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<blockquote data-quote="Weens12" data-source="post: 444424" data-attributes="member: 47205"><p>Welcome!. You've come to the right place. This forum has lots of members who can help and advise on diet and exercise based on real-life experience.</p><p></p><p>First off, think about changing your doctor if possible! GP Support varies enormously from practice to practice. You should have received some dietary advice, and support, and it's appalling that you have just been left to drift, with increasing medication.</p><p></p><p>The best advice you'll get on this forum is to change your diet and exercise. That way you may be able to reduce or eliminate your use of insulin, which is causing you weight gain. You may even be able to reduce or eliminate the need for oral meds, if you can stick at it.</p><p></p><p>If you have a meter for testing your blood, you can use it to find out what foods you eat give you high blood sugar. Test before eating and again 2 hrs after eating. This is to help you build up a picture of good and bad foods. Daisy will be along soon to give you information on the level you should aim for. You will quickly find out which foods cause you problems then you can reduce the portion size, or eliminate that food from your diet. After a while you will know all you need to know about the foods you eat, and you will only need to test the occasional new food, that you want to try.</p><p></p><p>If you can reduce the amount of carbohydrates (carbs) in your diet, you can gain much better control of your blood sugars with lower amount of medication. You will need to adjust your insulin accordingly. There are many folks on insulin who will be able to advise you on how to safely reduce it, while lowering the carbs in your diet, until you find a level which works and is acceptable to you. Carbohydrates are converted to glucose in the blood, and cause blood sugar levels to rise. Refined carbs are the worst offenders, they will raise blood sugar faster and higher than any other foods. You will need to reduce the carbs in your diet somewhat to reduce your blood sugars. This will also help with excess weight. Your insulin requirements will reduce, and instead on increasing, you should find your weight going in the other direction.</p><p></p><p>First start with the obvious, if you haven't already, and cut out sugary things including drinks. Cut out or cut down on the so-called refined carbohydrates such as white bread, potatoes (except a few new potatoes ), white rice and pasta. Anything white really! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /> You can also try switching to versions of these foods with a lower GI -i.e wholemeal bread, brown rice, and wholewheat pastas, but in smaller portions. If you had been given any advice by an NHS dietician, it would have been to each lots of starchy carbohydrates at every meal, as illustrated in the NHS Eatwell Plate. This advice might be ok for the general population but is completely stupid advice for a diabetic. Diabetics cannot properly metabolise carbohydrates. </p><p></p><p>Fats and protein, are not really a problem, so plan your diet around meat, fish, eggs, cheese and vegetables that grow about the ground. (the green leafy stuff), mushrooms. Root vegetables such as carrots, turnip, swede etc., can be eaten, but in smaller amounts. Nuts and seeds, cubes of cheese, salami, olives, eggs are good low-carb snacks, and small amounts of fruit - berries tend to be the lowest-carb fruits, and bananas the highest. I used to love bananas, but they don't love me anymore :cry: Bacon and egg is a good low-carb breakfast :shock: or Yoghurt with a small amount of fruit and tops with nuts & seeds. </p><p></p><p>If you like bread, you could switch to a lower carb bread, such as Livlife Seriously Seeded, which you can get in Waitrose, or in some areas in Morrisons supermarket. Or try Burgen Soya & Linseed bread from any supermarket.</p><p></p><p>You might be able to tolerate porridge or cereal for breakfast, but unless you test, you won't know. Everybody is different, and the difference is partly due to how advanced the diabetes is at diagnosis. </p><p></p><p>How low carb you want to go is up to you ... some people choose very low-carb 30g per day. Some are more moderate (up to 100g or 150g) - It all depends on what you want to do and the results you get testing. </p><p></p><p>What you should aim for is a daily level of carbohydrates that you are comfortable with, and that you can sustain over the longer term. </p><p></p><p>As for exercise, if you can't walk far at the moment, why not start with some swimming? Then move on to walking, as you lose weight.</p><p></p><p>Meantime, have a read of Daisy's post when it arrives, and keep asking questions. And browse the forum and the rest of the site for information to get you started. This all might sound daunting at first, but you'll soon grasp it. </p><p></p><p>Best of luck!</p></blockquote><p></p>
[QUOTE="Weens12, post: 444424, member: 47205"] Welcome!. You've come to the right place. This forum has lots of members who can help and advise on diet and exercise based on real-life experience. First off, think about changing your doctor if possible! GP Support varies enormously from practice to practice. You should have received some dietary advice, and support, and it's appalling that you have just been left to drift, with increasing medication. The best advice you'll get on this forum is to change your diet and exercise. That way you may be able to reduce or eliminate your use of insulin, which is causing you weight gain. You may even be able to reduce or eliminate the need for oral meds, if you can stick at it. If you have a meter for testing your blood, you can use it to find out what foods you eat give you high blood sugar. Test before eating and again 2 hrs after eating. This is to help you build up a picture of good and bad foods. Daisy will be along soon to give you information on the level you should aim for. You will quickly find out which foods cause you problems then you can reduce the portion size, or eliminate that food from your diet. After a while you will know all you need to know about the foods you eat, and you will only need to test the occasional new food, that you want to try. If you can reduce the amount of carbohydrates (carbs) in your diet, you can gain much better control of your blood sugars with lower amount of medication. You will need to adjust your insulin accordingly. There are many folks on insulin who will be able to advise you on how to safely reduce it, while lowering the carbs in your diet, until you find a level which works and is acceptable to you. Carbohydrates are converted to glucose in the blood, and cause blood sugar levels to rise. Refined carbs are the worst offenders, they will raise blood sugar faster and higher than any other foods. You will need to reduce the carbs in your diet somewhat to reduce your blood sugars. This will also help with excess weight. Your insulin requirements will reduce, and instead on increasing, you should find your weight going in the other direction. First start with the obvious, if you haven't already, and cut out sugary things including drinks. Cut out or cut down on the so-called refined carbohydrates such as white bread, potatoes (except a few new potatoes ), white rice and pasta. Anything white really! :D You can also try switching to versions of these foods with a lower GI -i.e wholemeal bread, brown rice, and wholewheat pastas, but in smaller portions. If you had been given any advice by an NHS dietician, it would have been to each lots of starchy carbohydrates at every meal, as illustrated in the NHS Eatwell Plate. This advice might be ok for the general population but is completely stupid advice for a diabetic. Diabetics cannot properly metabolise carbohydrates. Fats and protein, are not really a problem, so plan your diet around meat, fish, eggs, cheese and vegetables that grow about the ground. (the green leafy stuff), mushrooms. Root vegetables such as carrots, turnip, swede etc., can be eaten, but in smaller amounts. Nuts and seeds, cubes of cheese, salami, olives, eggs are good low-carb snacks, and small amounts of fruit - berries tend to be the lowest-carb fruits, and bananas the highest. I used to love bananas, but they don't love me anymore :cry: Bacon and egg is a good low-carb breakfast :shock: or Yoghurt with a small amount of fruit and tops with nuts & seeds. If you like bread, you could switch to a lower carb bread, such as Livlife Seriously Seeded, which you can get in Waitrose, or in some areas in Morrisons supermarket. Or try Burgen Soya & Linseed bread from any supermarket. You might be able to tolerate porridge or cereal for breakfast, but unless you test, you won't know. Everybody is different, and the difference is partly due to how advanced the diabetes is at diagnosis. How low carb you want to go is up to you ... some people choose very low-carb 30g per day. Some are more moderate (up to 100g or 150g) - It all depends on what you want to do and the results you get testing. What you should aim for is a daily level of carbohydrates that you are comfortable with, and that you can sustain over the longer term. As for exercise, if you can't walk far at the moment, why not start with some swimming? Then move on to walking, as you lose weight. Meantime, have a read of Daisy's post when it arrives, and keep asking questions. And browse the forum and the rest of the site for information to get you started. This all might sound daunting at first, but you'll soon grasp it. Best of luck! [/QUOTE]
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