Multiple conditions need expert nutritionist to give me advice please

What Ann said: get a registered dietician, not a nutritionist because everyone can call themselves that. Cook your own food and don’t eat out/ take away because then you know what’s inside. Cooking doesn’t need to take long, and if needed cook the same for several days to save time.

Absolutely go to your GP, or if you’re seeing an endocrinologist ask them (most UK hospital endocrinology depts have dietitians attached). Are you seeing a hepatobiliary specialist for your liver? If so, I’d also ask them to refer you. Dieticians are experts at joining up all the conditions and helping people, defo time to speak to any of the specialists you currently see, or ask your GP to refer you. Good luck!

I can only answer for myself. No diabetes. Because type 2 runs in my family, and Because people in general are more likely to get it as they get older, I asked my very good dietitian how to avoid it. The only really helpful hints I remember are 1. no naked sugar--always with protein, and 2. weight loss and 3. consistent exercise. (I don't drink at all, not a sweets junkie, love high protein foods, but needed to work on consistency and balance).
Fibromyalgia. Had it bad! Now I say I'm 100% cured 90% of the time and 90% cured 100% of the time.
Where food is concerned, what helped me most was whole foods, lower sugar, and avoiding heavily processed food. I ate lots of organic raw fruits and vegetables for a few years. That was easy for me because I enjoy those foods, and of course preparation is quick and easy. I drank a lot of water. Zero pop, diet or regular. I had been a heavy Coke drinker for 20+ years.
Besides food, I tried to avoid allergens as much as possible. One air filter beside my bed, another beside my recliner.
I was diagnosed with both rheumatoid arthritis and osteoarthritis about 35 years ago, but no pain, so I don't know anything about either.
No gout, cirrhosis or sleep apnea, so I can't help. Sorry.

Congratulations on your significant weight loss. I'm sure that's been a big step in the right direction!

I recovered from Insulin Resistance, basically pre-diabetes, I was overweight, about 60lbs worth, had a lot of joint pain, arthritis in hands, hip and knees, also psoriasis and IBS also snored enough for it to be annoying for my partner.

All of this for you and me is basically the result of too much glucose staying in the blood for far too long causing chronic inflammation. I eventually found through trial and error that a low carb diet was my solution and is exactly what clinics that deal with metabolic diseases like ours use as their front line therapy.

I wasn't on any diabetes medication although they wanted to prescribe some, but just so you know, it's well known and documented that a very low carb or ketogenic diet basically eliminates carbs and sugar in the diet, therefore no more dietary glucose, so no more crazy glucose spikes and your medication will need to be adjusted right away, and I mean right away so don't even think of doing this without consultation because most people come off pretty much all their medication in a matter of weeks to a few months.

My arthritis went away within a month and if I consume too many carbs it comes back, I learned that the hard way over the years. My IBS after a lifelong battle, gone. My psoriasis also went away and I thought after 50 years that was going to be one of those crosses I had to bear, that started to clear up in a few weeks and after 6 months, it's never come back. The snoring is rare now apparently and haven't heard any complaints. Oh yeah, and I lost 60 lbs. without feeling hungry most of the time, and because most people that do their own research and stumble upon this diet for their metabolic problems it's a nice bonus that weight loss is pretty much a side effect of this diet, sorta like the effect people on Ozempic have with GLP-1's, they lose weight because their not hungry, same thing, it's about hormones, it always will be. Fatty liver is basically the accumulation of fat from either overeating in general and fructose consumption, basically too much refined carbs and sugar and losing weight and eliminating sugar and carbs fatty liver reverses pretty quick and again well documented which you'll see if you do decide to do any research, unfortunately most people don't research very much or connect the dots that carbs might be a problem and where a diet that's low in carbs might actually be something to think about, oh well que sera, sera.

Anyway, is this an anomaly that this diet works this well, no it's not, it's well known. Draw backs are you can't eat the foods that brought you to this point in your life, which most people aren't willing to give up, and it was hard for me as well in the beginning, so there is that.
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A whole food diet focusing on natural animal protein to a higher percentage of your overall calories as well would be my second choice, like a modified Mediterranean diet and the protein and fat is integral in slowing down glucose spikes and digestion. I would also suggest if you can to purchase a CGM (continuous glucose monitor) and learn to use it. It was an eye opener for me.

Anyway, consult a specialist for metabolic syndrome and don't start this diet before you do. Hope things work out for you.

Whole foods only low-carb; raw/cooked veggies unlimited, meat unlimited, healthy fats unlimited.

neanderthin wrote: »

I recovered from Insulin Resistance, basically pre-diabetes, I was overweight, about 60lbs worth, had a lot of joint pain, arthritis in hands, hip and knees, also psoriasis and IBS also snored enough for it to be annoying for my partner.

All of this for you and me is basically the result of too much glucose staying in the blood for far too long causing chronic inflammation. I eventually found through trial and error that a low carb diet was my solution and is exactly what clinics that deal with metabolic diseases like ours use as their front line therapy.

I wasn't on any diabetes medication although they wanted to prescribe some, but just so you know, it's well known and documented that a very low carb or ketogenic diet basically eliminates carbs and sugar in the diet, therefore no more dietary glucose, so no more crazy glucose spikes and your medication will need to be adjusted right away, and I mean right away so don't even think of doing this without consultation because most people come off pretty much all their medication in a matter of weeks to a few months.

My arthritis went away within a month and if I consume too many carbs it comes back, I learned that the hard way over the years. My IBS after a lifelong battle, gone. My psoriasis also went away and I thought after 50 years that was going to be one of those crosses I had to bear, that started to clear up in a few weeks and after 6 months, it's never come back. The snoring is rare now apparently and haven't heard any complaints. Oh yeah, and I lost 60 lbs. without feeling hungry most of the time, and because most people that do their own research and stumble upon this diet for their metabolic problems it's a nice bonus that weight loss is pretty much a side effect of this diet, sorta like the effect people on Ozempic have with GLP-1's, they lose weight because their not hungry, same thing, it's about hormones, it always will be. Fatty liver is basically the accumulation of fat from either overeating in general and fructose consumption, basically too much refined carbs and sugar and losing weight and eliminating sugar and carbs fatty liver reverses pretty quick and again well documented which you'll see if you do decide to do any research, unfortunately most people don't research very much or connect the dots that carbs might be a problem and where a diet that's low in carbs might actually be something to think about, oh well que sera, sera.

Anyway, is this an anomaly that this diet works this well, no it's not, it's well known. Draw backs are you can't eat the foods that brought you to this point in your life, which most people aren't willing to give up, and it was hard for me as well in the beginning, so there is that.
.
A whole food diet focusing on natural animal protein to a higher percentage of your overall calories as well would be my second choice, like a modified Mediterranean diet and the protein and fat is integral in slowing down glucose spikes and digestion. I would also suggest if you can to purchase a CGM (continuous glucose monitor) and learn to use it. It was an eye opener for me.

Anyway, consult a specialist for metabolic syndrome and don't start this diet before you do. Hope things work out for you.

My experience has been basically the same. I had a pre-diabetic A1C, and going basically Keto (started out extremely low carb, then moved to actual keto after doing more reading, and now more meat based Keto) I found not only did my A1C improve back to normal, but a whole host of other issues I didn't even realize where related to my chronic high carb intake disappeared as well. I also say if you cut carbs way back, you need to do it working with your doctor as your meds will need to be cut, likely quite quickly. All the best.