My daughter has Crohns and I know how you have lots to juggle when it comes to the food plan.
Answers to your questions:
1. You still have diabetes and will always have diabetes. What you have now is controlled diabetes. But you are far luckier than the millions of peeps walking around with diabetes that don't know it right now. You are aware and treating.
2. You can up your protein a bit if you want to without hurting your sugars. Find some proteins that are easy on you. If you can't eat whole eggs just try the whites. If you can't do milk (which is really a carb!) try soy milk. Cheeses and cottage cheese are good too because the protein is combined with fat which enhances the absorption of fat soluable vitamins and slows stomach emptying time a bit. Long time diabetics with kidney damage often have problems with too much protein. This is why we are taught from day one to cut back on the meats. If you like fish such as tuna and salmon they are actually good for both your CD and your diabetes as well as your heart and brain.
3. Crohns presents its own set of problems with malabsorption in the small intestine so if you can't eat too much fruit or veggies you could try juicing and putting the juice in water (fruit) or soup (veggies) to get the nutrients. The problem with juicing is that it often dumps it's glycemic load all at one time. That's why I recommend diluting it with water or soup. V-8 vegetable juice-type cocktails (not the fruity fusion ones!) can also have carrot, kale, celery, beet and other veggies juiced into them for more nutrition without all of the fiber that makes you hurt.
4. Weight loss while on steroids is very difficult. You could put your weight loss plans on hold until you are weaned off the pred. I don't know your age nor all of your history but I do know that the pred presents its own set of problems including the diabetes and osteoporosis so be sure that you become educated about
all of the aspects of your meds. My daughter chose not to start steroids after her fistula surgery and has quit all of her meds. She still has CD but she also is 4 1/2 months pregnant with her first baby and seems to be in remission. Her doctor is doing a study on pregancy and CD remission because of her
One question from me... Was your nutrition educator just a diabetes nutritionist or was he/she aware of your limitations that your CD puts on your food plan? I can't really see a registered dietician telling a CD person that they have to limit their protein and then not give them an alternative to all the carbs when they can't eat as many veggies... A person's gotta eat! Having CD and diabetes puts you in the position of juggling your gut's needs vs. your blood glucose.
Keeping a journal and finding the right food combos for your situation might be the best way of staying in line. I know that sometimes my daughter used to eat only cottage cheese and pineapple for days on end when nothing else would stay with her. Baby food was a staple at our house when she was growing up, too. Do what works best for you and just keep checking those sugars. You will become your own best teacher. We have lots of crohnies that pop into this forum from time to time and I'm sure they will have lots of good ideas for you as well. Take care and read back in the posts for more ideas to keep your glucose in control.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
~Please remember that 50% of all doctors graduated in the bottom half of their class! Yours may be one of them...
=================="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