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Message: <blockquote data-quote="Pipp" data-source="post: 2391304" data-attributes="member: 100904">Hi [USER=441855]@Anfalas[/USER] , I seem to remember in previous threads, you mentioned being started on insulin?So, did that happen? Are you on other meds? Helps to know a bit of background when giving advice. How much weight do you need to lose, and is there a time limit for you to do so, if you want to have a baby?As others have mentioned HbA1c of 69 is not going to be too difficult to reduce, but how long have you had diabetes, and how has that HbA1c changed over time?Regarding the Very Low Calorie diet, if you can stick to it, you can see quick results. It is recommended only in the early years following diagnosis. Although some regard it as ‘a starvation’ diet, all nutrients are provided in the meal replacement products, especially if you follow the advice to include a small amount of oil (this prevents gallstones forming, or increasing in size if already present) and some green vegetables. However, it does require discipline, and support. I did not feel hungry or deprived. I found the social aspect most difficult, in that most social occasions include an element of eating and drinking, and some people cannot understand why you are refraining from joining in. Also, where many people fail is that they regard it as a one off, short term, fix. It is not. It is important to have a for ever follow on way of eating, for life. If you return to your previous way of eating you will have wasted your time, and will gain the weight back , plus some more.Having experienced the use of VLCD / Total food replacement, albeit 10 years ago, I found that I did lose weight and very quickly regained non-diabetes blood glucose levels very rapidly.  I didn’t have a follow on plan, and did regain some weight. That was mainly due to a different medical condition, two major surgical procedures, over a couple of years,  and immobility and dependency on hospital food and others catering for me. More recent years I have, and recommend low carb way of eating. This maintains, usually, good BG levels, though I do still struggle with weight issues.In addition to lowering carbs, you could try intemittent fasting. The definition of starvation is interesting:<a href="https://www.dietdoctor.com/intermittent-fasting" target="_blank">https://www.dietdoctor.com/intermittent-fasting</a>Whatever you decide, it is important that you make an informed choice, relevant to your individual circumstances, so have a read around the forums, and do your research, rather than being limited to the choice your nurse has offered.</blockquote>

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