I have just returned from an appointment with a dietician, after being referred by my GP.
I thought we got off to a good start when I spotted a Carbs & Cals book on her desk and commented on it. She asked if I knew it and I replied that I had a copy.
She asked to see my daily blood monitoring diary and working front to back, commented that my bs were "perfect" and asked to show my book to the student sitting in. I said I was struggling to get my fasting bloods down but she said they were relative to my bedtime ones and that my risk of complications with my readings was "nil". I queried her and she confirmed - NIL risk of complications. She said I was motivated and had achieved some excellent readings in a short time. I said this was because I followed LCHF and was now feeling 100% well again and my energy had been restored.
Then came the blow. She said she didn't approve an Atkins type diet in the long term and wanted me to start reintroducing carbs into my diet. Long term LCHF carried risks to the bowel and we need more roughage and fibre. I asked why I should add carbs when they spiked my bs. She said spikes were fine. Healthy folk and diabetic folks get spikes. The secret was to exercise immediately after taking carbs to avoid the spikes. She recommended 30g of carbs each meal.
I said I wasn't happy reintroducing carbs into my diet, but she said I would be fine if I dropped the cream and cheese from my diet....
. I am to have porridge made with milk for breakfast, and drop the full fat yoghurt, 2 Ryvita for lunch and basmati or wild rice occasionally with my main meal.
She had already explained why Forxiga wasn't prescribed to me, because I wasn't eating enough carbs, therefore Forxiga wouldn't be effective as it works by breaking down the sugars and expelling them. My intake of sugars wasn't enough to warrant Forxiga and my BMI wasn't high enough either but she could prescribe it if my GP wouldn't.
So as a trade off I agreed to try more carbs if she would prescribe Forxiga
She agreed to write to my GP recommending Forxiga. Result!
So on the way home, I stopped at the shop and bought a packet of Ryvita. 3.5 hours after eating 2, spread with butter and accompanied by sardines in brine and a large leafy salad I am still waiting for my bs to drop from 9.9.............
I join the ranks of the despairing.....