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Diabetes Prevention Programs.

I agree with advice from people in the same position has helped me and that is why this forum is so amazing.

I think in the US they have local peer education groups that are quite sucessful, @Winnie53 perhaps can shed some more light on this.

I think learning and support needs to be tailored to the indivdual and that is why many 'programmes' do not work, one size does fit everyone.

The rate of prediabetes in the adult population is much higher than most people think and is mostly undiagnosed. You cannot prevent what you do not know about.
 
DebsIWMC said:
You say you have a suburb diet. When you tried to lose weight in the past (twice) how did you go about it? Either time did you follow a low carbohydrate/ low fat diet ? What help or guidance did you get at the time? If so why was it not effective?
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No I didnt stop the good gi carbs I have now. I was told to change to brown rice, wholemeal bread (seeded even better) and limit dry pasta portions but use low fat sauces. Meals were based on better gi carbs. Never encouraged to stop any. Only stop cakes, biscuits and sweets. Alcohol to sensible drinking, no binge drinking.
I had vegtables in all meals except breakfast. Fruit was encouraged too. Porridge or muesli or seeded wholemeal toast with low fat spread.
I exercised twice a day and walked all day at work.
No.no weight loss like now!
 
DebsIWMC said:
Hi. I am new to this forum. My belief is that prevention is preferable to disease management. In my research there are few good prevention programs that help people make the lifestyle changes required. My questions are why is that? Where do current programs fall short? What would a good program include and what would entice people to commit to lifestyle changes before they developed Type 2 Mellitus? Thoughts?
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Our pre bariatric eating well plan is very useful. Not much in there to help prevent diabetes thou.
In fact dietician is more personalised for my dietary needs. Low carbing!!!!
Only dietician ive seen openly use carbs and cals book.
 
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serenity648 said:
I was told, by my doctor, that pre-diabetes is nothing to worry about.
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Has he been on "Live at the Appollo"? Perhaps he's just putting off the worrying . . . . until the diagnosis is diabetes. A little story about my brother, he was told he was pre diabetic so I told him what I was doing with low carb. He didn't take my advice because somebody had said low GI was the answer (never mind the GL). He has just been prescribed Metformin and automatically gets a statin as well. Time will tell how he gets on with those drugs, hopefully he be lucky and have no side effects.
 
My brother wont listen to a word I say, or that he read on here when he came over. He has progressed to insulin in just three years since diagnosis : (

He is convinced that I am laying up trouble for myself in the future with my 'crazy' diet but ignores the trouble he is in now. So sad.
 
Welcome to the forum.

DebsIWMC said:
My belief is that prevention is preferable to disease management.
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Couldn't agree more.

DebsIWMC said:
Where do current programs fall short?
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Depends on the program but there are still a lot of people being told that they should eat 1/3 of their calories in the form of carbohydrate. A mistake, I think, if your body is already not coping very well with that sort of carbohydrate input.

DebsIWMC said:
What would a good program include and what would entice people to commit to lifestyle changes before they developed Type 2
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Depends on the lifestyle changes you are thinking about. I'd suggest lay off processed foods and lower or even cut out bread/pasta/rice/potato. Cook everything from scratch. Lets face it, they can't even get people to watch how much they drink if you look at the figures for liver sclerosis and other alcohol related diseases. Still can't get people to quit smoking (there are decent inroads at least).

Shock tactics haven't worked, you only have to look at the video mentioned in one of the sticky threads above. People soon forget. There isn't the same drive as there was behind smoking or drinking and getting people to stop. For diabetes it should probably be stop eating bread/pasta/rice/potato. But they're all healthy foods would be the cry from everyone, overlooking the simple fact that carbohydrate converts to glucose in the body. Interestingly a simple fact I learned in Chemistry in 1966, a simple but important piece of trivia that should have helped me when the doctors were saying "Avoid sugar, but don't cut back on your carbs". What's the difference? In those days I thought they knew what they were talking about.
 
I think what is some of the main problem in resent times is that most people move less than in earlier times and also have access to a lot more food than earlier and especially very prosessed foods with a lot of sugars starches and so refined that this kind of food spikes blood glucose more rapidly than non prosessed and more natural foods

Not moving and eating too much is a kind of death trap if it is too extreme .. besides that there are a number of substances that seems to promote diabetes type 2 ; among those are most of the antipsychotic medications , phthalates and other hormon disturbing substances , pollution of kinds
 
Freema said:
Red Wine like a glass a day seem to lower the risk of diabetes
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It didn't lower the risk enough in my case, although I was very conscientious about taking the medicine. I can't imagine drinking wine is going to be recommended on any NHS courses, maybe in France.
 
DavidGrahamJones said:
Well done, I wish you all the very best for the next bit.
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In new year. Probables february'18 op.
Dietician believes another stone will come off by november. They dont expect a loss over xmas but maybe some more before op.
I'm just pleased for any loss. I really wanted lchf to work but only low carb low fat works for me.
All carbs were my weight gainer.
I'm still eating very little veg but still love my protein. Insulin basal making the difference for me.
 
ickihun said:
They dont expect a loss over xmas but maybe some more before op.
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He he, that's the sort of thing that makes me want to prove them wrong. LOL

ickihun said:
I really wanted lchf to work but only low carb low fat works for me.
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Same here. In fact my Nutritional Therapist got some blood/urine tests done that showed I was in ketosis (I have the sticks now) that in theory meant I was burning fat, but the fat in the meat I ate was just going straight back on.

ickihun said:
I'm still eating very little veg but still love my protein
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Luckily I like veg and I'm eating quite well, just not a lot of meat at the moment and usually chicken, some fish. Next week I'm having another go at the Newcastle, not for everyone, but from my last attempt I know that my blood glucose leveled out, just need some more perseverance.
 
Interesting discussion. I'm two and a half years into my new lifestyle: LCHF and walking. Am two years into facilitating a diabetes group focused on using same to manage diabetes. Some of us are succeeding, some are struggling.

As we begin our third year, I'm rethinking everything. I thought the answer was understanding the science. It's helpful, yes, but I think what's most important is learning how to prepare food that is a pleasure to eat. Also how to prepare some food ahead for the days I'm at work.

So that's going to be my new focus, both for myself and for our group.

Will let you know in a year or so how that's working. :)
 
DavidGrahamJones said:
He he, that's the sort of thing that makes me want to prove them wrong. LOL



Same here. In fact my Nutritional Therapist got some blood/urine tests done that showed I was in ketosis (I have the sticks now) that in theory meant I was burning fat, but the fat in the meat I ate was just going straight back on.



Luckily I like veg and I'm eating quite well, just not a lot of meat at the moment and usually chicken, some fish. Next week I'm having another go at the Newcastle, not for everyone, but from my last attempt I know that my blood glucose leveled out, just need some more perseverance.
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If I could I too would try ND but I'm not in the right circumstances at home to be able to just concentrate just on my food needs. I wont be for a very long time. Young kids have to come first and constantly needing some sort out. Too much for me to be strict on a very severe diet. Without support.
I'm always ill when I change my diet. Whatever diet I follow.
At least this bariatric process has support and everyone rowing the same boat. Weight loss.
No confusion or misunderstandings with any health carer.
Sunderland unit wont allow anyone to go against it's expensive strategy.
No one.
That's why im not on steroids for breathing, I think. Or gliclazide by specialist again. All weight gaining meds.
At last I feel everyone supporting my need for a loss instead of decades of gain.
Well over due!
 
ickihun said:
If I could I too would try ND but I'm not in the right circumstances at home to be able to just concentrate just on my food needs.
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It's not as straight forward as one might think, especially in a house where others have to be catered for.

I've looked into Bariatric Surgery twice now and my experience is not usual. Especially the first time which a good few years ago now and they were liquidising chocolate and ice cream to get their daily calories up to 1200.

More recently but still a few years back I was seen by a psychiatrist and dietician (by coincidence, one who previously was recommending the ice cream and chocolate, though not any more). Apart from giving me the dreadful news that I'm 2 inches shorter than I was, I wasn't eligible for surgery on the NHS because my BMI was lower than the cut off.

On the positive side I have a letter that says I have a weight problem, which I could have told them. My GP tells me that now I've got that out of the way and ticked some of their stupid boxes, we might be able to investigate my situation further.

I also know a guy who I lost touch with after he left his wife. His son was telling that he has had Bariatric Surgery and it has been very successful. For someone who runs a pub that's quite a feat I imagine.
 
All my adult life I have had trouble maintaining my weight - never mind losing any - except when eating low carb foods. I have been put on other diets and accused of not following them when I put on weight and started feeling ill. Always the attitude has been that carbs are healthy, meat and fat are bad.
Now I am going against all medical advice I have ever had, including the post diabetes diagnosis sessions, so how can there be a useful preventive program?
I have told people that carbs make me fat for decades, and been derided, scoffed at and told that I'm lying. They like the term gorging too - it seems to give them pleasure.
It took ages to get a diagnosis of my failed thyroid, which did not help me deny several deadly sins, sloth and gluttony were blamed for my symptoms.
One of my uncles was thought to have been an alcoholic and sent to 'dry out' several times, but my aunt was banned from visiting as they thought that she was somehow smuggling in drink. When he died suddenly the problem was found to have been liver flukes - so the concept of blaming the patient is not a new one.
 
DavidGrahamJones said:
It's not as straight forward as one might think, especially in a house where others have to be catered for.

I've looked into Bariatric Surgery twice now and my experience is not usual. Especially the first time which a good few years ago now and they were liquidising chocolate and ice cream to get their daily calories up to 1200.

More recently but still a few years back I was seen by a psychiatrist and dietician (by coincidence, one who previously was recommending the ice cream and chocolate, though not any more). Apart from giving me the dreadful news that I'm 2 inches shorter than I was, I wasn't eligible for surgery on the NHS because my BMI was lower than the cut off.

On the positive side I have a letter that says I have a weight problem, which I could have told them. My GP tells me that now I've got that out of the way and ticked some of their stupid boxes, we might be able to investigate my situation further.

I also know a guy who I lost touch with after he left his wife. His son was telling that he has had Bariatric Surgery and it has been very successful. For someone who runs a pub that's quite a feat I imagine.
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Yes. No alcohol allowed im led to believe. I dont drink so no biggie for me. Diet pre-bariatric ask you to include calories in, for now.
I'm willing to keep to a guaranteed diet for weight loss for diabetics after op.
I'm still unsure how far it will take me. 5 stone loss will please me. 5stones after op! Reaching 3st off and still about 5 months to go before op date.
Little and regular loss is making me happy but a faster permanent loss wont displease me either. ;)
Keeping it off will be the hardest job. Even ND loss would be too.
 
No2D said:
@Winnie53,
I agree, you have to enjoy the food you're eating and it can't be more trouble than it's worth. If people can make food preparation part of an everyday routine it'll be easier to stick with. Making the change permanent is 50% of the battle.
One way I've seen is preparing a weeks worth of meals in advance, freezing some Good quality convenience food without going to a fast food place.
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Yes, that's my biggest challenge. Sometimes I do too much, am tired in the evenings, and begin losing my self-care routines. The other night I bought a small salad of kale, broccoli slaw, chicken, and a small amount of corn and cranberries. Had a huge spike. The next morning I read the label. It had 20 g of sugar. My bad for not reading the label.

Eating whole foods is not enough. You have to buy fresh convenience foods from businesses that don't lace everything in sugar and those awful industrial seed oils. When this happens again, on those days when I'm too tired to go to my "healthy" stores, I'll instead go to my local Dairy Queen and get a bunless double burger with ketchup, mustard, mayonnaise, pickle, and onion then eat a raw carrot when I get home. Like you, I'm also going to prepare ahead more foods that can be pulled from the freezer and reheated at home.

What amazes me again and again is that I thought I was eating healthy meals prior to LCHF. I'm so much healthier now. :)
 
ickihun said:
Little and regular loss is making me happy but a faster permanent loss wont displease me either.
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Me too, I'll be OK with slow and regular, when it happens. I've lost about 4 stone since my worst weight. The weight I gained taking Rosiglitazone fell off when I stopped. I lost another 3 stone when I went onto a LCLF diet, just looking for the next thing to help with weight loss, baring in mind I eat less than 1200 cals most days.

I think a lot of the dieting organisations warn against fast weight loss, probably because it requires drastic calorie reduction which all goes to pot when reaching target. Although I have a suspicion that whichever dieting organisation you care to mention wouldn't be too happy if everyone lost weight quickly, never to be seen again, paying subs and all.
 
DavidGrahamJones said:
Me too, I'll be OK with slow and regular, when it happens. I've lost about 4 stone since my worst weight. The weight I gained taking Rosiglitazone fell off when I stopped. I lost another 3 stone when I went onto a LCLF diet, just looking for the next thing to help with weight loss, baring in mind I eat less than 1200 cals most days.

I think a lot of the dieting organisations warn against fast weight loss, probably because it requires drastic calorie reduction which all goes to pot when reaching target. Although I have a suspicion that whichever dieting organisation you care to mention wouldn't be too happy if everyone lost weight quickly, never to be seen again, paying subs and all.
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Nhs bariatric weight loss course educator 'neil' is promoting steady and sustainable weight loss. I'm losing between 1-2lb per week and only more when week before is no loss due to water retention.
The more injected insulin the worse the stomach water retention. Off to see dn to see if using legs would be better for injection site?
A deficit of 100cals might help to move your lose again but can you sustain it?
Remember fat is 9cals compared to far less for protein etc. Maybe a tiny less fat in your great diet could be enough.
 
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