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A DiabetesTeam Member asked a question ๐Ÿ’ญ
Annapolis, MD

I am using an app (fatsecret) on my computer that tracks and compiles the foods I eat and provides a pie chart at the end of each day showing the percentage of carbs, fats, and protein eaten. I don't know how to use this information-please help explain it to me. I am currently eating 1500 calories total daily. I aim for 50 carbs, but realistically eat around 70 instead. This is because I am also trying to limit my cholesterol to under 200 (nearly impossible). Thanks (the tortoise)

November 29, 2022
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A DiabetesTeam Member

I use carbs and cals app, it worth it all out for you ,,๐Ÿ™‚

December 1, 2022
A DiabetesTeam Member

PS - here is the introductory statement on cholesterol from the entire report - so chow down on the eggs and everything else we were "mistakenly told" we shouldn't eat.

I don't fault anyone - we had a "blood cholesterol problem" we ate a number of foods full of "dietary cholesterol" so the conclusion was 1 + 1 = 2

Except when they actually studied it "decades" later they found out that in this case that is not the equation. Of course they (national health orgs) didn't want to look like idiots who gave guidelines without science so the very quietly removed any reference to daily cholesterol intake from food from their guidelines without even whispering about it.

(sorry, I get preachy) here's the blurb:

Dietary cholesterol has been a topic of debate since the 1960s when the first dietary guidelines that limited cholesterol intake to no more than 300 mg/day were set. These recommendations were followed for several years, and it was not until the late 1990s when they were finally challenged by the newer information derived from epidemiological studies and meta-analysis, which confirmed the lack of correlation between dietary and blood cholesterol.

November 29, 2022 (edited)
A DiabetesTeam Member

@A DiabetesTeam Member Much good and clear info to 'digest' (as usual) thanks-I am processing it (hopefully).

November 29, 2022 (edited)
A DiabetesTeam Member

That is not a simple question because it depends on overall health.

Starting with Carbs

There is two different recommendations

To reduce or discontinue the use of medication (maximum control from diet) then the number is 26% - so no more than about 520 calories worth (4 calories per carb) or 130 "net carbs" a day.

However, not all Type 2's could even consume 130 carbs a day and control with/without meds.

If you follow the "Food Guide", which Dietitians use then you should shoot for about 200 carbs a day (about 40%) but that is with the assumption that you WILL medicate to deal with excess.

This would be 45-60 carbs/meal (x3/day) and 10-25 carbs per snack (x2/day)

While contrary to what many are trying to achieve, eating at that level will provide adequate nutrition for "total health" not just your blood sugar - so there is always a trade off

We are told to eat "low fat" because we tend to eat too much of everything. So again, if you follow food guide then the Fat recommendation is 30% (making up the rest with protein). Since a gram of fat contains 10 calories and carbs/protein come in at about 4 each, reducing fat "tends" to result in eating fewer calories (good for the waist) all else being equal but Fat is also the one thing that a diabetic can eat that "does not" effect blood sugar at all.

But if you count "calories" as well as "carbs" and keep both of them in target, then how much fat you eat will NOT have a negative effect on your weight, but eating too much "saturated fat" is tough on the Cardiovascular system - so sugar friendly but potentially heart "unhealthy".

I personally eat a "low carb/high fat" diet - 60% Fat, 20% Carbs, 20% Protein (average). But nobody in either side of my family ever had a heart attack or stroke. So I'm gambling that my "genetics" will allow a little more abuse from eating fat leaving me to "concentrate" more on blood sugar control; and I have no other health issues that would preclude me from eating higher fat - so "no one size fits all recommendation".

Mostly it comes down to your overall health and your goals. If you have a "plan" of what you want to achieve then you can discuss "that" with a dietitian who can advise. Depending on whether you would rather eat more variety and medicate or you want to reduce/discontinue meds combined with other conditions, you can get advice that "fits your needs".

PS - in the last re-write of the guidelines for treatment of Type 2 the proclamation was made "We got it wrong" - the Cholesterol in FOOD has ZERO to do with the cholesterol in our blood - not the same - one does not cause the other and in fact there is longer any guidelines anywhere in the Western World with a recommendation to restrict "dietary cholesterol" - of course, not all Doctors read the updates and still advising the "eggs are bad" misinformation from the past.

November 29, 2022

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