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Why Do Diabetics Fail To Adhere To Dietary Regimes?
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<blockquote data-quote="DaftThoughts" data-source="post: 1233108" data-attributes="member: 317436"><p>I want to start off by saying, I'm a 6'1" female weighing in at about 270lbs. I have been tall and heavyset my whole life. I'm also a type LADA, and my weight did not cause my diabetes, nor is it really relevant in my treatment at this time. It's all in the genes. I do have T1D and T2D in both sides of the family, which confirms to me that genetics play a bigger role in diabetes than diet and environment. There are many other types out there indicate obesity does <strong>not</strong> have to be involved in every diabetes discussion - MODY is a good example. As many pointed out before me, there is ample evidence that the reverse is true - diabetes causing obesity.</p><p></p><p>That's why so many people are upset that you're creating this link. I also feel like your focus is so heavy on T2D that you didn't consider the vast variety of conditions before creating this poll.</p><p></p><p>The reason I didn't follow my dietitian's plan and stopped seeing her is because she put me on a 1400 cal plan. (My BMR alone is over 2000 calories, never mind the exercise I do almost daily.) The options she gave me weren't bad, tailored to what I liked and disliked, but ultimately she was more focused on crash dieting me into quick weight loss than she was about sustainable eating habits that worked with my glucose levels. At the time I was assumed T2D, and she was of the opinion that if I lost weight, my diabetes would disappear, I never saw her again after I was diagnosed as LADA because it was clear she was focused on pushing an agenda, personal or professional, and had no interest in figuring out what would work for me and my condition. To my knowledge she doesn't even know LADA exists.</p><p></p><p>I am still working on my diet. I can't low carb because my own insulin production is too high (although I need basal insulin to maintain good fasting values) and I crash into hypos quickly if I don't eat around 40g carbs a meal minimum. I exercise about 4-5 hours a week through commuting on a bicycle, which requires a higher carb intake lest I pass out on my bike (I am hypo unaware during exercise, but not when idle). I am insulin sensitive to my knowledge partially thanks to metformin. My diet is also partially determined by my income. I'm on disability, a fixed income, with a massive load of debts. I have a budget of €40 a week for every expense I could have groceries wise, including cat supplies, toiletries and anything else that pops up, leaving the rest for food. Sometimes I haven't much of a choice in what I eat, though I can choose to eat smaller portions and fill up on water if my values run high.</p><p></p><p>To answer the question: I know my body better than most doctors. I know my weight is not related to the fact I am a diabetic (although it can affect treatment). I know more about my diabetes than most healthcare professionals. The last time I saw someone to figure out my diet, I was put on a dangerous crash course because the dietitian only saw a fat woman in the chair in front of her and assumed all her problems would go away by restricting her calories to 60% of what she needed in a day. I don't always have the luxury to buy the food I need, but I have become excellent at compromising. My values have never been better, and I got here without anyone's help.</p><p></p><p>I feel this is the case for a <strong>majority</strong> of diabetics. We are numbers, we are money making conditions, rarely are we people who deserve to be treated as individuals. It's no surprise we don't listen to people who don't bother to learn about us beyond the basic "What do you like to eat?" and "How much do you weigh?".</p></blockquote><p></p>
[QUOTE="DaftThoughts, post: 1233108, member: 317436"] I want to start off by saying, I'm a 6'1" female weighing in at about 270lbs. I have been tall and heavyset my whole life. I'm also a type LADA, and my weight did not cause my diabetes, nor is it really relevant in my treatment at this time. It's all in the genes. I do have T1D and T2D in both sides of the family, which confirms to me that genetics play a bigger role in diabetes than diet and environment. There are many other types out there indicate obesity does [B]not[/B] have to be involved in every diabetes discussion - MODY is a good example. As many pointed out before me, there is ample evidence that the reverse is true - diabetes causing obesity. That's why so many people are upset that you're creating this link. I also feel like your focus is so heavy on T2D that you didn't consider the vast variety of conditions before creating this poll. The reason I didn't follow my dietitian's plan and stopped seeing her is because she put me on a 1400 cal plan. (My BMR alone is over 2000 calories, never mind the exercise I do almost daily.) The options she gave me weren't bad, tailored to what I liked and disliked, but ultimately she was more focused on crash dieting me into quick weight loss than she was about sustainable eating habits that worked with my glucose levels. At the time I was assumed T2D, and she was of the opinion that if I lost weight, my diabetes would disappear, I never saw her again after I was diagnosed as LADA because it was clear she was focused on pushing an agenda, personal or professional, and had no interest in figuring out what would work for me and my condition. To my knowledge she doesn't even know LADA exists. I am still working on my diet. I can't low carb because my own insulin production is too high (although I need basal insulin to maintain good fasting values) and I crash into hypos quickly if I don't eat around 40g carbs a meal minimum. I exercise about 4-5 hours a week through commuting on a bicycle, which requires a higher carb intake lest I pass out on my bike (I am hypo unaware during exercise, but not when idle). I am insulin sensitive to my knowledge partially thanks to metformin. My diet is also partially determined by my income. I'm on disability, a fixed income, with a massive load of debts. I have a budget of €40 a week for every expense I could have groceries wise, including cat supplies, toiletries and anything else that pops up, leaving the rest for food. Sometimes I haven't much of a choice in what I eat, though I can choose to eat smaller portions and fill up on water if my values run high. To answer the question: I know my body better than most doctors. I know my weight is not related to the fact I am a diabetic (although it can affect treatment). I know more about my diabetes than most healthcare professionals. The last time I saw someone to figure out my diet, I was put on a dangerous crash course because the dietitian only saw a fat woman in the chair in front of her and assumed all her problems would go away by restricting her calories to 60% of what she needed in a day. I don't always have the luxury to buy the food I need, but I have become excellent at compromising. My values have never been better, and I got here without anyone's help. I feel this is the case for a [B]majority[/B] of diabetics. We are numbers, we are money making conditions, rarely are we people who deserve to be treated as individuals. It's no surprise we don't listen to people who don't bother to learn about us beyond the basic "What do you like to eat?" and "How much do you weigh?". [/QUOTE]
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