Hi,
I am a type two diabetic, with a spinal problem, that stops me from walking more than 50m or standing very long - 30 secs to 1 minute. The spinal problem is operable but need to lose weight before the orthopaedic surgeon will feel the surgical risks are minimised.
After a series of appointments with my 8th dietician, in 2 NHS trusts, I have been following a Low Carb diet (after 10 years of asking) since early May 2014.
I have become quite cynical about NHS dietary advice after discovering that the advice for eating starchy carbohydrates promoted weight gain, and then found the dietician had given me the wrong insulin advice for five years after she acknowledged the wrong carb count insulin advice was in her handwriting. I found I was taking 90 units of NovoRapid per day for 5 years!
The first question I asked the latest dietician was "Do you give dietary advice for diabetics who have impaired metabolism, and is this different to dietary advice you give people whose metabolism is not impaired by diabetes". She was unable to answer this question even though I asked it verbally twice, and then in writing.
After asking in writing the third time, her written reply rather took me by surprise, it said:
"Diet advice for diabetes and for healthy individuals (as it is the same principles) is not based on someone with impaired metabolism. I am not sure I can fully answer your question ‘why haven’t you lost weight on 1500kcal’
For the past 15 years I have followed advice from the dietician, and have averaged 1500 calories per day. When presenting detailed food records and asking what should I change the answers have always been "Not much".
On this new low carb diet I am averaging 900 calories or less (with carbs target of 50g of carbohydrate per day). My recent extremely close adherence and detailed recording of my low carb diet, medication etc has confirm that my low carb diet works on a couple of important levels.
I feel fantastic again.
Blood sugars are very good insulin requirements now in the 0-3 range.
But I have gained 5 kg. the dietician and her colleagues are as mystified as I am
Question 1 as a type 2 diabetic with impaired metabolism is the dietician so last written response correct or is it questionable advice?
Question 2 do low carb diets actually work on type 2 diabetics?
Question 3 are there any other tests of the endocrine system worth having, e.g. thyroid?
I am a type two diabetic, with a spinal problem, that stops me from walking more than 50m or standing very long - 30 secs to 1 minute. The spinal problem is operable but need to lose weight before the orthopaedic surgeon will feel the surgical risks are minimised.
After a series of appointments with my 8th dietician, in 2 NHS trusts, I have been following a Low Carb diet (after 10 years of asking) since early May 2014.
I have become quite cynical about NHS dietary advice after discovering that the advice for eating starchy carbohydrates promoted weight gain, and then found the dietician had given me the wrong insulin advice for five years after she acknowledged the wrong carb count insulin advice was in her handwriting. I found I was taking 90 units of NovoRapid per day for 5 years!
The first question I asked the latest dietician was "Do you give dietary advice for diabetics who have impaired metabolism, and is this different to dietary advice you give people whose metabolism is not impaired by diabetes". She was unable to answer this question even though I asked it verbally twice, and then in writing.
After asking in writing the third time, her written reply rather took me by surprise, it said:
"Diet advice for diabetes and for healthy individuals (as it is the same principles) is not based on someone with impaired metabolism. I am not sure I can fully answer your question ‘why haven’t you lost weight on 1500kcal’
For the past 15 years I have followed advice from the dietician, and have averaged 1500 calories per day. When presenting detailed food records and asking what should I change the answers have always been "Not much".
On this new low carb diet I am averaging 900 calories or less (with carbs target of 50g of carbohydrate per day). My recent extremely close adherence and detailed recording of my low carb diet, medication etc has confirm that my low carb diet works on a couple of important levels.
I feel fantastic again.
Blood sugars are very good insulin requirements now in the 0-3 range.
But I have gained 5 kg. the dietician and her colleagues are as mystified as I am
Question 1 as a type 2 diabetic with impaired metabolism is the dietician so last written response correct or is it questionable advice?
Question 2 do low carb diets actually work on type 2 diabetics?
Question 3 are there any other tests of the endocrine system worth having, e.g. thyroid?