Carbohydrate (Sugar) Intolerance
by Dr. Stephen C. Gangemi
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Dr. Stephen C. Gangemi (with information taken from Dr. Maffetone/MAF BioNutritionals)
Carbohydrate intolerance simply means that carbohydrates, (sugars and starches in the diet), are not tolerated as well by the body as they should be. The complex part is figuring out why this is the case and to what extent they are affecting your health and your lifestyle.
If left untreated, carbohydrate intolerance, or CI, can result in many varied symptoms including: hypertension, hyperinsulinemia, polycystic ovaries, breast cancer, high blood cholesterol, Type II diabetes (adult-onset), obesity, stroke, and coronary heart disease. This is because all these problems are related to something called insulin resistance, which first starts as CI.
Insulin resistance is a process in which the body is inefficient at managing sugars and starches you have eaten in your diet. When you eat a carbohydrate, such as a piece of bread or something sweet like ice cream, your body releases insulin from your pancreas to process that sugar. Without insulin, you would not be able to assimilate this sugar, called glucose, from your blood stream into your liver and muscles. In insulin resistance, your body makes too much insulin for the amount of carbohydrate consumed. This extra insulin is what causes so many of the listed problems, both functional problems (those which precede pathological), as well as pathological problems (those with tissue alterations.)
Initially, the extra insulin often ends up processing sugar too rapidly and blood glucose levels are driven too low. This is called hypoglycemia or low blood sugar. This adds stress to the body and causes the production of other hormones (especially adrenal gland hormones), which increase blood sugar levels.
As CI gets worse, more and more insulin is needed to process a small amount of sugar. The insulin eventually becomes ineffective at driving the sugar into the cells where the nourishment is needed. The cells have become resistant to the insulin.
As CI is developing, the extra stress on the hormonal system, particularly to the adrenal glands, over works these organs. This results in a complex pattern of symptoms that differ from person to person.
Symptoms of CI include but are not limited to sleepiness, drowsiness, lack of concentration, or a feeling of being bloated after a meal, especially one containing sweet foods or starches. Always feeling hungry or having weak legs or knees after eating is also a symptom of CI. These are just a few of the functional symptoms. As carbohydrate intolerance can cause major distress to your life, correcting it can reveal major health improvements.
Before you know how to adjust your lifestyle so CI is not a problem, you need to find out how sensitive, if at all, you are to carbohydrates. One very effective method of finding the optimal level of carbohydrates you can handle is to do what is called The Two-Week Test.
The Two-Week Test is only a test as the name states. Therefore, at the end of the two weeks, it is not advised to continue the diet further without alterations unless your physician advises you to do so. The test will help you decide if you really have a carbohydrate intolerance, and if you so, it will help you find the right level of carbohydrate intake for you.
THE TWO-WEEK TEST DIET:
Writing down all your symptoms before you start the Two-Week Test (TWT) is recommended. This will give you a reference point to see how your symptoms have changed, if at all. Many people forget the severity of their problems after they no longer have them. You may also want to record your weight and any body fat measurements, as applicable.
AVOID: During the TWT you will want to avoid the following:
All carbohydrate foods except vegetables. This includes but is not limited to fruit, starches, potatoes, breads, rice and most processed foods. Beans, Corn, Milk, yogurt, ice cream, "Energy" or "Nutrition" bars, including the 40-30-30 type, All alcohol and soda, including diet drinks. Small amounts of dry wine are okay.
Eat as much of the following foods during the TWT as you like, continuing to stay away from any food you may be allergic to.
Whole eggs, cheese (real cheese, not processed), cream Meats - all meats are fine except those cured in sugars All vegetables except corn and potatoes Fish and shellfish - sushi is fine, keep the avocado, leave the rice! Pure vegetable juice, including tomato and carrot All nuts, seeds, and their butter counterparts All oils, and sugar free spreads such as mayonnaise and mustard (no catsup and no hydrogenated oils) Lots of water! And herbal tea is okay (decaf)
KEY POINTS FOR SUCCESS:
Do not let yourself go hungry. If you are not eating many small meals throughout the day, including vegetables, your blood sugar will drop. This will cause your adrenal glands to be stimulated and, with the aid of your pancreas, mobilize extra sugar into your bloodstream. Your body will perceive this similarly to you having just consumed a few sips of soda. So eat up! Don't worry about your fat intake or cholesterol levels. This is only for two weeks. If you decide to eat some form of carbohydrate on the "Avoid List" before the two weeks is up, you will most likely get an invalid response and you will need to start over.
Go shopping before you start. Plan on eating all, or most all, meals at home. This will help you resist the temptations for desserts and snacks. Consume plenty of water during the test.
Avoid demanding exercise (anaerobic exercise) during the test. Your body chemistry will be changing during the TWT and the sugars needed to run anaerobic activity will not be as readily available from you diet. So keep to aerobic activity during the TWT.
DAY 15: TEST COMPLETED, TIME TO ASSESS THE SITUITATION:
Re-evaluate your list of complaints. What symptoms are better? What symptoms are gone? How is your energy level? Your sleep? Your mood? If you felt better, start adding small amounts of carbohydrates back into your diet. Start very small, such as a piece of whole-wheat toast for breakfast, or an apple at lunch, or some rice with dinner.
If you feel worse, then a low to moderate carbohydrate diet is most likely not the diet for you. Continue to stay away from all refined sugars and white flours!
Add the carbohydrates in during every other meal. Add in the carbohydrates until you notice some symptoms return. This will usually occur a few hours after eating the carbohydrate. It may be bloating, a depressed mood or energy level, craving for more carbohydrates, or any other symptom that improved during the TWT. This is your tolerance level and you will want to back off your carbohydrate intake slightly and maintain, but not exceed, this new level of carbohydrate intake. This should be your optimal dietary intake pattern.
DrGangemi.com is intended to help individuals become better informed consumers of health care. The information presented in this site gives general advice on health care and is not intended to diagnose or prescribe. Always consult your physician for your individual needs.