Category Archives: Paleobetic Diet

Official Diabetic Diet Takes a Hit in the U.K. has a few of the details. A snippet:

More than 120,000 people signed up to a ‘low-carb’ diet plan launched by the forum in a backlash against official advice.
More than 80,000 of those who ditched a low-fat high-carbohydrate diet found their blood glucose level drop after ten weeks.
By rejecting official guidelines and eating a diet high in protein and low in starchy food – along with ‘good saturated fats like olive and nuts – more than 80 per cent of the patients said they had lost weight.

An article at The Times says, “The results have led doctors to call for an overhaul of official dietary guidelines.”

Regular readers here won’t be surprised by these findings.

The road to this revolution is paved with scientific studies showing that dietary saturated fat has little or nothing to do with causing cardiovascular disease. I crossed that Rubicon in 2009.

If you want the benefits of low-carb eating, check out my free Paleobetic Diet. The book is even better.

Steve Parker, M.D.

PS: If you think carbs are bad, my books have zero digestible carbs. Unless you’re a termite.

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Paleobetic Diet Book Now Available

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I started this blog four years ago as an exploration of the Paleolithic diet as a therapeutic option in diabetes and prediabetes. Scientific studies from Ryberg (2013), Mellberg (2014), Boers (2014), and Masharani (2015) have convinced me that the paleo diet indeed has true potential to improve these conditions.

A couple years ago I published a bare-bones preliminary version of the Paleobetic Diet. Here’s an outline. I just finished a comprehensive fleshed-out version in book format.

The central idea is to control blood sugars and eliminate or reduce diabetes drugs by working with Nature, not against her. This is the first-ever Paleolithic-style diet created specifically for people with diabetes and prediabetes.

Also known as the caveman, Stone Age, paleo, or ancestral diet, the Paleolithic diet provides the foods our bodies were originally designed to thrive on. You’ll not find the foods that cause modern diseases of civilization, such as concentrated refined sugars and grains, industrial seed oils, and over-processed Franken-foods. Our ancestors just five generations ago wouldn’t recognize many of the everyday foods that are harming us now. On the Paleolithic diet, you’ll enjoy a great variety of food, including nuts and seeds, vegetables, fruit, meat, seafood, and eggs.

In the book you’ll find one week of meal plans to get you started, plus additional special recipes. Meals are quick and easy to prepare with common ingredients. You’ll find detailed nutritional analysis of each meal, including carbohydrate grams.

All measurements are given in both U.S. customary and metric units. Blood glucose values are provided as both mmol/l and mg/dl. Also included is information and advice on exercise, weight loss, all 12 classes of diabetes drugs, management of hypoglycemia, and recommended drug dose adjustments. All recipes are gluten-free.


Availability and Formats

You’ll find Paleobetic Diet at all major online bookstores. For example, Amazon (290-page paperback book in U.S.), Kindle ebook, and multiple ebook formats at Smashwords.

If you have diabetes or prediabetes, please give this program careful consideration. Help me spread the word if you know someone else who might benefit. Thank you.

Steve Parker, M.D.

Paleobetic Diet Printable Documents Now Available: Daily Log and Shopping List

Paleobetic diet, Steve Parker MD,paleo diet, diabetic diet, diabetes

Cover designed by my 15-year-old son, Paul

For those of you on the Paleobetic Diet, please note that I’ve prepared some printable documents you might find helpful. They are a Daily Log and Shopping List that you’ll find on the “Print Documents” page. Check ’em out! I would appreciate feedback.

I regret that I couldn’t produce them sooner. My full-time job practicing medicine interferes with my blogging and other writing projects.

Steve Parker, M.D.

Early Feedback on the Paleobetic Diet From Jane Lenzen

Paleobetic diet, Steve Parker MD,paleo diet, diabetic diet, diabetes

Cover designed by my 14-year-old son, Paul

Jane has been in the Clinical Nutrition field for decades. I don’t know her personally but we’ve exchanged a few emails lately. She graciously gave me permission to post her comments here. Anything in brackets below is what I added for clarification. Without further ado, here’s Jane:


I like to put fruits and vegetables in their proper categories. For example, avocados, tomatoes, olives, pumpkin, squash and peppers are all fruits.

As I said earlier, I discovered through observation in the early 80’s that diabetics could not eat fruit by itself, though fruit was always recommended as a stand-alone snack by the Am. Diabetic (and Dietetic) Assoc. You recommended that starchy vegs/fruits should be eaten with a protein or nuts, which is so invaluable to people, in general, diabetic or not.

In your general rec’s, there are 10 CHO’s [carbohydrate grams] AM, and Lunch/Dinner with 20 CHO’s [grams]. I’ve found that most people do better with equal amounts of protein at every meal. You mentioned later that if one is exercising, then increase the B’fast CHO’s, which I agree with. But, for the most part, I think people burn off the CHO’s during the day, no matter what they are doing. Plus, most people eat the next meal (after b’fast) within 4 hrs, whereas lunch and dinner are usually spaced more at 5 – 6 hrs. I think CHO’s should be highest at breakfast for most diabetics, as long as it is balanced with enough protein. Proteins at the next two meals could be higher. I disagree with fruits being eaten at dinner, as I think this spikes the BG for the next morning fasting. The type and amount is, of course, key.

Diet sodas. None! I believe that the sweet taste of any artificial sweetener will provoke some kind of response in the brain/body. There are mixed studies as far as insulin response, but French researchers performed a 14 yr study which showed an association between diet soda intake and Type 2 Diabetes. If your patients drank 2 sodas/day, that’s 14 per week…….too many!! I’m not a purist, by any means, but to be on the safe side, I’d stick with Paleo here…… artificial anything.

Hypoglycemia. Again, I’m not in the ADA camp on this one either. I do believe in emergencies, (below 60 mg/dl [3.3 mmol/l]) the diabetic must ingest glucose, but only about 10 gms is usually needed, for the most part, if the BG is not too low. (Under 45 mg/dl [2.5 mmol/l], then 20 gms is warranted.) If between 60 – 70, I’d do a combo of protein and sugar. (1/2 cup OJ [120 ml orange juice] with 4 almonds or 3 glucose tabs with 4 almonds.) I’ve witnessed diabetics sucking on hard candies too many times per week, which does bring up the glucose, but to the detriment of hormonal balance. I try to prevent this yo-yoing syndrome that goes on… can’t be good long-term.

You advised to check BG [blood glucose] 4 – 6 times per day before meals and at bedtime. I think two of those should be 2 hr. post-prandials, which may give them better control overall.

Your meal ideas use too much of the same foods, like onions and tomatoes. Cruciferous vegetable are all over the place, which may be detrimental to those with Hypothyroidism. I’d include different vegetables at every meal to give the diabetic more option ideas.


Thank you, Jane!

Regarding 10 grams of digestible carbohydrate at breakfast and 20 g at lunch and dinner (evening meal): This is in deference to the dawn phenomenon, in which blood sugars tend to run higher between 6 and 9 am, roughly. I need to do some research to see how commonly this occurs. Adding carbs on top of dawn phenomenon may not be a great idea. I believe this is why Dr. Bernstein’s Diabetes Solution provides fewer carbs for breakfast than for lunch and dinner. If you don’t experience dawn phenomenon, it wouldn’t matter if you ate 20 or 30 g of digestible carb for breakfast.

I’ve asked for feedback on the Paleobetic Diet, hoping to make it better in future versions. If you give me comments via email, rest assured I will never publish them anywhere without your permission.


Win a Paleobetic Diet E-Book – It’s Easy!

Paleobetic diet, Steve Parker MD,paleo diet, diabetic diet, diabetes

Cover designed by my 14-year-old son, Paul

Just be one of the first 100 people to email me asking for it.

Why am I giving it away? I need some feedback on it.

You don’t have to be a PWD to get a copy. Perhaps you’re just a curious dietitian, nutritionist, certified diabetes educator, nurse, or physician.

If you get the e-book, please seriously consider giving me feedback via email:

  • What do you think of the Paleobetic Diet?
  • How could I make it better?
  • How was your experience with the distributor, Smashwords?
  • Would more recipes be helpful?
  • What did you think of the sections on diabetes drugs, hypoglycemia, and exercise?
  • If you tried it, did it affect your blood sugars? How did you feel, physically? Was your healthcare provider supportive? Did you lose any excess weight?
  • What do you think of the food options on the diet?

Be aware that the Paleobetic Diet e-book bare-bones version is only 9,000 words long. That’s short. It’s a how-to primer. I don’t go into evolutionary theory and the scientific underpinnings of the diet.

Here’s How You Win:

  1. Email a request for the e-book, to steveparkermd (at) gmail (dot) com, putting “paleobetic diet” in the subject line.
  2. I’ll email you back a coupon code that gives you a 100% discount on the e-book at Smashwords.
  3. You set up a free account at Smashwords, then act like you’re purchasing the book. Before checkout, you’ll be asked for the coupon code or discount code I gave you. Enter it. Bingo! Free e-book. You’ll get a choice of multiple e-book formats.
  4. Note that I only check my email every week or two, so don’t get in a big hurry.

Thanks in advance for your thoughts! If you win the e-book and never give me feedback, I won’t bug you about it.

Steve Parker, M.D.

PS: Remember, this offer is only for the first hundred people who email me. I don’t know if those copies will be gone in a few days or six months.

What’s the Paleobetic Diet?

Two years ago, a few of my patients with diabetes asked me whether the paleo diet would help with management of their diabetes. After much deliberation, I can definitely say, “Yeah, maybe.”

We still don’t have much scientific data to back it up, but I’ve seen enough to convince me it would be adequately safe to try a paleo-style diet under medical supervision. The greatest immediate risk is hypoglycemia in those taking certain drugs.

Regardless of diet, diabetics are at risk for hypoglycemia if they use any of the following drug classes. Also listed are a few of the individual drugs in some classes:

  • insulins
  • sulfonylureas: glipizide, glyburide, glimiperide, chlorpropamide, acetohexamide, tolbutamide
  • meglitinides: repaglinide, nateglinide
  • pramlintide plus insulin
  • exenatide plus sulfonylurea
  • possibly thiazolidinediones: pioglitazone, rosiglitazone
  • possibly bromocriptine

I’ve just finished a handout for my patients interested in a paleo diabetic diet. If interested, click for details.

Steve Parker, M.D.

PS: The paleo diet is also referred to as the Paleolithic, Stone Age, Old Stone Age, cavemen, ancestral, and hunter-gatherer diet.

Paleobetic diet, Steve Parker MD,paleo diet, diabetic diet, diabetes

Cover of the fleshed-out ebook at Smashwords