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Am I being too hard on myself?

Discussion in 'Ask A Question' started by Mystrose, Mar 29, 2019.

  1. Mystrose

    Mystrose · Member

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    I was diagnosed with type 2 diabetes 9yrs ago. Thru the years I've been both strict and lax with my diet. 3yrs ago, I got tired of having to give myself insulin shots and lost 50 pounds. I didn't need insulin anymore, so that was a big plus in my life. Since then, I've, lost a total of 145 pounds.

    My boyfriend just recently found out he has type 2 and I've been discussing diet and things he needs to know with him. His nutritionist saw him yesterday and I found out something that kind of disturb me a bit. I've always been told to limit my meals to 40 carbs and snacks to 15 carbs. I've very strict with this and ,most of the time, eat less carbs then I've been told I can have. I don't eat any carbs unless the food has lots of fiber. My last A1C was 6.5 but has been as low as 5.7. My glucose goal after meals is no more than 130.

    The nutritionist told him he could have up to 60 carbs in a meal. It seems like a LOT of carbs in a day. Is this a normal thing?

    My boyfriend thinks I'm being too hard on myself and denying myself things I can actually eat. I'm kinda confused right now and need some clarification. Any help would be appreciated.
     
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    #1 Mystrose, Mar 29, 2019 at 5:07 PM
    Last edited: Mar 29, 2019
  2. bulkbiker

    bulkbiker Type 2 · Oracle

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    Did the nutritionist also tell him that T2 is a chronic progressive disease and that he'll end up on insulin?
    That was what my Diabetes Nurse told me and if I had followed her advice she may well have been correct. However I had been lucky enough to find this forum beforehand so was well prepared to start a low carb diet with some fasting which stopped my T2 in its tracks and I've never been healthier.
    You have seen your own success so I know whose advice I'd follow ( and it isn't the nutritionists....)
     
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  3. Rachox

    Rachox Type 2 (in remission!) · Master

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    Hi Mystrose and welcome to the forum. I’ll tag in @daisy1 for her useful info post which has a lot of guidance regarding type 2 and carbohydrates. Also have a read the success stories on this forum!
    I keep to between 30g - 50g of carbs per day less than this nutritionist is suggesting in one meal! This regime keeps my HbA1cs at non diabetic levels.
     
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  4. Daphne917

    Daphne917 Type 2 (in remission!) · Well-Known Member

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    Hi @Mystrose 60g carbs per meal seems a lot. I average between 100g and 120g carbs per day and have managed to keep my hba1c at non diabetic levels for approx 5 years.
     
  5. Member496333

    Member496333 · Guest

    No, you’re not being hard on yourself.

    I’d like to have a chat with that “nutritionist” and ask them how on Earth they arrived at an arbitrary 60g carbohydrate per meal. A completely ridiculous idea unless they have spent a week living with your boyfriend and testing after every meal. Sounds to me like typical bad advice.
     
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  6. Guzzler

    Guzzler Type 2 · Master

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    In my opinion 60g of carbs per meal X three meals per day plus snacks isn't even optimal for a non Diabetic.

    You are not being hard on yourself, you managed to come off your insulin and lose a shed-load of weight which means that not only have you vastly reduced your risks of complications but you look great, too!
     
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  7. Bluetit1802

    Bluetit1802 Type 2 (in remission!) · Legend

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    Whatever you are doing is working perfectly for you, so no, you are not being hard on yourself.
    If I ate 60g carbs at one sitting my levels would sky rocket, never mind repeating that 3 times a day plus snacks. Maybe the nurse has shares in the pharmaceutical business.
     
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  8. daisy1

    daisy1 Type 2 · Legend

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    @Mystrose
    Hello Mystrose and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.

    BASIC INFORMATION FOR NEW MEMBERS

    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 147,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

    There are two approaches to controlling your carbs:

    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates
    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes.

    Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic.

    Note: This post has been edited from Sue/Ken's post to include up to date information.
     
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