General Discussion
In reply to the discussion: Big Pharma Sells Risky Meds We Don’t Need for Disorders It Made Up That We Don’t Have [View all]Ms. Toad
(38,484 posts)than run-of-the-mill Type 2 diabetes - in general much harder to control by diet. But I know a number of people with steroid induced diabetes who are able to make a significant difference by substantially reducing carbohydrates.
There are individual variations, but it is universally true that all carbohydrates are ultimately converted into glucose - so for ordinary, run-of-the-mill diabetes, the first line of treatment ought to be a significant reduction in carbohydrates (particularly starchy ones) - rather than buried as an after thought recommendation by the ADA, That is my entire point. The ADA continues to make two primary recommendations: fill 1/4 of your plate with grains and eat 40-60 carbs every meal. Both are disastrous recommendations that, for most people with type-2 diabetes, translate into a chronic progressive disease.
Rather than pushing meds as a first line, the ADA should be recommending starting with the far less intrusive - generally far more effective - true reduction in carbs (guided by careful monitor-based selection of foods). If that doesn't work, then move to meds. As I noted in my last post - what should be the first line of care is identified as an acceptable diet, if you know where to look to find it. The default is a diet that is generally keeps diabetics with chronically high blood glucose.
BTW, your overnight liver dump is the norm, not an exception. It is part of normal metabolism for nearly everyone - the liver dumps glucose around the time you are expected to wake up, in order to give you enough energy to get out of bed. It is just more extreme for most people with T2 diabetes.