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Newly diagnosed, questions

confused117

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So I am a 48 year old female, from the US, and I just got diagnosed last week with prediabetes. I obviously have a lot of questions. I saw a nutritionist a couple days ago. No medication at this point, she said I must change my diet though. So I have been frantically researching and trying to figure out how to do this, especially the fact that I have a family with a boyfriend and two teenagers who don't want to change their diet,and I am the family cook. I will deal with that later, but for now I have a question.

My nutritionist said to eat every three or four hours during the day. I don't know how to manage this. I thought I might plan to have breakfast at 6 am, a snack at 10 am, lunch at 2 pm, and dinner at 6 pm. Does this sound reasonable? I'm not sure what to do and I have a lot more questions.
 
My nutritionist said to eat every three or four hours during the day. I don't know how to manage this. I thought I might plan to have breakfast at 6 am, a snack at 10 am, lunch at 2 pm, and dinner at 6 pm. Does this sound reasonable?

I'm afraid what they have said is complete and utter nonsense.

Eat when you are hungry.

Eat as little carbohydrate as you can manage and enjoy your food.

Any idea what your HbA1c was when you were diagnosed?

No snacks are required and in fact its better to reduce your eating window maybe to 6 hours a day (i.e. eat meals within a 6 hour period).

I tend to do a late "lunch" and then dinner.
 
The paper she gave me says A1c 6.0 and Blood Sugars mg/dL 120

I think I should mention that I take 700 mg of seroquel a day, which might be a problem I have to talk to my psychiatrist about it, and maybe get on a new med.
 
The paper she gave me says A1c 6.0 and Blood Sugars mg/dL 120

I think I should mention that I take 700 mg of seroquel a day, which might be a problem I have to talk to my psychiatrist about it, and maybe get on a new med.

Ok HbA1c of 6% would here be considered at the very bottom end of prediabetes.
It equates to 42.1 moil/mol the diagnostic levels of 42-47 are used to diagnose pre diabetes here in the UK (thats between 6% and 6.5%).
A mild reduction in carb consumption would likely help you a huge amount.

Sorry but no idea on the meds as I take none at all.
 
I agree with @bulkbiker that it is better to avoid any eating between meals, and stick to 2 or 3 meals a day. Each time we eat, especially if carbs are concerned, our pancreas sends out insulin to deal with the glucose in the system and the problem with most type 2 diabetics is we produce too much insulin, which is the main problem as it causes havoc with our bodies and tends to make us put on weight. (Hence many T2 diabetics are overweight on diagnosis). It is logical therefore to reduce the amount of insulin in our system, and we do this by restricting the main causes - carbs and over eating when not hungry.

This may help with food choices. https://www.dietdoctor.com/low-carb/60-seconds

As for feeding the family, many of us here faced the same problem, but it can be worked round.
 
Your diagnosis is close to my normal - but I was a fully fledged type two when diagnosed.
The advice you were given is not what I would ever consider a sensible way to eat if I had been alerted to trouble earlier.
These days I eat every 12 hours and do not snack. It means that my metabolism isn't struggling to deal with a constant necessity to deal with food, and what carbs I do eat are mainly in the evening.
Simply by replacing higher carb foods with something lower in carbs, or eating more protein and fat to compensate you should see better results quite quickly.
 
Hello and welcome,

Many people follow exactly what you did when first diagnosed. Fortunately for you (as I did) you have found this site. This site is the best resource for diabetics that I know of.

When I was first diagnosed like you I didn't know what I should eat or how often. Unfortunately there are many in the medical profession who are simply behind the times in dealing with diabetes.

My first suggestion is that you get a meter to test your blood sugar levels. Most doctors don't recommend this but the meter is the thing that will help you make the best decisions for your health. The meter is objective no biases.

The next thing I am going to suggest is that you need to test before a meal and 2 hours after the first bite. If the increase is more than 2 the food had too many carbs for your body. Try going much lower in carbs and see what effect that has on your levels (fasting in the morning takes longer to drop).

I also agree that you shouldn't up the frequency of eating. If you have type 2 diabetes you have an increased insulin resistance. I found the best way of dealing g with it is very low carb. This has resulted in my blood sugar levels remaining in the normal range from about 3 months from diagnosis.

So the good news is that you have found this site and that you can make choices about your food that will make a difference.

Good luck and welcome.
 
The paper she gave me says A1c 6.0 and Blood Sugars mg/dL 120

I think I should mention that I take 700 mg of seroquel a day, which might be a problem I have to talk to my psychiatrist about it, and maybe get on a new med.
Considering your current numbers, I believe you'd go a long way with having your own meter and changing your diet. You're not on the seroquel for the heck of it, and it could well be that with diet alone, you can get your numbers back down into the normal range. You'll want to check with a meter of your own to see whether that's working, as that will give you answers a lot quicker than a HbA1c a few months or even half a year from now would. So you wouldn't have to change anything just yet. I know how hard it is to find meds that work, so if this one is doing it for you, try the diet change first, check progress with your own meter, and then decide whether you need a switch. You don't have to decide these things overnight.

That said, you mentioned a few things relating to diet. First off, depending on what meals look like in your home, there doesn't have to be all that much change. My husband and I virtually have the same meal, except he has carbs to go with it, and I don't. I have considerably more meat and fish than he does, to compensate for the lack of potatoes and the like. Above ground veggies and leafy greens can be served just as you like. (Pulses might be problematic, your meter'd tell you). Every now and again my husband'll have a pizza or lasagne, but that's just a matter of chuck-it-in-the-oven while I make myself two nice chunks of salmon, for instance. Keep it simple and stress-free. They don't have to join you in your diet, you just don't join in in theirs any more.

As for how often to eat, I got the same advice you did. Three meals, three snacks, like clockwork. Got me nowhere, and my pancreas was still overtaxed each and every day, as it was forced to deal with everything I put in me. Better to give the poor thing a rest. Key here is to eat three meals a day or less. Preferably no snacking, though some might find it hard. I'm on medication right now that requires me to have breakfast in the morning for the time being, but when I'm back off of it, I'll be breaking my fast between 11 and 1, so lunch would be my first meal, with a load of eggs (with cheese and ham or something) or more salmon. Before it turned out I didn't handle salads well in regard to other conditions I have, those were a staple too, lots and lots of leafy greens with olives, mayo, capers and tuna, or warmed goat's cheese with apple cider vinegar etc. Really good stuff. (If I'd told me 10 year old self I'd ever miss salads, she would've thought I'd lost my mind.) Then i'd have meat and/or fish in the evening. You could add cauliflower rice with cheese and bacon for instance, to bulk up a meal and replace potatoes, rice or pasta. Curuma, garlic and the like tossed in for flavour, really nice. I'm basically down to 2 meals a day, under normal circumstances, and I make sure those meals are nutrient dense, besides low carb. That way they don't raise my blood sugars, but my vitamins and minerals stay up to par, and I have enough fuel in me not to go hungry. That's a bit of a thing: Diets do not automatically mean you have to go hungry. Just make sure you eat the right things, and it shouldn't be a problem.
https://www.diabetes.co.uk/forum/blog-entry/the-nutritional-thingy.2330/ might help some.


Good luck!
Jo
 
So I am a 48 year old female, from the US, and I just got diagnosed last week with prediabetes. I obviously have a lot of questions. I saw a nutritionist a couple days ago. No medication at this point, she said I must change my diet though. So I have been frantically researching and trying to figure out how to do this, especially the fact that I have a family with a boyfriend and two teenagers who don't want to change their diet,and I am the family cook. I will deal with that later, but for now I have a question.

My nutritionist said to eat every three or four hours during the day. I don't know how to manage this. I thought I might plan to have breakfast at 6 am, a snack at 10 am, lunch at 2 pm, and dinner at 6 pm. Does this sound reasonable? I'm not sure what to do and I have a lot more questions.
That does not sound reasonable at all. You only just have a glucose issue and you should indeed be able to correct it quickly with a reduction in carbohydrate intake. Why would you eat if you're not hungry? And snacking is to be avoided, in my opinion. I usually go more than 12 hours, often 18, sometimes 24 without eating, because I'm not hungry. I eat when hungry which means substantially once a day and maybe have a little bit of salami and cheese at other times if I feel the need to. I cook for others and add carbs (eg potatoes, rice, pasta, bread) for their portions.

You will not know how the carbs you do eat affect your system unless you test using a meter at home. I'd recommend it - you see immediately how various foods are tolerated. This below is what helped me - as you're not diabetic it might be a bit over the top for you, but....

1. You need to unlearn all the standard healthy eating advice, all the assumptions made by the media, your family and friends about what's healthy and what's not. I do mean all.


2. As Type 2 diabetics we are not, by definition, good at handling carbohydrates. Some of us are better than others at it but we all have the same problem. Eating carbohydrates causes our blood glucose to rise out of control and that causes us physical damage.


3. Eating carbohydrates, of any kind, is therefore potentially going to cause us a problem as Type 2s.


4. Just how big of a problem depends on the individual.


5. Test your blood glucose and record your results to find out what your pattern and tolerances are. Then cut the things that cause the rises.


6. Nobody will do this for you. Only you can do this.
 
Ok so it's been a while. I've been researching a lot, and reading the forum a lot. I had to wait until I could go shopping to try a new diet. I decided to go as low carb as possible. I also decided just to eat when I'm hungry. I bought some fiber/prebiotic tablets as well. Making sure I have some protein with any carbs. So I've been on this new diet for a few days. What I've found is that I'm rarely hungry, so I'm not eating much. When I first get up I have a cup of green tea with lemon. A little later I have a cup of vegetable juice. Not hungry for breakfast. I do my usual 45 to 50 minute workout. Light lunch, smallish dinner, then a light snack after a couple of hours. One tab of the fiber/prebiotic at lunch. A glass of cucumber water for electrolytes. The rest of the time regular water and coffee. I only had one major craving for a cookie, which I felt I lucked out on not eating, because it was late and I fell asleep. I am also taking D3 2000, doctor's orders. I want to incorporate a multivitamin, but that will have to wait for now for reasons.
 
Ok so it's been a while. I've been researching a lot, and reading the forum a lot. I had to wait until I could go shopping to try a new diet. I decided to go as low carb as possible. I also decided just to eat when I'm hungry. I bought some fiber/prebiotic tablets as well. Making sure I have some protein with any carbs. So I've been on this new diet for a few days. What I've found is that I'm rarely hungry, so I'm not eating much. When I first get up I have a cup of green tea with lemon. A little later I have a cup of vegetable juice. Not hungry for breakfast. I do my usual 45 to 50 minute workout. Light lunch, smallish dinner, then a light snack after a couple of hours. One tab of the fiber/prebiotic at lunch. A glass of cucumber water for electrolytes. The rest of the time regular water and coffee. I only had one major craving for a cookie, which I felt I lucked out on not eating, because it was late and I fell asleep. I am also taking D3 2000, doctor's orders. I want to incorporate a multivitamin, but that will have to wait for now for reasons.
It seems rather odd that you are removing the fibre and drinking vegetable juice, but then buying tablets with fibre in them.
I bought a Nutribullet just before diagnosis, and have only used it a couple of times as I found that I spiked soon after drinking a salad smoothie, but had hardly any reaction to the same foods eaten in their natural form.
 
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