The professionals are not listening

[Nodemus]

I was put on a extreme 2 week diet low fat high carb to lower my triglycerides it worked their down 2.8 due to pancreatitis
The diet consisted of small portions of carbs potatoes 75g pasta ryvita weetibix
The issue is now I’m on a lower fat diet. and the dietician linked with the lipid clinic wants me on
Protein intake (15-20%)= 285-380 calories (71- 95g)
Total Fat (30%) = 570 calories (~63g fat)
Saturated fat (20g)
Carbohydrate intake 278g (1045 calories)

I can’t be eating that much carb/starch it sends my sugars up I’m not sure what to do in this case.
Any ideas are appreciated or advice.

 

[ianf0ster]

I lowered my Triglycerides and raised my HDL and got into T2 D remission all through Low Crab (20 to 40gms per day), High Protein and High(er) Traditional Fats.
OK so the fats are mainly from meat, fish, full fat Greek Yoghurt and hard cheeses (almost all vintage cheddar). I adding some I feel are safe but not traditional for me - frying using Coconut Oil and adding Olive and Avocado to salads.

You would probably stress with an LDL as high as mine, but until somebody shows me convincing evidence that High HDH. Low Trig, High LDL in the context of a low carb way of eating is actually worse for the heart than being T2 Diabetic, I will stick with it.
Even after a triple cardio bypass, I'd rather go quickly of a heart attack (like my dad), than slowly from diabetes anyway!

 

[Nodemus]

The main issue I have is I suffer from extreme fat in my blood and if it gets to bad I end up in hospital with acute pancreatitis. The intensive care team were looking after me and they asked for my family to come down.
All the professional have banned me from anything remotely fatty. It’s a nightmare

 

[EllieM]

The main issue I have is I suffer from extreme fat in my blood and if it gets to bad I end up in hospital with acute pancreatitis. The intensive care team were looking after me and they asked for my family to come down.
All the professional have banned me from anything remotely fatty. It’s a nightmare

Do you definitely have T2 diabetes rather than T3c...?

If you are on insulin because you don't make enough,rather than because of insulin restance, it might be that you can eat higher carb by adjusting your doses?

 

[eventhorizon]

I would hope the intensive care team would know what they're doing. Perhaps in the short term at least take their advice. Have you asked them how to manage your blood sugars on a different diet?

 

[AndBreathe]

I was put on a extreme 2 week diet low fat high carb to lower my triglycerides it worked their down 2.8 due to pancreatitis
The diet consisted of small portions of carbs potatoes 75g pasta ryvita weetibix
The issue is now I’m on a lower fat diet. and the dietician linked with the lipid clinic wants me on
Protein intake (15-20%)= 285-380 calories (71- 95g)
Total Fat (30%) = 570 calories (~63g fat)
Saturated fat (20g)
Carbohydrate intake 278g (1045 calories)

I can’t be eating that much carb/starch it sends my sugars up I’m not sure what to do in this case.
Any ideas are appreciated or advice.

Sometimes we need to look at the bigger picture and decide from there.

I live a low carb lifestyle, with balancing (as in caloric intake) fats. I just have fattier meats etbc, rather than eating cheese with butter on etc.

If your immediate danger is pancreatitis, so serious that the medics were/are concerned for your life, then, PERSONALLY, I would be on the low fat and extra carbs way of eating - for a while at least.

If you are already taking insulin, in your shoes, I would want to ensure I could safely adjust my insulin levels to match the higher blood glucose numbers I might see. If you are on a mixed insulin, it might be time to negotiate a change to a long acting, plus short acting regime, to give you a bit more flexibility around carbs.

I would like to think the medics would be checking your blood lipids and general well-being regularly, so at least you will likely have a point of contact for any day-to-day queries you might have.

Honestly, it can't be easy, but from the outside looking in, I'd surmise you could get into big trouble quite quickly if your fatty bloods trigger another big bout of pancreatitis. Running your bloods a bit higher for a few weeks, or even months, is unlikely to put you in such potentially mortal danger.

(On an aside, some folks find some types of carbs are harder on their blood glucose than others. Some find they can handle more carbs from sugar than from grains, or vice versa. Do you know if that's the case for you? If you had that sort of insight, it'd be a case of choosing the least worst for you.)

Whatever you do, ..... good luck with it all. Sounds like you and your family have really been through the mill.