Well, I can see by your responses that abbreviating the details, so my initial post would not be 10 miles long, backfired – since you both seem to think I’m afraid of fat. So here’s more of the story.
My body can only tolerate 20 grams of carbohydrates and stay within non-diabetic BG ranges (my primary goal). Because diabetes carries with it a risk of kidney damage – and a fairly high proportion of people with even pre-diabetic BG levels have kidney disease – I choose to be safe rather than sorry, and treat my kidneys as if they are damaged and limit my protein to moderate levels (about 60 grams a day). I also treat that as a target rather than a cap since protein is essential to maintain muscle.
That means that at 1200 calories a day, even if I eat the maximum carbohydrates my body will tolerate (around 60 grams) and cap the protein at 60 grams, I have 720 calories left that can only come from fat. I’ve actually been eating between 60 and 80 grams of fat every day for nearly 6 months (since the day I was diagnosed). As a side note, I’ve already had follow-up bloodwork – the A1c and the lipid panel are all normal.
Ironically, eating the BSD will mean lowering the fat content in my diet by about 50% I still want to maximize the carbs I eat in order to take advantage of the micronutrients they contain, and the protein is a target (based on my lean muscle mass). That means the 400 calories I am cutting out will come primarily from fats.
It is the same reality that is driving my concerns about moving to maintenance at perhaps 1500 calories. Unless my carb tolerance changes, the carbs and protein are relatively fixed (assuming I want to maximize my carbs and maintain normal blood glucose. The additional 300 calories have to come from fat. (Added to the 60 – 80 grams I am already currently eating.)
There is a difference between including fat in reasonable quantities as part a balanced diet, and having 70% (or more) of my calories come from fat. If I cannot put diabetes into remission – or at least increase my carbohydrate tolerance – it may be necessary. But it will be the lesser of two poor choices (elevated blood glucose v. a very fat-heavy diet).
I”m not skinny – my weight goal still puts me in the top half of the normal BMI range. (But my body shape is between hourglass and pear, so I have never carried my weight as belly fat – aside from relatively evenly adding fat all over when I gain weight.) The person from whom I inherited my diabetes (my maternal grandfather) was an active string bean. 100% of his descendants my age or older have been diagnosed with diabetes- and based on their weight/activity levels/impact of losing weight after diagnosis – the particular family strain seems not to be linked to weight.
Dr. Taylor suggests that losing a substantial amount of weight, alone, should be sufficient – especially for someone who does so within 4 years of diagnosis. He defined substantial as 15% of your body weight (or a quantity that I can’t track down right now – but it is less than I have already lost). His time frame for the change in metabolism for recently diagnosed individuals is somewhat short of 8 weeks, based on the duration of the diet.
I was diagnosed not quite 6 months ago (and my doctor has been testing every year, so I have been diabetic at most 18 months). I have already dropped 49 pounds – 24% of my body weight since diagnosis. According to Dr. Taylor’s criteria I should already be in remission. My A1c is normal. But it is normal not because my BG metabolism has changed – but because of intensive dietary management. My morning glucose regularly rises to 6.9 by late morning, before eating anything), and if I eat more than 20 grams of carbs (or the wrong 20 grams of carbs), my BG has the same response it did the day I was diagnosed. In other words, so far this is acting as I expected my family strain to act – as if weight is irrelevant.
The fact that it continues to seem weight-independent was one of the primary motivators to try either IF or the 800 calorie diet. Both of those (like LC-moderate protein) seem to work for weight-independent reasons. Unlike LC-moderate protein, BSD and IF seem to trigger remission rather than disease management)