Need help, kick up the *** or something. Potted history

DCUKMod said:

@SlimLizzy - When you decide what you're going to eat; what are your deciding factors? Do you do a calorie count up beforehand, or is that count on a retrospective basis? Have you had another HbA1c test since you were diagnosed, to understand the impacts of your dietary trimming?

Secondly, even at 12-1600 calories a day, that doesn't "feel" to me like very much.

You are I are of vaguely similar volumes. I am 1.60cm, weighing in at c48-49kg. I eat LC, but not necessarily that LC. I don't count my carbs or calories regularly, but on the few times I have counted calories, I eat 2000-2500 in order to maintain my weight. Maybe you just need to eat a bit more of everything.

I don't have ABS, but if I overdo the fats, I end up with steatorrhea, which isn't pleasant. If I'm finding my weight slipping, I have to up my fats, but slowly.

Have you had a decent broad spectrum of blood tests, to test your vitamin levels and for any malabsorption issues?

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Sue192 said:

I hope the doctor was a little more helpful today, and that you are perhaps feeling a little better? (Depending on their attitude of course.)
On the subject of cottage pie, I thoroughly recommend this https://www.dietdoctor.com/recipes/keto-shepherds-pie - I realise that the recipe may be too fatty for you but the topping is yummy, never mind the underneath! I usually reduce the fat/cheese/cream content in dietdoctor recipes as it's sometimes too much for me, and none have suffered in taste.

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JAT1 said:

Hello SlimLizzy. I can relate immensely to your problem. I'm underweight too, however I have not lost any further weight for 6 months now, basically since the time I was diagnosed Type 1. I don't have IBS but if I eat too much I get painfully bloated. I keep my weight up by eating at least 900 grams of cheese (33%fat) every day !!! That's in addition to my regular meals. I tried to lower my carbs but just ended up feeling too sluggish so I have approx 150 to 200 carbs a day, mainly from veggies and 2 to 3 fruit. I eat no starch stuff, only home-cooked and no sugar or sweets. I nibble the cheese slowly over the course of the day. The cheese gives me, according to the package 3600 additional calories a day. You have to find something fatty you can eat so you don't lose more weight ! Maybe nibbling would help you as it does me. I am nearly always eating!

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PenguinMum said:

Hi @SlimLizzy I am far from being qualified to answer your questions. The standard reply to losing too much weight when low carbing is to increase fat. However because of your longterm IBS that seems to be reactive for you. I am someone who just cant eat a lot of dairy esp cheese which is fat heavy in even small quantities. However there are other fats like oily fish (fresh or canned), meat is a big one and nuts (which can be carby). I just wondered which fats affected your IBS most, might be worth exploring. All the best.

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