How many calories/carbs? Insulin resistant

kekagel
kekagel Posts: 94 Member
edited November 12 in Health and Weight Loss
I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!
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Replies

  • kgeyser
    kgeyser Posts: 22,505 Member
    Talk to your doctor, get tested, then go with your doctor's recommendations. See if you can get a referral to a registered dietician.
  • maxit
    maxit Posts: 880 Member
    From the govt. website for people with diabetes: http://diabetes.niddk.nih.gov/dm/pubs/carbohydrate_ez/index.aspx

    How much carbohydrate do I need each day?
    The daily amount of carbohydrate, protein, and fat for people with diabetes has not been defined—what is best for one person may not be best for another. Everyone needs to get enough carbohydrate to meet the body’s needs for energy, vitamins and minerals, and fiber.
    Experts suggest that carbohydrate intake for most people should be between 45 and 65 percent of total calories. People on low-calorie diets and people who are physically inactive may want to aim for the lower end of that range.


    Because you don't know what your status is, take kgeyser's excellent advice above.
  • SwankyTomato
    SwankyTomato Posts: 442 Member
    Honestly, I would just go with the standard calorie deficit diet at the moment and then tweak it as you go along.

    Have you been to the doctor recently for a blood panel screening and diabetes test? I would encourage you to do that if you have not.

    My dh has metabolic syndrome (prediabetic, high cholesterol, heart attack and triple bypass surgery Dec. 2012) and has lost 50lbs in the last year just with eating at a deficit. He did not change anything he ate, he just reduced the amount he ate.

    He goes to a "Lipid Clinic" since his cholesterol is abnormally high and the fact he had a heart attack/bypass surgery.
  • _Zardoz_
    _Zardoz_ Posts: 3,987 Member
    edited February 2015
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    Have you actually been diagnosed by a Doctor? It sounds like you haven't if you really think you are go and see a Doctor.

    Also to add I've Just had a quick look at your diary if you think your Insulin resistant because your not losing weight. I think the bigger issue could be you don't log consistently. If you don't log accurately and consistently it's difficult to know if your eating at a calorie deficit to lose weight
  • FatFreeFrolicking
    FatFreeFrolicking Posts: 4,252 Member
    edited February 2015
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    If you think you may be insulin resistant or pre-diabetic, you should see your PCP asap so you can undergo the tests used to diagnose such conditions.

    I am insulin resistant. I have seen a few dietitians who all recommended the following:
    • 15-30 grams of carbs per meal
    • No more than 15 grams of carbs per snack
    • Protein with every meal & snack
    • Mediterranean diet
    • Limit simple carbohydrates i.e. baked goods and fruit (two servings per day).
    • Stick to complex carbs i.e. legumes, beans, brown rice, whole grains, quinoa, veggies.
    • Eat lots of healthy fats i.e. fish, olive oil, avocado, nuts, seeds, nut butters, eggs.

    Please do not make any changes to your diet until you are tested for insulin resistance and diabetes.

    ETA: The number of carbs all depends on your individual body. One person with IR can eat 150 grams of carbs a day, while another can only eat 25 grams.
  • abatonfan
    abatonfan Posts: 1,120 Member
    Didn't you post a thread like this a few days ago?

    As what I said previously, the amount of carbs a diabetic needs varies from individual to individual, and you should talk to your doctor to be tested if you think you are a diabetic. A type 2 managing with diet and exercise might find that eating 40g of carbs per day controls his BG the best, while another type 2 might find that they can eat closer to 250g of carbs per day without adverse BG effects.
  • azulvioleta6
    azulvioleta6 Posts: 4,195 Member
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    If you think you may be insulin resistant or pre-diabetic, you should see your PCP asap so you can undergo the tests used to diagnose such conditions.

    I am insulin resistant. I have seen a few dietitians who all recommended the following:
    • 15-30 grams of carbs per meal
    • No more than 15 grams of carbs per snack
    • Protein with every meal & snack
    • Mediterranean diet
    • Limit simple carbohydrates i.e. baked goods and fruit (two servings per day).
    • Stick to complex carbs i.e. legumes, beans, brown rice, whole grains, quinoa, veggies.
    • Eat lots of healthy fats i.e. fish, olive oil, avocado, nuts, seeds, nut butters, eggs.

    Please do not make any changes to your diet until you are tested for insulin resistance and diabetes.

    Exactly this, though I would recommend seeing an endocrinologist and nutritionist rather than your PCP.
  • FatFreeFrolicking
    FatFreeFrolicking Posts: 4,252 Member
    Honestly, I would just go with the standard calorie deficit diet at the moment and then tweak it as you go along.

    Have you been to the doctor recently for a blood panel screening and diabetes test? I would encourage you to do that if you have not.

    My dh has metabolic syndrome (prediabetic, high cholesterol, heart attack and triple bypass surgery Dec. 2012) and has lost 50lbs in the last year just with eating at a deficit. He did not change anything he ate, he just reduced the amount he ate.

    He goes to a "Lipid Clinic" since his cholesterol is abnormally high and the fact he had a heart attack/bypass surgery.

    He has all of those conditions but didn't change the way he eats…? That's frightening since diet plays a large role in pre diabetes, high cholesterol, and heart attacks.

    In order to prevent full-blown type 2 diabetes, lower cholesterol, and prevent future heart attacks, he should probably be eating differently than he way he was prior to diagnosis… Just saying.
  • FatFreeFrolicking
    FatFreeFrolicking Posts: 4,252 Member
    edited February 2015
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    If you think you may be insulin resistant or pre-diabetic, you should see your PCP asap so you can undergo the tests used to diagnose such conditions.

    I am insulin resistant. I have seen a few dietitians who all recommended the following:
    • 15-30 grams of carbs per meal
    • No more than 15 grams of carbs per snack
    • Protein with every meal & snack
    • Mediterranean diet
    • Limit simple carbohydrates i.e. baked goods and fruit (two servings per day).
    • Stick to complex carbs i.e. legumes, beans, brown rice, whole grains, quinoa, veggies.
    • Eat lots of healthy fats i.e. fish, olive oil, avocado, nuts, seeds, nut butters, eggs.

    Please do not make any changes to your diet until you are tested for insulin resistance and diabetes.

    Exactly this, though I would recommend seeing an endocrinologist and nutritionist rather than your PCP.

    She needs to see her PCP first to get a referral to an endocrinologist. And she should see a registered dietitian- not a nutritionist. Sadly, anyone can call themselves a nutritionist and have little to no educational background.
  • elphie754
    elphie754 Posts: 7,574 Member
    The way you phrased this question, it sounds like you are just guessing. Go to your doctor to either be diagnosed or for them to tell you that you are not. That is step 1.
  • missiontofitness
    missiontofitness Posts: 4,059 Member
    _Zardoz_ wrote: »
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    Have you actually been diagnosed by a Doctor? It sounds like you haven't if you really think you are go and see a Doctor.

    She had a previous thread about this topic.

    OP, not to repeat what I said there, but you should be getting to a doctor as soon as possible before making changes on your own. This is something you really do not and should not be undertaking alone.
  • azulvioleta6
    azulvioleta6 Posts: 4,195 Member
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    If you think you may be insulin resistant or pre-diabetic, you should see your PCP asap so you can undergo the tests used to diagnose such conditions.

    I am insulin resistant. I have seen a few dietitians who all recommended the following:
    • 15-30 grams of carbs per meal
    • No more than 15 grams of carbs per snack
    • Protein with every meal & snack
    • Mediterranean diet
    • Limit simple carbohydrates i.e. baked goods and fruit (two servings per day).
    • Stick to complex carbs i.e. legumes, beans, brown rice, whole grains, quinoa, veggies.
    • Eat lots of healthy fats i.e. fish, olive oil, avocado, nuts, seeds, nut butters, eggs.

    Please do not make any changes to your diet until you are tested for insulin resistance and diabetes.

    Exactly this, though I would recommend seeing an endocrinologist and nutritionist rather than your PCP.

    She needs to see her PCP first to get a referral to an endocrinologist. And she should see a registered dietitian- not a nutritionist. Sadly, anyone can call themselves a nutritionist and have little to no educational background.

    Yes, good point!
  • kekagel
    kekagel Posts: 94 Member
    According to a blood glucose testing kit and information on diabetes.org, I'm either insulin resistant or pre-diabetic. Yes, I need to get to a doctor - that is very difficult as I've been homebound for years. That is something I'm working on.

    Until then, I'm looking for all the information I can get. I realize that none of you are doctors, that's why I'm asking for opinions from people that have dealt with similar issues. I understand that people are different, but I'm still interested in reading the information. I need a healthier lifestyle regardless and I want to learn everything possible from all different methods, all the options available so that I can determine - eventually with a doctor - what my best course of action is.
  • SwankyTomato
    SwankyTomato Posts: 442 Member

    He has all of those conditions but didn't change the way he eats…? That's frightening since diet plays a large role in pre diabetes, high cholesterol, and heart attacks.

    In order to prevent full-blown type 2 diabetes, lower cholesterol, and prevent future heart attacks, he should probably be eating differently than he way he was prior to diagnosis… Just saying.

    I wish diet did play a major role with his issues (that would be easy to fix!) unfortunately that is just not the case for my dh.

    He has high blood cholesterol since his early 20's and genetics play a major factor in his metabolic syndrome.

    It has not been an easy road, that is for sure. Believe me, I wish he would become a vegan and exercise daily, however at the moment he is working just to eat a little better an getting his knee looked at. Baby steps.....



  • kekagel
    kekagel Posts: 94 Member
    edited February 2015
    For the record, just because somebody says eat 25g of carbs, etc. doesn't mean that's what is best for me. I thought surely there would be a calculator available online for reference.
  • SexyKatherine73
    SexyKatherine73 Posts: 221 Member
    get a doctor to do a house call, if your house bound :)
  • kekagel
    kekagel Posts: 94 Member
    I've been trying for years to get a doctor to come here. Please if you know of a way to do that, let me know.
  • 3dogsrunning
    3dogsrunning Posts: 27,167 Member
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    If you think you may be insulin resistant or pre-diabetic, you should see your PCP asap so you can undergo the tests used to diagnose such conditions.

    I am insulin resistant. I have seen a few dietitians who all recommended the following:
    • 15-30 grams of carbs per meal
    • No more than 15 grams of carbs per snack
    • Protein with every meal & snack
    • Mediterranean diet
    • Limit simple carbohydrates i.e. baked goods and fruit (two servings per day).
    • Stick to complex carbs i.e. legumes, beans, brown rice, whole grains, quinoa, veggies.
    • Eat lots of healthy fats i.e. fish, olive oil, avocado, nuts, seeds, nut butters, eggs.

    Please do not make any changes to your diet until you are tested for insulin resistance and diabetes.

    Exactly this, though I would recommend seeing an endocrinologist and nutritionist rather than your PCP.

    She needs to see her PCP first to get a referral to an endocrinologist. And she should see a registered dietitian- not a nutritionist. Sadly, anyone can call themselves a nutritionist and have little to no educational background.

    Yes, good point!

    That's not exactly true. For much of the US it is (not all), but not everywhere. In some places nutritionist is also a legally protected term.
  • azulvioleta6
    azulvioleta6 Posts: 4,195 Member
    Tracking and seeing what works best for you over time is how you determine exactly what the best numbers are for you. As far as I know, there is no magic formula.

    The numbers suggested above are a really good place to start. Personally, I have found that I need to eat slightly fewer carbs per day than the guidelines suggest. There is nothing about eating that way that is going to hurt you. You DO need to see a endocrinologist though--my biggest concern about you diagnosing yourself is that you could have full-blown diabetes and not know it--potentially very dangerous.
  • MythicalMe84
    MythicalMe84 Posts: 80 Member
    I am a type 2 diabetic and what works for me may not work for others and what worked for me once might not work for me again. It is an ongoing battle. I would research what the recommended allowance is and tweak it to what works for you.
  • kekagel
    kekagel Posts: 94 Member
    How do you determine what's best after tweaking the recommended allowance? Is that based on how you feel, blood sugar levels, a combination of both, or other factors?
  • PrizePopple
    PrizePopple Posts: 3,133 Member
    Like was said in the last thread posted (which was deleted) you really need to see a doctor to have your needs figured out. I myself am insulin resistant, but not enough so to require Metformin (I have PCOS) and my endocrinologist said I do not need to change anything so long as I am losing weight. Everyone is different, and what works for one person is not going to work for another. Also, as stated last time, self-diagnosis is not wise if you think you have a medical condition that is impacted greatly by your diet.
  • SLLRunner
    SLLRunner Posts: 12,942 Member
    kekagel wrote: »
    I'm having the worst time finding a calulator to determine how many calories and carbs per day I should have. It's likely that I'm either insulin resistant or pre-diabetic. I'm 260 pounds, 5'4", 35 years old, and sedentary - though I want to change that. Do any calculators exist that would take all that into factor? I'd appreciate any tips or advice. Thank you!

    Never assume. You need to get tested by your doctor and go from there.
  • This content has been removed.
  • azulvioleta6
    azulvioleta6 Posts: 4,195 Member
    kekagel wrote: »
    How do you determine what's best after tweaking the recommended allowance? Is that based on how you feel, blood sugar levels, a combination of both, or other factors?

    By "best" I mean what works for me in terms of losing weight. I am also looking at my fasting blood sugar and A1C results over time.
  • I am sorry that some people are being a bit insensitive. I would recommend doing the whole30. It has helped people whose diabetes were much more developed. It is hard but simple to follow. I am on day 18 myself. I think it would make a big difference for you. No calorie counting and more effective than a doctor for your situation, in my opinion.
  • PrizePopple
    PrizePopple Posts: 3,133 Member
    Tygerlilee wrote: »
    I am sorry that some people are being a bit insensitive. I would recommend doing the whole30. It has helped people whose diabetes were much more developed. It is hard but simple to follow. I am on day 18 myself. I think it would make a big difference for you. No calorie counting and more effective than a doctor for your situation, in my opinion.


    big-bang-theory-penny-WHAT-gif.gif

    And your opinion is beyond asinine. In no way should you be instructing a person who thinks they might have a potentially serious medical condition to do some diet and claim it's more effective than a doctor. That's downright stupid actually. There is no sugar coating that. Don't ever give that type of advice again, for the sake of humanity.
  • LKArgh
    LKArgh Posts: 5,178 Member
    You need a dr. You need a psychiatrist to begin with (to avoid misunderstandings, I am currently seeing one myself, I am not calling you "crazy"). I am pretty sure you know your problem is not the potential diabetes. Have you looked for drs who work with people with your phobias? You are not the only person who is agoraphobic and there is help.
  • Mr_Knight
    Mr_Knight Posts: 9,532 Member
    edited February 2015
    kekagel wrote: »
    I'm 260 pounds, 5'4", 35 years old, and sedentary...

    BMR is ~1400ish, TDEE is ~1700ish.

    20% deficit puts you at ~1350 calories/day.

    But if you are housebound, there may be other issues at play here...?
  • Mr_Knight
    Mr_Knight Posts: 9,532 Member
    Tygerlilee wrote: »
    I am sorry that some people are being a bit insensitive. I would recommend doing the whole30. It has helped people whose diabetes were much more developed. It is hard but simple to follow. I am on day 18 myself. I think it would make a big difference for you. No calorie counting and more effective than a doctor for your situation, in my opinion.

    This is terrible advice.
This discussion has been closed.