Ivor Cummins is an Irish medical professional who is leading a charge to redefining the causal relationship between metabolic syndrome, insulin resistance, diabetes and a whole slew of diseases including heart disease and cancer.
In my pursuit of better health I am committed to radically reducing the amount of carbs in my diet, as well as resetting the hormonal imbalance in my liver and pancreas. Dr. Jason Fung is doing his work as a doctor in Toronto, as well as publicizing the real risks of abdominal fat.
The real crisis in today’s world is a crisis in lifestyle and diets, which is putting millions and millions and millions of people all around the world in grave danger. More people die every years in the world NOW from diabetes and related illnesses than are predicted in the worst 50 year estimates of global warming. The people dying today are dying because science has been systematically ignored by government policy makers and medical professionals for 50 years.
Dr. Fung argues that the conflict of interest between industry and medical professionals, including government agencies is at the heart of this global crisis. It is time to stop mollycoddling international business interests, and get on with the business of teaching future generations how to improve the quality of their lives, while also radically extending the length of their lives, simply by learning new lifestyle choices.
DIABETIC NERVE DAMAGE (neuropathy) affects approximately 60-70 percent of patients with diabetes. Once again, the longer the duration and severity of diabetes, the greater the risk of neuropathy.
There are many different types of diabetic nerve damage. Commonly, diabetic neuropathy affects the peripheral nerves, first in the feet, and then progressively in the hands and arms as well, in a characteristic stocking-and-glove distribution. Damage to different types of nerves will result in different symptoms, including
• tingling, • numbness, • burning, and • pain.
The incessant pain of severe diabetic neuropathy is debilitating, and the symptoms are commonly worse at night. Even powerful painkillers such as narcotic medications are often ineffective. Instead of pain, patients may sometimes experience complete numbness. Careful physical examination reveals decreased sensations of touch, vibration, and temperature, and a loss of reflexes in the affected parts of the body.
While a loss of sensation may seem innocuous, it is anything but. Pain protects us against damaging trauma. When we stub our toes or lie in the wrong position, pain lets us know that we should quickly adjust ourselves in order to prevent further tissue damage. If we are unable to feel pain, we may continue to experience repeated episodes of trauma. Over the years, the damage becomes progressive and sometimes deformative. A typical example is the foot. Significant nerve damage can lead to the complete destruction of the joint-a condition called Charcot foot-and may progress to the point where patients are unable to walk, and may even require amputation.
Dr. Jason Fung, The Diabetic Code p.28
Diabetic neuropathy has led directly to my willingness to undergo a radical lifestyle change, including intermittent fasting, and major changes to my overall dietary behavior. In particular, major pain to my hands and feet has increased exponentially in the last couple of years.
This type of pain is almost invisible to the people around a diabetic. They often wonder, I’m sure, what the hell is wrong with me, as I stumble from step to step, at times looking for all the world like a drunk after one too many.
Despite my best efforts to appear normal, it is sometimes impossible for me to avoid an outburst from a sudden onset of sharp pain in my hands or feet, without any advance warning that my chronic pain will suddenly become extreme, even if only for a few moments.
Dr. Fung mentions that it is worse at night while a diabetic sleeps or rests. Well, there are many times when neither is really possible, and my partner lays across from me worrying as I toss and turn in pain. And neuropathic pain is only one of the causes of pain in my body at night. Others are arthritis, bursitis, and severe muscle cramps.
Combine these with fibromyalgia and I guess that I have won the sweepstakes of pain, so far without winning the big prizes, premature death or paralysis. Even without the immediate threat of dying, chronic intense pain is exhausting, often leaving me so tired that days go by without being able to accomplish even the smallest things. Even I tend to feel like a lazy sonofabitch because my progress in so many things is fractional or even non-existent.
I wish I were faking it, of which I have been accused at times. If I could make it go away, I would indeed. The best thing my doctor ever told me about neuropathy is while I can still feel the pain, it is still at least possible that my nerve damage may partially recover as I reduce my diabetes and stop making it worse. Once the nerves are deadened to the point where my feet are simply numb, there would be no hope of ever recovering any of the la\ost sensitivity in my feet or hands.
This is one of the reasons why I am so determined to take any measure that has even a promise of helping me eliminate or radically reduce the effects of diabetes in the future.
Today is Canadian Thanksgiving Day. This is the day when I’m supposed to be grateful for all the good things in my life, and emotionally let go of whatever negative things are holding me back from a happy and productive life.
All of that is good. In theory.
But it’s hard to do. It’s a lot easier to list the things I’m mad about, or for which I’m resentful, than to account for all the good things in my life, for which I’m grateful. That’s not to say that I’m not, that is, not grateful.
I’m grateful for the people in my life who go out of their way to make my life better, of which there are any number, including my domestic partner who puts up with my frustrations and anxieties, and continues with me in her life, despite no longer wanting to be married to me, or believing that there is any romantic future for us. She’s probably right but still has simply accepted me as I am, despite my faults. So the two of us struggle to go forward in this fundamentally undefinable relationship and cause each other, and ourselves, the least emotional damage possible. And although this relationship isn’t what either of us imagined forty years ago, it continues to sustain me in the present. She still inspires me with her generosity of spirit towards.
I am grateful to my family, including my kids and my siblings, trying not to let resentment fill my heart for all the things I’d hoped would be, but are not. When people love me its hard when its not exactly the way I’d like to be loved. But who am I kidding? The fact that they are willing to be a part of my life is what is important, and I am appreciative when they do spend some time with me.
I’m also happy with my progress towards a healthy future. Intermittent fasting and lifestyle changes I’ve already made are making a real difference in my health, even just a few months into the process began with my decision last spring to reevaluate my medications and side effects. My son’s consistent input about carbs and sugar has encouraged me to stick to my guns when comes to fasting, and has helped me to lose 35 pounds. I do feel better, and I’m grateful for that.
But I still have a hard time not being angry about the things I’m facing in the future. It doesn’t matter really if they are a direct result of my own actions, or not. Chronic pain is very difficult to ignore, especially when it is quite severe, most of the time. I’m taking it on faith that losing weight will improve matters a little, but I’m not counting on it. Pain has become my constant companion, and it’s damned hard not to complain about it. Not that it does any good, but saying something does relieve some of the pressure of feeling so isolated and alone in the pain. Sometimes people think that I resent them because they don’t really express much sympathy, or even really seem to understand what the hell I’m talking about. Actually I don’t resent them, what I resent is the pain itself, and the fact that nothing really helps.
I’m also really resentful about the total destruction of my business and professional career, as a result of having made some stupendously stupid mistakes which cost me everything, including putting limits on my future I’m not quite sure how to endure. It doesn’t actually help to know that there were things I could have done differently that might have made all the difference. I didn’t do those things, so here I am. I’m critically broke, impoverished by the consequences of these mistakes. I also resent being ashamed of my mistakes and lack of better judgment. How can I be sure that I’ll do any better in the future?
But today is Thanksgiving Day, so I’ve thought a lot about those things that matter to me. There is a better future ahead, even if I’m not quite sure how to get there. I’m still alive, and I’m in better health than for a long time, and have more energy than for probably ten years. So I grateful for that.
I’m also grateful for my blog. Expressing my deepest feelings helps me come to terms with them. So I’m also grateful for my faithful readers, who have been so encouraging to me as I have been on this fasting journey. Thank you.
No matter how far we are going on a journey, each step is a new beginning. When I began intermittent fasting, back in July, I knew from the start that it is a long term project, and progress measured in weeks, months and even years. My incentives for giving it my best shot are huge – better health, a longer life and a more enjoyable and energetic present.
What I didn’t know, at least not in my heart, is that every day would require a new, fresh commitment to the plan. I sort of thought that my inertia would carry me along long enough to sustain me until I reach my goals, which are tangible, measurable and, hopefully, achievable.
Well, no such luck. Almost every day I fast I find myself feeling extremely positive about what I’m doing. Almost every day I’m not fasting I find myself haunted by doubts. I feel like I’m not losing weight fast enough, I’m not managing my insulin and medications well enough, and whatever I’m eating is working directly against my goals. I see a perfectly normal person walk by and I think to myself, “What a fat slob”. Because I’m afraid that somehow I’ll lose my commitment and indulge myself in foods that I don’t even really like or want anymore.
And I’m still less than a half the distance to my weight loss goal, and still unsure about how long it will take me to get to the point where I don’t need my diabetes medications and insulin any longer. I guess I’ll know when I get there, because both goals are measurable, and there is external evidence that I’m making good progress on both fronts. But in the meantime, I feel a little bit lost at sea, from time to time. The worst times are when I’m eating, and wondering if I can really afford this whatever.
I also know that even when I reach my weight goal, and my ambition to defeat metabolic disorder, and eliminate my diabetes, that I will then have to undertake another journey. Maintaining my healthy body will require vigilance, and committing to a healthy low carb diet, not for a while, but for the rest of my life. So the change I am currently experiencing through intermittent fasting will only be sustainable if I commit fully to the change in lifestyle needed to maintain the results.
This doesn’t discourage me, but it does present me with a challenge in the present, which is that my level of commitment to a certain and achievable weight and health goals must be followed by an endless journey, if the effort being made now isn’t to be completely wasted.
At that’s just a little intimidating. Well, maybe not just a little. Maybe a lot.
I’ve been bipolar all of my adult life. I equate being bipolar, in some ways, with being out in the weather. Some days it is sunny and bright, all things are possible, nothing can get me down. Some days are stormy, threatening lightning and thunder, and I’m afraid to get out of bed. So in addition to having to deal with diabetes, I also have to manage my emotional state. One of the best things about Intermittent Fasting is that it is another way I gain positive emotional feedback, by taking control of my health, as well as my emotional life.
Years ago, after several years of psychiatric medications, I decided that I couldn’t live with the “deadness” I felt while medicated. I felt like I was living in a fog, without any connection at all to the real me inside. I’d given up everything that made me “me” and was stuck inside a pseudo human being, without flavour, without emotions, without any reason to live at all. I don’t want to live that way, and so I’d rather live with my extreme emotional roller coaster than depend on meds to keep life in balance.
Before you decide to abandon your medications, and go it alone, consult with your doctor and make sure that you have a professional to provide you with ongoing care, just in case things don’t go the way you think they should.
Building mastery gives you a sense of accomplishment, Van Dijk said. What activity you choose “will just depend on where [you are in your] life and what will create that feeling of being productive.”
For instance, she said, this might mean volunteering, getting out of bed at 9 a.m. instead of noon or going to the gym three times a week. Or it might mean checking “the mail if that’s something you’ve been avoiding, … gardening or going for a 5-minute walk.”
Bipolar disorder is a serious illness. The illness itself along with treating it can feel overwhelming. But by taking small steps every day, you can effectively manage and minimize symptoms and lead a healthy, fulfilling life. If you’re not involved in treatment, contact a doctor or mental health practitioner. The strongest and healthiest step you can take is to seek professional support.
So, what then? I can’t rely on emotions to be an accurate guide, either for behaviour, or commitments. I can’t maintain relationships as an on-again, off-again basketcase. So I decided that my behaviour would be governed by my personal values instead of my feelings at any given moment. Whether I’m happy as a kite, manic and unstoppable, or in deep depression, I choose to respond to external input based on what I really want in the long run. This means that I’m always willing to be supportive and listen to others, whether I feel like it or not. It’s not about me, it’s about them and the kind of a man I really want to be. My actions are governed by my intentions, not my feelings.
That’s not to say that I don’t completely “fuck-up” everything sometimes, either in my personal or professional life. It’s especially true when I forget what’s really important to me, and don’t live up to my higher purposes.
But the other part of living is that I have to be completely accountable for my actions. That’s easier said than done, but I own my mistakes and forgive myself, rather than going over things again and again and again. Instead of being proud of myself only when manic and ashamed of myself the rest of the time, I accept myself, good and bad.
Neither be a God, (as I sometimes thought of myself when in a manic phase), no nobody, (
which is how I often saw myself during a serious bouts of depression. Instead, I’m just a human being striving to live my highest and best life. I no longer live in judgment, either of myself or others.
I feel for your pain, I really do. But live with it, and have a life worth living, regardless of temporary emotional states that come and go without any useful purpose. Ironically, over time you’ll come to be a lot happier with who you’ve become. Self respect and personal accountability trumps bipolar, at least, for me.
In an article I read today in Endocrine Web, by Kathleen Doheny
Every year, about 1.5 million Americans learn they have diabetes. However, there are more than 7 million adults who have diabetes but haven’t been diagnosed, according to the American Diabetes Association. This matters since we are learning that the best chance of reversing diabetes seems to occur very early in the onset of the disease. Finding from several recent studies indicate that the timing of diagnosis matters a lot.
If you have diabetes, your doctor may have encouraged you to consider making lifestyle changes; for many, that may include losing weight. While that same message has been discussed for years, recent evidence suggests that achieving about a 10% weight loss may be even more important than experts thought—with a payoff that is greater than previously imagined.
So you don’t have to lose all your excess weight to get a benefit from weight loss. As noted above, even a weight loss of 10% has a powerful effect on your A1C levels. This should be a great incentive for diabetics who, like me, have been identified as obese, or even merely fat or overweight.
After nearly three months I can say that fasting is making my health a little better, including reductions in A1C but also including things like mobility. I can actually reach down and touch my toes for the first time in a long time. Fungal infections have been radically reduced already. And my sense of hope for the future is significantly better.
What some authors have written about is the profound effect that fasting and weight loss have on the emotional health of a person. This may be something I’m prepared to write about in the future, but right now I feel like I’m on a roller coaster emotionally, really happy with my results one moment, and anxious about further progress the next.
My wife was diagnosed with Type two diabetes about the same time as I started my fasting program. She tried fasting the same amount as did I, but found that she simply couldn’t sustain a fast for so many hours, so she reduced the fasting to 16 hours and also continued to cut carbs and sugar in the rest of the day. Barely two months into her lifestyle change, including the reductions in carbs and sugar, she managed to reduce her A1C from 11+ down to 7.4.
She also lost some weight but not really that much. The thing is that her BMI is a healthy 24 so she really didn’t need to lose weight, as much as she needed to reduce carbs. A ten pound weight loss translated into a radical change in her blood sugars, and indeed in her medication requirements after the test.
I’m really proud of her accomplishment is such a short time, and firmly believe that if she continues in this direction that she will effectively a “non-diabetic” by spring, if not sooner.
I still hover around 215 pounds, but my blood sugars came down to 7.0 from 8.1 two months ago. My family doctor was pretty surprised and pleased with my progress. The biggest thing I keep reminding myself is that Rome wasn’t built in a day. My obesity is the result of 25 or 30 years of overindulging carbs and sugars, and it’s taking me some time to get the weight off. So be it. I already notice and now so are some of friends and family.
For the first time since I started this new lifestyle and intermittent fast, I am feeling a little discouraged. My weight has been fluctuating up and down between 215 and 225 pounds for a week. I thought once it got down to 215 it would stay there, but no. So I looked back at the week, and realize that I haven’t actually done anything inconsistent with my program.
So what is going on? I also notice that my blood readings have been running much higher all week, on fasting days as well as on eating days. What’s with that? Maybe I reduced my insulin too much too soon…. I don’t know but it’s discouraging. A bit. From what I read in the literature about fasting, it is seldom a straight line downwards in weight, and adjusting my insulin every day and every night is a little hit and miss.
Necessarily so, since the body isn’t actually just a machine, but is indeed an organic whole system, which I’ve been messing with for the last three months.
Today was my first day of fasting for this week. And I’m sticking to it, even on the bad days. Tomorrow with be a better day. Maybe not. But a tomorrow will be a better day if I stick to my guns and follow the program.
Hang in there with me, folks. The ride’s a little bumpy!
If you download the TOFI chart from this blog you’ll see how many different conditions and diseases are a direct result of eating too much carbohydrate and sugar over a long period of time.
As described by the Canadian Dr. Fung undoing the damage is a little more complicated than just reducing your carbohydrate and sugar consumption, it includes some level of intermittent fasting for long enough to effective reset the liver functions to allow the proper processing of carbohydrate and sugar, and eliminate the negative consequences of prolonged Metabolic Disorder.
There is now a lot of scientific support for carb restricted diets and lifestyle changes, but as I go along it is useful to collect other Facebook pages, Instagram, and other resources online to support sticking to a difficult but important process.
Canada urgently needs a diabetes strategy – just not necessarily the one that Diabetes Canada would have us believe is the right path
The following information is from Diabetes Canada – Basic carbohydrate counting for diabetes management. The charts and recommendations are EXACTLY as outlined in their PDF file available from the Diabetes Canada website
Following the information provided by Diabetes Canada, I will discuss briefly my own take on what this actually means, in the context of intermittent fasting and the low carb lifestyles recommended by Dr. Fung in his Diabetes Code.
STEP 1 Make healthy food choices
Enjoy a variety of vegetables, fruits, whole grains, low fat milk products, and meat and alternatives at your meals. A variety of foods will help to keep you healthy.
Use added fats in small amounts. This helps to control your weight and blood cholesterol.
Choose portion sizes to help you to reach or maintain a healthy weight.
STEP 2 Focus on carbohydrate
Your body breaks down carbohydrate into sugar (glucose). This raises your blood sugar levels.
Carbohydrate is found in many foods including grains and starches, fruits, some vegetables, legumes, milk and milk alternatives, sugary foods and many prepared foods.
Meat and alternatives, most vegetables and fats contain little carbohydrate. Moderate servings will not have a big effect on blood sugar levels.
STEP 3 Set carbohydrate goals
Your dietitian will help you set a goal for grams of carbohydrate at each meal and snack. This may be the same from day to day or may be flexible, depending on your needs.
Aim to meet your target within 5 grams per meal or snack.
STEP 4 Determine carbohydrate content
Write down what you eat and drink throughout the day.
Be sure to note the portion sizes. You may need to use measuring cups and food scales to be accurate.
Record the grams of carbohydrate in these foods and drinks.
For carbohydrate content of foods, check the Beyond the Basics resources, food packages, food composition books, restaurant fact sheets and websites.
STEP 5 Monitor effect on blood sugar level
Work with your health-care team to correct blood sugar levels that are too high or too low.
My take on the information provided above by Diabetes Canada is that it is great information, as far as it goes… Which means that I think that there’s a lot more to it than meets the eye.
VARIATION 1 Make healthy food choices – just not the ones implied
Enjoy a variety of vegetables, fruits, whole grains, low fat milk products, and meat and alternatives at your meals. A variety of foods will help to keep you healthy.
This is only one point of view, and one that isn’t necessarily all that helpful, especially since built into the advice are prejudices about the virtues of vegetables, fruits, whole grains and low fat. From my reading in the recent past I am now vitally convinced that the international obsession with starch and sugar based foods (ie: vegetables, fruit, and whole grains) is the fundamental CAUSE of the current epidemic of diabetes. Included in this obsession is the unproven argument against fat and meat.
Recent articles and books on the subject suggest strongly that the prejudice against fat has directly led the world’s health practitioners and public health authorities to make recommendations that have strongly affected whole populations into wrong minded and dangerous eating habits.
So the first point is almost right. Just totally wrong about low fat, oh, and about having a healthy mixture of vegetables, fruits and whole grains. Generally one considers that the first items listed in a list of recommended items should be the items encouraged and supported as the primary source of dietary energy. And this would be WRONG! Sugars and starches should never constitute more than about 10%, maybe 15% of your daily calories. The rest should be made up of proteins and fats, as your primary source of dietary energy for life.
And portion sizes are really important – mostly to keep the amount of starches and sugars to the lowest possible levels, to allow the body to use fat as a primary sources of energy, leaving dietary sugar and starches to supplementary roles.
VARIATION 2 – Don’t trust traditional dieticians or doctors to give you good dietary or lifestyle advice.
Don’t trust you dietician to set goals for you, especially regarding carbs, sugars, fats and protein. Most dieticians today have been trained in a world where fat and protein (especially from red meat) have demonized and starches and sugars elevated to saintly status. Most cook books, dietician training materials, and schools are teaching the same poisoned information that has led us into the diabetic disaster that is underscoring modern lifestyles.
If you want to continue to fight with obesity and diabetes, then follow the Canada or US National Health Strategies, because doing so with take you down the same path as millions of us who are now suffering from severe diabetes, and other side effects of this advice and governmentally supported policy.
On the other hand, if you want to get off the Merry Go Round, and start to live a healthy, happy life, start to adopt what is considered to be a radically reduced diet of sugars and starches. Take your primary sustenance from meat, butter, eggs and fat, or even from vegetables rich in fat. Sugars and starches should be considered as purely luxury items, to be consumed sparsely, and in consideration of their potential for causing harm
At the end of another week of three 36 hour fasts, I’m contemplating how much my life has already changed, and how much it may still change, as I continue my fasting and attack on diabetes.
First of all, I currently weigh about 30 pounds less than when I started on the low carb high fat program. Fasting started about two weeks later, after I took the time to consult with my endocrinologist about how to manage my blood sugars during my fasting. We had already switched to two different types of insulin, long acting and fast acting, and I’m using the new meter that tests all day long, so he felt that the risk of a dangerous low could be managed.
Secondly, I now know that fasting isn’t really all that hard, for me. I suspect that motivation is a huge part of this, but fasting seems pretty straightforward to me now. Take care of my insulin and blood glucose levels, otherwise just don’t eat. Anything. Instead of it being hard, it’s been pretty easy, and the results so far are gratifying.
I made the change to my lifestyle on July 10, and began fasting near the end of the month. It’s now the end of the first week of September so I’m approach two months into the program. My insulin levels are lower than ever as are my glucose readings. I take half of the prescribed dose of long acting insulin these days, and no fast acting insulin at all on my fasting days, and about three quarters of the previous prescibed dose on my non fasting days.
The biggest concern is keeping my blood sugars high enough not to end up in a coma from hypoglycemia from having too much insulin in my system and lowering my blood sugar too much. In more than 20 years of trying to manage my diabetes low blood sugar was never ever a remote possibility, even after being on insulin, as my blood sugars were always higher than desireable.
I recently made two new holes in my belt to keep my pants from falling down, after moving from the last belt hole at the other extreme. I didn’t measure my waist when I started because I was too embarrassed to admit how big I had become. Now I wish that I had because I’m shrinking fast.
When I started this fast, I told myself that I would stay the course for three months, and then re-evaluate where I’m at then, from a health perspective as well as general feeling perspective. I also said that I would be happy if I were to get my weight under 200 lbs or 90 KG by the end of the 90 days of fasting. Today I weigh 217 lbs, down from 244 lbs on July 10th. I believe that I will achieve both goals, at which time I will commit to the next phase of this program.
I wish I could say that there have been no negative effects of fasting. It’s a little early to make that statement. What I can say is that there haven’t been any, so far.