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jomar_uk said:

Just been diagnosed in the past 3 months (confirmation blood test result today) as pre diabetic, my reading was 45.

My name is john

72 years young

6’ 5” unfolded
106kg
Male

Happily married

Med conditions:
Pre diabetes
Paraplegic 32 years (T10 incomplete)
Crohn’s disease
Ménière’s disease
Atrial fibrillation (last 6 months discovered by Apple Watch)
Reynauds disease
Hypertension (under control)
Pulsating tinnitus
Sigma colon diverticular disease
Enteropathic arthritis
and a few other bits

I’m no stranger to the NHS which has been brilliant for me and looked after me incredibly well. Now I’m facing pre diabetes. I can control my diet but exercise nigh impossible (my shoulders shot through years of “pushing” myself around).

GP doesn’t want me in the drug that begins with M due to the 6 weekly biologic infusion I have every 6 weeks for my Crohn’s disease and the Crohn’s disease.

Hoping to advice and encouragement how to move forward from here. I am a positive outlook great grandad and firm believe in
Impossible means I’m possible

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Love that last line and the positive nature of your post.

as far as diet is concerned, The LCHF is where i would personally go with that normally as advice, BUT i am not au fait with a lot of those issues, so i would suggest a lot more reading and seeking the advise of others who may know much more then i.

as for exercise., as i understand it, and for me in simple terms, we NEED glusoce to POWER the muscles (mainly)
so when we eat, we ingest Glucose or foods that turn into glucose..that in turn gets store until needed.

T2's have an issue that we don't use that Glucose efficiently enough, so the storage get full over time and we then Go FULL ON T2

so the secret, i suppose is too make sure we ingest less glucose..diet (no/less breads, pasta, etc)
and IF we exercise, then THOSE muscles send out a call to "SEND 'GLUCOSE NOW'.. so it can use the energy to power us in that activity, Meaning LESS Glucose CAN get stored and cause US issues.

To all intents and purposes we mostly think of physical activities being sports or gym based..but in reality ANYTHING that gets your heart beat up and using those muscles will be of use..

Housework, pushing yourself around..anything

For holidays and at work i used to use a resistance band..a few stretches between my arms and i felt i was working out, and my bloods Seemed to be better then if i didn't.

Hope some of my ramblings is of help.

Just met you @jomar_uk
But i like already.
I can't begin to offer helpful advice about low carb or exercise, with your circumstances, but I have a feeling that, if nothing else, your head is firmly screwed onto your broad shoulders, and you have the attitude to cope with this.
Compared to what you are currently dealing with, little old pre-diabetes can wait in line.
You've got this!
All the best. NMD.

We mostly attack type 2 (which of what you are prediabetic of) with low carb higher fat ways of eating. If you can’t handle the carbs just do t eat them. Simple really. I’m not sure how that fits particularly with the Crohns and diverticular disease. (Though apparently I have some significant amount of diverticular pouches but no idea where and have no issues with lchf as a result !).

I’d do some reading in your shoes before embarking on it. Wide reading, as some sources like to decry it as the harbinger of all doom and illness and counter to all pre existing conditions - that in actual fact it helps enormously with. Come back and ask questions as with so many on this forum someone may well be able to help you find answers.

jomar_uk said:

It’s a tad more problematic for food as I have what are called strictures (5 of) where the “small Bowel” joins the “large Bowel”. The diet I’m on would never be met by a vegetarian type as the part where they join is where all the B12 is extracted from but the marvels of modern medicine gives me 3 monthly B12 injections.

I also have a daily drink of Fresubin 2K Cal to make up for all the other vitamins etc that my diet doesn’t include.

I am very wary of any ‘diets” proposed by others as I implicitly trust my consultant GI guy (Mr Subhani, my hero and the head dietician. For example most “Crohnies” are told to have a high fibre diet, but for me it would mean a dash to hospital for 4-5 days within a couple of hours. So I need to read in here as much as I can and then ask my consultant & dietician if that would help.

Btw I’m reading a book called “life without diabetes” by Professor Roy Taylor, seems great except for 8 weeks you have 600 calories a day and I bottle of fresubin has 2000calories, you see the balancing problem?

Having a incredibly supportive wife of 52 years, great family and my faith, really do help.

I so appreciate your comments, it’s a great encouragement, thank you everyone of you.

Hope I can contribute something, you guys seem really knowledgeable and knowledge really is power.

King regards & many thanks again, john

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The Newcastle diet does have decent results and it works for some as a kick start and even gives some longer term benefits for some - but it’s not perfect. It was designed to mimic bariatric surgery in the obese and diabetic I understand. How you eat afterwards is vital. Consideration needs to be given to reduced metabolism as intake remains lower than pre diet for good. That may be fine if it was excessive but if weight loss and particularly visceral weight loss is minimally required is this “starvation” method optimal?

what is ok for you to eat as far as other conditions go and what’s problematic. Maybe that’s a good starting point.

Hi John the obvious culprit that jumps out for me is 2,000 calorie Fresubin drink (before you take your meals into account). I dont know how many years you have been on this but it could have contributed to your preD, as other meds can for other folk. I would be exploring if there is any other way of getting your daily nutrient uptake with less calories. I know we dont normally count calories but that is very high and Inwould suspect sugar is in there somewhere. Best wishes to you.

I would not be at all surprised to find out that the Fresubin is fairly high in carbohydrate, as it is a firm belief that it a requirement for good health.
Unfortunately most type two diabetics are unable to cope with carbohydrate, but there are quite a few people who report that they remained ignorant of that, and were advised to eat 'health' carbs by specialist nurses and dieticians. I see that you are unlikely to read this, but just in case -

jomar_uk said:

I think to suggest a diet based cure or any "cure" to someone with crohns or any disease without knowing their full details is scary & wrong.

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I was starting to understand and wanted to know more. I was starting to realise just how very, very fortunate I am with just having T2.

jomar_uk said:

Moderator: please remove my account & details, thank you. You are free to delete this post if you wish.

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Oh guy! This is so sad. I wanted to know about you. Within your Profile picture are Japanese Bowls. As a maker of Ceramics, and a complete Sung Tea Bowl (Korean) nutter, I was hoping you’d stay around longer. Also, your humour, about being your height, when you’d be unfolded, made me warm to you. Jomar you’re a stout and strong fellow in my eyes, if you can see your way to returning, I for one would welcome you back. As to giving you advice, I’d be taking it under your advisement. I’m betting that there are a few old hands here with wrinkled, furrowed brows considering what they could add. Look, my way through Diabetes T2 has been scary-mad and at the same time frustrating with a side order of self-doubt. Since Sept’19 I’ve collated 720 Blood Test Data Points. I’ve now got a picture/profile of myself. But, with your Health conditions, I cannot even dream of proffering advice. I can only repeat my experiences and see if it would be, if any, value to you. You’d be only person that would know.

I do hope you decide to return and continue sharing your experiences with your highly challenging health conditions. I know I’ve already learnt a lot from you, least of which is to be far more circumspect about my narrow advice giving.

Hamada was, and still is my hero.