Dietician's advice at odds with everything I've read

[Bertyboy]

16:58 : 6.6
Think I'm sorted! It's a Christmas miracle

Will push the boundaries tonight with some un-bolused biryani.....just to see.

 

[Bertyboy]

I discovered that a biryani, curry, a bit of naan and some sherry trifle raises my BG, but only from 6.6 to ~9. I'll confess I did have a mini bolus (2u Novorapid) when I realised the trifle also had bananas in it and was quite sweet.
Haven't eaten yet today (didn't leave the pub until 3pm and clearly had enough wine and gin&slim to give me a stinking hangover!) and it's back down to 6.0.
So, a one-off bit of deliberate naughtiness (carbs, sugar, booze and not following insulin advice), and I'm normal (glucose-wise).
I'm not even sure if that has answered any questions. However, I'm pretty sure I'm not Type 1 as initially diagnosed.

 

[Bertyboy]

I've just had a palak paneer (paneer, spinach, tomatoes, an onion and spices). Just tested and 10.8. That's a 4.8 change over the course of a relatively low carb meal. I give up...I've no idea what's going on.

 

[ringi]

Don't give up, avoid all grains and as many other high carbs food/drinks as you can. Use your insulin if needed to get back to under 10 to stay safe, and collect lots of data for the consultant. Also, try to take a 10-minute walk after each meal with as long a time as possible between the last meal of a day and the first meal of the next day. If it fits in with your life, make dinner as early as you can.

 

[Bertyboy]

Don't give up, avoid all grains and as many other high carbs food/drinks as you can. Use your insulin if needed to get back to under 10 to stay safe, and collect lots of data for the consultant. Also, try to take a 10-minute walk after each meal with as long a time as possible between the last meal of a day and the first meal of the next day. If it fits in with your life, make dinner as early as you can.

Meals are typically about 8:30pm (when I get in from the office) and 1pm, so well spaced.

 

[Chuckannuck]

Which would explain why she was interested in trying to treat it as type 2, without insulin (which would suit me just fine!). But she was even suggesting that for type 2 diabetes, low carb is not really that necessary, that it is better to have a standard balanced diet with less of everything. Which is the usual "everything in moderation is good for you", not a specific restriction.

With all due respect to the medical profession and the amazing things they've done for us all, I suspect they are inclined to drinking their own bathwater at times. (Not unlike the rest of us.)

If I were you I'd ask the dietician next time where her approach will get you, healthwise. If it is getting you to a lifetime of 'management' and you are not ready to accept that until you have exhausted your options for putting your T2 into remission, then you might want to find someone who can help get you where you want to go.

Many in the medical profession still consider T2 to be a chronic condition and 'management' with insulin to be the only treatment option. I'm no doctor but this appears to be at odds with the evidence. I does seem clear that people are being succesful at reversing their T2 and that the sooner in the progression of the condition the easier it is to reverse.

That can be a big deal not a small deal when you have T2.

Good luck.

 

[Bertyboy]

With all due respect to the medical profession and the amazing things they've done for us all, I suspect they are inclined to drinking their own bathwater at times. (Not unlike the rest of us.)

If I were you I'd ask the dietician next time where her approach will get you, healthwise. If it is getting you to a lifetime of 'management' and you are not ready to accept that until you have exhausted your options for putting your T2 into remission, then you might want to find someone who can help get you where you want to go.

Many in the medical profession still consider T2 to be a chronic condition and 'management' with insulin to be the only treatment option. I'm no doctor but this appears to be at odds with the evidence. I does seem clear that people are being succesful at reversing their T2 and that the sooner in the progression of the condition the easier it is to reverse.

That can be a big deal not a small deal when you have T2.

Good luck.

I presume an NHS dietician has a prime objective to save them money, which means reversing diabetes at the earliest possible opportunity. I can't imagine that long term management is high on their desired outcomes.
And to be fair to the young lady I saw, it was her that brought up my GAD result and realised that the type 1 diagnosis was probably a mistake and that I might want to try a non-insulin approach (it was a diabetes nurse who poo-pooed that, although I'm trying it as far as is safe anyway). It's good to know not everyone thinks insulin is the only solution and that good diet might be the answer.

 

[Chuckannuck]

I presume an NHS dietician has a prime objective to save them money, which means reversing diabetes at the earliest possible opportunity. I can't imagine that long term management is high on their desired outcomes.
.

Good on you for taking note of the dedicated professionals who helped you.

I'd be careful, though, in assuming that organizational self-interest is your protection against outmoded thinking or ineffective practices. My experience with pre-d was that educating myself, taking responsibility for my own health, asking questions and taking action were what turned around my health outcomes, not following official guidelines.

Right or wrong the NHS will get more money. Can you say the same about your health?

 

[SueJB]

OK, in addition to the soup 2 hours ago, I've had some nuts. I've also had a large glass of red wine, which may have been a bad idea.
Anyway, new reading is.....7.8!
I think I've been sold a duffer! I feel like celebrating with some Kendal mint cake (joke...joke!)

Well done anyway and great to see a glass of wine