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newly diagnosed as a type 2 diabetic

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  • eastjc
    eastjc Posts: 32 Member
    OK, this is my fourth time trying to post this so bear with me.

    I was diagnosed with t2d late last year. A1c was above 15 and the VA wanted to put me on insulin that day. I was having severe depression and was pretty out of control with vodka. Like a 750ml a day out of control.

    A couple of weeks later I was put on metforman by my doc. Did this for a while and my A1c went down to 6.7. Then they had to takee off the metforman this spring cause my liver or kidney enzymes were screwed up. I finally went into treatment early this summer and came out in June. Haven't touched a drop since April.

    I started counting calories and was slowly losing weight. I finally got sick of being a fat out of shape looser (my opinion) and went low carb last month. 1500 cal, 7 net carbs per day with some walking and have shed about 20 lbs.

    I am working with a nutritionist at the VA and two days ago he said I'm doing everything right after looking at the last 30 days of mfp. He said the weight loss will taper off to a normal 2lb a week like I'm shooting for. He agreed with me that it would be great if I worked out at the gym like I was planning to do. Also recommended going up to 1800 cal intake the gym days which makes sense.

    I started at the gym today with 10 on the elliptical and then did the hour long body shred class. I can't feel my arms or legs but burned 780cal doing that and taking the dog for an 8/10th mile walk when I got home. Ate like a pig and still stayed under 10 net carbs.

    I'm going in this August for labs and a doctor check up. Can you guys think of anything else I can do to streamline anything else? I plan to be at the gym 5 days a week (am retired navy) cause it gets me out of the house doing something healthy. Boredom is a big trigger for me so I think this is a good use of several hours. My plan is to work out in the pool if I'm too sore from the class instead. Mostly doing walking and trying to drown noodles for resistance work.

    Thanks in advance!
  • canadjineh
    canadjineh Posts: 5,396 Member
    Working out in the pool gets you variable resistance, a +++! Having a good day? Move faster or use larger range of motion. Tough sore day? Move a bit slower and more deliberately and you are still workin' out hard without overuse. Try deep water running, it's how they train racehorses for more power/speed.
  • Sunny_Bunny_
    Sunny_Bunny_ Posts: 7,140 Member
    New study from Ben Bikman
    a1oeyvref67o.jpeg
  • retirehappy
    retirehappy Posts: 3,786 Member
    eastjc wrote: »
    Just had to share. Just got done with my physical.

    According to my doc I'm no longer t2d. A1c is 6.1, fasting glucose 107.

    He is super impressed and I'm pretty thrilled. Says it doesn't happen nearly enough. So far I'm down 49.5lbs from 256 6 months ago. Working out almost daily. Diet 1500 cal a day, 7 net carbs, adjusted for extra exercise.

    So whoo-whoo! It can be done!

    So glad you got a dr. who is up on current VA guidelines for diebetics, too many are not. VA is even working with Dr. Stephen Phinney's company now.

    6.1 is borderline, so keep those carbs down there. They are sneaky and add up quickly.

    Love the pic of you and your dog. Take him out on more walks, Maybe get him a frisbee to add some variety to your workouts.

    Wishing lots more success.
  • GaleHawkins
    GaleHawkins Posts: 8,159 Member
    New study: Reduced-carb diet beats conventional diabetes diet
    https://dietdoctor.com/new-study-reduced-carb-diet-beats-conventional-diabetes-diet

    "In 2019, a conventional diabetes diet — providing between 60–90 grams of carbs at meals and 15–30 grams of carbs at snacks — is no longer considered state-of-the-art.

    Earlier this year, after decades of recommending a low-fat, high-carb approach, the American Diabetes Association (ADA) published a consensus report stating that “reducing overall carbohydrate intake for individuals with diabetes has demonstrated the most evidence for improving glycemia (blood sugar).”.......

    Is there a change at the top of ADA?
  • kpk54
    kpk54 Posts: 4,474 Member
    Does "working with" mean prescribing/implementing keto for diabetics or just looking into it as an option? I'm not seeing where it is prescribed and advocated by the VA but I may be looking in the wrong places. @retirehappy.

    This 2017 doc comes up when I research current VA guidelines for diabetics. This seems to mention a Mediterranean diet. I'm not agreeing with that for diabetes, just sayin' it is what I find.
  • kpk54
    kpk54 Posts: 4,474 Member
    Oops. Here it is.

    https://www.healthquality.va.gov/guidelines/CD/diabetes/DMCPGPocketcardfinal508.pdf
  • retirehappy
    retirehappy Posts: 3,786 Member
    edited August 2019
    This is all I know :)

    https://www.blogs.va.gov/VAntage/58037/innovative-treatment-vets-type-2-diabetes/


    The full guidelines for 2017 mentions Med. diet but also this:

    0daizyi2luib.png

    15% would be good, not so sure about the 45%, I think Dr. Sears would be happy with these guidelines.
  • macchiatto
    macchiatto Posts: 2,890 Member
    Interesting discussion!
    My parents are/were both diabetic and my sister is now Type 1. I found out I had prediabetes a while back and that's when I first started eating low carb. I was able to reverse it and my numbers have looked good since then.
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