Judgement Day

“Your HbA1c is 5.6% (37 mmol/mol) and your total cholesterol is 2.4 mmol/L (93 mg/dl). Don’t you eat any fat? Do you take statins?”, said my endocrinologist. Me with big smile on my face: “No, I eat no fat or oils. And no, I do not take any medication other than six units of Levemir per day”.

She was incredulous.

“I eat a plant only diet consisting mainly of whole foods. I’m a starchivore diabetic”, said I.

It was judgement day, the half yearly review with my endocrinologist. Eight months ago I said goodbye to the low carb healthy (high!) fat diet (LCHF) I had used to manage my diabetes, and embraced a high carb no fat diet, Dr McDougall style. Today the chickens came home to roost.

“You should eat some chicken”, she said, “and red meat. You must get protein”.

I pointed out that I track my food intake occasionally with MyFitnessPal, and that I get more protein on a plant diet than when I was a carnivore.

She looked even more incredulous. What kind of nutter is this: a type 1 diabetic with a dead pancreas, exercises 3-4 hours a day, eats 700 grams of carbs a day, has excellent blood sugar control, needs only 1 injection of 6 units of long acting insulin a day, and has very low serum cholesterol?

I could see she was constructing a story in her head. To explain it all away.

“Dietary fat and oils, including fat in meats are the cause of insulin resistance”, I said. “When I was on the keto diet I needed 4 to 5 times more insulin than I do now to cover a mere 25 grams of carbs. I had also given myself type 2 diabetes as a bonus. I was highly insulin resistant.”

She was blunt: “Dietary fat does not cause insulin resistance.”

“But I have seen several scientific papers on the internet that indicate a causative link between dietary fat and insulin resistance”, I protested.

“No. But I wish more of my patients would have your results. See you in six months”, she smiled.

A collision of stories.

No one believes mine.

Except my wife. And that’ll do me!

About the author Rien

dutch by birth 🇳🇱 | australian by choice 🇦🇺 | type 1 diabetic 💉 | married ❤️⚭ | grandfather 👴🏻 | fujifilm photographer 📷 | boat builder and sailor ⛵️ | seeker no more 🚫📖

All posts by Rien →


  1. Well done Rien!



    1. Thank you, Jo-Anne.



  2. You forgot me Rien, I believe your story, I also believe in the dictum: look and ye shall find.



    1. Thanks Edi. You are a great supporter.



Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: