CPAPtalk.com

khauser wrote: ↑

Mon Nov 09, 2020 8:50 am

here was a whole (very complicated) diet plan around this called the glycemic diet. It aimed to reduce the glycemic response by selecting foods that had a slower response.

For the non-diabetic, that's a good way to eat. One can eat about any food, you just have to eat low-glycemic-index foods containing significant fiber along with the higher glycemic foods you desire. Gramps and I try to eat some high-fiber foods and some fat with every meal. This slows down the digestion of any high-glycemic-index foods we may be eating with the meal. Of course, we limit the amount of high-glycemic-index foods in the mix. Something must be working. Both of us have recent A1C tests of 5.5. Gramps' doctor told him that he has no other patient Gramps' age with test results that low.

Diabetics can do keto, I think ... depending on kidney health they may or may not have protein restrictions though.

I am lucky, caught it very early before any kidney damage (at least any that is apparent in tests).

It has been a huge boon to my blood studies as I recently mentioned...

I lost 75 lbs on a keto diet and kept it off 7 years (not doing so well now with pandemic stress).

It saved my life in many ways. However, I still have a small, receded chin and narrow airway, so I still need CPAP and--though I haven't been retested--think I probably still have severe apnea. But I didn't expect any diet to fix that, given my circumstances.

For those who want to know more or who question safety and long-term viability, this new article in the British Medical Journal might be helpful:
https://nutrition.bmj.com/content/early ... 020-000072 Insights from a general practice service evaluation supporting a lower carbohydrate diet in patients with type 2 diabetes mellitus and pre-diabetes: a secondary analysis of routine clinical data including HbA1c, weight and prescribing over 6 years

And this: https://www.frontiersin.org/articles/10 ... 00348/full
Long-Term Effects of a Novel Continuous Remote Care Intervention Including Nutritional Ketosis for the Management of Type 2 Diabetes: A 2-Year Non-randomized Clinical Trial

Here's one addressing sleep quality:
https://www.sciencedirect.com/science/a ... via%3Dihub
Improvement in patient-reported sleep in type 2 diabetes and prediabetes participants receiving a continuous care intervention with nutritional ketosis

I always point anybody who is interested in low carb or keto to FREE resources at https://www.dietdoctor.com/low-carb/a and/or https://www.dietdoctor.com/low-carb/keto/a Simple, clear, easy to understand and follow, with research cited.

The DietDoctor.com website also provides a Continuing Medical Education program for physicians. It is free and also informative for the sophisticated consumer. https://www.dietdoctor.com/cme

This may not be right for everyone, but if you'd like to know more there are a lot of resources out there.

I only shared in case someone out there was hopeless as I was. I don't plan on having to prove my 30lb loss with vanity pics...I've already gotten rid of nearly all of my clothes and am quite comfortable in my skin now. thx K

krl wrote: ↑

Sat Nov 07, 2020 5:57 pm

Youtube - Dr. Boz (Annette Bosworth MD), Adapt Your Life - Dr. Westman, Dr. Eric Berg DC and perhaps my favorite Ken Berry MD. I'm just sharing what worked for me after 30 years of trying to lose that 30#. Juice, South Beach, counting calories, sheer will power and exercise.

Well, if YOU take serious medical advice from CONVICTED FELONS, and YouTube personalities, GOOD *edited out profanity by mod* LUCK.

Be sure to invite m,e to your funeral.

SDBud wrote: ↑

Fri Nov 13, 2020 2:49 am

Well, if YOU take serious medical advice from CONVICTED FELONS, and YouTube personalities, GOOD @#$%ING LUCK.

Be sure to invite me to your funeral.

tee hee

You're an inspiration for losing weight.

Thankyou.

(I am leery of special diets, too much hype, vagueness, some aren't healthy.)

BigNortherner wrote: ↑

Fri Nov 13, 2020 8:59 pm

You're an inspiration for losing weight.

Thankyou.

(I am leery of special diets, too much hype, vagueness, some aren't healthy.)

Same here, and ESPECIALLY the 'one diet works for everyone' crowd.
OR the "it worked for ME, it WILL work for YOU" as well..

Lost about 40lbs on keto a few years ago now. I've maintained about 30 - 35lbs of that loss over the years on more of a low-carb diet than keto for the last couple of years. Still off sugar, grains, and soy, though. When my sleep doctor first noticed that I'd lost that much weight, he suggested that I take a new sleep study. Which I did, used Ambien this time and got a lot more sleep *smile*. But still have sleep apnea...AHI of about 4 on my side, but higher on my back. Since I don't always sleep on my side as much as I try, I've kept using CPAP, and still have my "peaceful coexistence" relationship with it.

Anyways, yes, weight loss is great for a lot of reasons, more energy, easier on the joints and back, lower blood pressure, etc., it's a roll of the dice as far as sleep apnea goes.

RogerSC wrote: ↑

Sat Nov 14, 2020 3:17 pm

. . .
sleep on my side . . .

From the looks of your avatar, you sleep on your slice.
That, sir, is comfort food!

chunkyfrog wrote: ↑

Sat Nov 14, 2020 3:51 pm

From the looks of your avatar, you sleep on your slice.
That, sir, is comfort food!

Good one!

ChicagoGranny wrote: ↑

Mon Nov 09, 2020 1:39 pm

recent A1C tests of 5.5. Gramps' doctor told him that he has no other patient Gramps' age with test results that low.

My mom is 87 and recently had blood work done. She eats a lot of carbs, in fact both my parents do.
Her fasting glucose was 4.9 and her A1C is 5.1

My dad was a big fan of Prof Tim Noakes back in the 1980s and 90s, that is, before Prof Noakes went over to "LCHF" which my dad now despises Noakes for! Prof Noakes was the "guru" for marathon runners back in the day and wrote a lot about carb loading, which my dad religiously did. My dad thinks Noakes is "crazy" now and yet both my sister and I have gone over to low carb eating. My parents think we are nuts and maybe they are right, after all they are both in good health despite all the carbs!

To be sure...

Nothing is as easy as getting fat.

Somewhere in my 50's, it is as if some metabolic switch got flipped and I quickly realized I could no longer eat like I did in my younger days. I don't think I am alone in that regard.

I've done Keto and other diets and in my experience, it all comes down to your ratio of calories-in -vs- calories-out. One thing about Keto is that it is heckin' expensive --protein is the most expensive food in the store. Plus, it only works as long as you forever stay on it. The moment you resume a normal (or "eat-anything") diet. you will regain the weight you lost about as fast as you lost it. And likely some more -- I've seen this in my own Keto experience, as well as friends and family who have tried it. It's like your body resumes storing fat with an angry vengeance!

It seems the rate at which you gain weight, and the foods that cause you to gain weight, can vary quite a bit from person to person. We all probably know folks who can seemingly eat twice their weight in ice-cream and never gain an ounce, while others seem to gain weight by merely thinking about food. I have found that if I eat more than one meal per day, I can immediately gain weight. If I only eat once a day, I can maintain current weight. I have no desire to count calories or types of food, so it's easier for me to just eat once a day with a multi-vitamin in the morning. I'm not terribly strict about it either, but at least 5 days a week, that's my norm. I'm not recommending it, just relating what I've stumbled across that works for *me*. And like finding a CPAP mask, what I do likely will not work for you at all. Or it may work better. The only way to find out is to try it and see, but keep your expectations realistic. There is more "hype" in "diet-talk" than in most any other topic.

I don't think most folks realize how SUPER EASY it is to plop 1300 calories (or more) on a single plate in common American meals. Multiply that by 3 meals a day with low activity levels and the problem becomes readily apparent. For the vast majority of folks, it comes down to calories-in -vs- calories-out. It's hyperbolic to say it, but we can't eat Olympic athlete levels of calories without Olympic levels of training activity and expect to maintain a healthy weight. And if your body decides to store excess calories around your throat, it is not unreasonable to expect it to aggravate whatever else is causing your Apnea.

So as far as apnea goes, if my particular genetics cause fat to be stored adjacent to my throat where it contributes to a collapsing airway, I can see where weight loss might help reduce whatever percentage of impact that the stored fat is causing towards Apnea issues. But I don't know that stored fat is the most common *primary issue* with Apnea. Rather, what weight loss won't help with is the loss of muscle tone, naturally inherent with aging, that also causes airway collapse.

So I'm with everyone else - Presumption can be misleading. More info is needed. The question I have: Is Oscar data analysis adequate for a "good enough" ballpark estimate -or- does it indicate a need for a clinical sleep-study, either home or in lab, to establish a new baseline?

-JD

Arlene1963 wrote: ↑

Sun Nov 15, 2020 1:01 pm

My mom is 87 and recently had blood work done. She eats a lot of carbs, in fact both my parents do.
Her fasting glucose was 4.9 and her A1C is 5.1

Excellent!

JayDee wrote: ↑

Mon Nov 16, 2020 8:57 am

I've done Keto and other diets and in my experience, it all comes down to your ratio of calories-in -vs- calories-out. One thing about Keto is that it is heckin' expensive --protein is the most expensive food in the store.

Keto is short for ketogenic, or switching to the use of ketones as an energy source. A high protein diet is one way, but the more modern use of keto is to trade carbohydrates for fat, not protein. (I would stress that carbohydrates in this usage does not include fiber and sugar alcohols, which don't really raise blood glucose levels).

That said, I tend to use protein as well, and yes it is relatively expensive. Go through the produce area in your supermarket. It's very expensive too. The cheaper foods are all high carb sugar laden foods. (Sugar laden in that all carbs break down to sugar.)

It's very hard to effectively diet on a high carbohydrate diet, at least for most people.

Finally, I think any weight loss program means permanently changing the way you eat. If you stop, you regain. Doesn't matter how you lost the weight.

Weight loss is definitely in the ymmv bucket. Good luck in your efforts!