I had a hospital appointment today only found out about it last night when I charged my spare phone and read the text reminder. The registrar who saw me was quite overweight, I am pretty sure I recognised my consultant under his mask who was overseeing the registrar, he's skinny, I can't say I saw a huge number of obese staff but there were several, some admin staff and at least two very overweight nurses passed me, I didn't keep the desire to observe uppermost in my mind as I was thinking more about my appointment maybe next time I will try to make a more objective estimate
The national statistics should be enough to go by. I think I posted them on here a day or so ago. If you go out on the street and use the national statistics a rule of thumb, you might not capture a representative sample on the day but you get a rough idea that way. However, the number of patients that have said, I saw my practice nurse today about x, y or Z and she was huge (and she was advising me on what to eat) is huge.
Released 2020 Key facts cover the latest year of data available: Hospital admissions: 2018/19 Adult obesity: 2018 Childhood obesity: 2018/19 Adult physical activity: 12 months to November 2019 Children and young people's physical activity: 2018/19 academic year We can pretend they don’t exist or are inaccurate. On NHS staff…. "Of the 1.2 million staff in the NHS, it is likelythat around 300,000 would be classified as obese and a further 400,000 as overweight." This is down to lifestyle / diet. NHS staff aren’t trained in nutrition, amazing as it may seem, just medicine. They follow the Eatwell Guide when it comes to food, which is the root cause of the problem.
Gayle Gerry is a nurse in a private practice in Solihull. She posts this graph today. Notice the advice given by the patients diabetic nurse. Then notice how Gayle reversed this patients diabetes with dietary intervention. Commonplace in her practice. These measures apply to other chronic conditions including hypertension and obesity. That’s a massive drop in HbA1c. And in just 6 weeks too. And achievable for any one of us.
Are peas Keto freindly? Not if you are doing Keto. But okay if your carb restriction isn’t quite so tight. We include peas in our diet. I made a sausage casserole in the slow cooker last night and included peas. But keep the numbers down. If I were to go Keto then I would have to consider ditching the peas.
Liverpool NHS GP responds to Cotswold GP. My - my. Low carb solutions, deprescribing and saving the NHS money. There must be something to this stuff.
A hot Mince Keema cooked in yogurt with kale and peas is nice, each portion ends up having some peas but not a huge amount.
You surely must have built up a complete understanding of what raises your own blood glucose levels, that is if you still test. Do you have a fair idea now?
I kept it up long enough to tell me that all the stuff I eat in the portion sizes I eat was ok from a blood glucose viewpoint. As far as a mince keema is concerned 8 portions might contain a total of 130 grams of peas, so that's 16 g per portion or about a total of 2.3 g carbohydrates per serving. Same for my Chinese style curries they have peas but in such small amounts they don't add a lot to the meal apart from texture and interest.
So. I know you would have said that your own findings are anecdotal. But then what if thousands of people like yourself come up with similar findings? It becomes a little harder to ignore scientifically. That’s the tack now being taken amongst GPs and clinicians in their practices. Papers are being constructed reporting findings that might otherwise be described as anecdotal but in sufficient numbers is more than just noteworthy. In the absence of clinical trials these papers are the very next best thing. Essentially although there are variances, certain food types send blood glucose up more than others and there lays the proof. Anyone who tests, knows. A number of GPs are pushing for CGMs to be dished out on the NHS for free for a month so that the patient and the GP can see for themselves what foods cause the trouble. Generally once patients see for themselves they know what to eliminate from their food selection.
Reversing T2 diabetes, reversing obesity and hypertension is particularly challenging for those on a vegan diet, because the aim is to reduce blood sugar levels which is hard to achieve when consuming plants and not meat fish or diary. Also it can be a struggle to deal with the missing minerals such as those contained in vitamin B12. This nutritionist explains the difficulties with going vegan for those with metabolic health issues.
Wild salmon in a lemon juice, fried egg in butter and broccoli. With a full glass of plain kefir with added raspberry coulli.
The biggest issue with veganism would be protein sources - many of the sources vegans use for protein are high in carbs which break down into the body as sugar. (see the graphic below) For example dried beans and lentils spike the blood glucose terribly. A lot of people avoid soy products because of GMOs and/or phytoestrogens (which can have an effect on estrogen positive breast cancers in women. That leaves nuts, seeds and nut butters as the only primary source of protein. As well, the vegan diet tends to be very heavy on grains which again are high in carbs and break down in the body as sugar. Fruit is very high in natural sugars and many avoid most fruits because they spike blood glucose (berries are the lowest carb) as do the starchy vegetables (potatoes, sweet potatoes and corn.)