Insulin resistant type 2 diabetic. Advice please??
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I'm prediabetic and followed the instructions in Dr Bernstein's Diabetes Solution. It explained how to got very low carb, and it worked. I've been eating fewer than 30g of carbs on most days and have been in ketosis for about 7 weeks. Eating vLCHF worked very well for my blood glucose. I went from fasting blood glucose readings of 5.5 to 7, but now my morning FBG is usually between 4.2 and 5.4. Plus it eliminated my carb cravings and made eating at a caloric deficit easy since my appetite is reduced. I've lost 20lbs in 2 months, and I'm basically a normal BMI now.
Ketosis or low carb high fat (below 100g/day of carbs) can work wonders in those with diabetes. Good luck!0 -
Now why hasn't any one told me that before?! Grrr! They're all so quick to tell me not to eat fat and to take more drugs no one in 12 years has told me to cut carbs. In fact I was sent to a nutritionist who told me to eat more pasta as it's filling and will help me loose weight.
Thanks I'll read up and start changes.
Wait, what?! My mom was a type 1 diabetic for 43 years and I remember her telling me about learning the carb exchanges when she was first diagnosed. In the 70's. That is INSANE that they didn't tell you that and I'm so sorry. Hang in there.
What kind of consultant are you going to be seeing?
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OP, your profile indicates you have 150 lbs to lose. Even if you are completely immobile, this can happen by monitoring calories. No special diet needed for weight loss, only eating less. No matter what conditions you have. I am not saying it is easy and not a huge adjustment, but it is a choice. Lose the weight, even if it means feeling hungry and not getting much satisfaction from your food, or commit suicide by eating as you do. I know it sounds harsh, but you are too young with too many health issues to not make drastic changes.
Also I see a post mentioning you are eating things like pancakes and syrup??? You say you have been diagnosed years ago, and no one ever gave you an eating plan? No one taught you how to count carbs? You are saying you hate vegetables also, and are not following dr's instuctions to eat them. So, have you ever told yourself to suck it up and eat them anyway, or have you been replacing them with tastier stuff like fruit, then telling your dr "oh, I tried this diet thing for 5 days, did not work, let's talk about different meds"?
You are at the point where it is a decision: eat for pleasure, or follow strictly guidelines until you get this under control, even if this means that until you learn better eating habits, food is fuel and not pleasure at all.0 -
You need this book: "The Diabetes Diet: Dr. Bernstein's Low-Carbohydrate Solution" by Richard K. Bernstein
It's ok that you had some wrong information. The science is changing and our governments have not caught up. You absolutely need fats and oils. Reduce carbs and sugars.
-->> A good meal is steak and a plate of steamed broccoli. Or eggs with cheese and roasted green beans.
Is the consultant a specialist? Can you arrange to get an appointment with an endocrinologist who specializes in diabetes (no thyroid and other hormone patients)?
Good luck.
If you are refering to the Canadian Dr. Bernstein know that he is a VLCD advocate and in trouble with Canadian authorities for violating professional conduct WRT adverstising. I wouldn't be pushing his stuff here.0 -
Please read up on the Ketogenic Diet. It is tailor made for type 2 diabetics. And can very well reverse it in a lot of people.
Depends on the person. The majority of T2Dm can reverse the disease by eating moderate carbs. There is no need to go to extremes for most. Yes, it does work for some and anyone who is not having success with moderate carbs should consider low carb.
No " depends" about it. The Ketogenic diet has been proven to aid T2D folks.
Nor is the Ketogenic diet " extreme". It may differ from your "view" , but not extreme at all.
The OP should research and decide for himself, but since he said he is insulin resistant, then what do you think happens after he ingests carbohydrates?? Yeah converts to glycogen/ glucose/ blood sugar and generates an insulin response. And guess what insulin prevents fat metabolism.
Yes it aids T2Dm, but it isn't necessary for the majority. This is not an "all or nothing" proposition here. There is a wide range of carbs that work for diabetics and each person needs to see what is best for them. I went from full blown diabetes to normal numbers in 8 months by averaging 160-170 g of carbs per day (35% of my total calories). I am not a special snowflake. The majority of those in my T2Dm management group have had the same results. A few have had to go down to 100 g daily and 1 needed to go keto at 60 g. This is in a group of almost 50 people.
Anything where you reduce a macro to ~10% of your overall diet is extreme.
OP, see your specialist. Ask about carbs. Start out reducing them to moderate numbers and see what happens. If that doesn't help, reduce them more. Read as much as you can from experts who do not have a secondary agenda.
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My family is full of T2Ds and I was pre-diabetic but my last A1C was back in the normal range and I did it all with diet and weight loss. Changes didn't come in a day or a week but after three months of consistently. I never eat over 45 grams of carbs at one meal or snack, and the carbs I do eat come from whole grains, vegetables, non-fat dairy and one or two servings of fresh whole lower carb fruit a day. 90 grams of protein mostly from fish and poultry, I eat a lean beef about once a week. Following this diet at the calorie level set by MFP, eating back some of my 60 minutes of walking exercise, allowed me to lose 40 pounds in four months. You can't look at the effect of eating and exercising on a day, the change happens over months. Don't give up. People in my family who treated their T2D and insulin resistance with diet and exercise live long healthy lives, those who did not, were in poor health and died very young.
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Hi,
I've been T1 diabetic since I was young and just wanted to reassure you aren't doing anything wrong if your BGs are a bit erratic - there are a million and one things which can effect it. Exercise can lead to a reduction of my BGs for 2-3 days afterwards, where you inject can effect the absorption rate, hormones can change the level on insulin you require, whether you BGs were on a downward trend or an upward trend before you injected, whether you still had some long-acting carbs in your system from a previous meal (porridge does this to me, I have to up my insulin with every meal for about 1.5 days after eating porridge!). I also have ulcerative colitis and my BGs go up whenever I have a flare of that because my body is fighting off infection.
If you're really struggling try keeping a diary of exercise, food, hormonal issues, feeling under the weather etc so that you can spot any recurring factors.
I know treatment is different for a T1 and T2 who is on insulin but I would have thought the same factors that I've spotted could be effecting your BGs.
Good luck!0 -
Oh, and I also forgot to say that the advice from my dietitian for type 1 is to eat the standard recommended amount of carbs, but to eat complex carbs (long acting) for a slower, steadier release of glucose into the bloodstream which may be why you were told to eat carbs like pasta rather than more sugary, fast acting carbs.
And a 9.8 reading as a one-off is nothing to be worried about - this is still within the range they tell T1s to aim for after a meal. When I've been ill I've had BGs up to 22, which is definitely something to worry about!0 -
Diabetes 101 is another good book. I got off insulin and my levels under control with diet--high fat low carb like others are saying. For me personally that has and had the greatest effect--more than exercise, supplements or weight loss.
I also exercise but for me keeping low depends on eating less than 45 carbs per meal (my goal is always 20). I saw an ADA certified dietician and that helped a lot, but the info is out there for free online and in books if you look. There's also a lot of support for low Vit D influencing Type II--maybe add a daily 5K supplement as well. When I was first diagnosed my D levels were under 20, with supplements it's double and many issues have gone away.0 -
The Glycemic Load Diet by Dr. Robert Thompson MD is a book I recently read and it is making a big difference in how I eat, which is making a big difference in my Blood Sugar Levels. Don't give up - keep digging for information. I am insulin resistant and this book really caters to insulin resistant type 2 diabetics. Friend me if you'd like - also there is a Type 2 Diabetes Group here on MFP and a lot of my support comes from there. Best of luck!0
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Wheelhouse15 wrote: »If you are refering to the Canadian Dr. Bernstein
Wrong man. Richard K. Bernstein (born June 17, 1934) is a physician in NY with Type 1 diabetes.
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Seriously - you got to read the book I recommended. I went through and read more of the thread and you really do need to change some things. One thing I learned (aside from limiting carbs to 100g or less per day) is that you should always start eating fat and/or protein first before putting any carbs in your stomach. The book goes in to detail about why this works. I've been doing this for 2 weeks and my FBS has gone from 220 to 110. I hope you look up the book!0
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Wheelhouse15 wrote: »If you are refering to the Canadian Dr. Bernstein
Wrong man. Richard K. Bernstein (born June 17, 1934) is a physician in NY with Type 1 diabetes.
I see, thanks for clearing that up.0 -
Wheelhouse15 wrote: »You need this book: "The Diabetes Diet: Dr. Bernstein's Low-Carbohydrate Solution" by Richard K. Bernstein
It's ok that you had some wrong information. The science is changing and our governments have not caught up. You absolutely need fats and oils. Reduce carbs and sugars.
-->> A good meal is steak and a plate of steamed broccoli. Or eggs with cheese and roasted green beans.
Is the consultant a specialist? Can you arrange to get an appointment with an endocrinologist who specializes in diabetes (no thyroid and other hormone patients)?
Good luck.
If you are refering to the Canadian Dr. Bernstein know that he is a VLCD advocate and in trouble with Canadian authorities for violating professional conduct WRT adverstising. I wouldn't be pushing his stuff here.
No, different guy, Dr. Richard K. Bernstein was born in New York. He supports a very low carb high fat diet, and not very low calorie.0 -
Seriously - you got to read the book I recommended. I went through and read more of the thread and you really do need to change some things. One thing I learned (aside from limiting carbs to 100g or less per day) is that you should always start eating fat and/or protein first before putting any carbs in your stomach. The book goes in to detail about why this works. I've been doing this for 2 weeks and my FBS has gone from 220 to 110. I hope you look up the book!
I did. It did not give me any more information that pertains to my situation than I already received from my Certified Diabetic Educator doctor. My results speak for themselves. you have been doing this for 2 weeks. I have been doing this for 19 months. a1c has been holding steady at 5.3 for a year. FBS is 90, and also holding steady for about a year.
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Pow! Right in the kisser!Seriously - you got to read the book I recommended. I went through and read more of the thread and you really do need to change some things. One thing I learned (aside from limiting carbs to 100g or less per day) is that you should always start eating fat and/or protein first before putting any carbs in your stomach. The book goes in to detail about why this works. I've been doing this for 2 weeks and my FBS has gone from 220 to 110. I hope you look up the book!
I did. It did not give me any more information that pertains to my situation than I already received from my Certified Diabetic Educator doctor. My results speak for themselves. you have been doing this for 2 weeks. I have been doing this for 19 months. a1c has been holding steady at 5.3 for a year. FBS is 90, and also holding steady for about a year.
Guess I don't know anything about diabetes according to earlnabby. Forget my advice. I've only been living with it for the past 7 years and finally found some answers that really work for me. Sorry for sharing.
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Seriously - you got to read the book I recommended. I went through and read more of the thread and you really do need to change some things. One thing I learned (aside from limiting carbs to 100g or less per day) is that you should always start eating fat and/or protein first before putting any carbs in your stomach. The book goes in to detail about why this works. I've been doing this for 2 weeks and my FBS has gone from 220 to 110. I hope you look up the book!
I did. It did not give me any more information that pertains to my situation than I already received from my Certified Diabetic Educator doctor. My results speak for themselves. you have been doing this for 2 weeks. I have been doing this for 19 months. a1c has been holding steady at 5.3 for a year. FBS is 90, and also holding steady for about a year.
Not all doctors are of the same quality though. When I became prediabetic my endocrinologist advised me to eat more fruits and veggies and cut back on my fat. I tried and gained more weight. I discovered lowering carbs on my own too.0 -
Seriously - you got to read the book I recommended. I went through and read more of the thread and you really do need to change some things. One thing I learned (aside from limiting carbs to 100g or less per day) is that you should always start eating fat and/or protein first before putting any carbs in your stomach. The book goes in to detail about why this works. I've been doing this for 2 weeks and my FBS has gone from 220 to 110. I hope you look up the book!
I did. It did not give me any more information that pertains to my situation than I already received from my Certified Diabetic Educator doctor. My results speak for themselves. you have been doing this for 2 weeks. I have been doing this for 19 months. a1c has been holding steady at 5.3 for a year. FBS is 90, and also holding steady for about a year.
Not all doctors are of the same quality though. When I became prediabetic my endocrinologist advised me to eat more fruits and veggies and cut back on my fat. I tried and gained more weight. I discovered lowering carbs on my own too.
Sorry, but that's a rediculous statement and we have no way of validating what you were told or your compliance. I can accept that lowering carbs could be of benefit but I'm tired of second and third hand aligations against medical professionals around here.-2 -
Seriously - you got to read the book I recommended. I went through and read more of the thread and you really do need to change some things. One thing I learned (aside from limiting carbs to 100g or less per day) is that you should always start eating fat and/or protein first before putting any carbs in your stomach. The book goes in to detail about why this works. I've been doing this for 2 weeks and my FBS has gone from 220 to 110. I hope you look up the book!
I did. It did not give me any more information that pertains to my situation than I already received from my Certified Diabetic Educator doctor. My results speak for themselves. you have been doing this for 2 weeks. I have been doing this for 19 months. a1c has been holding steady at 5.3 for a year. FBS is 90, and also holding steady for about a year.
Not all doctors are of the same quality though. When I became prediabetic my endocrinologist advised me to eat more fruits and veggies and cut back on my fat. I tried and gained more weight. I discovered lowering carbs on my own too.
Did your endocrinologist tell you to increase your calories too, since you ended up gaining weight? Because every sample menu I have ever received did include 5-6 servings of fuit and vegetables, along with limitations in fat (not a low fat diet, just reasonable limits to avoid weight gain) and limitations in calories to maintain a healthy weight. If your dr gave you only half the plan, then yes, for sure there was somethign wrong there.0 -
I have 4 diabetics ages 83-56, one pre-diabetic insulin resistant age 58, and myself pre-diabetic age 53 in my family with 6 different doctors. We were all told to limit our carbs in the range of 45-65 per meal, lose weight 10% to 20% of our overweight or obese body weight, eat more lean protein, vegetables and low fat dairy, and exercise. 5 of us are on medication but none of us are insulin dependent. My aunt died at age 89 of conditions unrelated to her diabetes, but other cousins who did not make diet and life style changes, passed in their early 60's from complications of diabetes. I am so blessed to have the support of so many family members who have been successful at controlling this disease, I sometimes forget who tells me what. In the end it is a persons responsibility to manage their health not the doctor. Educate yourself and support one another. If you have family members that also struggle with this disease ask them, after all you are probably made of the same dirt.0
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