Pulling my hair otu

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VA-GRAM
Regular Member


Date Joined Sep 2007
Total Posts : 20
   Posted 11/8/2007 3:46 PM (GMT -7)   
I truly think this is the hardest thing I have ever tried to do!  I am so frustrated and upset.  I am trying to restrict carbs but nothing seems to be helping!  I am not usually a depressed person but this has made me very sad and have lost hope of getting control.  I am exercising about 30 minutes a day.  I am on 150 units of Lantus insulin a day (75 units in the morning and 75 units at night) and a shot of byetta 10 before breakfast and before dinner.  I am very happy for those of you who have lost weight with either diet and exercise or Byetta.  I continue to gain!  And I am sympathetic to those of you having nausea and diarreah when on the Byetta 10.  I have very mild symptoms occasionally!  Even with all of this my blood sugar readings are generally low 200's.  I go back to the doctor 11/15/07.  Is it possible that treatment doesn't work for some and I am on the losing end of this disease?  Thank so much for all of you kind people who are always willing to share your knowledge.  I enjoy reading the posts and responses every few days.

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 11/8/2007 5:06 PM (GMT -7)   
Va,
When you say you are trying to restrict carbs what do you mean? For myself, I got my metformin down to 500mg in the morning and 1000 at night and got off my Lantus and Avandia altogether when I stopped eating all grain based foods. I have also lost about 45 lbs since April... kind of leveled off a bit but I'm not gaining. This doesn't mean it will absolutely work for you, but I'm wondering if you are trying to follow the ADA food plan. If so then you will be having a very rough time.

Try this for a week:
Eat nothing white except cauliflower. No rice, no wheat, no corn, no oats or potatoes, and nothing made from them. No bread, crackers, cookies, cereal, tortillas, chips, oatmeal, corn bread, snacks, pretzels, toast, french fries, bagels, donuts... nothing that is starch based and no milk or yogurt. (Get your calcium from cheese.)

Do eat eggs cooked in olive oil with a slice of cheese on top for your calcium, turkey bacon, lean ham or sausage, turkey slices wrapped up with cheese and real mayonnaise in a spinach leaf or mustard green leaf in place of bread. Do eat lean cuts of beef, pork, chicken, fish or lamb that have a serving size per meal that is the size of your palm. Do eat lots of green beans, asparagus, tomatoes, squash, carrots, radishes and lots of other canned, frozen or fresh crispy vegetables. When you cook veggies put a small pat of real butter on the dish and let the goodness spread over them all. Do eat apples, pineapple, oranges (one a day), bananas, strawberries, peaches and any other fresh fruits (in moderation). Do eat walnuts, peanuts, avocados, olives, pecans and almonds that are all high in monosaturated fats and raise your HDL's and help lower your LDL's.

Write down every bite of food that you put in your mouth. Follow the "no starch" plan for a week and see how your sugars and weight react. When you feel 'starved' have a one inch cube of motzarella or montaray jack cheese with about 15 peanuts or 8 almonds and a tall glass of water. Talk this food plan over with your doctor and see what he thinks. You MUST get those sugars down below 150 and hopefully down to 100 every day if you want to keep your feet, kidneys and eyesight. You must actively fight this @#$%&* disease before it gets the best of you. You have to get fighting mad and go after this like it was a poisonous snake in your house. When you stop the starches you will find that you have less hunger (I actually forget to eat sometimes.) and tons more energy. You can do this! Don't give up and think you are losing your life to diabetes! Get mad and FIGHT!!!
~ 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


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 11/8/2007 5:08 PM (GMT -7)   
I'm so sorry about your frustration!  Don't give up.  It may be that you just need a dosage change or even a change in medication.  Several members have described having to do this to find the one or ones most effective for them.  I'm sure they'll be along to share their experiences so you might go into your appointment next week more prepared to ask the doctor about changing something in the medication.  Hange in there!  What kinds of food are you eating?

Lanie
forum moderator - diabetes
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds


VA-GRAM
Regular Member


Date Joined Sep 2007
Total Posts : 20
   Posted 11/10/2007 8:46 AM (GMT -7)   

Thank you Jeannie for outlining it so well, what to eat and what not to eat.  I am trying to get on the better side of this disease and I thank you and everyone here who are always so very willing to lend an ear and help.  I was glad to see that it was real butter and not margerine or low fat or lite.  I am thinking balsmic vinegar would be acceptable for salads?  And dill pickles would be okay?  And I wonder if the fat free chicken and beef broths are okay?  I used a can of the fat free chicken broth and a box of frozen mixed veggies yesterday to make soup for lunch.  I did find eating soup or salad with lunch and eating soup or salad with dinner did help keep me on track.  Always open to any suggestions as far as meals or things that help keep us on track as far as eating as I find it so very hard to stay focused.

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 11/10/2007 9:39 AM (GMT -7)   
Hi Va-gram, remember to test your blood sugar to see how your blood sugar reacts to the food you eat.  And remember that it's not only what you eat but how much you eat, as well.  You understand that carbohydrates will drive the blood sugar up but to what extent depends on various factors:  how much of the carbs you eat, what meds you take, amount of exercise you do regularly, what you eat with the carbs and your own body's tolerance for the carbs.  All these can factor in to how you control your blood sugar.  For example, fats like oil or butter do not significantly have any effects.  Nuts have good fats but they also have some carbs so if you eat too many walnuts or almonds or pistachios, you'll have higher readings later than you expected.  When the can says 1/4 cup, they mean it!  (And who can eat just 1/4 cup?)  The can of mixed vegetables sounds healthy but: carrots, peas and lima beans have carbs.  If the soup is loaded with those veggies, watch out!  Don't worry about fat-free chicken broth (it's not the fat that makes us fat or gives us cholesterol.  That's why you can eat butter.)  Fats make the food tasty and help digestion - but of course they have a lot of calories, so I suppose that's why we don't want to drink it!  tongue Dill pickles are fine but make sure you check the labels to make sure there is no sugar added.  You'd be surprised at the products you find sugar in:  mayonnaise, ketchup, mustard.  Not all of them, of course, but some, so you have to be careful.  Eggs are great!  Snack time:  a boiled egg (or soft boiled) and a couple of cubes of cheddar and some nuts.  Be careful about the balsamic vinegar - read the bottles for the carbs.  Regular vinegar, wine vinegar or just lemon juice are fine.  It seems like there's always a "but" when we're talking about what to eat!  You might be able to eat fruit with no significant rise in blood sugar but fruit has carbs, so be careful.  Again, by testing you'll know what to eat.  You will be able to bring your numbers down, absolutely!  It's just that you have to find the right combination of meds and dosage and way of eating.  It's a challenge for sure but you can do this! 
yeah
Lanie
forum moderator - diabetes
"pre-diabetic" controlled so far by diet and exercise
following low/no carb diet, no meds


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 11/10/2007 7:04 PM (GMT -7)   
Lanie is right on track with the label searches. That's where you see the total carbs a product has. It's not just the 'sugars' that get us, it's the total carbs in a product. Some things that help me are putting about a tablespoon of real ranch dressing, (not lite! They cut the good fat and add bad carbs!) on a salad and then add about another tablespoon of olive oil. I eat mountains of salads because I love greens. I make them with fresh spinach, collard greens, cabbage, mustard greens (taste like flat radishes!), romaine lettuce, little summer squashes, zucchini, just about anything that you can find at the market besides boring iceburg lettuce.

In the summer I was grilling whole green, red and yellow peppers outside. First I sprinkle them with olive oil and some garlic, then roast them lightly over the grill starting about the time I turn my meat over. Thin sliced summer squashes with olive oil are nice, too. Mostly they just become a vehicle for the garlic and some parmesagn (sp?) cheese. tongue

When I look at the things you are asking about, you don't need to eliminate the fats from your food plan. You should still eat real mayonnaise, olive oil and such to keep your tummy happy, your bowels regular and your skin and hair healthy. Also, you can't absorb fat soluable vitamins if there is no fat present in your food so you need it for vitamin absorption as well. The secret is to use fat in tablespoon portions. One pat of butter is a tablespoon. If you measure one tablespoon of mayonnaise you will see how much it is.

Sometimes when I'm home by myself or can't eat the casserole I've fixed for the family I will open a can of sardines and put them on a salad. And I eat lots of eggs. I also eat lots of apples, at least one a day. I like to substitute vegetables for starches. I use whole spinach leaves for meat rollups. I use thinly sliced cabbage in place of noodles in soup. I use spaghetti squash in place of spaghetti. Instead of macaroni and cheese I will melt cheese over cauliflowerets. Not the same, but better than nothin'! I start to take apart meals in my head and see what I can discover to use in place of that rice or noodle. Instead of a potato at the meal I have two or three different kinds of vegetables. There is nothing on earth like some frozen green beans saut├ęd in olive oil, a bit of butter and fresh garlic! And you can enjoy them guilt free as well as watch your family eat what is so good for them.

And once a week I have 1/2 cup of real ice cream with a bit of peanut butter on it for my treat. The high fat of the real ice cream helps balance out the sugar. Mostly I just don't eat toast, starchy foods, potatoes, snack stuff... cereal... I just eat real food that comes from the ground or from an animal. If somebody had to do something to it to make it be food I mostly don't eat it (unless it's icecream!!!) When you look at pasta or crunchy cheeze snacks you can see that it's not something that could happen without some help from a factory. That's usually your first clue that it isn't real great for your food plan. Hope this helps.
~ 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


Marburg
Regular Member


Date Joined Mar 2006
Total Posts : 486
   Posted 11/15/2007 7:50 AM (GMT -7)   
Hi VA-GRAM,

Along with what Jeannie and Lanie said, do you have any other conditions that might be affecting your sugar control and weight? For example, people who have PCOS (polycystic ovarian syndrome) often have type 2 diabetes, weight gain (very hard to lose weigh), stress. I found that if I focused a lot on why my sugars were high then they tended to stay high. If I relax, stay on my diet (I try to follow low carb--no breads, starches, sweets--lots of veggies, lean meats, etc.) then my sugars go down. Last year I was in the normal range, then I went through a very stress ful period that lasted nearly a year and my sugars went up. Along with the stress I kept getting sinus infections. Once I learned to relax and not try to control all the stresses in my life, my sugars came back down, it was easier to stay on my diet, I got back on my exercise program. While I'm still not losing any weight (I have PCOS, chronic hayfever with asthma, and GERD) my sugars are coming down. My doctor also had to experiment a bit with my meds. I did great on Avandamet (aside from fluid retention) but my insurance no longer covers it because of the heart problems (which I was checked for and was fine), not so good on Actos, and seem to be doing well on Janumet (Januiva and metformin).

Sorry for the long post. I guess what I'm trying to say here is to relax and keep trying. Try not to let diabetes take over your life because that's when you lose. You can take control of your diabetes. You can get your numbers lower. You just have to find the triggers that work for you. Test your sugars after every meal, keep a food log--you will find out what causes you to go high and what doesn't. I eat sausage or bacon every morning with coffee. Lunch is a salad with cheese grated on top. Dinner is a lean meat, a salad, veggies. Snacks are Dr. B's cheese puffs, a handful of cashews. Sometimes I splurge and get a take out dinner. Also, watch what time you eat. If I eat dinner after 9pm then my sugars will be around 140 in the morning. If I eat around 7p with a cheese puff snack around 9p I will have a reading of 80-115 in the morning.

Marburg

VA-GRAM
Regular Member


Date Joined Sep 2007
Total Posts : 20
   Posted 11/15/2007 5:49 PM (GMT -7)   
OH Thank You ALL so very much for all your help! Each post I learn so very much. I did go to the doctor today. The Lantus stays the same 75/in the A.M. and 75/in the P.M. She did take me off the Byetta and put me on Apidra, which I think is the same as Humalog. For now 10 at the beginning of each meal. In answer to your question Marburg in regards to stress ~ YES THERE IS LOTS OF STRESS. Two of my grandchildren I currently have custody of, they are ages 4 and 6! While I love them dearly, there are days when my nerves just don't handle rowdy little boys well. And please don't worry about the long reply. I love reading and everyone is so informative and helpful. I am a late night eater....so I am going to work on trying to eat my last meal by 7pm. I am also trying to add more fruit and veggies in my diet and keeping my portions in control. Sweets are a big problem for me from Halloween - New Years so I am trying to curb my desire for those types of things. I love salads with a 6oz. can of tuna or chicken mixed in. I found adding blackberries, raspberries, frozen green beans made a salad interesting and different. I have gotten away from using salad dressing of any kind. I either put a tablespoon of regular mayonnaise and mix it all up or I use a tablespoon of balsmic vinegar. For me eating regularly has been a challange as I have always been a sporatic eater and at times a binge eater. But I have finally gotten use to eating a breakfast (sometimes not until 10A.M. or 11A.M.) I will try to start keeping a food log as you suggested Marburg. I am sure that is a big help especially until I get use to eating properly. Now the exercise I still struggle with ~ but I am doing better. I do manage a few minutes - half an hour most days. I simply hate the exercising but I know in my case it is desperately needed. Jeannie, I am so glad you made the list of things to eat and not eat. I have kept the list with me and am trying to eat as closely as possible but I admit I did fall off the wagon from time to time....eating a piece of bread one day and had milk one day. But trying to keep things within reason even if I fell off the wagon. But you are very right my doctor did say absolutely that the sugars have to come down or I am going to be in big trouble in other respects. My last HC1 test was 11.7 so I know that is way too high. Will have lab work done tomorrow. I am hoping that comes down. I have made note of all your cooking and meal ideas to keep me focused. So hopefully I am on the road to better progress. I would love to lose about 35 - 40 lbs but first and foremost I will concentrate on getting my blood sugar readings down and hopefully with better eating and a little exercise a little weight loss will follow. And Lannie mentioned how much I was eating and I took note of that, and trying to stay to three properly propotioned meals with 2 - 3 small balanced snacks if needed. I did find that adding cheese to my diet more helped with the hunger. I think I am off to a much better start with all of the information that each of you were so kind to share with me and again I thank each one of you from the very bottom of my heart. Oh Jeannie I did forget to mention following your plan of what to eat and what not to eat, even with my occasional slip ups I did lose 4 pounds....and for me that is huge. I have never lost more then one pound in a week. I also used regular butter as you suggested with my veggies....yum.

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 11/19/2007 9:19 AM (GMT -7)   
Glad to see this is helping. Something else I've found is when I must eat on the road I stop at McDonalds and order a double cheeseburger and a mcChicken and a side salad from the $1 menu. I remove the buns and eat the meats with the salad. There is enough fat in the cheese and chicken to keep my tummy happy and the salad is a weak substitute for a veggie. Also, I carry apples with me wherever I go. Apples have lots of malic acid which helps with conversion of glucose to energy in the mitochondria of your cells. (mitochondria are the energy factories of your body.) An apple will fill you up quickly with lots of fiber to slow the glycemic load.

I have a friend who is on an 'apple' diet. Whenever she wants to eat something 'naughty' she makes herself eat an apple first. Usually this stops her hunger and curbs the craving. Even if it doesn't she finds that the apples move things right along in her system and keep the damage to a minimum.

Hang in there girlfriend! And KOKO! (Keep on keepin' on!)
~ 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


VA-GRAM
Regular Member


Date Joined Sep 2007
Total Posts : 20
   Posted 11/29/2007 3:31 PM (GMT -7)   

Oh thanks Jeannie,

 

Your tips as well as everyone who post here are so helpful!  Good ideas and creative choices make it much easier if you have to eat out.  I am waiting for the doctor to call with test results.  And while I know it wont be joyous news, I am hoping for a little better result on my H1C test...( I may have that not quite right, but you know what I am speaking of).  I like your friends idea of the apple diet.  For anyone who is not aware I did hear of a site that is suppose to provide very good and reliable information regarding diabetes www.dlife.com I plan on checking the site out soon.  Perhaps others are familiar with it already but if not it may be worth taking a look at.  Hope everyone is having a good holiday season and making good eating choices.  I am trying my hardest to stay focused and hope everyone here is having success in managing their diabetes also.

 

 

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