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Well, that went well (dietician)

stevolution

Well-Known Member
Messages
141
Location
Manchester, UK
Type of diabetes
Treatment type
Insulin
Just got back from first appointment with the dietician and I appear to have been lucky again. :thumbup:

While she was a long way from being a low-carb advocate, she was definitely interested in the future of LC as a possible treatment for diabetics and promised to go away and read up on the latest arguments for and against it. While she's aware of the progress made in Sweden and now the US, she's just a bit concerned about the long term effects. Good luck with that. :wink:

For my part, I agreed to gradually up my carbs to around 60g/day in the form of veg, berries and such whilst lowering fats an appropriate amount for the next 3 weeks until I see her again. I was intending to do that whilst monitoring BG anyway so it was a winner for me. Should've been a poker player. :lol:

Nice DSN and now a nice dietician - what's the world coming to? :lol:
 
That sounds a really positive meeting Steve. Maybe you've planted seeds that will benefit the patients who come after you :)
 
As you know, I have watched your progress since you came here, and I am so thrilled for you. Having a supportive HCT is such a bonus, and you deserve it. Well done!
 
It's great to hear about an NHS Dietician who is genuinely open-minded (although I'm sure there are many). It takes a bit of courage to take new stuff on board, without resorting dogmatically to the "company line".

Stephen
 
Good news again! :clap: Seems like the LC message is at least getting around the NHS if not those laggards at DUK. In many ways she has suggested roughly what I do which is to substitute starchy carbs with a mixture of better carbs like veg as well as up my fat and a bit more protein. When you do that you seem to me to naturally end up more in that 50 to 100g range than sub 50g. To be quite honest I do a bit of both and it seems to have little effect on my BG's so long as you keep under a critical amount which will be different for each of us.
 
Thanks all, although it's more down to luck than anything on my part! :thumbup:

I'm doubly happy as my DSN was thrilled with my numbers when I spoke to her this morning. :D
I'm one of the lucky ones who got a meter and strips on script, and we're now moving from testing before meals (to establish the Met isn't tipping things too low at baseline) to testing after meals so I can tell for sure if anything I've eaten is causing problems.

Perfect timing, I'd say. I can keep an eye on the increase in 'good' carbs this way. :)

The dietician did say she'd like to see me at 120g carbs/day at some point in the future, but what I'm doing obviously isn't making me ill! :D She also strongly agreed that I certainly shouldn't have been eating less calories than my BMR. I wasn't really expecting that for some reason.

To tell you the honest truth, as long as my jeans size keeps dropping and my post-workout recovery keeps improving I don't really mind. The huge increase in calories recently has made a big difference to alertness and the lethargy is going away. SWMBO also says I'm not as snappy the last couple of days. I'm back to the weight I was before the calorie increase, but I'm chucking the scales out now anyway. There are far better was of measuring progress. Embrace the barbell! :lol:
 
Always said there's more good ones than bad ones Steve, well done mate :thumbup:
 
stevolution said:
To tell you the honest truth, as long as my jeans size keeps dropping and my post-workout recovery keeps improving I don't really mind. The huge increase in calories recently has made a big difference to alertness and the lethargy is going away. SWMBO also says I'm not as snappy the last couple of days. I'm back to the weight I was before the calorie increase, but I'm chucking the scales out now anyway. There are far better was of measuring progress. Embrace the barbell! :lol:

Are you getting sucked into any of the cross-fit diet stuff? "The Zone" or "Paleo"?

Is that sort of thing talked about much at your "box"? It must be a great environment to be low-carb in...
 
Yeah, it's discussed now and again but there's no pressure. They just let results speak for themselves really.
I used to be pretty much paleo, and it looks like that's where I'm headed again through circumstance. :-)
 
stevolution said:
Yeah, it's discussed now and again but there's no pressure. They just let results speak for themselves really.
I used to be pretty much paleo, and it looks like that's where I'm headed again through circumstance. :-)

Funny that eh? How an ancestral diet turns out to be the best way of dealing with a modern disease? What are the odds of that?

It's almost like the modern diet was causing diabetes or something.

Pass me more healthy wholegrains.
 
borofergie said:
stevolution said:
Yeah, it's discussed now and again but there's no pressure. They just let results speak for themselves really.
I used to be pretty much paleo, and it looks like that's where I'm headed again through circumstance. :-)

Funny that eh? How an ancestral diet turns out to be the best way of dealing with a modern disease? What are the odds of that?

It's almost like the modern diet was causing diabetes or something.

Pass me more healthy wholegrains.

I must confess, I am looking seriously at a Paleo diet as the diet for me for life after the ND. The Atkins diet suited me before the ND, but I really do like the look of the Paleo, we shall see.
 
borofergie said:
Funny that eh? How an ancestral diet turns out to be the best way of dealing with a modern disease? What are the odds of that
Testify, bruvva! :D :thumbup:

Defren, Rob Wolf is the man to look to for guidance here. He had some fall-out with the CF crew a while ago (although if he'd seen boxes like our where correct technique is EVERYTHING his opinion might have differed!) but I still like him. :D
 
stevolution said:
Defren, Rob Wolf is the man to look to for guidance here. He had some fall-out with the CF crew a while ago (although if he'd seen boxes like our where correct technique is EVERYTHING his opinion might have differed!) but I still like him. :D

+1 on that (or should I say "Hallelujah!")
His Paleo Solution book is a funny and very readable introduction to healthy living. I love his podcasts too, mainly because of the amount of swearing (the comedy value of swearing is much underappreciated in my view).

I think the best and most sensible writer in the "Paleosphere" is Kurt Harris. This one page summary is the best overview of a Paleo lifestyle that I've seen:
http://www.archevore.com/get-started/

The best thing is that, if you are already properly low-carbing* then you're probably doing 90% of it anyway.

(*although the whole Paleo scene seems to be moving away from strict low-carb, most of the plans now include safe starches such as sweet potato for non-diabetics).
 
Yeah, Rob's book is funny to read as I recall. Gonna have to browse through it again now.

Liking the Kurt Harris link, thanks. Sums it all up nicely!

I think my dietician is going to like the paleo direction which as you suggest is pretty close to what I'm doing now. In the latest movements there's a good compromise on carbs for her and they focus on the 'good' ones. :)
 
stevolution said:
Yeah, Rob's book is funny to read as I recall. Gonna have to browse through it again now.

Liking the Kurt Harris link, thanks. Sums it all up nicely!

I think my dietician is going to like the paleo direction which as you suggest is pretty close to what I'm doing now. In the latest movements there's a good compromise on carbs for her and they focus on the 'good' ones. :)

Yes. If this keto-thing doesn't end up helping my running (I've felt rough this week, because I think I ate too much protein and bounced myself out), I'm thinking about adding a little sweet-potato to my diet, to see what happens.
 
I wouldn't drop the fats by much. they are necessary to health and prevent hunger. You don't have to tell the dietician. She CAN'T make you do anything you don't want to.
Hana
 
borofergie said:
stevolution said:
Defren, Rob Wolf is the man to look to for guidance here. He had some fall-out with the CF crew a while ago (although if he'd seen boxes like our where correct technique is EVERYTHING his opinion might have differed!) but I still like him. :D

+1 on that (or should I say "Hallelujah!")
His Paleo Solution book is a funny and very readable introduction to healthy living. I love his podcasts too, mainly because of the amount of swearing (the comedy value of swearing is much underappreciated in my view).

I think the best and most sensible writer in the "Paleosphere" is Kurt Harris. This one page summary is the best overview of a Paleo lifestyle that I've seen:
http://www.archevore.com/get-started/

The best thing is that, if you are already properly low-carbing* then you're probably doing 90% of it anyway.

(*although the whole Paleo scene seems to be moving away from strict low-carb, most of the plans now include safe starches such as sweet potato for non-diabetics).

I have just read the link Stephen, and tweaking it to allow for diabetes, it is pretty much my diet anyway. I really do think this is the way to go for me. I still have three weeks to sort out what I am going to do post ND, but I think a flick onto Amazon and some paleo books are my next plan of action. Thanks.
 
Defren said:
I have just read the link Stephen, and tweaking it to allow for diabetes, it is pretty much my diet anyway. I really do think this is the way to go for me. I still have three weeks to sort out what I am going to do post ND, but I think a flick onto Amazon and some paleo books are my next plan of action. Thanks.

Which is exactly my experience, all I had to do was cut out the grain oils (and cut back on the chicken a bit), to make my diet almost exactly match the one that KDH suggests...

I've really worked on the sleep thing to. Robb Wolf suggests that you sleep in a totally dark room (without even the smallest LED light). I can't manage that, because we're in the process of moving house and I don't want to buy new curtains, but I've been sleeping with an eye-mask and I feel about 50 times better.
 
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