Re: Restaurant light portions
- From: Chris Malcolm <cam@xxxxxxxxxxxxxxxxx>
- Date: 21 Oct 2007 10:35:20 GMT
Oleg Lego <rat@xxxxxxxxxxxx> wrote:
On 20 Oct 2007 08:55:40 GMT, Chris Malcolm posted:
Jackie Patti <jpatti@xxxxxxxx> wrote:
My husband's useful that way also, like when we go out to breakfast and
he cleans up the potatoes and toast for me.
Reminds me of the nursery rhyme about Jack Sprat... except it's carbs
instead of fat.
Decades ago I used to do that: hoover up what other people left on
their plates. And I never put on a single pound, stayed skinny. I
wonder what happened? Oh yes, I remember: diabetes :-)
Funny you should mention that. I too, used to be able to eat anything
I wanted, and in quite large quantities.
I quit smoking in 1993, and within about 6 months, I went from my
normal 180-185 lb. to about 195-200. Over the years, until August this
year, I gradually went up to about 235-240. August 24 2007 was the day
I was told I had diabetes.
I wonder if I was pre-diabetic back in '93. I have always put it down
to quitting smoking, and a propensity to eat more snacks as a
diversion when I felt like having a cigarette, but now, I'm not so
confident that's what it was.
So, is it more likely that the weight gain led to the diabetes, or
vice versa?
It's usually a chicken and egg argument. The general progression of a
susceptible person to T2 diabetes seems to follow a pattern, whose
early beginnings involve increasing insulin resistance which is coped
with quite naturally by producing more insulin. The slightly raised
blood glucose levels accompanied by raised insulin levels lead to the
deposition of visceral fat even while your metabolic needs remain
unsatisfied, so you start putting on weight even if you stay hungry.
That visceral fat has hormonal effects which increase insulin
resistance and the vicious cycle of progression towards diabetes
starts.
You don't get diagnosed as diabetic until this degenerative process
has done enough damage to kill off enough of your insulin producing
beta cells that they can no longer produce enough to cope with your
diet combined with your high insulin resistance. That's the point
when blood glucose levels start to rise much more rapidly, as does the
rate of the progressive damage they cause. In other words, current
medical practice ignores your slow and recoverable degeneration for
years, decades even, and wakes you up with a diagnosis at the time
when you've become so damaged that you're past the point of no return.
In effect your doctor tells that after years of watching your blood
glucose and weight rise "within normal limits" he can now finally tell
you that at last you've become so irretrievably damaged that you'll
need treatment for the rest of your life. In other words, you have at
last managed to get bad enough to pass the diagnostic threshold of
being diabetic.
It doesn't really matter whether it all started by putting on weight,
or whether something else started the insulin resistance which then
led to you putting on weight. Once started it's a vicious cycle in
which each makes the other worse. Which actually started it all off is
a chicken and egg argument.
--
Chris Malcolm cam@xxxxxxxxxxxxxxxxxxxx DoD #205
IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]
.
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