What have you eaten today?

[Sable_Jan]

Tried a different strategy today..... Four little meals, or three and a snack, whatever floats your boat
B: 30g shreddies + almond milk < experimental, went sky high, so won't be having those again the shreddies not the almond milk that is
L: two slices of toasted hovis nimble + a pork and marmite sausage ... nom nom
S: big handful of walnuts followed by a small portion of yoghurt
D: thai sweet chilli chicken with greens, carrot, portabello mushrooms & cashews + a tiny portion brown rice
followed by a little jelly and a little yoghurt

You didn't get the "original" almond milk did you? It's sweetened - at least the alpro one is

 

[mehhh2015]

B: 1min Flax bun, ham, cheese, mayo and mustard. Cup of coffee with lactofree.
L: Green leaves salad, with black olives and feta cheese, avocado, tuna and some chorizo slices.
S: Coffee with lactofree and dark choc
D: (too late at night... I wasn't hungry at all but I thought I needed to eat... bad idea...) 1 scrambled egg with chorizo, avocado and feta cheese and broccoli.

 

[Winnie53]

B -Greek yoghurt with home-stewed rhubarb - no added sugar or sweetener, flax seed and flaked almonds
L -Single slice of fried bread with fried egg (came home very wet and cold after a site meeting with clients and needed something quick and hot)
D - Gammon steak, homemade fresh parsley sauce, baby spinach leaves, 2 x grilled tomatoes; single pot of Greek yoghurt with berries. BS +2= 6.6

Copy letter to my GP from the dietician I saw last week arrived in the post this morning....

It starts with

"This is a lady who is very motivated to do all it takes to manage her diabetes with dietary and lifestyle changes. .... For almost a year she has been following a diet which is in line with the Atkins diet. Her diet is unbalanced with only 30g or carbohydrate daily (general consent is that a minimum of 130g a day is necessary for most people) It also has high fat content and is very low in dietary fibre and is free from wholegrain.

Her diary shows good control - average glucose before and after meals is between 6-8mmol/1 with fasting levels of around 7mmol/1.

Today I congratulated her on her diabetes control and her motivation but stressed that the Atkins diet she is following is unhealthy, very restrictive and can cause serious health problems over the long term.

We agreed the following steps:

• Maintain her current energy intake of 1500kcal/day
• Stop high saturated fat foods and replace with low fat alternatives (I lied!)
• Add wholegrains to each meal (I lied!)
• If blood glucose is above her desirable range, she would do extra activity in the evenings to naturally bring blood glucose down. (So I've bought a treadmill)

This patient has a good understanding of a healthy diet but is extremely worried that any carbohydrate will increase her blood glucose level. She has researched SGLT-2 agents and is keen to trial it to help her transition from Atkins diet to a healthier balanced diet (I lied!). From my experience with SGLT-2, I would like to support her in this and therefore I ask you to kindly consider adding this to her prescription for a trial period!

RESULT!

In a nutshell, if I agree to add carbs to my diet, they will prescribe a drug for me which will remove the sugar from the carbs I digest....

poshtotty, thought you might find this interesting...

From BANT (British Association for Applied Nutrition and Nutritional Therapy)...

Type 2 Diabetes Does Not Happen Overnight
14 November 2014Newsmelanie
Deputy Chair of BANT, Sarah Green, says low carbohydrate diets should be the first treatment recommendation for diabetics.

Registered Nutritional Therapists recommend lower carbohydrate diets. Just as we have “good fats and bad fats” we have good carbohydrates and bad carbohydrates. Green leafy and non starchy, colourful vegetables are good carbohydrates. But starchy vegetables, grains and wholegrains (found in bread, pasta, cereal, cakes etc) are bad carbohydrates if you are overweight or obese. As our food becomes ever more processed and modified and our lives become more stressful and sedentary, late onset diabetes is manifesting younger and younger. We need to fundamentally change our approach.

Diabetes does not happen overnight. It happens over years of chronically raised blood sugar and insulin levels stemming from too much carbohydrate, increased stress levels, systemic inflammation and lack of exercise.

Nutritional guidelines which persist touting low fat foods as healthy are encouraging people to eat more carbohydrates. If you lower the % of fat in the diet, the % of carbohydrate will automatically increase. The science shows that a balance of good fats are anti-inflammatory and that essential fats improve insulin sensitivity. Not promoting and supporting people to increase their intake of good fats, higher protein and reduce carbohydrates (along with stress management and increased exercise) is contributing to the underlying pathophysiology of type 2 diabetes. Until we start to use this knowledge in a preventative way, T2D is going to continue to plague us as one of the biggest epidemics of our time and worse contribute to the statistic that this generation of children will not outlive their parents. The lack of focus on prevention is costing the NHS and taxpayer dearly.

http://centrallobby.politicshome.com/members/member-press/member-press-details/newsarticle/diabetes-does-not-happen-overnight/sites/british-association-for-applied-nutrition-and-nutritional-therapy-bant/

And here's a link to BANT's new online directory of Nutritional Therapists...

http://bant.org.uk/bant/jsp/practitionerSearch.faces

Might be worth it to call the three nutritional therapists closest to you to see if they support diabetic clients following a low carbohydrate high fat diet. Remember, they work for you. You hopefully have choices. If you don't, keep doing what you're doing.

 

[poshtotty]

Ignore that question poshtotty, I've just looked it up. I've requested to go on Forxiga too, just waiting to hear from the Consultant. Fingers crossed!

Good luck @pavlovsdog! My GP hadn't even heard of Forxiga hence him referring me to a dietician. Fingers crossed you have an easier time and that it works for you. Let us know

 

[poshtotty]

poshtotty, thought you might find this interesting...

From BANT (British Association for Applied Nutrition and Nutritional Therapy)...

Type 2 Diabetes Does Not Happen Overnight
14 November 2014Newsmelanie
Deputy Chair of BANT, Sarah Green, says low carbohydrate diets should be the first treatment recommendation for diabetics.

Registered Nutritional Therapists recommend lower carbohydrate diets. Just as we have “good fats and bad fats” we have good carbohydrates and bad carbohydrates. Green leafy and non starchy, colourful vegetables are good carbohydrates. But starchy vegetables, grains and wholegrains (found in bread, pasta, cereal, cakes etc) are bad carbohydrates if you are overweight or obese. As our food becomes ever more processed and modified and our lives become more stressful and sedentary, late onset diabetes is manifesting younger and younger. We need to fundamentally change our approach.

Diabetes does not happen overnight. It happens over years of chronically raised blood sugar and insulin levels stemming from too much carbohydrate, increased stress levels, systemic inflammation and lack of exercise.

Nutritional guidelines which persist touting low fat foods as healthy are encouraging people to eat more carbohydrates. If you lower the % of fat in the diet, the % of carbohydrate will automatically increase. The science shows that a balance of good fats are anti-inflammatory and that essential fats improve insulin sensitivity. Not promoting and supporting people to increase their intake of good fats, higher protein and reduce carbohydrates (along with stress management and increased exercise) is contributing to the underlying pathophysiology of type 2 diabetes. Until we start to use this knowledge in a preventative way, T2D is going to continue to plague us as one of the biggest epidemics of our time and worse contribute to the statistic that this generation of children will not outlive their parents. The lack of focus on prevention is costing the NHS and taxpayer dearly.

http://centrallobby.politicshome.com/members/member-press/member-press-details/newsarticle/diabetes-does-not-happen-overnight/sites/british-association-for-applied-nutrition-and-nutritional-therapy-bant/

And here's a link to BANT's new online directory of Nutritional Therapists...

http://bant.org.uk/bant/jsp/practitionerSearch.faces

Might be worth it to call the three nutritional therapists closest to you to see if they support diabetic clients following a low carbohydrate high fat diet. Remember, they work for you. You hopefully have choices. If you don't, keep doing what you're doing.

Thanks so much @Winnie53. Really interesting article that needs to be made more widely known. I recognise 2 names on the list of practitioners in my area - one is in my Pilates class, and the other is an old friend!

There's such a huge difference between the mind sets of nutritionists and dieticians. Give me nutritionists every time!

 

[msmi1970]

Good luck @pavlovsdog! My GP hadn't even heard of Forxiga hence him referring me to a dietician. Fingers crossed you have an easier time and that it works for you. Let us know

Thanks for that article Winnie!! mini rant..i used to occasionally post on MFP but that place is ridiculously full of morons. every single time someone posts anything remotely low carb, the usual suspects would trot out their first line of defense by questioning the need to limit carbs if there was no confirmed medical diagnosis..sorry to unload, but this really gets my goat. Really sensible article.

 

[Blessedarethecheesemakers]

My food yesterday:

B: 2 boiled eggs, coffee with cream.
L: another 2 boiled eggs, some ham, goats cheese, bit of salad, olives, sundried tomatoes
D: griddled salmon fillet with salad and dob of Mayo
Snack: almonds and cashews.

 

[Winnie53]

B... butter, 4 mushrooms, 24 spinach leaves, sprinkling of feta
L... flax bread, 2 thin slices ham, 1 thin slice provolone, 3 pickles, mayonnaise, mustard; broccoli; 1 chocolate
D... ground sirloin patty, red and green pepper, onion; 1 thin slice ham, pickle, cream cheese; 0.35 oz 70% cocoa chocolate
S... pecans

 

[pavlovsdog]

Carbs & Cals book arrived yesterday, sunday.
This is going to be a big help.
The doughnuts that husband asked me to buy are 35g carbs each. Will keep well away from those.
Am I correct, some people are only have approx 50 to 60 carbs per day.
I thing I need to look at my portion size, but I don't know that I could ever get down to 60 carbs per day.

I'm really struggling to keep below 70 carbs :-( can't work out why though....

 

[pavlovsdog]

poshtotty, thought you might find this interesting...

From BANT (British Association for Applied Nutrition and Nutritional Therapy)...

Type 2 Diabetes Does Not Happen Overnight
14 November 2014Newsmelanie
Deputy Chair of BANT, Sarah Green, says low carbohydrate diets should be the first treatment recommendation for diabetics.

Registered Nutritional Therapists recommend lower carbohydrate diets. Just as we have “good fats and bad fats” we have good carbohydrates and bad carbohydrates. Green leafy and non starchy, colourful vegetables are good carbohydrates. But starchy vegetables, grains and wholegrains (found in bread, pasta, cereal, cakes etc) are bad carbohydrates if you are overweight or obese. As our food becomes ever more processed and modified and our lives become more stressful and sedentary, late onset diabetes is manifesting younger and younger. We need to fundamentally change our approach.

Diabetes does not happen overnight. It happens over years of chronically raised blood sugar and insulin levels stemming from too much carbohydrate, increased stress levels, systemic inflammation and lack of exercise.

Nutritional guidelines which persist touting low fat foods as healthy are encouraging people to eat more carbohydrates. If you lower the % of fat in the diet, the % of carbohydrate will automatically increase. The science shows that a balance of good fats are anti-inflammatory and that essential fats improve insulin sensitivity. Not promoting and supporting people to increase their intake of good fats, higher protein and reduce carbohydrates (along with stress management and increased exercise) is contributing to the underlying pathophysiology of type 2 diabetes. Until we start to use this knowledge in a preventative way, T2D is going to continue to plague us as one of the biggest epidemics of our time and worse contribute to the statistic that this generation of children will not outlive their parents. The lack of focus on prevention is costing the NHS and taxpayer dearly.

http://centrallobby.politicshome.com/members/member-press/member-press-details/newsarticle/diabetes-does-not-happen-overnight/sites/british-association-for-applied-nutrition-and-nutritional-therapy-bant/

And here's a link to BANT's new online directory of Nutritional Therapists...

http://bant.org.uk/bant/jsp/practitionerSearch.faces

Might be worth it to call the three nutritional therapists closest to you to see if they support diabetic clients following a low carbohydrate high fat diet. Remember, they work for you. You hopefully have choices. If you don't, keep doing what you're doing.

File not found for that article Winnie, would like to have a read if you can repost it

 

[pavlovsdog]

Good luck @pavlovsdog! My GP hadn't even heard of Forxiga hence him referring me to a dietician. Fingers crossed you have an easier time and that it works for you. Let us know

Oh, I don't bother asking GP anything - they're locums and some of them haven't got a clue! Last time I saw one he asked me what I was on Metformin for!!!! :shocked: I just asked my DSN who is shaping up to be a good support

 

[msmi1970]

Oh, I don't bother asking GP anything - they're locums and some of them haven't got a clue! Last time I saw one he asked me what I was on Metformin for!!!! :shocked: I just asked my DSN who is shaping up to be a good support

 

[Clivethedrive]

Had my pancake already! ( 2 eggs , 1 tbsp chickpea flour,1/2 tbsp of almond flour,1/2 pt coconut milk,) whisk,fry with butter and dash of olive oil, filling, dollop of double cream and rasberries...nm nom nom nom

 

[Blessedarethecheesemakers]

Today's food:

B: 2 boiled eggs, prosciutto, bit of spiced Gouda, bit of cheddar, a falafel (it said it was 3.9g carbs per 100g and I just had one small ball). Coffee with cream.
L: prawn salad with avocado and feta. 2 chicken nuggets.
D: 3 lamb sausages, brocolli and green beans, Cooked tomato and onion.
Snack: cashews (too many) and pistachios.

 

[vicjord]

No definitely got the unsweetened one not sure I'd like anything sweetened now

I wish i felt like that. Don't think it will ever leave me but i manage it.

 

[mehhh2015]

B -Greek yoghurt with home-stewed rhubarb - no added sugar or sweetener, flax seed and flaked almonds
L -Single slice of fried bread with fried egg (came home very wet and cold after a site meeting with clients and needed something quick and hot)
D - Gammon steak, homemade fresh parsley sauce, baby spinach leaves, 2 x grilled tomatoes; single pot of Greek yoghurt with berries. BS +2= 6.6

Copy letter to my GP from the dietician I saw last week arrived in the post this morning....

It starts with

"This is a lady who is very motivated to do all it takes to manage her diabetes with dietary and lifestyle changes. .... For almost a year she has been following a diet which is in line with the Atkins diet. Her diet is unbalanced with only 30g or carbohydrate daily (general consent is that a minimum of 130g a day is necessary for most people) It also has high fat content and is very low in dietary fibre and is free from wholegrain.

Her diary shows good control - average glucose before and after meals is between 6-8mmol/1 with fasting levels of around 7mmol/1.

Today I congratulated her on her diabetes control and her motivation but stressed that the Atkins diet she is following is unhealthy, very restrictive and can cause serious health problems over the long term.

We agreed the following steps:

• Maintain her current energy intake of 1500kcal/day
• Stop high saturated fat foods and replace with low fat alternatives (I lied!)
• Add wholegrains to each meal (I lied!)
• If blood glucose is above her desirable range, she would do extra activity in the evenings to naturally bring blood glucose down. (So I've bought a treadmill)

This patient has a good understanding of a healthy diet but is extremely worried that any carbohydrate will increase her blood glucose level. She has researched SGLT-2 agents and is keen to trial it to help her transition from Atkins diet to a healthier balanced diet (I lied!). From my experience with SGLT-2, I would like to support her in this and therefore I ask you to kindly consider adding this to her prescription for a trial period!

RESULT!

In a nutshell, if I agree to add carbs to my diet, they will prescribe a drug for me which will remove the sugar from the carbs I digest....

You reaaaaaallllyyyy have to love this letter... LOL I'm looking at buying at treadmill too (is the only positive arrangement you agreed on LOL). I have to say though... that my nurse is on our side (mostly...she mumbled something about coconut oil... but that was it) I can not imagine having to agree to eat low fat :s

 

[Sable_Jan]

poshtotty, thought you might find this interesting...

From BANT (British Association for Applied Nutrition and Nutritional Therapy)...

Type 2 Diabetes Does Not Happen Overnight

http://centrallobby.politicshome.com/members/member-press/member-press-details/newsarticle/diabetes-does-not-happen-overnight/sites/british-association-for-applied-nutrition-and-nutritional-therapy-bant/

And here's a link to BANT's new online directory of Nutritional Therapists...

http://bant.org.uk/bant/jsp/practitionerSearch.faces

Might be worth it to call the three nutritional therapists closest to you to see if they support diabetic clients following a low carbohydrate high fat diet. Remember, they work for you. You hopefully have choices. If you don't, keep doing what you're doing.

Can't get that bant link to work - it says "page not found"
Very interesting to have read that post though....VERY

 

[Sable_Jan]

Had my pancake already! ( 2 eggs , 1 tbsp chickpea flour,1/2 tbsp of almond flour,1/2 pt coconut milk,) whisk,fry with butter and dash of olive oil, filling, dollop of double cream and rasberries...nm nom nom nom

I like the coconut flour recipe on the back of the packet. Added a bit more flour the first time as it was VERY runny but mayb just needed to let it stnd a little. Were scrummy yummy but didn't have time to make for breakfast today, already had lunch and think I will be eating out at teatime

 

[Sable_Jan]

No definitely got the unsweetened one not sure I'd like anything sweetened now

Know what you mean about sweetened stuff. I'll have the odd sweet craving but then find that what I had was actually a little tooooo sweet

 

[Sable_Jan]

Forgot to post yesterdays
4 breakfast biscuits (pack I'm using up) despite a higher fasting I still went up to only 7.00 (I think) which was lower than the other day when I went to 7.4
Dinner - erm, can't remember
Tea - San Marco frozen pizza - again a 7.00 spot on 2 hours post. HAPPY with that (but alas not the football score)
can't remember what snacks - oh, yes, actually - half bag of salted popcorn (thanks @alliebee - I decided to try it and it IS quite nice)

TODAY
Breakfast: my own mix of cereals and fruit with soya milk - pre 5.3 post 5.6
Lunch: half a plate of sprouts with fried onions and Quorn beef strips followed by Alpro plain yoghurt with coconut, tasty - will give "score" later but not many carbs in the whole lot. (even if I'd eaten all the first course I made)

Alpro also do a plain yoghurt with almonds - bought but not tried yet. Both well lower than the 5.5 gms of the greek style I buy. £1.85 per 500gm pot (thought it was £1.40 but only noticed as I was leaving the store) Their fruit ones are 9.5 (ish) gms per 100.
Tea may be chippy but think i shall do as I did last time and just have lightly battered fish and peas - didn't miss the chips one jot

Although I'm keeping my bs well in check (most of the time) I don't think my insulin resistance will have changed much unless I exercise more. Started taking another of the dogs out in a morning as he's getting bored and grumpy just playing ball in the garden - bad heart but that is doing ok as we had him checked out due to his grumps. Has sore ears too but had them worse before so doubt its that tho vet thinks so. He's happier getting his short stroll and I'm managing the two short walks ok so far (firbromyalgia can stop me)