I'm a 70+ woman who was diagnosed as prediabetic 3 years ago. 2 years ago was upgraded to diabetic. I controlled it with diet (not much exercise) until a month ago when I was prescribed Metformin once a day. My dietician recommended only 45 grams of carbs a day for my meals - 15 at breakfast, 30 at lunch and dinner. I could have snacks of 15 grams, but not less than 3 hours before or after meals. That pretty much cut out snacks. I have tried to stick to this, but occasionally do goof up. I try to limit my carbs to fruit & veggies, but do eat toast or cereal at breakfast. I have found some low carb bread so I can have 2 pieces - regular bread is too high. I also have high cholesterol so limit eggs to only 2 or 3 times a week. I eat a lot of cheese - so far my cholesterol is doing OK. My a1c was 7.4 last month which is why I am now on medication. It had been staying less than 6.5. I'm wondering if I should try going regularly to a dietician - the one I saw was in the doctor's office and I only saw her at the beginning. I would appreciate any help. Tommmi
Hi Caro and Tommi, we're in the same boat I think. I'm still "pre-diabetic", not on meds and want to stay this way as long as I'm able. In January, I started a no-carb regime and nearly daily exercise and have lost 20lbs. I've lowered my A1c from 6.6 to 5.6, and my cholesterol is much lower too. Most of this is because I cut out carbs. 200 carbs is very high indeed! Even though many doctors and the ADA still recommend carbs to be a major part of the diet, most folks around here on the forum don't agree as carbs are what gives you high blood glucose readings. If I have to snack on something between meals, it's cheese or nuts (peanuts, pecans, walnuts or pistachios). Also, there's a tasty cheese puff that you can read about as you look over these threads on the forum. No carbs in that at all. Tommi, I'll bet you can lower your A1c by cutting down on carbs, too. That's great work you're doing with Dare to CARE, Caro. Keep us updated on how you're both doing.
Personally, I found the money I spent on a dietitian to be wasted. She recommended 220 grams of carbs a day for me- which was more than what I was eating routinely when I was diagnosed. She was also very confused about how I could get enough protein as a vegetarian.
I went to Borders, bought a book that contains nutritional info, and began to cut down the carbs until I found the magic number that allowed me to stabilize my blood sugar. I heartily recommend Dr. Bernstein's book- he walks our walk as a diabetic (type 1). He makes good sense. I do eat a few more carbs than he recommends, but I follow his principles 2 out of 3 meals every day.
Good luck! sandy