I've been enrolled in the local area weight management service by my GP and today I was given my dietary outline which is as follows: (based on BMR with 600 calorie deficit)
Calories per day: 3000
Starches: 15 portions (80 calorie portions)
Fruit & vegetables: 12 portions (40 calorie portions)
Dairy: 4 portions (90 calorie portions)
Meat/Fish: 3 portions (140 calorie portions)
Fat: 4 portions (50 calorie portions)
Extras (sweet foods, extra portions, alcohol, crisps/chips): 340 calories
This week I had cut out all starches from my diet, my blood glucose levels are improving and I am losing weight (you can see what I've been doing in my log). I'm pretty lost now as I want to trust in the healthcare professionals who genuinely want to help me, but what I'm doing right now seems to be working. I genuinely do not see how I'm going to lose weight on this or indeed keep lowering my blood glucose. Would be keen to hear what you guys think about it. I lost 10lbs since last time and was in bother for losing it too quickly.
T2 - Diagnosed 8 August 2012 Metformin SR 1g per day - Multivits - VitD3 - Olive Leaf Extract - Omega 3,6,9 LCHF diet - Eat to my meter - 3 Month HBA1C = 5.7
Hi. Read up for yourself and have strength in your own opinion. Your low carbing is working. I used to teach the 'Eatwell Plate' and was never convinced by the emphasis on carbs and now need to steer clear as a diabetic. The carbs count given by the NHS guidelines could work if you were very strict about portion size but I do not think that most people actually reduce their carbs enough. I turned down the offer to attend an appointment to see a dietician as I knew they were likely to say supposed low GI foods were OK. Also turned down the weight management group. The DSN has to offer but I had already lost 3 stone by then and told her that basically I could teach them how to lose weight. Metformin was offered as an incentive to weight loss but have not needed that so far (and who wants diarrhoea as a weight loss aid, anyway). Been low carbing (no bread, rice, potatoes etc.) but not counting. Keep track of food on a phone app so can see that I end up eating around 40g - 90g of carbs a day. With around 800 - 1300 calories a day I have steadily lost 2-3 lbs a week. A health professional may say that is too much a week but my DSN has said nothing. I think she knows what I am doing is working for me for weight loss and BGs. I am fine with that and after 6 months, my DSN tells me I have BGs comparable to a non-diabetic. Good luck with your journey.
HbA1c - May 7.1, September 6.0 BP - May 131/89, June 123/79, Sept 127/80 HDL - May 1.4 Sept 1.1(!) LDL - May 3.6, Sept 3.4 Low carb/high fat. Walking, stepper, swimming. No meds. Nearly 4 and a half stone weight loss so far Eating to my meter
It's that kind of diet that progressed me from pre-diabetic to full on T2.
Do what works!
Better do what works then go back and tell them what works as it might help others!
Type 2, Latest HbA1c Jun 2012 31 mmol 4.98%, Apr 2012 35 mmol 5.3%, Dec 2011 11.3%, Mar 2011 8.3% Cholesterol: Apr 2012 Tot/HDL Ratio 2.79, Jul 2012 Tot/HDL Ratio 3.33 Diet: 60g per day LCHF regime. Meds: 3 x 500g Metformin
xyzzy wrote:It's that kind of diet that progressed me from pre-diabetic to full on T2.
Do what works!
Better do what works then go back and tell them what works as it might help others!
You're more likely to help others by chatting in the doctor's waiting room or the supermarket than telling a DN who doesn't want to know ...
T2 - Diagnosed 8 August 2012 Metformin SR 1g per day - Multivits - VitD3 - Olive Leaf Extract - Omega 3,6,9 LCHF diet - Eat to my meter - 3 Month HBA1C = 5.7
xyzzy wrote:It's that kind of diet that progressed me from pre-diabetic to full on T2.
Do what works!
Better do what works then go back and tell them what works as it might help others!
Exactly.... that's the diet I switched to when they told me I had impaired glucose tolerance... I went all low-fat "healthy" foods as they told me I had to get my cholesterol down... little knowing the carbs I was consuming on that diet were so damaging... I cut sugar out as ordered, but not the carbohydrates, I went all whole-grain bread and whole-wheat pasta... I did cut back on the chips, but switched to skin-on baked potatoes and new potatoes... all taken with supposedly healthy sunflower based low-fat spreads.
I followed their orders to the letter as detailed on their leaflets... and yet they still blame ME for being diabetic now.
xyzzy wrote:It's that kind of diet that progressed me from pre-diabetic to full on T2.
Do what works!
Better do what works then go back and tell them what works as it might help others!
Exactly.... that's the diet I switched to when they told me I had impaired glucose tolerance... I went all low-fat "healthy" foods as they told me I had to get my cholesterol down... little knowing the carbs I was consuming on that diet were so damaging... I cut sugar out as ordered, but not the carbohydrates, I went all whole-grain bread and whole-wheat pasta... I did cut back on the chips, but switched to skin-on baked potatoes and new potatoes... all taken with supposedly healthy sunflower based low-fat spreads.
I followed their orders to the letter as detailed on their leaflets... and yet they still blame ME for being diabetic now.
They have NO RIGHT to blame you for being diabetic any more than they have any right to blame anyone for having cancer. Next time you feel like you're being preached to as if it's all your fault, if I were you, I would ask them if they preach to cancer patients or epileptics in the same way they preach to diabetics. We have about as much control over our insulin overproduction or lack of production or inefficiency as an epileptic has over their brainwave behaviour. It's just because our condition involves food and the word 'control' has sneaked into the equation that even HCPs believe that all it takes is 'self control' on behalf of the patient.
I'm taking a few books on diabetes with me to my next appointment to let them know I'm educating myself on the condition and I'll ask my DN if she's read any of my books. If not, I'll happily lend them to her and to my GP.
T2 - Diagnosed 8 August 2012 Metformin SR 1g per day - Multivits - VitD3 - Olive Leaf Extract - Omega 3,6,9 LCHF diet - Eat to my meter - 3 Month HBA1C = 5.7
I shoot Nikons wrote:I've been enrolled in the local area weight management service by my GP and today I was given my dietary outline which is as follows: (based on BMR with 600 calorie deficit)
Calories per day: 3000
What would MacEnroe say about such a diet - You CANNOT be serious
Type 2 in 2000, 3x500 metformin, reduced carb diet HBA Jan 08 - 6.7, July 09 - 6.2, January 10 - 5.9, October 12 - 6.3 No diabetic complications.
I shoot Nikons wrote:I've been enrolled in the local area weight management service by my GP and today I was given my dietary outline which is as follows: (based on BMR with 600 calorie deficit)
Calories per day: 3000
Starches: 15 portions (80 calorie portions)
Fruit & vegetables: 12 portions (40 calorie portions)
Dairy: 4 portions (90 calorie portions)
Meat/Fish: 3 portions (140 calorie portions)
Fat: 4 portions (50 calorie portions)
Extras (sweet foods, extra portions, alcohol, crisps/chips): 340 calories
This week I had cut out all starches from my diet, my blood glucose levels are improving and I am losing weight (you can see what I've been doing in my log). I'm pretty lost now as I want to trust in the healthcare professionals who genuinely want to help me, but what I'm doing right now seems to be working. I genuinely do not see how I'm going to lose weight on this or indeed keep lowering my blood glucose. Would be keen to hear what you guys think about it. I lost 10lbs since last time and was in bother for losing it too quickly.
ISN; when I was first diagnosed, my GP mentioned the DESMOND course. I came here, saw what it was all about and decided it wasn't for me. At my first three monthly check, my GP also decided it was no use for me. While my GP does advocate low carbs, he is also aware that I tend to say what I think. We both knew I would cause mayhem as I disputed every point that was made. The moral of the story, eat what works for you! The health care team who look after you are not living with your condition. Even if a member of your HCT had diabetes, how their pancreas reacted to carbs, would be different to you. We all have differing amounts of pancreatic function, and we have to learn what our own is by eating to our meter. I suspect I have very little pancreatic function, as I am highly intolerant to carbs, others here are much better. It's a very personal condition, and not one that can be classed as a 'one size fits all'. Do what YOU feel comfortable with.
Dx T2 March 5th 2012 HbA1c 7.0 Latest July 4.9% Metformin 500mg 1X2 I've done the Newcastle diet.
