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I have no idea what to cook any more

mary01

Newbie
My husband has just been diagnosed with Type 2 (2 weeks ago). The diabetic nurse was totally useless - she was running 20 minutes late so was in a rush. She weighed my husband (at 6 foot and 10 stone 6 he wasn't exactly overweight) and said that he needed to lose weight because "all diabetics do". She then said the "type 2 diabetes is entirely self inflicted" and without even questioning diet or exercise told him he'd have to change his lifestyle radically. She gave us two copies of Diabetes UK magazines, one of which contained recipes, a prescription for Metformin 500 to be taken twice a day and a form to return for a blood test in 3 months. And that was the end of the consultation.

We went into Boots and bought a meter to test his blood sugar (we felt we needed to be proactive and try and do something constructive).
The magazines are supposed to be really helpful, but all the things it tells you to do, we're already doing. We walk a mile every night after tea (my husband has now increased his walks to 5 miles), eat red meat once a week, brown rice,pasta and bread etc so all we can do is eat tiny portions (we're now eating off side plates and half-filling them).

Yesterday he had 3 tablespoons of porridge (made with water because milk is "bad") for breakfast, a carrot chopped into sticks and a stick of celery for lunch, and a vegetable chilli for dinner with a mound of vegetables (no rice or anything else). I followed the recipe (from the diabetes uk booklet) exactly to the gramme. He had one cup of coffee (black) and dozens of glasses of water (it seems to be the only thing you can drink without upping your blood sugar level!). I know he's not eating enough and the weight is dropping off him (which will please the diabetic nurse!) but at 10pm his blood sugar was 10.4. It had dropped to 9.2 this morning but that's nowhere near the 4-6 recommended by the diabetic nurse.
The Diabetes Uk booklet goes on about eating out,eating well etc. etc. but that's just an impossible dream - all the things it says you can eat, just put his blood sugar up (the Metformin doesn't seem to alter it a lot) and the blood test result needs to be below 48 in 3 months (it was 104), so it has to come down radically.

At this rate, he will have starved to death in 3 months (perhaps that's how the diabetes problem is solved) - he looks terrible and has no energy for anything (he has to drag himself out for a walk and how he forces himself to walk 5 miles at a brisk pace I have no idea).

I am in despair - I have no idea what to feed him as I can't use any of the recipes in the booklet without sending his sugar level up, the diabetic nurse is totally unhelpful and short of taking him to A&E and saying he collapsed (in the desperate hope that someone will help) I have no idea what to do. It's made worse because my Grandmother had diabetes in the 1960's and literally starved to death because there was little treatment or help.

People talk about going on holiday, eating out and having a normal life. None of that is likely to happen for us ever again - my husband says he'd be better off dead so that our son and I can have a life. I really thought diabetes treatment had improved and that a normal life was possible, but right now it feels like fake news.
 
Hi @mary01. The nurse sounds stereotypically about as useful as an ashtray on a motorcycle. They’re all very nice people of course, but a sizeable majority seem unfortunately misinformed.

I’m no medical professional but my advice is to check out the low carb forums here. You are in safe hands now so stick around! What you can’t learn here isn’t worth knowing.
 
Hi and Welcome to the forum, I will tag @daisy1 for her welcome pack that has useful info for Type2 diabetic.

First off there is absolutely no reason to give up, I've been Type 1 for 50+ years and it does not stop me doing anything and I'm sure there will a few Type 2 along in while yo say the same thing.

Yes it is a bit if a shock being diagnosed but there is loads of useful info both in the forums and on the main page.
 
Hello @mary01 and welcome

Have a good look round the forum, there's lots of useful advice, for ideas have a look at this website: https://www.dietdoctor.com/low-carb/recipes

There is a keto porridge which I have every morning with blueberries, not as stodgy as real porridge but very satisfying.

Lots of folk around to chat to and get support from so hope things get easier soon for you both.
 
This might sound counterintuitive because it will be higher in fat that other things he might be used to eating, but to keep your blood sugar nice and stable, try eating like this:

Breakfast: 2 -3 eggs, bacon and cheese if you wish, avocado, tomato, mushroom, spinach if you want some vegetables. If you can find a way to make your own bread (look on youtube for "No Knead Bread - Jim Lahey" for a really easy one) or if you can make sourdough, even better, and only have a half slice or skip the bread all together for a while. Supermarket breads tend to have more carbs because they are sweetened with malt and other things which will spike your blood sugar more so stay away if you can.)

Lunch: Roast pork / beef / lamb with, let's try, broccoli, cauliflower, green beans. If you want potato, or pumpkin or carrot (more carbs in those), the portions have to be very small initially until the blood sugar settles. I had one slice of sweet potato with my roast lamb today and that was okay for me. One whole white potato can be more than enough carbs for the whole day for those who are on a very low carb diet (20 grams per day). So half a potato and a small amount of pumpkin would be enough. If he's hungry, tell him to enjoy more meat, and also eat the fat with the meat - it should help with the bowel movements when there is less vegetable fibre in the diet. And check out this website for more help https://www.dietdoctor.com/low-carb

Dinner: Fish (eg. fresh salmon / tinned tuna) and salad: leafy greens, tomato, cucumber, capsicum, olives, feta cheese, pine nuts, pepitas (pumpkin seeds). You could have a 1/2 cup of tinned lentils as a carb to add to this but if he's still hungry, eat more fish, cheese or salad to fill up.

And don't starve him! He needs to eat till he is satisfied (not stuffed, but don't go hungry either) and limit (or completely skip) the bread, potato and pasta for now and eat more of the meats (with the fats), cheese, yoghurt (not sweetened - try plain yoghurt to accompany mince if you have never tried it - I add raw garlic to mine and it's good ) and fresh vegetables to fill up on. Watch out for fruit though. I would skip the fruit for a while too until he works out how to get his levels down then slowly reintroduce a small piece here and there and watch how it affects him.

And don't fear the fats on the meats. There are new studies disproving the fear around fats causing heart disease. And eating the fats won't affect the blood sugar at all either. https://www.dietdoctor.com/can-eating-fat-lower-cholesterol

Anyway, the website I have already linked above has tonnes of info to help you reduce or cut out the carbohydrates so you can get your blood sugar under control again. https://www.dietdoctor.com/low-carb/keto/20-50-how-much

All the best!
 
Hello and welcome,

Sadly the nurse is in need of either a holiday or re-training.

Well done for buying a meter. You can now start to use it to test out your (his) food choices to see if anything raises his blood sugar levels and can be tweaked somehow. Test immediately before he eats and again 2 hours after first bite. Keep a food diary including all ingredients and portion sizes. Record the levels alongside the food and look for patterns. Look at the difference between the before and after readings and keep this under 2mmol/l MAXIMUM. It is preferable to be a lot less than that. More than that and there were too many carbs in that meal.

There is 100% no need to starve or be hungry. It is necessary to seriously reduce the carbs, and that includes the so called healthy options of breakfast cereals (porridge), rice of any colour, bread of any colour, pasta, pastry, anything made with ordinary flour, potatoes. These are the main culprits, along with most fruits. The good news is that fats will not raise blood sugar levels, and as the carbs are reduced so the fats must be increased (like a sea-saw) in order not to lose weight (in your husband's case) and to provide satiety and energy. So go ahead and use butter, cream, full fat plain yogurts, mayonnaise, and dispose of any low fat products in your cupboards.

He can eat any meat and any fish that isn't coated with anything and doesn't contain cereal fillings, plenty of eggs, bacon, full fat dairy, most vegetables that grow above the ground, mushrooms, a tomato, high meat content sausages, berries such as raspberries and strawberries. Dietdoctor.com lists some foods ......

https://www.dietdoctor.com/low-carb/foods#foodlist
https://www.dietdoctor.com/low-carb/foods#foodtoavoid
 
Hi @mary01,

I'm not on the forum often at the moment, but I couldn't not respond to this. I've been a T2 for 2,5 years, and I know exactly how your husband feels. Guess what? I was in restaurants both on Saturday and Sunday and ate very well, thanks, and will be having a romantic dinner with my wonderful husband this evening! Yay, it can be done! I'm more active now than I could be before diagnosis, and I went from upper 70's to a HbA1c of 33. That's well into the non-diabetic range. I'm not on any T2 medication, not for cholesterol either. So you two are clued in on a couple of things already: You know testing is important because the meter is telling you things you REALLY need to know. And, metformin isn't doing anything about what is being eaten (And it isn't, it just affects how much glucose the liver dumps), and food is impacting bloodsugars, so if Met isn't doing anything, changing food will. Conclusion you came to on your own, as like so many of us, you're pretty much left to fend for yourselves. I wrote a little "nutritional thingy" a while ago (https://www.diabetes.co.uk/forum/blog/jokalsbeek.401801/) , which contains basically everything I wish someone'd told me when I was first diagnosed. I would've been a lot less scared, depressed, and convinced I was half dead already.

Your husband is going to be okay. You'll get through this together.

Okay, I'm off again, as I have a dinner to prepare for... And I doubt they'll approve of a pink robe.
Be well.
Jo, slinking off into the shadows again
 
It a real shock to get the news, but tell him not to despair. Others have reversed the diagnosis with a change in diet and lifestyle.

The first thing to know is that there is lots of conflicting diet advice out there. A lot of it from organizations that are supposed to know what they are talking about.

I can tell you that carbohydrates play a big part in your blood sugar as they rapidly turn to sugar in your bloodstream. You have done the right thing getting a glucose meter and now you need to learn to use it to help identify what food/drink he reacts to the most.

I can tell you that my reversal was via the low carb and regular exercise route. I immediately stopped all sugar in tea/coffee. Stopped bread, pasta, rice, potatoes, cereals (wheat, oats), beer. This combined with 30 mins fast walking 5 days a week resulted in a reversal after 3 months.

For breakfast try him on Scrambled eggs cooked in butter or Streaky bacon & eggs
Main meals: Salmon, Oily Fish, Chicken, Rib Eye steak all with leafy green veg such as Kale, Spinach,Cabbage etc

Search Youtube for Beat Diabetes, Dr Eric Berg and my favorite KenDBerryMD all have loads of practical advice to help him.
 
To begin with the advice seems horribly contradictory regarding diet. The NHS pushes low fat and starchy carbs but all that did to me was make me very ill whereas low carb, moderate protein and lots of healthy fats like butter and fish and animal fat etc made me well again. You have lots of good links now and I agree with others that hanging around here and reading through the low carb forum will be very helpful for your husband.
Best of luck to you both.
 
Bin the magazines and stick with the advice above. Quite frankly telling a carb intolerant person (type 2 diabetic) to eat carbs is ridiculous if not damaging.

I know much of the “eat fat and ditch whole grains” will go against what we’ve all been told for years but it works. And the current official advice isn’t working.

Some moreover links so you can take a good look at low carb high fat methods of eating (keto is just a version of this). It helps many of us lose significant amounts of weight, if desired, keep our numbers down and for some even eliminate medications and achieve remission and reduce or improve complications. Try clicking these links for more detailed explanations that are well worth readings

https://www.diabetes.co.uk/forum/blog/jokalsbeek.401801/ for info including low carb made simple

And https://www.diabetes.co.uk/forum/category/success-stories-and-testimonials.43/ to show it really works and for motivation

and https://www.diabetes.co.uk/forum/threads/what-have-you-eaten-today.75781/ for food ideas

also https://www.dietdoctor.com/ for more food ideas and general info of carb content of foods. Lots of other websites for recipes out there too. Just use the term low carb or keto with whatever you fancy.
 
Your nurse is giving very poor advice without finding anything about your husband
"She weighed my husband (at 6 foot and 10 stone 6 he wasn't exactly overweight) and said that he needed to lose weight because "all diabetics do". "
Your husband is not overweight. Between 10 and 15% of Type 2 Diabetics are not overweight. "all diabetics do" is advice based on ignorance.
"type 2 diabetes is entirely self inflicted" and without even questioning diet or exercise told him he'd have to change his lifestyle radically."
No it isn't. How does she know he needs to change his lifestyle if she does not know what his lifestyle is? Again advice based on ignorance.
You will probably find (I did!) that much advice on diet is based on losing weight, wheras for your husband I think it needs to focus on lowering blood sugar. As the advice you have been given so far on this forum says, carbohydrate will raise blood sugar. Fat and protein will (largely) not. Well done on buying a meter. As suggested above, keep a food diary with measurements before and after a meal and you will probably see this for yourselves.

I think your husband is bound to feel hungry eating only what is in the daily eating plan you have given. I would be starving!
If he likes meat, fish, eggs, cheese, most vegetables then eat them!
It is likely that his diet will change from before the diagnosis (removal of carbohydrates) but it will (must) still keep many things that he enjoys eating.

"and the blood test result needs to be below 48 in 3 months (it was 104), so it has to come down radically"

I presume this is what the nurse said. I suspect it will not come down much on the diet suggested by her (through the magazine). But you will be able to reduce it with some of the changes suggested in posts above.To say the it "needs" to be below 48 in 3 months is again not helpful. Yes you would like it to come down from the current level, but it is much more constructive to focus on shorter term targets that you can measure with your meter. So if currently he is over 10 after a meal, what happens after (an enjoyable) meal that has protein and fat but reduced carbohydrate. Doing this you can find meals he enjoys but also work for his blood sugar. It is these small steps and targets that you can do something about - if these are working, then the 3 month test can take care of itself.

Diagnosis can be depressing and scary (especially when given such incompetent advice) but many people on this site have improved dramatically and have a full life with enjoyable food. Reading their stories on this site can be inspirational.
 
My Hba1c went from 91 to 47 in 80 days, and I wasn't really trying, to be honest.
I eat a low carb diet, and really enjoy it.
In the hot weather we had last year I ate a lot of salads as my first meal of the day - a bag of prepared green salad with coleslaw or mayonnaise or a flavoured oil and vinegar dressing - plus walnuts, radishes, celery, cucumber - whatever I had in the fridge, then boiled eggs and cheese or cold meat or fish, and coffee with cream.
After that I did not feel hungry all day, but in the cold weather I ate a lot of bacon and eggs, or sausages, chops, chicken thighs - with a stir fry of mushrooms, courgettes, aubergines, sweet peppers - also I like frozen cauliflower, steamed, then put into a warm dish and covered in cream cheese then a grated hard cheese - you can add all sorts of herbs or spices, or a sprinkle of blue cheese or parmesan, then cover and keep warm in the oven until the cheese melts.
I suggest - with Hba1c over 100, keeping clear of all grains no matter what colour, starchy veges and high sugar fruits - I have a small amount of frozen berries, the lowest carb I can find, with cream, after dinner.
 
I probably eat tastier, so called naughtier food now than before diagnosis and have reduced my HbA1c from 69 to 52 to 37 in two three monthly steps. I certainly don't let T2 define me.......if I fancy a beer or a McFlurry or something I will probably quickly test and if below about 8.0 I go ahead and treat myself.

Lost about 11 kilos......although to be fair at 6'10 and 149kg it was there to lose

Cut back on the cigarettes from 25/day to about 8/day and now drink alcohol twice a week instead of 5 times

I have 2 consecutive days per week of fish and NOTHING but fish and try to not consume anything but water during a ten hour night time block(say 10pm to 8am).
 
D nurse sounds horrendous! So sorry OP's husband was inflicted by that spiel!

Re the 'must reduce Hba1c' it is good to have a target. I presume the nurses have been told to provide targets to newly diagnosed? But she clearly phrased that badly!

OP doesn't say what husband's BMI is. If over 25, then yeah, weight loss could help? (I know you have height and weight so I should be able to work it out myself but am feeling lazy at the mo, sorry).

Does the local NHS offer a diabetes education programme? X-PERT or DESMOND etc? They're not as helpful as this place, but have some good info.

Good luck! He will definitely get better if he tests to his meter and modifies any menus where his blood glucose spikes (>2, 2h post first mouthful).
 
I hope you are feeling a little better about things now after reading the above comments. You must have been so worried.

The only thing I would add is check out Ditch the carbs as this website is brilliant too. Check out reversing diabetes videos on you tube too.
 
All the talk of starving us, is nonsense

I ate the way the NHS suggested, hated it and got worse .(HBA1c 56...went to 57. :***

Gave up after 6 weeks..joined here took a few bits on board, felt better in myself..then just dived on in.
And now eat very well, rarely hungry, eat bIggish meals, just feel the NEED to eat, less often now I'm on LCHF.

PLEASE tell him it's a change of diet AND a change of mindset .... to help him challenge the accepted advice we have all taken as gospel all these years,
and realise it's all just COW DUNG .

It's deffo not a death sentence, and once he's eating better, you might even be struggling keeping up with HIM... lol.

ALL my bloodmarkers HDL. LDL. TRIGS, HBA1c..have improved eating less carbs AND MORE Fats ...who knew.
And I've lost 4 stone.

Do get him to read the forum, see what is not only achievable but HAS BEEN ACHIEVED by SO many
(See the signatures under many posts )

Hugs to you and him, for the dreadful feelings.
(I've Been there,
wife kept her worries quiet, but admitted she had them now)

....but life does get better...honest

X
 
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@mary01
Hello and welcome to the Forum Here is the Basic Information we give to new members and I hope you will find it both interesting and helpful.

BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 147,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
 
Hi. You've had lots of good advice so far from the posts. Be prepared to ignore the Diabetes UK diet advice (not this website). Although it is slowly improving it has traditionally given advice that will make diabetes worse as it's based on nonsense PHE mantra driven by the food industry. Focus on lower carbs and higher fat and protein. The carbs increase blood sugar and weight if you have too many carbs; fats and proteins have very little effect on those things. That leaves a wide range of foods to eat but, yes, anything based on grains must be kept down and that includes porridge, pasta, bread and so on. Metformin will help but the right diet is paramount. There are other tablets that can be added but see how things go at you next blood test and review. T2 can be 'self-inflicted' thru the bad Western diet but it covers a very wide range of causes that are not 'self-inflicted' and there also needs to be some genetic susceptibility so the nurse is just ignorant.
 
the book “Eat Rich Live Long” does an awesome job explaining LCHF diet while not focusing on recipes neccesarily

added - LCHF
 
I'm not going to repeat all the great comments that have been posted so far, but honestly you are in the right place for support and advice. In June last year my husband was diagnosed with a HBA1C of 122. We pretty much adopted the low carb diet straight way and by November his HBA1C had dropped to 41. We honestly couldn't have done it without this wonderful forum. We had a tough time around diagnosis due to complications and my husband was very low. Support on here got me through a very difficult period. It will take you both time to adjust, but you will get there. We now eat really well and still eat out regularly (although coffee and cake is now coffee and cream,). If anything, our life is better now than it was before. We are much fitter and healthier. Stick around and as a fellow supportive wife, I just wanted to send a hug your way.
 
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