@Rifkah
I don't think I've read a more despairing thread. It has all the hallmarks of another poor soul about to slip through the cracks. Just looking at your profile I can see that you are also prescribed a good whack of anti-depressants and benzodiazepines. I'm guessing that there may be some mental health issues. Please don't take that as an insult I'm just trying to find a way of getting some semblance of order back for you. We don't judge anybody here and given some of our own rocky roads have a great deal of empathy for those that feel afraid and exposed. It was rather unprofessional of your nurse to give you the worst of the worst outcomes and attempt to arouse even further anxiety. I'm not a medical doctor and I've made quite a lot of assumptions. None of us can fix all your medical problems but at least we can help problem solve.
It needs a calm and logical approach. Based on a little bit of logic and your previous post regarding body weight you seem to be about 70kg. If a BMI of 20 shows a weight of 56kg then I guess you are about 167cm tall. In that case, a weight of 70kg equates to a current BMI of about 25. Sure you are slightly overweight. You are not obese. Weight is the least of your problems at this point in time. In comparison, your HbA1c is stated as 146. That's horrendous and it is way more important to get this down than lose a few more kilos.
I see that you are also taking blood pressure medication. Is this a lifestyle result or the effects of drugs like Venlafaxine.
More logic to come. You reveal an alarming weight loss. Firstly, there are three and only three food groups, namely, fats, protein and carbohydrates. If you are avoiding fats and carbs then your entire daily energy requirements are being supplied alone by proteins. Now, with a body mass of 70kg and consulting the tables you require a daily intake of about 9300kJ of energy just to maintain your body weight. By all accounts so far you are eating about 70g of chicken or fish per day. That's about 300kJ in total. Where is the remaining 9000 coming from. Little wonder you are vanishing. The remaining energy will come from your body's internal storage and thus the weight loss.
It is clear that the dietary advice you have been given is wrong. Lines like proteins turn into sugar and fats turn into sugar are true. Everything turns into sugar. That's what your brain feeds on. The difference is that the metabolic process is very slow with these two groups and doesn't cause problems with blood sugar levels. Carbs on the other hand are broken down very quickly and the diabetics inability to metabolise and use it correctly causes the level in the blood to rise. Perhaps your nurse was worried about cholesterol levels but we have no information on this. At this point, the raging blood sugar is far more important. When the time comes you should get a full lipid profile for your cholesterol and then decide on a course of action. In the meantime, reduce the carbs and consume a few thousand kJ of fats and proteins. If you are really worried about fats, go for the unsaturated types. Stay clear of low fat milk, cheese, yoghurt and butter. They're loaded with sugar.
Without knowing you I suggest that you need professional help above what the diabetic nurse can give you. Seek it out in a forthright manner. Don't take ****.
Glenn
