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<blockquote data-quote="Pipp" data-source="post: 1945256" data-attributes="member: 100904"><p>Hello, [USER=80461]@lisa5466[/USER] and thank you for tagging me [USER=91555]@Alison Campbell[/USER] . Sorry for late response.</p><p>[USER=80461]@lisa5466[/USER] I understand your dilemma. I have been there, still wearing out the T shirt. It can be frustrating, can't it. Well done at having had some success with the ND initially. </p><p>I don't think I have much to add, although I think the situation of not maintaining the lower HbA1c results and regaining weight does illustrate the need to consider that ND is not just a short 8 week very low calorie diet, but the need to have a long term strategy after the calorie restricted phase.</p><p></p><p>Having seen increased BG after 7 years, and having had several courses of steroid meds just prior to the increase, I did need to look at my strategy. I had found that I maintained weight quite well with low carbing, but when I included unlimited cream in coffee, I felt a bit sick, and did see some weight gain. Of course, lots of factors have an influence. For me some of those are being post menopause, having other health conditions, and medication for those other conditions. Also I am limited in the sort of exercise I can do, but make regular use of swimming pool for swim and aquafit sessions, and an adapted gym for disabled people. I use hand weights too at home. Trying to make sure I don't lose too much muscle mass as I get older.</p><p></p><p>As [USER=91555]@Alison Campbell[/USER] mentioned, I have used very low calorie diet methods more than once. First time was in 2011, before the more recent published papers by the ND team. That resulted in massive weight loss 49 kg. Alas, I didn't know about low carb diets and so returned to low fat after and regained some 20kg. Blood glucose remained below diabetic levels until earlier this year. So if nothing else, I feel I have delayed by 7 years any onset of complications. I still have no obvious complications, retinopathy tests have all been clear, as have feet checks. I did go very low calorie using real food a few months ago. HbA1c levels are dropping again, slowly. Not sure if that can be attributed to very low calorie, longer term low carbing, or not having steroid meds for several months. That is the trouble when you change more than one variable at a time in any experiement.</p><p></p><p>If you are still reading, well done! I do go on a bit. I really believe we each have to find our own way through our own individual maze. You have used very low calorie diet before, if you feel that would help, then only you can decide if that is the way to go. I wouldn't advocate doing so on a regular basis. That would mean yoyo dieting. Much better to have a forever way of eating after you have completed the calorie restriction phase. Or, as others have said go low carb from the start. Whatever you decide I wish you well, [USER=80461]@lisa5466[/USER] . Please keep posting to let us know how you get on.</p></blockquote><p></p>
[QUOTE="Pipp, post: 1945256, member: 100904"] Hello, [USER=80461]@lisa5466[/USER] and thank you for tagging me [USER=91555]@Alison Campbell[/USER] . Sorry for late response. [USER=80461]@lisa5466[/USER] I understand your dilemma. I have been there, still wearing out the T shirt. It can be frustrating, can't it. Well done at having had some success with the ND initially. I don't think I have much to add, although I think the situation of not maintaining the lower HbA1c results and regaining weight does illustrate the need to consider that ND is not just a short 8 week very low calorie diet, but the need to have a long term strategy after the calorie restricted phase. Having seen increased BG after 7 years, and having had several courses of steroid meds just prior to the increase, I did need to look at my strategy. I had found that I maintained weight quite well with low carbing, but when I included unlimited cream in coffee, I felt a bit sick, and did see some weight gain. Of course, lots of factors have an influence. For me some of those are being post menopause, having other health conditions, and medication for those other conditions. Also I am limited in the sort of exercise I can do, but make regular use of swimming pool for swim and aquafit sessions, and an adapted gym for disabled people. I use hand weights too at home. Trying to make sure I don't lose too much muscle mass as I get older. As [USER=91555]@Alison Campbell[/USER] mentioned, I have used very low calorie diet methods more than once. First time was in 2011, before the more recent published papers by the ND team. That resulted in massive weight loss 49 kg. Alas, I didn't know about low carb diets and so returned to low fat after and regained some 20kg. Blood glucose remained below diabetic levels until earlier this year. So if nothing else, I feel I have delayed by 7 years any onset of complications. I still have no obvious complications, retinopathy tests have all been clear, as have feet checks. I did go very low calorie using real food a few months ago. HbA1c levels are dropping again, slowly. Not sure if that can be attributed to very low calorie, longer term low carbing, or not having steroid meds for several months. That is the trouble when you change more than one variable at a time in any experiement. If you are still reading, well done! I do go on a bit. I really believe we each have to find our own way through our own individual maze. You have used very low calorie diet before, if you feel that would help, then only you can decide if that is the way to go. I wouldn't advocate doing so on a regular basis. That would mean yoyo dieting. Much better to have a forever way of eating after you have completed the calorie restriction phase. Or, as others have said go low carb from the start. Whatever you decide I wish you well, [USER=80461]@lisa5466[/USER] . Please keep posting to let us know how you get on. [/QUOTE]
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