No fibre, high fat diet

[Hrw1959]

I am on a NO Fibre, high fat diet due to having had a total cholectomy ( my large bowel removed) 4 years ago. I cannot eat fibre, most veg and most fruit and so my dietitian told me to eat white bread, pasta, rice and potatoes, as well as full fat yogurts and full fat milk products. Now I have found out I have diabetes and have been told to cut back on carbs and eat plenty of fruit and veg also eat low fat dairy foods.
If I do try and eat this type of food I end up being very poorly as I cannot digest fibre and fruit and veg. If anyone has any ideas I would be most grateful.....thanks

 

[Clover]

Could you juice 'lower carb' vegetables such as broccilli? Juicing does allow faster access into the bloodstream because the fibre has mostly been removed but you may find combinations of salad leaves/vegetables that don't give you blood sugar spikes. Have to say though that some combinations taste revolting.

I can tolerate small amounts of juiced fruit mixed with full fat yogurt without spiking.

Do you do your own blood sugar monitoring?

 

[IanD]

I am on a NO Fibre, high fat diet due to having had a total cholectomy ( my large bowel removed) 4 years ago. I cannot eat fibre, most veg and most fruit and so my dietitian told me to eat white bread, pasta, rice and potatoes, as well as full fat yogurts and full fat milk products. Now I have found out I have diabetes and have been told to cut back on carbs and eat plenty of fruit and veg also eat low fat dairy foods.
If I do try and eat this type of food I end up being very poorly as I cannot digest fibre and fruit and veg. If anyone has any ideas I would be most grateful.....thanks

Difficult - but there are soluble & insoluble fibres. See this link

As I understand it, insoluble fibres are the ones to avoid as they irritate the gut - these will include wheat bran (so white bread)

Obvious I don't know how different foods/fibre affect you, but I use a lot of powdered nuts in my low carb diet. Ground almonds & coconut flour are the basis for a "porridge" & also a cake bread I make as a staple food. I do not have digestion problems. I also eat a wide range of veg & a limited amount of fruit. I can post links to the recipes if you want.

 

[catherinecherub]

I am on a NO Fibre, high fat diet due to having had a total cholectomy ( my large bowel removed) 4 years ago. I cannot eat fibre, most veg and most fruit and so my dietitian told me to eat white bread, pasta, rice and potatoes, as well as full fat yogurts and full fat milk products. Now I have found out I have diabetes and have been told to cut back on carbs and eat plenty of fruit and veg also eat low fat dairy foods.
If I do try and eat this type of food I end up being very poorly as I cannot digest fibre and fruit and veg. If anyone has any ideas I would be most grateful.....thanks

Hi,

This must be really difficult for you as the diet you need to adapt to has to also consider your diabetes.

I did find the same question posed on another site and it was answered by an expert with a list of food choices. She also recommended that a dietitian should be involved and you will need regular checks to see that your nutritional needs are optimised.

http://www.dlife.com/diabetes/ask-an-ex ... 1574-.html

Hope this helps.

Take care.

CC.

 

[Hrw1959]

Could you juice 'lower carb' vegetables such as broccilli? Juicing does allow faster access into the bloodstream because the fibre has mostly been removed but you may find combinations of salad leaves/vegetables that don't give you blood sugar spikes. Have to say though that some combinations taste revolting

I can tolerate small amounts of juiced fruit mixed with full fat yogurt without spiking.

Do you do your own blood sugar monitoring?

Hi, yes I do my own blood glucose monitoring, and at the moment it seems to be all over the place. I also have the problem in that I am wheelchair dependant and have no access to my kitchen, I have Carers that come in 3 times a day and they make my lunch and breakfast. I will try and juice some vegetables and fruit and see how that goes. Thanks for the advice.

 

[Hrw1959]

I am on a NO Fibre, high fat diet due to having had a total cholectomy ( my large bowel removed) 4 years ago. I cannot eat fibre, most veg and most fruit and so my dietitian told me to eat white bread, pasta, rice and potatoes, as well as full fat yogurts and full fat milk products. Now I have found out I have diabetes and have been told to cut back on carbs and eat plenty of fruit and veg also eat low fat dairy foods.
If I do try and eat this type of food I end up being very poorly as I cannot digest fibre and fruit and veg. If anyone has any ideas I would be most grateful.....thanks

Difficult - but there are soluble & insoluble fibres.

As I understand it, insoluble fibres are the ones to avoid as they irritate the gut - these will include wheat bran (so white bread)

Obvious I don't know how different foods/fibre affect you, but I use a lot of powdered nuts in my low carb diet. Ground almonds & coconut flour are the basis for a "porridge" & also a cake bread I make as a staple food. I do not have digestion problems. I also eat a wide range of veg & a limited amount of fruit. I can post links to the recipes if you want.

Thanks I would really appreciate that. I keep trying to eat fruit and veg but always end up poorly and sore. The only things I am able to ear is banana and cauliflower.

 

[Hrw1959]

Thanks Catherine, Ian and Clover, for your advice, I really appreciate your help.

I have been referred to a dietitian but I don't know how long it will be before I see one. After my bowel op it took six weeks before I could get an appointment. Hopefully it will be sooner this time.

 

[borofergie]

Thanks I would really appreciate that. I keep trying to eat fruit and veg but always end up poorly and sore. The only things I am able to ear is banana and cauliflower.

I eat lots of meat and eggs (about 80% fat). My only fibre comes from spinich, cauliflower and brocolli. My digestional health is great (I think). Fiber is not an obligate nutrient, you can easily thrive without it and your bowels will adjust to a low fiber diet. Lots of the "high-fibre" nonsense is unscientific and a result of lobbying from the grain industry.

I guess the only real problem from your point of view is variety of diet, and the fact that fibre can help to slow the absorbtion of sugar.

If I were you, I'd listen to my gut and not eat it.

 

[hanadr]

Look into the Atkins diet books. there might well be something that suits you there.
Hana

 

[Giverny]

I'd just like to point out that it's not advisable to change your diet dramatically without asking your GP/diabetic nurse about it beforehand :thumbup:

 

[borofergie]

I don't disagree - but every time I've talked to my GP / Dietician / Nurse about my radically changed diet, they've told me to "eat more carbs".

 

[Giverny]

I don't disagree - but every time I've talked to my GP / Dietician / Nurse about my radically changed diet, they've told me to "eat more carbs".

It's always best to double check with a professional though :thumbup:

 

[Hobs]

May I suggest aiming for soluble fibre? If you are unsure what contains soluble fibre, the consult your local pharmacy for a list and they will guide you. Your doc may even be able to prescribe for you.

 

[IanD]

I sieve nut flour together & use them as flour to make in effect a smooth sponge cake - cake-bread - but without sugar.

Approx recipe:
150 g (4 oz) mixed nut flour - ground almonds & coconut flour
1 1/2 teasp baking powder
1/3 teasp xanthan gum (optional, but strengthens the final texture)
1 teasp cinnamon (good for blood glucose control - but you may not tolerate spice)
Sieve together & add the residue

100 ml olive oil
30 g butter (melted into the oil)
3-4 eggs
beat together & add to the nut flour
beat well should be dropping consistency - add another egg if its too thick

Spread out in a 250 mm (9 inch) silicone baking dish (I use silicone so there's no sticking)
Bake at 170 deg C for 15-20 minutes.

Result is a sponge cake that I use instead of bread/potato/rice/pasta.
If I want sweet cake, I add sultanas and/or sweetener, cocoa powder, ad lib.

A basis for a nourishing drink is 2-3 teasp each ground almond & coconut, mix with cup soup, drinking choc, coffee, tea (fruit tea) made up with boiling water or milk. Stir before you finish as it settles. It provides about 200 kcals - as much as a cereal b'fast, without the unhealthy refined carbs.

The same sort of mix is the basis for a "porridge" which I have every day. It is much more sustaining than cereal, providing similar calories in the form of slow-digesting healthy fats & proteins.

Hope that helps. The drink & porridge are easy & nourishing meals for a carer to provide.

 

[phoenix]

by IanD » Wed Oct 10, 2012 4:03 pm

I sieve nut flour together & use them as flour to make in effect a smooth sponge cake - cake-bread - but without sugar.

Approx recipe:
150 g (4 oz) mixed nut flour - ground almonds & coconut flour

I don't think ground almonds or coconut flour are very good for someone who has to avoid fibre, both , especially the latter are high fibre.

I found a leaflet from Norfolk hospital
A guide to eating well if you have diabetes and need to follow a low fibre diet (you'll have to google, I can't link to the PDF)

I read it with a wry smile.

Here's the bit about veggies

Examples of vegetables: peeled boiled/mashed/roasted/fried potatoes, cauliflower or broccoli florets with no stalks, carrots, swede, parsnips, mushrooms, courgette, marrow or pumpkin with seeds removed.

Personally, I would avoid the boiled and mashed which are high GI(I eat boiled small new but I think that they are higher in fibre) I would go for the roasted/fried (oven chips?) the fat would help depress the glucose spike.
Nevertheless you wouldn't be able to eat large quantities .
If you wanted to try small quantities of rice, then I would select Basmati or Uncle Ben's 'converted rice' (check the label, the procesing lowers GI)
For pasta, I note it suggests lasagna as a possible meal. There needn't be that much pasta in a home made lasagne. Moussaka might be an alternative
(if this list of low fibre diet foods is accurate: it includes eggplant/aubergine ; would think without seeds and skin)
http://www.nlm.nih.gov/medlineplus/ency ... 000200.htm
Personally I would be very careful with the

Toasted crumpets, muffins or scones –
made from white flour (avoid those
containing fruit or nuts), with butter and/or
cheese

Though the butter/cheeese might again lower the GI considerably.

The best thing though would be to speak to a specialist dietitian, that's what they should be for.

 

[IanD]

Phoenix - & Hellen

I am aware of nuts & fibre, (I read the link I gave) but as the nut powders are finely divided & can be further sifted, they may be OK. I find coarse fibre irritating but have no problem with the nut flours.

Try with caution.

 

[Hrw1959]

Thanks so much everyone, I really appreciate all your help. Unfortunately it was my diabetic nurse that tried to lecture me on my diet, saying that it wasn't good. I had to really push to be referred to a dietitian. Mind you it was my first appointment with the diabetic nurse, it was supposed to be an hour appointment and we were in and out within half an hour. She showed me how to use the blood glucose monitor, checked my feet and didn't even mention the fact that I had impaired sensation in my right foot and that was it. I wanted to know if and what reaction me having an epileptic seizure would have on my BG levels and she didn't answer.
I haven't done a huge change in my diet except to cut out sugar but will definitely look into some of your suggestions.

 

[Hrw1959]

Phoenix - & Hellen

I am aware of nuts & fibre, (I read the link I gave) but as the nut powders are finely divided & can be further sifted, they may be OK. I find coarse fibre irritating but have no problem with the nut flours.

Try with caution.

Thanks Ian, I will look into it. I really appreciate your help.

 

[Jude]

Hi
I am so pleased to see this thread - 7 years since I was diagnosed with Diabetes 2 and I have also lived with chronic IBS for over 40 years. I have tried before to get some help on this subject but was rarely successful. I try to keep to soluble fibers and avoid the insoluble fibers which are the biggest problem in IBS especially when half your life is spent on the loo !!
I am not sure if I am allowed to type this but I will and leave mods to remove if they think appropriate. Eight years ago before I knew about the Diabetes I had an extremely bad time with IBS and I found a wonderful website helpforibs.com and since that time alongside being aware of the different fibers I have taken a soluble fiber supplement.
In the last few months I have been trying to reduce my carbs in an effort to reduce bgs and weight (no success with latter!!) and in fact my diet looks a bit like yours Hrw1959.
Jude :wave:

 

[Hrw1959]

Hi
I am so pleased to see this thread - 7 years since I was diagnosed with Diabetes 2 and I have also lived with chronic IBS for over 40 years. I have tried before to get some help on this subject but was rarely successful. I try to keep to soluble fibers and avoid the insoluble fibers which are the biggest problem in IBS especially when half your life is spent on the loo !!
I am not sure if I am allowed to type this but I will and leave mods to remove if they think appropriate. Eight years ago before I knew about the Diabetes I had an extremely bad time with IBS and I found a wonderful website helpforibs.com and since that time alongside being aware of the different fibers I have taken a soluble fiber supplement.
In the last few months I have been trying to reduce my carbs in an effort to reduce bgs and weight (no success with latter!!) and in fact my diet looks a bit like yours Hrw1959.
Jude :wave:

Hi Jude, it's good to know that someone else s in the same boat as me. I have just spoken to a dietitian yesterday, at first she told me that because I am wheelchair dependant and therefore will need a home visit, I can't be seen until Christmas. When I explained my problem she has agreed to visit me on Friday. I will let you know what she has to say about what kind of foods I can have. I also could do with losing a bit of weight as I have put on some with being in the wheelchair for over a year now.
I hope she can help. Will speak to you soon.