://bloodsugar101.com

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Dr. Eric Westman at Duke University Lifestyle center has a wonderful community clinic for his proven "No Sugar No Starch" diet. If your dad's on FB, he can join the open group and interact with many people who have reversed their T2D with this diet.

The advantage of Westman's "version" is that it's extremely simple to understand and has been tailored to win acceptance from the average American. Westman's in the South, so his approach has been able to wean his peeps off their Red Velvet cakes and Paula Deen food - it certainly works. If your father has a similar temperament, he might like to start with Westman.

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I think you said it, he should give up the rice and bread. He might complain or whatever but I think it's fairly obvious that those foods and diabetes are linked.

It sounds like if he gives up the empty carbs, he doesn't want to replace them with fats and proteins, so doesn't know what else to eat. You could talk him into some kind of lean protein (heck chicken breasts are better than poofy bread), or some kind of crunchy vegetables. Maybe just get him to try it for 20 days and see how he feels, I suspect he'll feel great.

Intense exercise would probably be beneficial. I am not in my 60's like your dad, but I find that intense exercise kills my appetite and moderates my mood, and I suspect it counters insulin production. If he isn't an intense exercise kind of guy then some serious walks, like 30 minutes a day, would probably be a big help.

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I want to mention that he is 58 and he does heavy labour work. So does he really need excercise? He tried doing squats at work(lunchtime) one day and screwed up his knee but now its better. He could go for walks though, good idea. – Soul Jul 10 at 3:16
He might also benefit from Whole 30: whole9life.com/2012/01/whole-30-v2012 If you are able to convince him to give it a go, you might want to prepare him for the fact that he will likely have days where he feels like the bottom of a shoe. – MathGirl72 Jul 10 at 13:43
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hey soul - i am actually in an extremely similar situation. Rice is part of my family's culture, and it's considered blasphemy to think ill of it... and as well as ridiculous.

My dad has blood sugar issues, and while it hasn't been confirmed that he's borderline diabetic, i'm pretty certain that this is the case. He's incorporated a lot of the paleo guidelines into his diet recently, but like your dad, my dad also keeps having little "harmless" pastries here or there or some other treat. oh yeah, he keeps those treats and a massive bowl of rice with every meal. He's not willing to give them up for one reason or another and it sucks donkey b@lls watching him digging his own...well, you-know-what.

I wish diabetes was a disease that can be cured by simply removing carbohydrates. However, i have known a few people where this didn't help at all.

Because of this, I don't think sugar/ carbs is necessarily the main cause of diabetes... There's a lot of evidence out there that the PUFAS and other crap added into processed food that is desensitizing the insulin receptors - which then leads to diabetes.

Cutting out carbs may not necessarily be the long term solution here... diabetes isn't a disease caused by sugar, it's a disease caused by the inability of one's body to manage blood sugar... Even though many people here have cured their diabetes by reducing or eliminating carbs, i know of people who are unaffected by this strategy.
we also see people here with chronically high fasting levels of insulin while on a longer term low carb diet... so something doesn't quite add up correctly with sugar/ carbs and how it relates to diabetes.

I honestly don't know what approach our dads should try first (eliminate sugar or eliminate PUFAS) Either strategies should produce some effect (whether it be short term or long term). I think the answer may lie in the latter approach, but it's not really up to us, is it? No one ever changes for other people -sure, outside influence/pressure maybe a driving force, but it ultimately boils down to the person in the spotlight. Perhaps it's time for us to present our dads their two ultimate choices.

good luck

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T2 diabetes can be controlled by diet and reducing carb intake is the best way to start. Reducing or eliminating PUFAs doesn't address the bigger issue of massive amounts of glucose and insulin in the body and the body having no idea what to do with it all. PUFAs may very well be the culprit in insulin resistance, but trying to resensitize the insulin receptors while noshing on a huge bowl of rice is fighting an uphill battle. – MathGirl72 Jul 10 at 13:53
This is true, which is why i didn't say that eliminating carbs is completely futile. It may work for some, for others, it just doesn't. So what will happen if this is the case for this person's dad? – Sunshine Jul 10 at 16:18
Just FYI, I ask out of curiousity, not as an "attack" – Sunshine Jul 10 at 16:20
Reduce PUFAs and carbs at the same. Once some control is gained, adding carbs back in, in small amounts, can help determine the body's response. – MathGirl72 Jul 11 at 18:17
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I did it through a solid paleo diet. Not even 4 weeks to turn things around. But there is no cure so much as the ability to manage it. His pancrias is still worn out and will need lots of healing time. High fat low carb (50grams a day). Some excercise (though I am a fairly lazy guy). I dropped the diabetes and I'm 70lbs down in 7 months. BTW grated cauliflower that's cooked in a pan with a bit of oil and chicken stock makes an outstanding rice replacement.

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Yes! And mashed potato replacement. We call it mashed goodness. I'm amazed at this veg that I used to avoid or cover in cheese sauce! – MathGirl72 Jul 10 at 13:45
What was your diet like in those 30 days? What were your meals like? – Soul Aug 5 at 1:07
Diet was fairly standard. Meat, fresh veggies, panfried veggies(mushrooms, peppers, grilled onions), eggs, and organ meats. Outside of 1 cup of berries a day I avoided frui for the first month and a half of paleo and ate every time I was hungry. Sometimes meals were as little as a half hour apart but with my body adjusting to not getting the regular dose of dietary sugar it was constantly clamoring for more to eat and I dared not ignore it. To clarify things though I was after a quck jump into being fat adapted. I knew paleo would help with diabetes but I never dreamed that it would go away – ecks Aug 6 at 3:41
So quickly! More than I expected out of paleo! I was happy to get some vision back, not have to pee every half hour and actually be able to make it the whole day without feeling like I needed to pass out! Sidebar- weighed in ths morning at 77lbs off! Took me less than 8 months to get there! Hoping I can get the last 89LBS in 12 months or so. :) – ecks Aug 6 at 3:45
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Agreed with above comments, a low-carb Paleo approach should allow him to stablize and might give his beta cells in his pancreas a chance to heal.

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