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Type 2 Any advice on % of carbs, fats & proteins please

Susie2021

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2
Hi
I have been recently diagnosed with T2 & high cholesterol have used my fitness pal app for years to track my calories, what do you suggest the % split between carbs, fats & protein should be for me ?
I am very confused I want to go low carb but that means higher fat % & I have high cholesterol so I have to be aware of that .. although I will choose good fats.
And then how much protein???!
Please help I am all over the place
I am talking total % split each day or maybe it should be each meal of the 3 macros not calories.
 
Thanks @Jaylee for the tag and hi @Susie2021 and welcome to the forum.

It’d be good to understand what diabetes meds (if any) you’re taking, but working on the assumption that it’s either none or just metformin, I have a few suggestions for you. Shout if you’re on anything else and the thoughts can be tailored! And apologies, this might be a long reply.

I’m going to suggest as a starting point that you ‘count’ something other than calories or fat/protein/carb ratios (macros) as I don’t think that’s the best starting point. I’d focus on:

1) Tracking your blood sugars using a BG monitor (we can recommend the most economical ones if you don’t already have one). As someone with type 2, control of your blood sugars is the single most important thing you can do. If those numbers are going in the right direction it’ll be a lot easier to manage everything else. Above all, they’ll allow you to see the impact of the foods you eat on your body. In turn that will help you to adjust what you eat.

2) My personal view is that it’s too easy to get sidetracked by following the ‘perfect’ set of macros. At first I’d keep it simple and reduce carbs as much as you’re comfortable with or in line with what a blood glucose monitor is telling you (if you need guidance on testing, then we can help with that. Eat foods that are as unprocessed as possible and eat to satiety. Stick to mealtimes and avoid snacks.

Maybe a potted version of my personal journey will be helpful here. On diagnosis, I did exactly as I’m suggesting you do. Ditched all the ‘beige’ carbs (bread, pasta, rice, potatoes) as well as starchy veg. Ate when I was hungry. At first that did include snacks, I just made sure they were things like nuts, which are low in carbs. I counted carbs, but nothing else. And once I found this forum (a couple of months later) I got a blood glucose meter and tracked my blood glucose.

About 6 months in I did start tracking my macros - out of interest really, to see what they were (NB I always entered the nutritional values for food myself as I found that entries in apps were often wrong, being based on other user entries). Did that for a couple of years or so, and found that fir me it wasn’t the best indicator of progress or what was working. Ditched the app and went with the BG numbers, my taste buds and how I was feeling.

Gradually I’be shifted from a protein and above ground veg based diet plus added fats (butter on meat/fish/veg or avocado on salads) to a 95% animal based diet, eating fatty cuts of meats and fish without additional fats added. My joints do far better with minimal plant foods and I enjoy the protein rich way of eating - as do my blood sugars.

This is a bit of a long winded way of saying your journey will be personal to you, your likes, how your blood glucose responds and any other health issues which may be impacted by what you eat.

3) Cholesterol. This is a thorny issue. There is much debate about cholesterol, the way levels should be interpreted and the extent to which what you eat impacts it. Suggest you do some research around this and come to your own conclusions. There’s a great thread on the forum (see link) which is a good starting point and @bulkbiker tagged above and starter of that thread is very knowledgeable in this area, so hopefully he’ll be along later. https://www.diabetes.co.uk/forum/threads/cholesterol-and-statins.156985/

Again a bit of personal history. My total cholesterol is now higher than at diagnosis, but on its own that’s a pretty poor marker. All the other markers - HDL, triglycerides and the HDL/Triglyceride ratio are vastly improved. Results of blood tests yesterday put all of these in the ‘ideal’ range. That’s four years into a very low carb, pretty high fat and high protein way of eating.
 
Hi guys
Thank you so much
It’s complex isn’t it !
I will need to read your reply a few more times to absorb it all & I now understand why I have been so confused for the last 3 weeks.
I am on metformin .. one every other day until my 3 month review .. I was reluctant to take them hoping I could reduce the BS by exercise & diet but did some research & decided the metformin would give me a helping hand - it’s a very scary time. I am 60 this year, My parents both had diabetes, my grandmother & my younger sister is pre - diabetes, I also had it when pregnant with my middle son but not the 1st or 3rd pregnancy.
I guess I always guessed I was pre - disposed to get diabetes & all my adult life tried to eat as well as I could & exercise so this didn’t happen but it is still a massive shock that it is now here especially with high cholesterol, I had cancer 2018 & I thought that was my low blow as my mum had cancer & dad heart disease as well as diabetes & it seems I have inherited it all !

2019 I slipped & broke my knee & ankle getting out of the shower & was in a wheelchair for several months & piled on the pounds. 2020 home working, Stress of Covid I piled on more. My gym & pool is shut & although I walk & do online Classes it’s not the same. 2021 it is confirmed I am diabetic & high cholesterol.
The dr who called me to tell me pre scribed metformin 1 a day for a week, increasing to 2 after 2 weeks then 3 after 3 weeks .. the nurse apologised when I saw her - said it was a trainee dr & that her advice was 1 every other day until 1st review.
They also want me to go on statins but I need to do more research into that before I make that decision - apart from the awful possible side effects it says it can raise your blood sugar levels so what is the point of me eating well exercising more & then the meds bring up my BS ! Angry face

The nurse told me NOT to get a BS monitor & this is where I have been so confused.. how am I suppose to know what I am doing is the right direction
& the food choices I am making is right.
I have read the forum & last night ordered one I need to take control of this
Not wait 3 months to see what’s happened.
I have made radical changes to my diet
Cutting out all processed, bread, pasta, rice sweet stuff etc etc.
I have lost 10lbs in 3 weeks which I am pleased about & set myself exercises goals for walking & doing classes online.
So I am doing ok.
Thank you for your help it is very useful.
I love the NHS we have but am one of millions of other people with this condition & I know when I leave the surgery I am forgotten & on to the next one - I know this is down to me to manage this & not get complications.
I will do it but I need the tools & knowledge to be able to & I feel relieved this forum & you guys are here. ( smiley face )
Sorry for the long story !!
 
high cholesterol.
Would you care to share your full lipid panels results?
The nurse told me NOT to get a BS monitor & this is where I have been so confused.
As useful as a chocolate teapot.... this advice is often given out because the NHS doesn't want to provide T2's with a meter except in very rare circumstances. I'd heartily recommend getting one and starting to regularly measure before and 2 hours after meals to see how well your carb cutting is going. High readings are informative as to what not to eat and low readings are a huge motivator! No reading is ever "bad".
one of millions of other people with this condition & I know when I leave the surgery I am forgotten & on to the next one - I know this is down to me to manage this & not get complications.
THat's exactly right.. we have to take control of our own health and you have just landed at exactly the right place to do just that.
Hello welcome and please ask any questions you may have. Unlike your Diabetes Nurse we've all been there and done what we recommend so we know that for us it works!
 
Hi,
This may seem silly to you. It's not calories, it's carbs and how much it effects your blood levels, different foods will give you different readings, not forgetting portion size and, the combination of food.

The other things to look out for which could possibly be a problem is starchy vegetables, fruit, low fat foods and processed food.

Do read up on what foods could affect your blood sugar levels and read the diet doctor link, it is very useful.

Once you have found your right balance of protein, fats and the limited amount of carbs you allow yourself. You will see a difference.
So how do you do it?
By keeping a food diary, with all the information about your dietary approach to getting your diabetes under control.

Keep safe
 
It is usually far simpler than you are making it.
Assess your intake of carbohydrates and start to replace the worst offenders with lower options. They are usually discovered by using a tester after meals to see if your levels are high.
Many who are trying to lower cholesterol levels by reducing fats find that in their adjustment period when they are actually eating more fats, intending to adjust later, then find that their numbers go down.
I was on a supposedly cholesterol reducing diet when diagnosed, and my cholesterol went down when I got rid of the 'healthy' carbs - the nurse said it was a delayed reaction. Yeah. Right.
 
Hi
I have been recently diagnosed with T2 & high cholesterol have used my fitness pal app for years to track my calories, what do you suggest the % split between carbs, fats & protein should be for me ?
I am very confused I want to go low carb but that means higher fat % & I have high cholesterol so I have to be aware of that .. although I will choose good fats.
And then how much protein???!
Please help I am all over the place
I am talking total % split each day or maybe it should be each meal of the 3 macros not calories.
I didn’t count fat or protein macros, I just cut carbs to trace amounts. I ate lots of smoked salmon, avocados, eggs, nuts, cheese etc. IMHO, just focus on healthy whole foods. My cholesterol numbers actually got slightly better. I’d focus on getting your BG levels normal first, then retest your cholesterol
 
As others have said it quite simple. First forget you ever heard of Calories as they are irrelevant. Carbs are the big problem so set yourself a daily limit. Fat doesn't make you fat or clog the arteries or noticeably affect your blood cholesterol so have what you want . Same for proteins. So keep the carbs down and have enough fats and proteins to keep you feeling full. Make sure your regular blood tests include a full lipids panel (a fasting test can help accuracy) and look at the various ratios.
 
I only count carbs, plus a mental check that I've eaten plenty of green veg and some protein.
When I swapped to low carb I started having much more fat, swapping to full fat milk and full fat greek yogurt, having more cheese and using cream (on fresh raspberries or rhubarb). My GP was convinced my slightly too high triglycerides and total cholesterol would get worse but they actually dropped and my LDL vs HDL ratio improved.
At first I weighed everything and calculated the carbs - testing every morning plus before and then 2 hrs after meals showed me how much carbs I can eat over a day and in one meal.
I was lucky that I was diagnosed early and went low carb immediately so I got into remission quickly but I still check my blood sugars once a week and keep an eye on my carb intake.
My GP still worries about fat intake and cholesterol even though there is good quality research showing that a high processed food diet with loads of sugar is the real heart risk.
 
Hi, um I’m very confused. Was told Monday I was t2, lose weight, had my feet poked with a piece of plastic, given a very uninformative booklet, a prescription and instructions for metformin, was told I gotta go back this Monday for checkup. Apparently my level is 60 previous was 38 ‍♀️ Am taking bp meds and statins. So am cutting down Cals, carbs etc eating a lotta fruit which is making me hungrier than usual. Not sure what todo next
 
Hi @Welshlass1 and welcome!

You’re definitely in the right place for advice and support, but could I suggest that you start your own thread? You’ll get more response that way, tailored for you.
 
Hi, I thought I had done that a couple of days ago but had no responses so I thought I’d try this way but obviously not the correct way
 
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