OBEYING THE LAWS OF SMALL NUMBERS
Essential to obeying the Laws of Small Numbers is to eat only small
amounts of slow-acting carbohydrate when you eat carbohydrate, and no
fast-acting carbohydrate. Even the slowest-acting carbohydrate can outpace
injected or phase II insulin if consumed in greater amounts than recommended
in my book.
If you eat a small amount of slow-acting carbohydrate, you might get
by with a very small or no postprandial blood sugar increase. If you
double the amount of slow-acting carbohydrate, you’ll more than
double the potential increase in blood sugar (and remember that high
blood sugar leads to even higher blood sugar).
If you fill up on slow acting carbohydrate, it will work as fast as
a lesser amount of fast-acting carbohydrate, and if you feel stuffed,
you’ll compound it with the Chinese restaurant effect.
All of this not only points toward eating less carbohydrate, it also
implies eating smaller meals 4 or 5 times a day rather than three large
meals.
If you’re a type 2 diabetic and require no medication, eating
like this may work well for you. The difficulty with this sort of plan
is its inconvenience, but some people don’t mind and actually
prefer to eat this way.
One of my patients, a type 1 diabetic who still makes some insulin,
eats a couple of bites of protein every 20 minutes and takes long-acting
insulin. In a 16-hour day, that adds up to a lot of mini-meals and a
lot of clock-watching.
This routine would drive many people nuts, but it almost works for her.
As long as she keeps up with her frequent little meals and covers the
insulin, she’s fine. When she misses a few “meals,”
there inevitably is trouble.
For the type 2 diabetic who doesn’t need insulin injections, smaller
meals throughout the day can be a very effective way of maintaining
a constant level of blood sugar.
Since this kind of diet would be tailored to work with a phase II insulin
response, blood sugars should never go too high. It would, however,
involve a certain amount of daily preparation and routinization that
could be thrown off by changes in schedule— illness, travel, house
guests, and so forth.
People who cover their meals with injected insulin and also correct
small blood sugar elevations with very rapid acting insulin, however,
cannot get away with more than three daily meals without considerable
changes.
Copyright ©1997, 2003 by Richard K. Bernstein, M.D.
All rights reserved. No part of this book may be reproduced in any form
or by any electronic or mechanical means, including information storage
and retrieval systems, without permission in writing from the publisher,
except by a reviewer who may quote brief passages in a review.
Law
of Small Numbers Part 1
Law
of Small Numbers Part 2
Law
of Small Numbers Part 3
____________________________________________________________________________
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