Nutritionist
tammycolbert
Posts: 236 Member
Would you see a Nutritionist who is obese? Not just simply overweight, but obese?
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Replies
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No.2
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For me, that would kind of depend. Are they new? They may have gotten into that field and studied it because they wanted to better themselves too. I mean, maybe they were much heavier and already lost a bunch of weight. But that's just my opinion.5
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I would not see a Nutritionist, period.
I would see a Registered Dietician. They typically have a higher education and are registered with the CDR (Commission on Dietetic Registration).11 -
No.0
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Italiana_xx79 wrote: »For me, that would kind of depend. Are they new? They may have gotten into that field and studied it because they wanted to better themselves too. I mean, maybe they were much heavier and already lost a bunch of weight. But that's just my opinion.
She is not new, been a nutritionist for a long time.0 -
There is practically no bar for entry for Nutritionists. I would see a Registered Dietician.6
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So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.0
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I would see a Registered Dietitian rather than a nutritionist, and not if they were obese.1
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Would you see a financial adviser in bankruptcy?
I'd ask your endo for a referral to an RD.2 -
tammyturcotte wrote: »Italiana_xx79 wrote: »For me, that would kind of depend. Are they new? They may have gotten into that field and studied it because they wanted to better themselves too. I mean, maybe they were much heavier and already lost a bunch of weight. But that's just my opinion.
They are not new, been a nutritionist for a long time.
The thing is, anybody can call themselves a nutritionist in the US, it isn't a controlled title. And there is a lot of "alternative health" nutrition info out there that simply isn't true, especially about weight management. So my concern would be that she has her mind set on an "alternative" view of health and nutrition that is already not working for her.
Having said that, it depends on why you would be looking for a nutritionist in the first place. While nutrition and weight loss are linked, they aren't the same thing. If you are looking for help in designing a nutritionally complete vegan diet, or managing your blood sugar on your doctor's recommendation, she could be quite well versed in that without having a handle on calorie control.
But I don't think I would seek help in getting to a healthy weight from someone who is obese, just like I wouldn't expect a scrawny person who doesn't lift to help me be a power lifter or someone who can't speak Spanish themselves to teach me the language.
Edited to add: Now I see your follow post that she seems to have a degree. Maybe you should voice your concerns to your doctor? Do you know why your doctor felt you needed more guidance4 -
kshama2001 wrote: »Would you see a financial adviser in bankruptcy?
I'd ask your endo for a referral to an RD.
This is kinda how I feel about "therapy" - you know every one of them has some kind of issues.tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
That sounds more like about 150-200g carbs per day. (45 X 3 = 135) That's about what I eat in maintenance, on 1700 per day.
Maybe tell your doctor your concerns with her weight and recommendations.
I think you could go to the Diabetes.org website and get meal plans, too.
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Find a medical professional that's a good fit for you. I try to live in a judgment free zone when it comes to looks and outward appearances and she may be struggling with medical conditions like PCOS and others. Bottomline, you have to have confidence in the person treating you.2
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tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
I am going to go at this from two different angles.
1. The diet she has suggested she is using the Old and I mean old way of eating. If she is stating 45 carbs per meal that is 135 carbs per day if you are eating 3 meals a day. And if you are eating snacks twice a day that is another 30 carbs. So in total that is 165 carbs per day or 11 servings of carbs.
2. I too am a type 2 diabetic, my endocrinologist, is well aware that I am on a Low carb diet. Because that is what I have found really supports low blood sugar numbers. (plus weight loss for me)
3. I went to see a Dietician before I started on the Low carb lifestyle, as I knew I needed to way cut down on carbs, and the type of carbs. Agree not good or bad. But as a diabetic white flour, pasta, rice do impact blood sugar. As do processed foods. And yes, Dietician also suggested to get those out of my diet.
4. The Old Diabetic diets for Carbs range anywhere between 8 and 12 servings of carbs as a rule.
5. 165 grams of carbs is 660 calories. I keep mine at 50 or less Monday through Friday, and on weekends allow a bit more at 60. Still that keeps total carb calories at 200 to 240 and that totally works for me.
About her being Obese, if she knew her stuff inside out, I might be able to get past that. But by blatting out info that is so old, and not willing to listen to your needs, desires to do something different. No, and ask your Endocrinologist for a referral to a Dietician. Also these days many Health plans will cover this as well.
Good Luck.1 -
tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
I think her advice sounds good, and she likely is a well-educated and credentialed dietitian if referred by the doctor, and that it is valuable for someone with T2D to see a diabetic educator. Since the advice isn't primarily about weight loss, and since you don't know what her own issues with weight are (when I was fat last I'd lost weight in the past and knew how to do so, but was dealing with some other issues), I wouldn't even assume she can't give you good advice about how to lose, what a healthy diet is, etc.
HOWEVER, it sounds like her weight is going to be a stumbling block in you being able to listen to her and take her advice seriously -- and that's okay -- so if you can get a referral to someone else I'd do so.
60 carbs per day is very low, but it seems like she's recommending 150. I think that's very common advice for T2D (there are some posters around here who reversed T2D with a similar diet plus weight loss, and the current "must do low carb" claim by some is not accurate), but if you prefer lower carb it seems like something you should be able to discuss with her (or whoever the diabetic educator you go to ends up being). I think 1300, especially if you still have significant weight to lose, seems like a much more reasonable number for most than 1100. If you are struggling with being able to eat as it seems, talking to someone and getting over any fears or what not seems worthwhile.5 -
I am a Dietetic Technician (2 year degree instead of 4 year for RD). I am about 60 lbs overweight, I used to be 100 pounds overweight. Your comment is exactly why I have been hesitant to use my degree to counsel people one on one. I know my stuff, I know what I need to do to lose weight, I know how to do it. I'm just bad following my own advice. It doesn't mean I can't try and teach others to do better than I do. Talk to her. If you are concerned about it being to much carbs (it's not necessarily, but it may be for you), talk to her about reducing. Minimum RDA for carbs is 130g/day. There are dietitians who consider a reduced carb diet acceptable.6
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tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
So... There's a lot to unpack here.
But she probably wants you to eat an *accurate* 1300. Are you weighing your 1100 worth of food and drink? You'd be dropping weight very very quickly at your status if you actually were eating that few calories a day.
Second. That's not a lot of carbs per day, even when you do the math correctly. My dietitian recommends 1-1.5 gm of carbs per pound of body weight. And I'm also diabetic.
How about you try her recommendations instead of just dismissing her because she's obese?3 -
tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
With all due respect, if you believe these two statements, you don't understand weight loss and nutrition enough to be making judgments about someone else's knowledge of the subject.
There's no such thing as eating too little to be able to lose weight.
Also, 45 g of carbs per meal and 15 g of carbs per snack is well within the standard for T2 diabetic nutritional advice. If you hadn't added that she advised a specific calorie level, I would have been concerned that she's solely focused on managing the symptoms of the disease and not trying to address the most likely underlying causes.
All that said, it's generally a good idea to get your medical care from someone you trust. You have to decide for yourself whether you trust this nutritionist.
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collectingblues wrote: »tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
So... There's a lot to unpack here.
But she probably wants you to eat an *accurate* 1300. Are you weighing your 1100 worth of food and drink? You'd be dropping weight very very quickly at your status if you actually were eating that few calories a day.
Second. That's not a lot of carbs per day, even when you do the math correctly. My dietitian recommends 1-1.5 gm of carbs per pound of body weight. And I'm also diabetic.
How about you try her recommendations instead of just dismissing her because she's obese?
With eating my 1100 calories or less I was dropping weight quickly. I told her I stopped losing and SHE said NOT me that I have to eat more calories in order to lose weight. OK your the expert I guess I will go with it.
I am NOT dismissing her recommendations because of her weight, but I don't feel she is giving me the correct information.0 -
lynn_glenmont wrote: »tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
With all due respect, if you believe these two statements, you don't understand weight loss and nutrition enough to be making judgments about someone else's knowledge of the subject.
With eating my 1100 calories or less I was dropping weight quickly. I told her I stopped losing and SHE said NOT me that I have to eat more calories in order to lose weight. OK your the expert I guess I will go with it.
There's no such thing as eating too little to be able to lose weight.0 -
tammyturcotte wrote: »collectingblues wrote: »tammyturcotte wrote: »So I am a type 2 diabetic who on my own has lost 33lbs just by cutting out "white" carbs ie..pasta, bread, potatoes rice. My endocrinologist wanted me to see the diabetic nutritionist she may even be more then that because she has a lot of letter after her name. Anyway, I go yesterday and was kind of stunned to see she was obese working in a diabetes office where they promote healthy weight and such. Now I am not saying she doesn't know her stuff because of her weight, she probably does but I was not impressed with her at all. She wants me to eat 45 carbs per meal and 15 carbs per snack a day. That is 60 carbs a day and I just feel like that is an awful lot to eat, especially for a diabetic. She also wants me to eat 1300 calories a day, I am basically right now at around 1100 because of my medication for diabetes I am not hungry at all. It is now 11:30am here and I just ate something and I have been up since 5am. I know I have to eat more if I want to lose. I just wanted to make sure I am not alone in this. Thank you.
So... There's a lot to unpack here.
But she probably wants you to eat an *accurate* 1300. Are you weighing your 1100 worth of food and drink? You'd be dropping weight very very quickly at your status if you actually were eating that few calories a day.
Second. That's not a lot of carbs per day, even when you do the math correctly. My dietitian recommends 1-1.5 gm of carbs per pound of body weight. And I'm also diabetic.
How about you try her recommendations instead of just dismissing her because she's obese?
With eating my 1100 calories or less I was dropping weight quickly. I told her I stopped losing and SHE said NOT me that I have to eat more calories in order to lose weight. OK your the expert I guess I will go with it.
I am NOT dismissing her recommendations because of her weight, but I don't feel she is giving me the correct information.
Were you weighing all of your food?
Because there's no way you couldn't be losing at 1100 calories.4 -
tammyturcotte wrote: »I don't feel she is giving me the correct information.
I would agree that there's no such thing as eating too little to lose, but eating too little to lose healthfully is real, and so is eating in a way that's not sustainable. Sometimes professionals don't explain this well.
While I (again) would say you should ask for a different referral if you don't trust this person, I think your view that 60 g carbs would be too much to lose (or even the 150 g she seems to have recommended) and that 1100 is a better amount to be eating for weight loss than 1300 (as well as the suggestion that you were struggling even to eat that) suggest that you might benefit from talking to a dietitian, and maybe specifically a certified diabetic educator. I've been impressed by people here talking about how helpful meeting with a diabetic educator was, although I haven't done it (since I am not IR or T2D).
If you were losing rapidly at 1100, you didn't stop at 1300 (if accurate). You may have seen an increase in water weight from adding back more carbs.5 -
Yeah, RD not Nutritionist but to answer the question. Yeah, I'd definitely see an RD who was overweight. I'm going to them for their knowledge and the shape of their body, their eating habits, they lifestyle, etc doesn't change the education they've received.
Now that I think about it I'd probably be more likely to see an RD who was overweight as they're more likely to understand where another overweight person is coming from.2 -
I love this discussion point: Nutritionists / gym instructors / medical personnel / people who think they know how to lose weight and want to spout advise / should have been overweight for a couple of years. Not just a few kg's or pounds, but seriously overweight, better obese. Then they might start to understand that it is not only about body composition and the way we look, but also about mind set, mental health and stability.1
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