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So Confused about diet

Solomino

Newbie
Messages
2
Type of diabetes
Treatment type
Tablets (oral)
This is my first post. I wasn't sure where to post...there doesn't seem to be a general diet thread only low carb, low calorie, vegetarian....

My husband has type 2 diabetes he also has Muscular dystrophy. He is thin due to muscle deterioration and does not need to lose weight. I have been reading a lot on the benefits of low carb diets (I am on Keto due to my weight) lowering glucose but how to do that without losing weight?o_O You see, his blood sugar is high and he doesn't eat sweets so I THINK it must be the carbs in his diet. I could really use some advice or direction please.
 
This is my first post. I wasn't sure where to post...there doesn't seem to be a general diet thread only low carb, low calorie, vegetarian....

My husband has type 2 diabetes he also has Muscular dystrophy. He is thin due to muscle deterioration and does not need to lose weight. I have been reading a lot on the benefits of low carb diets (I am on Keto due to my weight) lowering glucose but how to do that without losing weight?o_O You see, his blood sugar is high and he doesn't eat sweets so I THINK it must be the carbs in his diet. I could really use some advice or direction please.

Hello and welcome,

If his blood sugars are high it is almost 100% certain it is carbs. All carbs turn to glucose in the system. Fats have no effect at all. The fewer carbs we eat the lower our blood glucose levels will be. Some medications also raise blood sugar levels, as may illness, pain, and stress.

However, perhaps you could tell us which diabetes medications he is taking as this may make a difference.

A low carb diet doesn't mean he will lose weight. There are many of on this forum eating low carb or keto diets and not losing weight (I'm one of them) I have maintained my weight at the same pleasing level for well over 3 years eating around 30g carbs a day or less. The secret is to balance all the lost calories from extra fats and protein. I initially lost 33% of my weight to reach a good BMI and then experimented with adding extra fats and protein to prevent further loss. For me this was by adding extra cheese, eggs, butter and cream. Others use avocados, olives and nuts etc. It is a fine balancing act, but perfectly doable, although how much extra fats and protein you add is a bit of trial and error for a week or two, requiring recording portion sizes and using your blood glucose meter and bathroom scales to help.
 
Hi and welcome @Solomino
I will tag @daisy1 for her helpful information for newcomers.
I don't know anything about diet for Muscular dystrophy and that might affect things. For type 2's it's the carbs that push up our blood sugars, that's bread, rice, flour, pasta, potatoes etc as well as sugar. If he reduces carbs he will need to eat more fat and protein particularly as he doesn't need to lose weight. Does he test to see which foods are pushing up his blood sugars? This could be helpful in finding which carbs don't work for him.
 
@Solomino

Hello Solomino and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it interesting and useful. Ask as many questions as you want and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:
  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

  • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

  • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
 
I have lost weight on a low carb diet - but I really needed to.
It is possible to keep blood glucose under control without losing weight - Atkins is the archetypal low carb diet and there are four stages, the last one being maintenance which for me is exactly how I ate for decades before diagnosis. It feels like a really good way to eat. Basically the foods which have no carbs are the basis of the diet, shellfish, fish, meat, eggs, cheese - eaten with low carb veges and salad stuff. I set a limit of 10 percent carbs, though I eat small amounts of things which I really feel I can cope with - Lidls 81 percent chocolate for instance.
I do eat low carb fruits in moderation, berries, plums and cherries seem to be OK, with meals or adding cream.
If you concentrate on lowering blood glucose, that would seem to be the most immediate concern, but don't restrict the amounts of foods or worry about fat - which seems to be a huge red herring where health is concerned - as the main culprits after sugars - from all sources - are grains, potatoes and starchy vegetables, which we are encouraged to eat as healthy and filling, but are really bad news for type two diabetics.
 
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