Discussion of diabetes management in day to day life





diabetes and hearing loss

I do not remember ever reading on this group about the loss of hearing
due to diabetes, but evidently diabetics have a higher percentage of
hearing loss than non diabetics.  I looked this up because my hearing
is not nearly accute as it once was and I find myself often asking
people to repeat themselves.  I read that it can be due to nerve or
blood vessel damage, change in the epithelial cells in the ear or a
lack of a certain protein which allows ear wax to exit the ear.  There
may be other causes.

Does anyone on the group notice a diminished hearing ability?    The
articles I read said that people don’t often connect their hearing
loss to diabetes but assume it is due to aging.  My blood sugars are
normal and I do not have any retinopathy, foot problems, nephropathy,
etc.  The only thing I read to counter this is to keep blood sugars
low, which mine are, but I am still having trouble hearing.

If anyone has any ideas, other than a hearing aid, about how this
might be improved, I would greatly appreciate your suggestions.

Dolores

posted by admin in Uncategorized and have Comments (16)






16 Responses to “diabetes and hearing loss”

  1. admin says:

    dorsy1943 <dtm…@usadatanet.net> wrote:
    > I do not remember ever reading on this group about the loss of hearing
    > due to diabetes, but evidently diabetics have a higher percentage of
    > hearing loss than non diabetics.

    A man walked into a fish and chip shop, and ordered in an emphatic
    fashion: "I’LL HAVE HADOCK AND CHIPS TWICE, PLEASE!!".  To which the
    chippy owner replied, equally forcefully: "OK, HEARD YOU THE FIRST
    TIME!!".

    > Dolores


    Alan Mackenzie (Nuremberg, Germany).

  2. admin says:

    On Nov 21, 11:38 am, dorsy1943 <dtm…@usadatanet.net> wrote:

    - Hide quoted text — Show quoted text -

    > I do not remember ever reading on this group about the loss of hearing
    > due to diabetes, but evidently diabetics have a higher percentage of
    > hearing loss than non diabetics. I looked this up because my hearing
    > is not nearly accute as it once was and I find myself often asking
    > people to repeat themselves. I read that it can be due to nerve or
    > blood vessel damage, change in the epithelial cells in the ear or a
    > lack of a certain protein which allows ear wax to exit the ear. There
    > may be other causes.

    > Does anyone on the group notice a diminished hearing ability? The
    > articles I read said that people don’t often connect their hearing
    > loss to diabetes but assume it is due to aging. My blood sugars are
    > normal and I do not have any retinopathy, foot problems, nephropathy,
    > etc. The only thing I read to counter this is to keep blood sugars
    > low, which mine are, but I am still having trouble hearing.

    > If anyone has any ideas, other than a hearing aid, about how this
    > might be improved, I would greatly appreciate your suggestions.

    > Dolores

    Hi Dolores,

    I vaguely remember reading about this but didn’t give it much thought
    until your post. Damn, just what we need, yet one more complication to
    add to the laundry list of potential diabetic problems. I’m not
    doctor, but since most complications can be avoided or delayed by
    tight bg control that certainly would be one thing you could do. Do
    you have an endo – a doctor who specializes in diabetes? If not, you
    should schedule at least a consultation with one and ask the
    professional about this condition and how best for *you* to address
    it.

    Thanks again for bringing up this subject…and prompted me to do some
    Googling. For those, like me, who didn’t know much about the
    possibility of hearing loss due to diabetes, here’s one article that
    talks about it.

    http://www.ama-assn.org/amednews/2004/03/15/hlsc0315.htm

    Kurt

  3. admin says:

    On Fri, 21 Nov 2008 15:14:27 -0500, Susan <su…@nothanks.org> wrote:
    >x-no-archive: yes

    >dorsy1943 wrote:
    >> I do not remember ever reading on this group about the loss of hearing
    >> due to diabetes, but evidently diabetics have a higher percentage of
    >> hearing loss than non diabetics.  I looked this up because my hearing
    >> is not nearly accute as it once was and I find myself often asking
    >> people to repeat themselves.  I read that it can be due to nerve or
    >> blood vessel damage, change in the epithelial cells in the ear or a
    >> lack of a certain protein which allows ear wax to exit the ear.  There
    >> may be other causes.

    I’d twigged the possibility of nerve damage but that amazes me.

    My hearing is still pretty good although the brain tends to scramble
    the signals some. I have some tinnitus (mostly reversible) from
    aspirin and NSAIDS which even seems to be triggered by ibuprofen
    ointment not just oral drugs, and I’d previously had attacks from a
    combination (probably) of SSRI and caffeine, but I recently noticed my
    hearing seemed to be getting muffled particularly on one side.

    Dug out a huge lump of earwax about the size of a grape and it
    improved again. Now I monitor the buildup which seems to be much
    faster than it was despite BG control. I hadn’t read THAT connection
    before.

    >> Does anyone on the group notice a diminished hearing ability?    The
    >> articles I read said that people don’t often connect their hearing
    >> loss to diabetes but assume it is due to aging.  My blood sugars are
    >> normal and I do not have any retinopathy, foot problems, nephropathy,
    >> etc.  The only thing I read to counter this is to keep blood sugars
    >> low, which mine are, but I am still having trouble hearing.

    >It matters *how* you keep your sugars low.  I was just cleaning out some
    >old archives this morning, and came across several abstracts about
    >hyperinsulinemia as a cause of hearing loss and tinnitus.

    >That means you want to keep carbs low, not just bg, since each carb gram
    >you eat requires a higher load of insulin.  It also means that you don’t
    >have to be diabetic to experience it, just hyperinsulinemic, which is
    >just as damaging in its own way.

    Wow, another connection! Fortunately my previous GPs have died and
    retired so they can’t hurt anyone else with their misdiagnoses.

  4. admin says:

    "dorsy1943" <dtm…@usadatanet.net> wrote in message

    news:14f10784-9c0d-4eda-887f-f84e6719eb19@3g2000yqs.googlegroups.com…

    - Hide quoted text — Show quoted text -

    >I do not remember ever reading on this group about the loss of hearing
    > due to diabetes, but evidently diabetics have a higher percentage of
    > hearing loss than non diabetics.  I looked this up because my hearing
    > is not nearly accute as it once was and I find myself often asking
    > people to repeat themselves.  I read that it can be due to nerve or
    > blood vessel damage, change in the epithelial cells in the ear or a
    > lack of a certain protein which allows ear wax to exit the ear.  There
    > may be other causes.

    > Does anyone on the group notice a diminished hearing ability?    The
    > articles I read said that people don’t often connect their hearing
    > loss to diabetes but assume it is due to aging.  My blood sugars are
    > normal and I do not have any retinopathy, foot problems, nephropathy,
    > etc.  The only thing I read to counter this is to keep blood sugars
    > low, which mine are, but I am still having trouble hearing.

    > If anyone has any ideas, other than a hearing aid, about how this
    > might be improved, I would greatly appreciate your suggestions.

    > Dolores

    At about the time I was diagnosed in 1995 I developed what doctors (probably
    incorrectly) identified as Menieres syndrome. What I experienced
    intermittently but often was severe dizziness, vertigo and nausea. These
    would get so bad that I would vomit, and often even lying down would not
    help. The symptoms would come and go, making them difficult to pinpoint by
    doctors whou could only hypothetise. I noted that the problem was more
    likely to happen in winter. I would get severe bursts of this every winter
    for about three years, then the problem disappeared. It returned briefly a
    year or so ago, but only on instance, and with mild symptoms. This actually
    coincided with my entry into the world of the Internet (and MHD) and I
    vainly searched for answers. I did believe that it was diabetes related.
    It’s possible that the problem went away as my bg control improved.

    For many years now I’ve had this problem where I cannot stand loud
    background noise, such as at a party or a busy restaurant. I find it hard to
    distinguish people talking to me from the background noise. I also have an
    increasingly severe "ringing" (or shrill sound) in my ears, not annoying
    when doing something, but very noticeable when resting. Although I have
    believed that diabetes has something to do with it, I cannot confirm it. I
    do go along with Susan’s opinion, though.

    Henry Mydlarz (age 60 years)

  5. admin says:

    "Susan" <su…@nothanks.org> wrote in message

    news:6ore57F53ubhU1@mid.individual.net…

    - Hide quoted text — Show quoted text -

    > x-no-archive: yes

    > dorsy1943 wrote:

    >> While I do not dispute the assertion that there is less of a reaction
    >> to sugar than starch,  I am having a hard time grasping the fact that
    >> the article seems to imply
    >>  that table sugar is better for you than a potato.  Also, not just the
    >> chemical properties but the physical properties of food affect
    >> metabolism.  For instance, I believe a boiled potato has a lower
    >> glycemic index than a microwaved potato.   A starch, having 100%
    >> glucose, is a polymer and sugar is not.  So the amount of glucose
    >> alone is probably not the only reason blood sugar would be higher or
    >> lower.

    > Both table sugar and potatoes are awful for you; equally so.

    .
    Table sugar is a dimer (only two sugar units linked together, and only
    one of them is the glucose type which affects your blood sugar readings
    immediately).  A polymer such as starch is a much longer chain
    (sometimes branched) of sugar units. Most types of starch digest
    into single sugar units just about as fast as table sugar, in spite of
    the ADA’s expectations that it will be significantly slower for all types
    of starch.  The percentage of these single sugar units that happen to be
    glucose will affect your blood sugar readings the most at first; the other
    types will have to wait until some part of your body converts them into
    glucose.

    - Hide quoted text — Show quoted text -

    > Because calories were maintenance level?

    >   One thing I will say about a high carb diet is
    >> that those on the Pritikin or Ornish diets engage in exercise.  At the
    >> Pritikin center, live- in dieters exercise after every meal and
    >> snack.  I do not exercise that much but I make sure I do exercise at
    >> least an hour a day.  I think exercise is the real elixir of life
    >> (although I would rather sit on the couch and read a book).  It is
    >> good for the heart, arteries, as an anti stroke measure and of course,
    >> I believe, for diabetics.

    > Right; the diet highest in fat and protein and lowest in carbs preserves
    > beta cell function.  Good for your daughter!  I reversed kidney damage,
    > neuropathies, dislipidemia on a diet like hers; it’s all I need to control
    > my DM.

    > Susan

    .
    Robert

  6. admin says:

    "dorsy1943" <dtm…@usadatanet.net> wrote in message

    news:5a85a635-c52b-480f-868f-02d866c9865e@u14g2000yqg.googlegroups.com…
    On Nov 22, 10:07 am, Susan <su…@nothanks.org> wrote:

    - Hide quoted text — Show quoted text -

    > x-no-archive: yes

    > dorsy1943 wrote:
    > > An interesting point, Susan. This made me wonder about some of the
    > > diabetes drugs which increase insulin production in the pancreas.
    > > Some of the earlier diabetes drugs were studied and it was found that
    > > although the blood sugar was lower, the complication rate was much
    > > higher.

    > And use of high doses of insulin, too.

    > I also believe that studies have shown that fat increases

    > > insulin resistance.

    > Those were unfortunately inaccurate conclusions. In fact, low carb, high
    > fat diets are the only ones that dramatically improve and reverse IR.
    > High fat diets also high in carbs are deadly, however, but in those
    > cases, the high fat is often a marker for a diet high in French fries,
    > donuts and sugary soda.

    > So if you replace carbs with lots of fats, even

    > > though you might have lower blood sugar, you could be more insulin
    > > resistant and ultimately end up with more complications. If only
    > > there were a cheap easy way for us to monitor insulin just as we do
    > > blood sugar.

    > Nope, not according to good research. Even without weight loss, low
    > carb reverses metabolic syndrome:

    > >http://www.nutritionandmetabolism.com/content/3/1/16

    > Susan

    Susan–I do not know why the research you cited is good research and
    the research which says that lots of fat in the blood causes insulin
    resistance is not good research.
    .
    Dolores

    The research I’ve looked at seems to say that too many living fat cells
    in your body are bad for insulin resistance, but not fat in your diet as
    long as you control your total intake of calories enough that you aren’t
    storing it in new and larger fat cells, or worse yet, have it building up
    in your blood because your fat cells can’t store it fast enough.

    There are, however, some types of fats, such as most transfats,
    which are bad either in your fat cells or in your diet.

    Robert

  7. admin says:

    Susan wrote:
    >> Re Atkins.  Have you read one of his last books?  I will go to the
    >> library next week and get the title of two books–his first one and
    >> the later one.  You can check them out yourself.  In the first book,
    >> he says exactly what you say.  Exactly.  He claimed he either cured or
    >> reversed diabetes in his patients.  Yet in the later book he writes
    >> about the best diet for diabetes and guess what–it looks almost
    >> exactly like a pritikin diet.  What happened to his patients over the
    >> years to make him add carbs and fiber to his diet?  No use arguing
    >> until I find the books.

    Dorsy, I read and dismissed Atkins books.  The only popular diet book
    that accurately reflects the available science and updates its
    bibliography routinely is Protein Power.  Michael Eades also has a
    really excellent blog online.

    Atkins never advocated a diet even remotely resembling Pritikin.

    BTW, my severe IR developed during a time in my life that I was eating
    according to the Ornish plan.  I reversed it after reading about IR and
    diet in Medline research and read the diet books later.

    Susan

  8. admin says:

    "dorsy1943" <dtm…@usadatanet.net> wrote in message

    news:bb77a9ab-e7d7-48c3-9c71-c6e441fbc1c8@n10g2000yqm.googlegroups.com…

     To insure the best health possible, I stay
    away from doctors and lawyers unless it is absolutely one hundred per
    cent necessary.  I particularly want to avoid going to specialists
    because they always want to do something special.

    Thank goodness they do. Otherwise I wouldn’t have had my cancer taken
    care of nearly so soon & (so far) so easily — not that it’s been *easy*
    but letting-it-go would only have made it worse.
    bj

  9. admin says:

    On Nov 23, 5:35 am, dorsy1943 <dtm…@usadatanet.net> wrote:

    > I have been on a high carb low fat diet
    > for about 17 or 18 years now (with lapses). No meds. So far no
    > retinopathy, neuropathy, nephropathy. Unfortunately I do not believe
    > that my beta cells will last forever no matter what diet I use. I
    > hope I am wrong.

    You’re probably not "high carb" compared to most people in the
    world.:)
    Sounds like you’re doing fine and if your doctor approves of your
    methods, and you are getting such good results, why change? I think
    the fact that you are aware and concerned about what you are eating is
    the real key to success when it comes to a person’s health and puts
    you way ahead of most people. Since it has been proven that a
    sedentary lifestyle, overeating, and obesity are the main contributing
    factors to (most, not all) getting diabetes, following any kind of
    diet that includes balanced nutrition, lots of activity, and healthy
    food choices will yield positive results. People can argue all day as
    to which diet is better, but it’s pretty hard to argue with the need
    for plenty of exercise and switching to a whole foods WOE. IMO the
    cause of many health problems is largely due to people knowing they
    should exercise and eat right, but choose not to.

    If you choose to keep doing what you’re doing your beta cells may well
    prove your fears wrong.

    Kurt

  10. admin says:

    On Sun, 23 Nov 2008 15:17:01 -0800 (PST), Kurt

    - Hide quoted text — Show quoted text -

    <kurtwheeling1…@hotmail.com> wrote:
    >On Nov 23, 5:35?am, dorsy1943 <dtm…@usadatanet.net> wrote:
    >> ?I have been on a high carb low fat diet
    >> for about 17 or 18 years now (with lapses). ?No meds. ?So far no
    >> retinopathy, neuropathy, nephropathy. ?Unfortunately I do not believe
    >> that my beta cells will last forever no matter what diet I use. ?I
    >> hope I am wrong.

    >You’re probably not "high carb" compared to most people in the
    >world.:)
    >Sounds like you’re doing fine and if your doctor approves of your
    >methods, and you are getting such good results, why change? I think
    >the fact that you are aware and concerned about what you are eating is
    >the real key to success when it comes to a person’s health and puts
    >you way ahead of most people. Since it has been proven that a
    >sedentary lifestyle, overeating, and obesity are the main contributing
    >factors to (most, not all) getting diabetes, following any kind of
    >diet that includes balanced nutrition, lots of activity, and healthy
    >food choices will yield positive results. People can argue all day as
    >to which diet is better, but it’s pretty hard to argue with the need
    >for plenty of exercise and switching to a whole foods WOE. IMO the
    >cause of many health problems is largely due to people knowing they
    >should exercise and eat right, but choose not to.

    >If you choose to keep doing what you’re doing your beta cells may well
    >prove your fears wrong.

    If you choose to believe the ignorant prejudices of a Type 1 on
    insulin  and apply them as a Type 2 on diet and exercise then you
    deserve all you get.

  11. admin says:

    On Sat, 22 Nov 2008 19:05:50 -0600, "Robert Miles"

    <robertmi…@bellsouthNOSPAM.net> wrote:
    >The research I’ve looked at seems to say that too many living fat cells
    >in your body are bad for insulin resistance, but not fat in your diet as
    >long as you control your total intake of calories enough that you aren’t
    >storing it in new and larger fat cells, or worse yet, have it building up
    >in your blood because your fat cells can’t store it fast enough.

    Exactly, body fat and blood fat (lipids) are not derived from dietary
    fat but dietary carbs.

  12. admin says:

    On Wed, 26 Nov 2008 20:04:02 +0000, Trinkwasser

    <s…@devnull.com.invalid> wrote:
    >If you choose to believe the ignorant prejudices of a Type 1 on
    >insulin  and apply them as a Type 2 on diet and exercise then you
    >deserve all you get.

    Shame we can’t force him to put a sig on his posts that say who his
    advice may be useful for!

    Nicky.
    T2 dx 05/04 + underactive thyroid
    D&E, 100ug thyroxine
    Last A1c 5.4%  BMI 25

  13. admin says:

    On Nov 29, 2:34 am, dorsy1943 <dtm…@usadatanet.net> wrote:

    - Hide quoted text — Show quoted text -

    > On Nov 23, 11:21 am, Susan <su…@nothanks.org> wrote:

    > > Susan wrote:
    > > >> Re Atkins. Have you read one of his last books? I will go to the
    > > >> library next week and get the title of two books–his first one and
    > > >> the later one. You can check them out yourself. In the first book,
    > > >> he says exactly what you say. Exactly. He claimed he either cured or
    > > >> reversed diabetes in his patients. Yet in the later book he writes
    > > >> about the best diet for diabetes and guess what–it looks almost
    > > >> exactly like a pritikin diet. What happened to his patients over the
    > > >> years to make him add carbs and fiber to his diet? No use arguing
    > > >> until I find the books.

    > > Dorsy, I read and dismissed Atkins books. The only popular diet book
    > > that accurately reflects the available science and updates its
    > > bibliography routinely is Protein Power. Michael Eades also has a
    > > really excellent blog online.

    > > Atkins never advocated a diet even remotely resembling Pritikin.

    > > BTW, my severe IR developed during a time in my life that I was eating
    > > according to the Ornish plan. I reversed it after reading about IR and
    > > diet in Medline research and read the diet books later.

    > > Susan

    > Susan if you had IR on Ornish and switched and are better, no one can
    > argue with that. It doesn’t matter what anyone else is doing well
    > on. We are all different. I am assuming that on this group there are
    > people who are doing well and have been for years on all types of
    > diets. And probably no one will change as long as they are doing
    > well. On the other hand there are likely to be lots of people who
    > might just be tuning in and it is good to see different opinions so
    > they can judge for themselves which approach to take.

    Bingo! These groups function at their best when ALL opinions and
    approaches are represented.

    > Bye the way, on another group I visit there has been lots of
    > discussion and many articles cited about the combination of fat and
    > carbs together. These articles say, and many believe, that it is
    > eating fat and carbs together that causes all the damage. Which may
    > be why some do well on a high fat low carb diet and some do well on a
    > low fat, higher carb diet. I assume we are talking about whole foods
    > and fats that are not hydrogenated or trans fats (and heaven only
    > knows about the newer interesterified fats).
    > I would also like to say that when I say high carb, that usually means
    > I have starch with my meals.

    Ther terms "high carb" and "low carb" seem to mean different things to
    different people, even the ones who post in these newsgroups. Compared
    to the average diet most people posting here and a.s.d. eat a lower
    carb diet, which I have come to define as <200 grams per day.

    >Maybe half a cup of rice and so on. I
    > do not know what results I would have if I ate a potato the size of
    > Rhode Island.

    Stay away from Sizzler!

    >Restaurant portions of all foods are too much for one
    > sitting and I usually bring along my own container to carry home what
    > I don’t want to eat at the meal and fill it before I start to eat.
    > That prevents me from being tempted during the meal. If there are
    > people out there who frequently eat in restaurants and do not get fat,
    > I would kill for their metabolisms.

    I hear you. Most restaurants do tend to go overboard with their
    portions. I guess they figure people want quantity over quality…and
    in most cases they’re probably right. However, some of the trendy
    restaurants I go to don’t have that problem, the only thing they go
    overboard on is the price!

    Kurt

  14. admin says:

    On Sat, 29 Nov 2008 02:34:39 -0800 (PST), dorsy1943

    <dtm…@usadatanet.net> wrote:
    >Bye the way, on another group I visit there has been lots of
    >discussion and many articles cited about the combination of fat and
    >carbs together.  These articles say, and many believe, that it is
    >eating fat and carbs together that causes all the damage.  Which may
    >be why some do well on a high fat low carb diet and some do well on a
    >low fat, higher carb diet.  I assume we are talking about whole foods
    >and fats that are not hydrogenated or trans fats (and heaven only
    >knows about the newer interesterified fats)

    There’s some truth in that, all the way down to the level of ATP, AMPK
    and the mitochondria.

    Also dietary research in almost always done with levels of carbs most
    of us can’t handle, probably a factor in the "dangers"of high fat
    intake.

    However the vast majority of diabetics who are NOT Type 1s on insulin
    do infinitely better on a low carb diet, and so do a fair number of
    Type 1s on insulin. Very few individuals are successful on a high carb
    diet, far fewer than the amount of noise some people insist on making
    would suggest.

  15. admin says:

    "Kurt" <kurtwheeling1…@hotmail.com> wrote in message

    news:45a5aaf2-55c4-4fe0-8c38-50f998897543@e1g2000pra.googlegroups.com…
    On Nov 29, 2:34?am, dorsy1943 <dtm…@usadatanet.net> wrote:

    - Hide quoted text — Show quoted text -

    > On Nov 23, 11:21?am, Susan <su…@nothanks.org> wrote:

    > > Susan wrote:
    [snip]
    > Bye the way, on another group I visit there has been lots of
    > discussion and many articles cited about the combination of fat and
    > carbs together. ?These articles say, and many believe, that it is
    > eating fat and carbs together that causes all the damage. ?Which may
    > be why some do well on a high fat low carb diet and some do well on a
    > low fat, higher carb diet. ?I assume we are talking about whole foods
    > and fats that are not hydrogenated or trans fats (and heaven only
    > knows about the newer interesterified fats).

    .
    Some, but not much, research has been done so far on their effects:

    <http://heartdisease.about.com/od/cholesteroltriglyceride1/a/intereste…>

    http://www.theheart.org/article/765927.do

    Want to bet your health that they’re better than transfats?
    .

    >Restaurant portions of all foods are too much for one
    > sitting and I usually bring along my own container to carry home what
    > I don’t want to eat at the meal and fill it before I start to eat.
    > That prevents me from being tempted during the meal. ?If there are
    > people out there who frequently eat in restaurants and do not get fat,
    > I would kill for their metabolisms.

    I hear you. Most restaurants do tend to go overboard with their
    portions. I guess they figure people want quantity over quality…and
    in most cases they’re probably right. However, some of the trendy
    restaurants I go to don’t have that problem, the only thing they go
    overboard on is the price!

    Kurt
    .
    Do you have a local buffet restaurant?  The two local ones I’ve tried
    had enough different foods available that I was able to choose a
    plate of low-carb foods, and allowed me to decide how much
    food to put on the plate.  They didn’t seem to limit the number of
    plates you used, so they should also be able to handle the people
    wanting quantity as long as they don’t offer take-home boxes.

    Robert

  16. admin says:

    On Nov 29, 10:55 pm, "Robert Miles"

    > I hear you. Most restaurants do tend to go overboard with their
    > portions. I guess they figure people want quantity over quality…and
    > in most cases they’re probably right. However, some of the trendy
    > restaurants I go to don’t have that problem, the only thing they go
    > overboard on is the price!

    > Kurt
    > .
    > Do you have a local buffet restaurant? The two local ones I’ve tried
    > had enough different foods available that I was able to choose a
    > plate of low-carb foods, and allowed me to decide how much
    > food to put on the plate. They didn’t seem to limit the number of
    > plates you used, so they should also be able to handle the people
    > wanting quantity as long as they don’t offer take-home boxes.

    I don’t do "buffets"…that’s for the people in steerage. :)

    But seriously, I learned years ago that just because there is a plate
    full of food, I don’t HAVE to eat it. Loretta uses portion control,
    which I think is smart. I also subscribe to portion control, but in a
    slightly different way…when I’ve had enough food, I walk away. It’s
    called discipline. Plus, I don’t like feeling full to the point of
    being uncomfortable. I acutally prefer trendy restaurants because for
    the most part the food is of a higher quality, and they aim for taste,
    not all you can eat. I look at a menu as a buffet and I choose the
    items I want that fit in with my WOE.

    Kurt