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Re:Thoughts on the potato diet by jaggederest on Monday July 11, 2022 @03:19PM (#32060514)
I also have reactive hypoglycemia and I tried the potato diet out and had zero crashes the entire time. It's just not possible (for me) to eat enough calories, quickly enough, to cause a crash. I was only on it for a few days (~5), precisely for the logistic issues that the article and the original diet post discuss - I couldn't cook and eat enough calories to not be absolutely starving after the first couple days.

But zero crashes, monitored by finger stick blood glucose. Crazy stuff, for someone who has them all the time.

Re:Thoughts on the potato diet by rubicon33 on Monday July 11, 2022 @04:27PM (#32061349)
Is a food coma / crash always the result of a blood sugar spike? I've never seen any literature supporting that the feeling of tiredness and fatigue after a meal is the direct result of blood sugar levels. Mostly what I've seen is just conjecture online, and correlational anecdotes about eating high glycemic index foods and feeling tired.

Not discounting people's experiences, but trying to suss out the science here. If you were, for example, to inject sugar directly into someone's blood stream would the result be fatigue every time?

It seems to me that there's more involved in this. In my experience (more anecdata!) I'm able to eat anything in the morning. Giant bolus of carbs and sugar, and I feel great. That same meal in the afternoon will give me such a fatigue that I need to lay down.

Clearly there's some other factor at play for me in the function whos result is fatigue.

FATIGUE_LEVEL = CARB_GRAMS * (HOUR_OF_DAY / 24)

Re:Thoughts on the potato diet by jaggederest on Monday July 11, 2022 @04:44PM (#32061565)
Well, for me, I've been monitoring my blood sugar intensively for a while. I started when I worked for a nutrition and glucose monitoring company (as a test!), found out I had really anomalous blood sugar dips, and confirmed it with finger stick and another blood sugar monitor. So for me, the answer is, yes, the "sugar crash" postprandial is actually a dip in blood sugar - not to a hazardous level (e.g. passing out or seizure) but to a very uncomfortable level, with epinephrine and the shakes. (mine has gone down to 45mg/dl at worst)

For many people, it may not be, I can only speak for myself. There's another thing, called 'idiopathic postprandial syndrome' which is essentially the symptoms above, but without actual low blood sugar (<60mg/dl), which some people think is another form of insulin resistance, where your blood sugar is normal but your body "wants" more sugar in the blood.

Talking with endocrinologist, they say that the insulin sensitivity for most people is much higher in the AM and daytime than at night, so it makes sense that you might have more problems in the afternoon, but you should probably talk to a doctor rather than taking my word for it!

It's often difficult (in the US at least) to get primary care and endocrinologists to take you seriously if you are not actually dying of diabetes or passing out from low blood sugar - this is where dipping into the realm of concierge medicine can be helpful, or at least, it has been for me. They are often much more willing to investigate thoroughly.

Re:Thoughts on the potato diet by jaggederest on Monday July 11, 2022 @05:55PM (#32062510)
> If you were, for example, to inject sugar directly into someone's blood stream would the result be fatigue every time?

Missed this the first time around. They do this, for research, it's called a glucose clamp test.

https://en.wikipedia.org/wiki/Glucose_clamp_technique

Unfortunately it's almost impossible to find someone willing to administer it to you. It's an outpatient hospital procedure lasting a number of hours, and almost no insurance would cover it, as far as I am aware.

Re:Thoughts on the potato diet by Swannie on Monday July 11, 2022 @08:13PM (#32063939)
https://www.newscientist.com/lastword/mg24332470-900-does-a-...

Responses are by readers, so take with a pinch of salt

Re:Thoughts on the potato diet by imtringued on Tuesday July 12, 2022 @02:20AM (#32066289)
>It seems to me that there's more involved in this. In my experience (more anecdata!) I'm able to eat anything in the morning. Giant bolus of carbs and sugar, and I feel great. That same meal in the afternoon will give me such a fatigue that I need to lay down.

What? That is quite a boring and obvious observation because your insulin sensitivity is much higher in the morning.

Re:Thoughts on the potato diet by GordonS on Monday July 11, 2022 @05:10PM (#32061909)
Strange, potatoes can spike and crash my blood sugar faster than anything else. I haven't eaten mashed potato in a decade or so, but IIRC it only took half an hour or so before I was trembling, sweating, feeling very anxious and fearful, and having a strong desire to eat sugar. Not long after I'd become progressively more confused, and sometimes aggressive.

I know 2 T1 diabetics, and both never touch potatoes because of the GI.

Can I ask how you deal with your reactive hypoglycemia? I switched to keto a long time ago, which took me from having hypos multiple times a day to never. But often in late afternoon I start feeling some mild hypo symptoms, even though my blood glucose is stable.

Re:Thoughts on the potato diet by Swannie on Monday July 11, 2022 @08:11PM (#32063920)
There's your answer: mashed potato.

Not only did you boil the potato, but you pre-chewed it too. Mashed potato is about as close as you can get to refined potato (potato flour). What you've created is easily digestable amylopectin - pre-chewed, already gelatinized and suspension with water. The amylase in your saliva can mix extremely well with mashed potatoes, and within minutes that amylopectin will be available as glucose. Maybe you mix in a little fat with butter or oil, but probably not much.

Vs. more or less any other potato cooking method. Even though the starch will have gelatinized with the water present in the potatoe, the potato's structure is more intact than boiling & mashing. Even after chewing the starch is not as well mixed with water, and this will take longer to digest.

We don't eat much mash in our house.

Re:Thoughts on the potato diet by safety1st on Tuesday July 12, 2022 @02:06AM (#32066212)
Mashed potatoes also contain milk and butter, which don't do well on the satiety index.

But really we are talking about two different things: GI and satiety. Yes potatoes are high GI. It would follow that they will spike your blood sugar. No claims have been made to the contrary.

Satiety is about how full you will feel per calorie eaten of that food. Multiple factors contribute to satiety. Specifically boiled potatoes score super high on the satiety index.

Not mashed potatoes. Not french fries, potatoes gratin, etc.

The topic is only tangentially related to GI.

Don't mean to be cranky here but I was hoping people would talk about the article, the underlying concept (satiety), and the research, instead of going off on lengthy discussions about quasi-related personal anecdotes.

Re:Thoughts on the potato diet by GordonS on Tuesday July 12, 2022 @04:42AM (#32067123)
Sure, but shouldn't satiety also factor in how long you feel full for?

And that's where GI comes in - high GI foods cause blood sugar spikes, and the crash will make you feel hungry again.

Pasta is a good example - it feels very satiating at the time, but the feeling doesn't last long.

Re:Thoughts on the potato diet by GordonS on Tuesday July 12, 2022 @03:11AM (#32066601)
Mashed potato is the worst, by a country mile, but potatoes in any form, hot or cold, will all result in a rapid hypo (just not as rapidly as with mash).
Re:Thoughts on the potato diet by jaggederest on Monday July 11, 2022 @10:14PM (#32064782)
Yeah I was not eating mashed potatoes, those historically have been a nightmare for me, right up there with orange juice for guaranteed ruining a couple hours. I was eating roasted potatoes with olive oil and salt. there was a ton of chewing involved so I was eating 5-6 meals of 200-400 calories, which is, of course, what they say I should be doing with regular food also.
Re:Thoughts on the potato diet by omginternets on Monday July 11, 2022 @06:43PM (#32063105)
Do you eat your potatos with either butter or olive oil? My understanding is that lipids flatten the glycemic curve.
Re:Thoughts on the potato diet by GordonS on Tuesday July 12, 2022 @03:10AM (#32066592)
Yes, but unless the ratio is heavily skewed towards fat and protein, in reality it makes little difference (as tested with a glucose meter).
Re:Thoughts on the potato diet by omginternets on Tuesday July 12, 2022 @05:35AM (#32067545)
Ah that makes sense. Out of sheer curiosity, can you quantify “heavily” from your experience? Are we talking about 3:1? 10:1? Also, is this by weight or by calorie?
Re:Thoughts on the potato diet by GordonS on Tuesday July 12, 2022 @08:21AM (#32068782)
Yes, something like 3:1 (by weight) at a minimum, for me personally. That would extend the time-to-hypo significantly for me, from 0.5h to 1-1.5h.
Re:Thoughts on the potato diet by jaggederest on Monday July 11, 2022 @05:51PM (#32062464)
Honestly it's still up in the air right now. I have glucose snacks on hand, I try to monitor how often I eat and not let it go too long, but my Hb a1c is still low and I'm still bothered once or twice a day at least. It's only maybe once a week that it gets bad enough to be super bothersome like you say, basically a panic attack.

I tried keto but it was difficult to get the variety, especially (as you say) when you're intensely craving sugar. It obviously solved the problem but was really challenging to continue, so I only lasted a couple weeks.

Re:Thoughts on the potato diet by idonotknowwhy on Monday July 11, 2022 @06:25PM (#32062854)
How long did you yet keto for, and how strict were you? I did it for 5 years and found that if you're strict, the carb cravings completely go away after a couple of weeks.
Re:Thoughts on the potato diet by jaggederest on Monday July 11, 2022 @06:26PM (#32062870)
I was in ketosis for 3 weeks, from a total of ~1 month eating a keto diet. I was super, super strict, which was probably part of the problem. I estimated <20g net carbs a day