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kelpie
Regular Member


Date Joined Apr 2008
Total Posts : 31
   Posted 4/12/2008 12:35 PM (GMT -7)   
confused I was told by the dietitian I saw that I should be on a 1300 cal. a day diet and 164 gms of carbs a day in order to lose weight and maintain my bg level. OK i read all that she gave me (no follow up since she left that afternoon for a new job), I read the forum info on diets and eating habits. I read all about good carbs-bad carbs-no carbs-low carbs -high calories- low calories-no trans fat-and on and on. What does it all mean? Do I go with low carbs if it is high in calories or low calories even if the carbs are higher? HELP! confused
and this too shall pass


yana
Regular Member


Date Joined Feb 2008
Total Posts : 220
   Posted 4/12/2008 2:11 PM (GMT -7)   
i think you should go on low cal,low carb diet to lose weight.i am no doc but do more research on the topic and get a new dietitian.that should help.

best wishes
yana
Never work just for money or for power. They won't save your soul or help you sleep at night.
~Marian Wright Edelman~


I have discovered that all human evil comes from this, man's being unable to sit still in a room.
~Blaise Pascal~


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5393
   Posted 4/12/2008 3:29 PM (GMT -7)   
Kelpie, it's amazing that you were told to have 164 gr of carbs a day!  For a diabetic or anyone dealing with blood sugar problems, that amount of carbs would drive the blood sugar really high.  Yikes.  A low-carb diet will allow you to lose weight.  Check out our past threads talking about low carb food and go to a bookstore to look at the Atkins Diet and the Bernstein Diabetes books (one of them is a "diet" book with recipes as well as explanations).  I eat low-carb and I don't pay any attention to the amount of calories I eat, only the amount of food.  Salads, cheese, meat, chicken, fish, vegetables, eggs.  That's what I eat everyday and it works for me. 

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 4/12/2008 7:14 PM (GMT -7)   
Kelpie,
I tried for 10 years to find my way through the diabetic diet maze and all I did was get discouraged, gain weight and have my meds raised year after year until I was put on insulin. I had to stop my avadia a year ago. I did it for cost reasons, before they found out it caused heart attacks. With the help of my friends here I eliminated everything white from my food plan except cauliflower. No grains and no tubers like potatoes. So far I've lost 45 lbs. and my morning sugars are running 85 to 110. You can read about it in these posts:

A Grand Experiment!
Report on the Grand Experiment
The Results of the Grand Experiment
Happy, happy, Joy, joy!!!!! The Grand Experiment has other Benefits!

I have maintained my metformin at 1000 mg in AM and again in the PM
I've discontinued my Lantus insulin (was taking 15 units at bedtime).
You could try this! It's worked well for me.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross


kelpie
Regular Member


Date Joined Apr 2008
Total Posts : 31
   Posted 4/13/2008 7:17 AM (GMT -7)   
Jeannie143 said...
Kelpie,
I tried for 10 years to find my way through the diabetic diet maze and all I did was get discouraged, gain weight and have my meds raised year after year until I was put on insulin. I had to stop my avadia a year ago. I did it for cost reasons, before they found out it caused heart attacks. With the help of my friends here I eliminated everything white from my food plan except cauliflower. No grains and no tubers like potatoes. So far I've lost 45 lbs. and my morning sugars are running 85 to 110. You can read about it in these posts:

A Grand Experiment!
Report on the Grand Experiment
The Results of the Grand Experiment
Happy, happy, Joy, joy!!!!! The Grand Experiment has other Benefits!

I have maintained my metformin at 1000 mg in AM and again in the PM
I've discontinued my Lantus insulin (was taking 15 units at bedtime).
You could try this! It's worked well for me.


Jeannie,
I do not have a problem with my bg, it goes any where from 5.2 - 7.8 depending on when I test and what I have eaten I take Metformin (500mg) twice a day as well as Glyburide (5mg-down from 10mg) twice a day. As for my current diet, I do not eat breakfast,never have. I usually have a cup of low carb, low cal soup with 4 crackers for lunch or a peanut butter sandwich on whole wheat with a banana. I have an apple or an orange for an afternoon snack.For dinner my favourite meal is just a large green salad with grated cheese on top and low cal dressing. If I am hungry after dinner I usually eat a handful of radishes or several celery stalks.
I do not care for meat with the exceptions of boneless, skinless chicken about once a week.
I do not work, Most days I knit or read or am on the computer. As we discussed about exercise I do not have access to a pool which would work for me. I have the Atkins diet book and tried to understand what I was reading but I am apparently to thick to understand the concepts.
Thank you for all the input. But I still am not losing weight and I do not know why.
Katie
and this too shall pass


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5393
   Posted 4/13/2008 8:54 AM (GMT -7)   
Kelpie, it sounds like you need another dietitian who understands metabolism better than the one who was advising you before.  To my layman's understanding of all this, it seems to me the meds you're taking are keeping your blood sugar low (which is fine) but your diet may have too many carbs and not enough protein, so you have to take the meds to keep the blood sugar down.  It's a cycle in which you are eating crackers, bread and fruit (carbs) which are not balanced enough by protein.  If you change what you eat, you may not need all the meds you're taking.  Even though it appears you're not eating a lot, the nutritional quality of what you do eat doesn't seem to allow you to lose weight.  Since you don't eat a lot of meat, I think you should increase protein in your diet in other ways, more chicken, fish, eggs, cheese, yogurt, nuts.  Instead of the sandwich and fruit, try a tuna salad/lettuce wrap with cheese, cheese and nuts for snacks.  When I read what you eat, I was struck by the fact that the food had little protein other than the peanut butter - but peanut butter also has carbs if we eat a lot of it and especially if it's the kind with added sugar.  I hope it's the "natural" kind with only peanuts.  If you eat more protein, you may find, then, that your blood sugar would naturally be lower without some of the meds and you could lose weight just by changing the diet.  Whenever we change what we eat, we do have to monitor our blood sugar carefully, so we don't go too high or too low.  This is my take on your situation.

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


kelpie
Regular Member


Date Joined Apr 2008
Total Posts : 31
   Posted 4/13/2008 11:55 AM (GMT -7)   
Lanie
I am sure that you are right. I called the Canadian Diabetic Association and was told of a program called Carbohydrate awareness for Diabetics. I will need to get a referral from me MD. Before I was Dx I had very bad eating habits. Some days I ate nothing but a big bag of chips. After I was Dx I stopped eating all the junk food and particularly chocolate and I lost 30lbs in 6 mths. Since I have not changed what I am eating I could not understand why I was not losing the rest of the 60lbs I need to lose.
I will definitely check out this program and let you know how it works out.
Thank you for your input.
Katie
and this too shall pass


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5393
   Posted 4/13/2008 1:08 PM (GMT -7)   
Katie, by all means talk to them but reserve opinion because if they're like the American Diabetes Assoc., they promote a diet higher in carbs than is in our best interest, in my opinion.  In any case, ask lots of questions.  In the meantime, I would recommend the books Good Calories, Bad Calories by Gary Taub and Diabetes Solution by Richard Bernstein.  These two books are very enlightening about our metabolism and, among other things, why we don't lose weight and keep it off and how various diets and food affect our health, particularly those of us with diabetes.  Good luck and keep us informed!
Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


gelchick
Regular Member


Date Joined Aug 2006
Total Posts : 477
   Posted 4/13/2008 1:21 PM (GMT -7)   
kelpie,
 
Almost every dietitian you talk to will recommend more carbs than we generally talk about here. The current minimum is 130. Most folks are advised to eat around 180-200 carbs distributed between 3 meals and 2 snacks. There's a formula that diabetes dietitians use when they counsel you. They have to know it to pass their certification exams.
 
When new standards are adopted by the professional organizations, the dietitians change their recommendations accordingly. My new health insurance company recently required me to meet with a dietitian before they would approve my doctor's prescription for extra test strips. I brought my folder with all of her previous advice.
 
The last time I met with her, she told me that I would do serious, permananet damage to my health if I ate under 170 carbs/day, that my sugar would go nuts if I didn't eat every 3 hours, no longer than 5; that I was seriously undereating; that it would be so much easier if I ate meat; and that low fat was mandatory.
 
This time, she told me I could go down to as few as 130 carbs (and she's talking starches- not the carbs in lettuce and cucumbers) in order to lose some weight. I asked her why she changed her recommendations and it was because new standards had been adopted -not because of any real knowledge.
 
The key to finding out how many carbs you need, is to test, test, and test some more. That's the only way to discover your own personal requirements. Some folks need very few carbs, some need more- I happen to need about 80-90 net cabs a day to keep my sugar stable, my hunger under control, and to lose a small amount of weight each week. If I eat fewer carbs, my body overcompensates by making too much glucose for me, and my numbers run higher. If I don't eat in the morning, my numbers go up and up until I do, even if I take metformin without eating anything to try and squash the bg rise.
 
My doctor suggested South Beach to me when I was first diagnosed. Phase1 is very low carb, phase 2 is moderate carb- there are books and websites that give day-by-day menus- if you are still feeling dazed and confused- that might be a place to start.
 
If you are a vegetarian (as I am) or tend to eat like a veggie- here are some low carb protein sources that you might enjoy- tofu, soy meat products, Quorn products; TVP (texturized Vegetable Protein); unsweetnend soymilk; unsweetened almond milk; seitan, miso, black soybeans, edamame, organic nut butters, whey protein, soy protein, egg replacers.
 
The supergrain, quinoa, has an excellent carb/protein ratio too, and tastes awesome.
Unflavored greek yogurt has 20grams of protein/6 grams of carb in a cup.
 
good luck to you- you'll soon be an old pro at this.
Sandy
 


I just want to live happily ever after-every now and then. Jimmy Buffett

Post Edited (gelchick) : 4/13/2008 2:32:40 PM (GMT-6)

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