Exercise

[lesley1960]

This is on behalf of my husband , who has for the last few weeks been using a personal trainer ( he is type 2 has been for about 7 years , Dr has warned him he might end up on insulin , I found this site what an eye opener )

Today his gym has sent him a diet plan , its not too bad , although it is tending to be on the low fat , more carbs side of the fence

And apparently its a myth that you need to avoid sugar at all costs abd that you have to cut down on carbs :roll:

and apparently high protien causes insulin resistance :shock:
:roll: :roll:

Can you comment on the following recommendations please

Cottage cheese?

Whey protien

whole grain cereal

meal replacement shakes

is mixed bean salad ok

plus multi vitamins , plus vit C plus Tribulus Terrestris plus L-Glutamine

Suggests he eats unhealthy food early in the morning , as your body has a better insulin response in the morning? ( morning is best time to eat sweet foods ) .........Oh's readings are highest then


oh and after training have half a bagel with 2 TABLEspoons of honey !!!...............One other thing his blood sugar levels are higher after exercise

For the last 6 weeks we have been following a low carb , high fat diet , and we have both lost aroound 10llb , but more importantly we feel better and his readings are quite often in the 6's , so we must be doing something right ( I have a wheat intolerence/ IBS )

 

[Topsec]

Forget what his trainer is telling him, it's the usual low fat rubbish! To be honest what does a personal trainer know about diabetes, unless he has it himself and is keeping his bg's low with low fat :thumbdown:

The last six weeks has proved to you it works and if you are happy with it, why change

 

[Grazer]

Overall, I think he'd do best carrying out the exercise but sticking to his low carb diet. From the figures you give us, it seems to be working.
The "Better insulin response in the morning" - MOST type 2's seem to be the opposite. I'm one of those who ARE better in the mornings and can eat a big bowl of cereal. Most can't have many carbs in the morning at all without high Blood Sugar peaks. I get my issues having carby food later. Overall, I think your husband needs to test to see if he's a "morning" person or not.
The meal replacement shakes - some on here follow the "Newcastle" diet and have meal replacement shakes, but that's ALL they have largely! They have quite a lot of carbs in these shakes so if you have the other foods as well, i think you'll be getting high BGs and undoing your good work. Whole grains in general are better than refined cereals and flours, but the cereal itself has a lot of carbs. You need to look at what's in the cereal, and check (in my view) the GI of it.
Cottage cheese is fine I believe. But so is any cheese.
Don't know about whey protein.
Why all this protein stuff in shakes and whey protein etc? Is he trying to get fit and lose a bit of weight, or is he trying to be a body-builder? Why not eat good old steak and eggs? Don't worry about the fat in that, it's the high BGs that will do him in.
Mixed bean salad sounds ok.
Some people think honey is a wonder food. I wouldn't touch it, certainly not on a bagel.
It is quite common for BGs to rise after exercise. As BG drops during exercise, the liver compensates by releasing Glycogen into our blood to give us the extra energy we require, resulting in higher BGs. This doesn't last super long, and the exercise makes it worth while. I tend to prefer either short term (ten minutes) hard exercise to bring my BGs down without a liver dump, ( which is how it works for me at least) or a longer steadier exercise (Golf!) which brings it down steadily and doesn't result in a rise in BG.
If the personal trainer is to help with weight, remember a low carb diet will do that anyway!
Rambling a bit really, but mixed thoughts on it all.....
I think you need to decide the clear Objective of the diet, and settle on a food plan accordingly.

 

[lesley1960]

Tbh
I posted here after deleting the reply i was sending the training , and to be fair to him , the plan isnt that bad ( I was expecting worse )
My husband was panicked by the doctor who told him to lose 4 stone in 4 months , and apparently he told him not to eat ( I am going with him for the next appointment :wink: ).the doctor also prescribed appetite suppresion injections , he had no chance of him doing them he is terrified of needles , hence the panic when he was told he might have to go on insulin . He doesnt need am appetite suppresent anyway , hes not a picker of food and has strong willpower

I'm not sure why he picked the trainer , except of course you have more motivation when you have someone pushing you , and he is enjoying it

I wish I had found this site when he was first diagnosed , I try to preach to others about low carbs , but then tend to look at me as tho I had 2 heads !

 

[LittleGreyCat]

Gone through pooint by poit for (hopefully) easier reading.

This is on behalf of my husband , who has for the last few weeks been using a personal trainer ( he is type 2 has been for about 7 years , Dr has warned him he might end up on insulin , I found this site what an eye opener )

Today his gym has sent him a diet plan , its not too bad , although it is tending to be on the low fat , more carbs side of the fence

In line with some NHS advice but not borne out by the experience of many on this site.
What looks like a healthy diet to a non-diabetic is in many cases quite the opposite.
Is the diet plan specifically for Type 2 diabetics - clearly distinguished from a diet for Type 1 diabetics?

And apparently its a myth that you need to avoid sugar at all costs abd that you have to cut down on carbs :roll:

Yeah - signs of a self uneducated expert?
While some personal and general fitness trainers are very good, others try and blag their way without doing the proper in depth research needed to provide accurate advice.
Not just on nutrition, but on different kinds of fitness training as well.

and apparently high protien causes insulin resistance :shock:
:roll: :roll:

I assume you are paying for this service?
Perhaps you can get these words of wisdom in writing along with suitable references to back them up?

Can you comment on the following recommendations please

Cottage cheese?

Fine - although "real" cheese is also fine if you are going Low Carb High Fat.

Whey protien

http://www.hollandandbarrett.com/pages/product_detail.asp?pid=100
Looks pretty good, actually, if you need to bang in protein without spending time cooking.
However as far as I know it is usually used to bulk up muscle for body building, whilst a normal exercise regime for a T2 (unless under weight) would tend towards weight loss through burning fat, and metabolic efficiency by building and toning muscle so I am not sure that this is required.

whole grain cereal

Better than cereals with cracked or milled grains, should be lower GI, it depends if your body can tolerate cereals which you can oly really establish by eating and testing.

meal replacement shakes

Depends on the contents I think they often tend to be carb heavy and are probably used to provide a standard non-diabetic meal without the bulk, helping with stomach shrinkage and breaking the routine of eating big meals.

is mixed bean salad ok

Oh yeah

plus multi vitamins , plus vit C plus Tribulus Terrestris plus L-Glutamine

Not usually necessary if you are eating a balanced diet with plenty of fresh vegetables, plus eating meat, eggs, cheese etc.
Is this personal trainer in any way involved in the supply of these supplements?
Or is it just the feeling that if you have to buy "special stuff" then it must be doing you good.

Suggests he eats unhealthy food early in the morning , as your body has a better insulin response in the morning? ( morning is best time to eat sweet foods ) .........Oh's readings are highest then

Now here there could be a grain of unintentional good advice, depending on what is regarded as "unhealthy" food.
Best time to eat sweet foods is just before and during exercise which will burn it off, but you need some pretty intense exercise to burn off anything really sweet.
However if you are doing LCHF then it is good to eat a good chunk of your protein and fat in the morning so that your body processes it as fuel during your active part of the day and it also discourages you from snacking because you don't feel hungry.

oh and after training have half a bagel with 2 TABLEspoons of honey !!!...............One other thing his blood sugar levels are higher after exercise

As already mentioned, your liver can dump glucose if your blood sugar dips during exercise.
As I understand it, T2 diabetics still have a working mechanism to dump glucose into the blood, but the one to monitor the dump and clear out excess glucose is no longer fully functional.
One thing that works for me - I eat malt loaf, butter and cheese (a sticky sandwich) just before exercise and this seems to work as a slow energy release during exercise.
My limited testing shows that if I do about a 3 mile run without eating beforehand my BG has risen by the end.
If I eat some malt loaf my BG tends to fall.

For the last 6 weeks we have been following a low carb , high fat diet , and we have both lost aroound 10llb , but more importantly we feel better and his readings are quite often in the 6's , so we must be doing something right ( I have a wheat intolerence/ IBS )

Yep - I would stop paying money to this personal trainer and spend it on decent food.
This forum can get a bit extreme on LCHF but the people who support it have generally found that it works for them.

The main thing I can recommend is to follow a sensible testing campaign, checking BG before and after exercise, and see which food types help to keep BG stable.

You seem to be on the right track with the overall diet as you are losing weight and feeling better.

Cheers

LGC