Pre-diabete****

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BookRead66
Regular Member


Date Joined Oct 2013
Total Posts : 79
   Posted 2/7/2016 5:23 AM (GMT -6)   
Hi all:

The blood test for my daughter reveals she has pre-diabetes. I am assuming type 2. Anyways, she is 50 pounds overweight. I have seen a dietician, but, it was not that helpful, she just said, eat balanced meals, stay away from junk food, etc.

Anyways, I have read many articles about eating right and exercise. The exercise part does not seem too difficult, planning wise. I mean, getting 60-90 minutes of daily moderate exercise seems to be the proper options. But, as for a meal plan, that is the challenge.

I have great difficulty in planning meals. My daughter is very hungry all the time, and I do not know what I can give her that will help with the diabetes and at the same time, satisfy her hunger. In the morning, she is tired of cereals, and most cereals, even the healthy ones are not good for diabetes, and simply do not fill her up. She is ok with milk, but, is constipating and fair amount of sugar in milk.

Can you recommend some easy to implement meal plans or internet sources that can help me create a sustainable meal plan?

Thank you.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 2/7/2016 8:06 AM (GMT -6)   
Hello and welcome back. I had asked you a couple of questions back in January about what she is eating for meals and if there you have other members in your family with diabetes. That is helpful information. Do you have a blood sugar meter? If not, I believe it would be in her best interest to get one. If you can do this through your insurance, that's great. If not, you can buy inexpensive ones at WalMart and their test strips.

I'm going to post a couple of links for you to consider and then I'll write what meal plans/food work for anyone who has diabetes.

First, please read the two stickies at the top of the Diabetes Forum. Next, here is a comprehensive site that discusses everything about blood sugar. www.phlaunt.com/diabetes/

Next is a site dedicated to all things regarding diet and low carb food: forum.lowcarber.org/index.php? You will find different forums there that talk about food and recipes, etc.

In short, our blood sugar rises because of the carbs in food so the food that makes it really high would be anything made with flour (cereal, pasta, bread, crackers, cakes, cookies, breaded food), potatoes, rice, corn and anything made with sugar, honey or maple syrup.

The best meal plan would be any protein like beef, chicken, pork, fish and vegetables that are not corn or potatoes. Also food good to eat would be, nuts, yogurt, and cheese. Food that can be part of a meal or salad or snacks would be celery, peanut butter, cream cheese, hummus (in moderation), radishes, olives. Leafy greens for salads are really good: lettuce, spinach, parsley, cilantro. Instead of a sandwich, you can wrap any luncheon meat in a large lettuce leaf.

You can get a lot of breakfast ideas from the Lowcarber website but what works out well are eggs in any form, Canadian bacon, a breakfast quiche of broccoli, cheese, ham....

Our problem is that we do not find this food in a box or package because it's natural and we have to prepare it, so it does take planning. You can make a small casserole of cheese, vegetables and chicken (for example) in muffin tins and freeze them for another time. Take one or two out and pop them in the microwave or oven to eat.

It could be a fun project planning out the week of meals and snacks. Have cheese sticks or cheddar cubes with mixed nuts in little baggies ready to eat. Or, make up celery sticks with peanut butter and cream cheese or hummus.

I hope this helps. Do you think this can work for her?
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Post Edited (LanieG) : 2/7/2016 10:12:08 AM (GMT-7)


worriedgirl
Veteran Member


Date Joined Apr 2009
Total Posts : 1130
   Posted 2/7/2016 9:58 AM (GMT -6)   
I find chicken and fish do well as well as fresh veggies like green beans and zucchini are good. For morning I eat two Sunnyside up eggs with 1/2 cup cantaloupe and one slice of toast works. And very filling. I have also gotten the dannon light and fit greek yogurt and it's very good. The dietician should have given more information so get another. When first starting out test before the meal and 2 hours after each meal so you know how each food affects here. After 2 weeks the hunger will go away. Trust me knock this in the butt before she goes full blown diabetic. I wish I did. Wal-Mart has the relion prime meter for $9 and 100 strips for 17.88. If she lost the 50 lbs that will help a lot to

BookRead66
Regular Member


Date Joined Oct 2013
Total Posts : 79
   Posted 2/7/2016 11:13 AM (GMT -6)   
Thank you all for your comments.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 2/7/2016 11:16 AM (GMT -6)   
Testing is the best way to see how your blood sugar reacts to the food eaten. This is true for everyone, no matter which type diabetic or "pre-diabetic".

Since serious health complications can result from high blood sugar, it's very important to get the blood sugar down to as near normal values as possible.

Sustained exercise like walking, biking, swimming, playing sports, dancing is very beneficial to using up blood glucose. And this kind of exercise helps everyone no matter the age or whether the person has diabetes or not.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 2/7/2016 11:17 AM (GMT -6)   
BookRead, can you write what kinds of food are eaten in your house for meals?
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

BookRead66
Regular Member


Date Joined Oct 2013
Total Posts : 79
   Posted 2/7/2016 11:39 AM (GMT -6)   
My family unit is a bit different. I personally, need to gain a lot of weight, I am very thin, due to poor eating habits, stress, and not enough money to buy a lot of food. My daughter needs to lose 50 lbs and my spouse needs to lose about 10 lbs.

Right now, we probably have too much processed food in the house, but, my daughter does not eat a lot of really bad food, but, school lunches, and crackers, etc., I know, need to go.

Breakfast for daughter: cereal, apple, sometimes oat meal, eggs, water, toast, fried potatoes, pancakes, french toast, yogurt.

Lunch: chicken nuggets, pizza, mash potatoes, skim cows milk (I am guessing I should have her switch to almond milk) , sun chips, carrots, water, boars head lunch meat on bread, apples, cheese sticks, cashews.

Dinner: Tyson frozen chicken, salad mixed with chicken breast, tacos, salads, green beans, pasta.

**My daughter does not over eat. She is not even getting 1600 calories per day. I know she is very very fatigued a lot and always hungry (I assume that may be due to insulin levels?). I do not give her pie, soda, chocolate, ice cream, fruit juices. So, she is staying away from a lot of junk food, but, I need to improve what she eats. She is not losing weight. Perhaps because she is not getting a good amount of food (1400 cals?), that is slowing her metabolism and making her body hold on to the excess weight. No exercise offered at school at all. Trying to get her on treadmill at least 30 minutes a day, hoping to increase that to 60 minutes. She does like to drink water. For beverages I am thinking water and almond milk are the best choices? I just need a good plan.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 2/7/2016 12:17 PM (GMT -6)   
The first step to success in this is realizing there needs to be steps taken, period. Ignorance of what to do is where I started and I had to learn from the onset at the age of 57. I had no idea about food and blood sugar/diabetes ten years ago even though diabetes is in my immediate family. So, it's really great and important that you are here asking questions. And, like you, I did not find good information or help from a dietitian.

Excess weight as well as heredity contributes to blood sugar and diabetes problems, so as I wrote, eating carbs makes this worse. Looking at your list of food, the following are making things worse or at the very least not improving the situation: cereal, oatmeal, toast, fried potatoes, pancakes, french toast, pizza, mashed potatoes, taco shells, sun chips, bread, pasta. That is the food that you write she is now eating.

If you buy any food in a package at all, check the carbs. The higher the carbs, the higher the blood sugar.

For breakfast ideas, check out the Lowcarber site. School lunches may not be the best choice so if she brought her lunch from home, that would be a good start. She could take large leaves of lettuce and some slices of any kind of meat (even meatloaf) and eat lettuce wraps. Baggies of nuts and cheese and other snack food I mentioned above are also good to have in the bag. (My husband likes meatloaf and he takes a slice of frozen meatloaf leftover from dinner and it defrosts by the time he eats lunch.)

Fresh vegetables would always be the first choice to eat but I also have bags of frozen vegetables which are easy to take what I need and lightly saute or quickly boil/steam. Drizzle some butter and lemon juice on them for taste. Very often I put a small plate of salad food on the table for anyone to pick from as we eat dinner: cucumber pieces, small tomatoes, olives, cheese cubes, celery pieces, springs of cilantro, some baby spinach leaves, plain walnuts or other nuts. Picking from this plate helps fill you up and does not add to higher blood sugar (unless you're wolfing down everything insight on the table).

Broccoli, cauliflower, bell peppers, mushrooms, carrots (limited) can all be eaten cooked or raw. Zucchini, eggplant, bell peppers, mushrooms, green onions can be sauteed alone or combined for tasty sides.

Fresh and frozen vegetables are cheaper than buying prepared food in boxes and they are healthier.

Changing how your daughter is eating may help you too! Has she seen an endocrinologist?

Also, it might be more interesting to take a 30-minute walk if the weather is getting better where you are than to walk on a treadmill. Around your house, in a park, around a shopping center. If you're all watching TV, stepping in place during commercials or even during the show will make the time pass quickly, too.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

Post Edited (LanieG) : 2/7/2016 11:20:41 AM (GMT-7)


BookRead66
Regular Member


Date Joined Oct 2013
Total Posts : 79
   Posted 2/7/2016 5:08 PM (GMT -6)   
Thank you all and thank you Lanie. I will be checking out many books from the library about reversing diabetes. Many books seem to point toward a plant based diet. But, her hunger is a big concern. She is always very hungry. Finding good foods that fill her up and that are healthy is a concern. She does not like beans by the way. She does like cashews though.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 2/7/2016 6:50 PM (GMT -6)   
BookRead, a plant-based diet is not necessarily beneficial for blood sugar. In fact, it may make it harder to control blood sugar because even the vegetables I've mentioned have carbs. Fruit has many more carbs. I think she should have some kind of protein from meat/poultry/fish as well as nuts and peanuts.

If you want to do some further reading, look for books by Drs. Michael and Mary Eades and Dr. Richard Bernstein. Bernstein wrote Diabetes Solution.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

acquiesce
Regular Member


Date Joined Jan 2014
Total Posts : 360
   Posted 2/8/2016 5:29 AM (GMT -6)   
Hi BookRead! My son has type 1 diabetes and it is a challenge to count carbs and make sure he is full as he is a very fussy eater. I've found that almond milk is something he likes as well as no sugar added yogurts etc. Sugar free jello is a treat also I usually have proteins on hand such as pepperettes and cheese. I should honestly buy stocks in cheese companies at this point haha!

Cream cheese is low in carbs as well. I made a no bake cheesecake yesterday and used sugar free strawberry jello as the crust. It wasn't half bad! I use truvia as a sugar substitute.

If you bake at all almond flour is a good alternative but it is expensive. I've also tried a few cauliflower based wraps and pizza crust recipes.

Soups without potatoes, chili, chicken fajitas and tacos with cauliflower wraps or use lettuce instead. I made lasagna with bacon strips instead of pasta.. just watch the tomato/spaghetti sauce doesn't have added sugar..

For a treat on the weekend I get him pringles which have basically one carb per chip. They are easy to count - 15 pringles are the equivalent of basically a slice of bread.

Eggs are filling if she likes them and you can even have a few boiled up ahead of time and ready in the fridge to snack on. My son isn't a huge egg fan but he's coming around to them thankfully. Or an omelette with cheese, meat and veggies..

I work full time and have my own health challenges so there have been tears and days that I just feel so overwhelmed but you will get through it! One step at a time :)

Here's some recipes,

http://paleoleap.com/cauliflower-tortillas/

http://www.popsugar.com/fitness/Low-Carb-Cauliflower-Crust-Pizza-Recipe-30739512

All the best xo

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 2/8/2016 7:08 AM (GMT -6)   
Great info, acquiesce! Thanks!
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10404
   Posted 2/8/2016 7:59 AM (GMT -6)   
If you live in a metropolitan area, you may want to check with your local hospital or American Diabetes Association. Depending on your daughter's age, she may need special diet considerations. Children's nutritional needs are special and different from adults.

Probably most beneficial for her would be weight loss. Unfortunately, the best way to do this is through diet and exercise - hard enough for an adult, much less for a young person.
Thyroid forum moderator

Ulcerative colitis; 10thyear of remission with Remicade. Inflammatory osteoarthritis; osteonecrosis from steroids. Grave's disease post-RAI and now on Levothyroxine. Type II diabetes induced by steroids. #ucsucks

BookRead66
Regular Member


Date Joined Oct 2013
Total Posts : 79
   Posted 2/13/2016 6:18 PM (GMT -6)   
Hi all:

Interestingly, I have seen several books on diabetes by doctors who say the ADA "meal plans" are actually bad and are not helpful for those interested in actually reversing diabetes. I am hoping that if I can get the right meal plan in place and then have her exercise up to 60 minutes a day, the excess weight will come off, her numbers will improve, her Acanthosis nigricans will fade, energy go up, and cholesterol go down.

So, for breakfast, I assume, eggs are going to be the primary protein source? Cereals are out due to high carbs. Toast too. Perhaps a vegetable egg omelette?

If her calories are too restricted though, and she does not get enough exercise, I guess she can continue to gain weight? That may be the case right now.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 2/14/2016 7:57 AM (GMT -6)   
Good morning. Please refer to my two long posts about food in this thread and also make sure you've read the two links I posted as they both have good information about blood sugar and food.

I do not and I cannot follow the ADA recommendations for meal plans because their menus have so many carbs that my blood sugar gets very high. I have been to two dietitians who gave me these plans and after following them for a couple of days, my blood sugar sky rocketed. The only explanation I can think of is that people are taking medication to counter-act all the carbs they say we should eat.

Eggs, Canadian bacon or any meat are a good source of protein for any meal. If I don't eat an omelet with cheese with Canadian bacon for breakfast, I'll eat leftovers from dinner the night before.

She needs to eat a full variety of vegetables, some dairy and nuts as I explained in my long response posts above. Vegetables have good fiber which helps digestion. Broccoli, cauliflower, asparagus, bell peppers and other veggies are good. And remember that some vegetables can be eaten raw.

Regular milk has fewer carbs than non fat or 2%. Or, if she likes almond milk, something like Almond Breeze almond coconut milk (unsweetened) is a very good source of calcium.

Personally I would figure out her exercise to fit in with her day without making it a chore. Making this diet change to the above will start to help her lose weight and keep her blood sugar under control and the daily exercise should keep it steady, too.

After saying all this, though, I think she should see another doctor and/or an endocrinologist.
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

BookRead66
Regular Member


Date Joined Oct 2013
Total Posts : 79
   Posted 3/28/2016 3:05 AM (GMT -6)   
Hi Lanie:

My daughter also has acanthosis nigricans. Will that go away? And, what is a good target for weight loss each week? Creating a meal plan is so hard, to get her good calories that fill her up. She says she is so hungry all the time. I will be implementing your suggestions though. Thank you. She is at 160 lbs right now. I would love to see her at 110 and not so fatigued, etc.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5915
   Posted 3/28/2016 7:06 AM (GMT -6)   
Good morning! I don't know anything about acanthosis nigricans other than what I have Googled so I cannot give you information about that. I'm sorry.

I understand that in the beginning of great weight loss, much of the loss is water so it may not be an accurate measure of 'real' weight loss. The best way to lose weight is slowly with a change of diet and a reasonable exercise plan that fits into her life which she can actually live with and not become bored with. At her age, maybe participating in sports with kids her age. Then, a daily walk for about 15 minutes. I would not impose any of this on her as if it's punishment, however.

I think about 4 or 5 lbs a month may be ok but this may vary. Usually at the beginning of changes like this, weight loss is fast and then slows down.

What is she eating now? I'm wondering why she's still so hungry. Also, what does her doctor say about acanthosis nigricans?
Lanie

diabetes moderator
diabetes type 2 controlled by diet and exercise and
metformin
very low carb way of eating

jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10404
   Posted 3/28/2016 7:52 AM (GMT -6)   
We all need to be in the habit of reading the nutrition statement on any packaged food we buy. What we may think is a package of healthy frozen green beans can contain a lot of additional ingredients that could include carbs. It's also important to look at the saturated fats and trans-fats, as well as sodium. And remember, any ingredient ending in -ose is a carbohydrate.
Thyroid forum moderator

Ulcerative colitis; 10thyear of remission with Remicade. Inflammatory osteoarthritis; osteonecrosis from steroids. Grave's disease post-RAI and now on Levothyroxine. Type II diabetes induced by steroids. #ucsucks
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