I was diagnosed with type II diabetes on January 27, 2014--something I had been trying to stave off these last few years with regular walks, and expunging things like white rice, bread, and pasta from my diet. Still, heredity did out. My GP has all the bedside manner of an espresso maker, i.e. none at all, and didn't really give me much in the way of guidance, except to write a prescription for Metformin, and to tell me that diabetics are at risk for amputations, blindness, and infertility.
I was tested again on February 6 by another doctor, with an HbA1c of 7.7, and a resting blood glucose of 7.0mmol--not ideal numbers.
The internet, for for all its plethora of information doesn't really fill me with hope. I am terrified by the contradictory information I am reading online. Some websites say I can drink milk and eat dairy products, others advise against it. The recommended carbohydrate servings provided by the Canadian and American Diabetes Association seem to be contradict the everyday experiences of Type 1 and 2 diabetics, who consume significantly less carbohydrates. There are conspiracy theories that the Canadian and American Diabetes Association work for pharmaceutical companies, forming a cadre that have no interest in curing diabetes. Obviously, all of this contradictory information scares and confuses me.
I read about diabetic socks, and never going barefoot. All I see are posts by people attempting to have the occasional Chinese take-away, pizza, sushi, or fish & chips, only to see horrible "spikes" and give up on the enterprise altogether. The more strident folks over at tudiabetes militantly shout down any notions of eating a waffle or tempura, or enjoying a gelato in Rome--a disaster they admonish. I happen to enjoy cooking, but have been living on slivers of chicken breast and lettuce for a week, out of sheer terror. For me, food forms a cornerstone of life, not junk food, but occasional pleasures like savouring a steak frites before an opera, or enjoying popcorn at the cinema. I only just turned 31, and in a very visceral sense, it feels I've already died. It's not been two weeks since my diagnosis, and I'm already tired of life.
I don't quite know what to despair about most: the fact that the pleasures of food are forever barred from me, that I must exercise slavishly, and eat the blandest of diets just to stay alive, or that every physician and nurse has told me it's a "progressive" disease, and that no matter what I do, I will deteriorate and need insulin.
If I sound desperately sad, it's because I'm sorry to say that I am. I do appreciate the kindness extended to me here, especially as most posters here I imagine, are British--I'm writing from Canada.Hi. This post sounds so desperately sad. You shouldn't bar yourself from anything. Just be sensible of portion sizes. I'm a type one diabetic and have been for 17 years. I don't have perfect control. I do not, however, ban any type of food. Life is too short to be miserable. Eat healthy and have a balanced diet but don't stress over it.
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If I sound desperately sad, it's because I'm sorry to say that I am. I do appreciate the kindness extended to me here, especially as most posters here I imagine, are British--I'm writing from Canada.
I realise it's unseemly to grieve over something as silly as Roman gelato, but I think it's those small, intangible details that make up life. I didn't know whether to laugh or cry at a diabetic recipe for roast chicken, which exhorts you to discard all the skin---sound advice for a diabetic, to trim the fat, but there is something (besides the chicken) that reeks of death about that instruction. A bit like the advice I read to eat a pizza by picking out the toppings, and discarding the dough and cheese. It's not quite living.
I just attended a production of Cosi fan Tutte, and burst into tears when I saw the beautiful set made up of giant illuminated butterfly lanterns--I thought to myself that I might not be able to see this in the future. The very idea that a slice of pizza, or a cup of ice cream could cost me my sight, or that even after a long life of deprivation, that I might lose my limbs, and go blind anyway--that has been the hardest to bear.
There's this line from Alan Bennett's History Boys, where the Posner character remarks that "he's unhappy, but he's not unhappy about it". Well, I'm unhappy, and I haven't managed not to be unhappy about it.
Wow ... what a beautifully written piece... and so well explained! I do hope that /Touchett is feeling more at home with his new found condition.Dear Touchett
What you are experiencing and very eloquently expressing, is a very natural feeling of grief after receiving, so recently, what must feel like the devestating news that, at the relatively young age of thirty-one, you are a type two diabetic.
What is more. this is news that , given your family history, you have been long dreading and actively trying to avoid. So it is not entirely surprising that you have reacted to the diagnosis with a perhaps exagerated sense of apprehension and pessimism about the inevitability of a grim future to come.
You are fully entitled to grieve but be aware that your perspective may be somewhat distorted at the moment because of this grief.
Allow yourself a period of gief, but as you will surely oome to appreciate soon, your life has not just ended at thirty one, nor will it be lacking of all the myriad little things that make this life worth living.
You are right that with diabetes come increased probabilities of serious health complications. However they are only probabilities and not certainties. Furhermore, we are not helpless in the face of these probabilities. These probabilities are based on statistics and those statistics are distorted because of high numbers of uncontrolled diabetics having a much higher probability of developing complications. Statistics show that for every point improvement in HbA1c score the likelihood of developing diabetic complications decreases by 10 per cent. So by keeping our sugar levels under control we can stack those probabilities in our favour, even if , regrattably, we can not eliminate the risk completely.
You are absolutely correct about the worryingly confusing nature of a lot of the information out there on diabetes treatment, partcularly on what constitutes a suitable diet for diabetics. The orthodox dogma put forward by nutritionist and the vast majority of the medical profession is that diabetics, like the rest of the population, should adopt the healthy plate approach to their diet based on a ratio of carbohydrates to fats to proteins of 55-25-15. This appears to contradict the empirical advise given by a lot of diabetics based on their own experience of controlling their disease of a much more restructed carbohydrate intake (in many cases translating to higher fat intake).
Surely, they can not both be right. Or can they? Could it be that there is more than one way of dealing with diabetes? Could it be that as we are all individuals there is no one-size-fits all solution to diabetic glycemic control? If that is the case what is importand is to discover what works for you.
I suspect that at the moment you are trying to play too safe with what you eat, trying to hedge your bets by eating both low fat and low carb. But you are finding this unattractive and so you will be unlikely to stick with it long term.
Any regime you adopt for the treatment of your diabetes will be a compromise and as such a balancing of risks: the risk of diabetic complications against the enjoyment of food; the risk of side effects from medication against the risks of being out of control, the risk of adopting a diet that is so relaxed that you need ever increasing medication against the risk of adopting a diet that is so strict that you end up abandoning it before too long.
So how to we achieve this impossible balancing act?
The answer is through experience and education. You need to educate yourself about this desease in general and about your own body and how it reacts to specific foods in particular. To do the latter, arm yourself with a blood glucose meter and experiment with food by noting your glucose levels before and two hours after each meal - your after reading should not be more than 2 mmol higher than the before. Use this to adapt your diet accordingly and not only should you see your fasting levels gradually drop, but you may be pleasantly surprised about what you can still eat.
You state that you enjoy cooking. So see your diabetes as a challenge about how to adapt your old favorite meals and discover new more diabetes friendly things and ways to cook.
As I said, the future may not be as bleak as it now appears to you. Give yourself time and I am sure you will come to appreciate this. Spend a bit of time on this forum and you will meet plenty who, not only are they happily managing their own diabetes but are happy (some might even say too happy) to advise others how to do the same.
I am sure things will work just fine for you.
All the best
Pavlos
we should count ourselves lucky to ONLY have this, this is just about a change in lifestyle NOT an end to lifestyle, many of us come to consider it a blessing in disguise once we get our heads round it, thats not to say if i could hit a button and be diabetes free i wouldnt hit but im convinced that by hitting it i would be shortening my life
oh my word... that is brilliant... a pleasure to read. I must commit it to memory for those moments when I feel weak and about to give in to ssshhhhugarI spotted the poetry, and I cannot match it but I do like this, which was written by a child with diabetes. It may not be Walace Stevens but I think it is better!
Sweet sugar grass
and lollypop trees,
Honeycomb beetles
and soft toffee bees.
Lakes made of icing
with gingerbread keys,
and marshmallow swans
slowly floating in the breeze.
Warm purple butterflies
of Turkish Delight,
and liquorice kittens
awake in the night.
White chocolate fairies
with sugary wings,
Listening to cream bluebirds
as they sing.
Poppies made from cherry lips
and marzipan daisies too.
Buttercups of caramel
a slowly melting goo.
Roses made of strawberry laces
and of candy cane,
the glorious sight of morning dew,
made of candy rain.
All of these things I cannot have
for I am diabetic.
Although I do not mind at all
for sugar is pathetic!
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