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Wt loss&Exercise : Need advice
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Recommend  Message 1 of 7 in Discussion 
From: Kelly M  (Original Message)Sent: 6/24/2005 3:23 PM
I was diagnosed about five years ago and did well with normal diet restrictions and metoforin until last fall.  I had a sinus/ear infection that we just couldn't get rid of for almost four months- during which my bs numbers became more unstable.
Once I was better the bs has just be more touchy.  I do 1000 of metforin, glipsized (sp?) and 50 units of lantus daily. 
My diet seems to require too much restriction - or am I just whining??
I can't eat - meat, fish, seafood, bread, pasta, sugar (of course), white rice, potatoe, snack food (chips etc), lima beans, bananas, dressings, alcohol, oranges and most anything that is processed food.  Even so much as 10 small fat free pretzels will cause my bs to jump 150 points.  So, what is left?  some vegies, lemon juice and vinegar - some fruits, occasional brown rice and feta cheese, plain oatmeal.  My normal day consists of some plain oatmeal, raw or steamed vegies and occasional brown rice.
So give me a reality check.  Am I just having a pity party or should I be able to eat other things or should I be on short acting insulin also?
Anyone have any ideas on why I went down the tubes so fast with my control?  Is this just the way it is from now on?
Kelly
 


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Recommend  Message 2 of 7 in Discussion 
From: MSN Nicknamegoshawkgk24Sent: 6/24/2005 3:46 PM
Kelly
 
Sorry your diabetes has deteriorated - mine did the same after a few years of good control - sometimes it just happens.
 
You might have some medical reasons for your diet restrictions which I don't know about, so I would ask your doctor/clinician/dietitian why you cannot eat all those things.
 
Some of them (rice, potato, pasta etc.) are carbohydrate-rich foods so will push your sugars up, but most diets include a small base of carb foods as part of a balanced diet. Be aware that anything made from flour has just as much carbs so  that's why the bagels sent your blood-sugars up. To understand how foods affect blood sugars then try looking up "GI diet" information. That should help explain what foods release sugar into your bloodstream and which foods release sugar slowly and which release it quickly.
 
Don't know why you can't eat meat or fish in normal quantities unless you have kidney problems, but there may be good medical reasons. Prawns have high cholesterol although its effect is disputed.
 
Herbs, spices and salads are normally fine so you can make your food more interesting and a good rule (for most of us) is to keep food as natural and unprocessed as possible. If  your food bleeds or has dirt on it, then it's probably good for you.
 
I have had poor advice from dietitians - they didn't tell me that fat actually slows down sugar production, some alcholic drinks lower blood sugar, or that you could eat 10 steaks without a BS rise - as long as you avoid the fries and ketchup. Of course, that diet would be very bad for anyone long term, but I think you need to understand what's happening so you can make good decisions.
 
Lots of people on the board know more than I do about this and there are many interesting recipes around  - once you find out why you are being restricted at the moment.
 
Good luck
 

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Recommend  Message 3 of 7 in Discussion 
From: MSN Nicknamesafk1221Sent: 6/24/2005 3:57 PM
Kelly
  Whew!  Take a breath!  You certainly are not whining, but it seems you have a lot to deal with.  May I ask why the restrictions on protein?  Are you vegan?  Do you have kidney damage?  Normally, a diabetic diet is largely proteins and slowly metabolized carbs.  If you are trying to follow a low fat program for cardiac health, there are still lots of low fat choices.  You will never find completely safe foods that will not affect your glucose in some way.  You need to sit down with either a dietician or a diabetic educator to work out a healthy meal plan.  Medications (and yes, if need be, insulin) can be used to make it possible for you to have a healthy lifestyle.  You may just need to be patient and flexible.  And, yes, having a severe infection of some sort can adversely affect your diabetes...it can be temporary or permanent.
Welcome to the group, Kelly!  We are like a family, and we care about and support one another.  Glad to have you join us!  Please keep us posted on how you are doing, OK?  sheryl

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Recommend  Message 4 of 7 in Discussion 
From: MSN NicknameMrsMaryBSent: 6/24/2005 5:27 PM
Kelly, NO NO NO your not whinning at all. It's hard having this disease , trying to cope with getting our sugars under control.. sometimes I just want to scream lol. I don't understand why you can't eat meat, fish or poultry unless you are a vegetarian. Do you do an any excerccise? walking can help to reduce you sugar levels.
 
MaryB

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Recommend  Message 5 of 7 in Discussion 
From: BarSent: 6/24/2005 7:01 PM
Welcome to the group Kelly. Have you tried soybean meat substitutes.  We sometimes use vegie burgers and bacon strips made with soy. The taste is certainly nothing to rave about but can be used with condiments that help.  You really are working with a very restricted diet.  Hope some one here has some good recipes that will help.
Bar

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Recommend  Message 6 of 7 in Discussion 
From: MSN Nicknametiggernut24Sent: 6/25/2005 1:56 AM
Fruits, vegetables, herb teas and dairy.    I found it was remarkable the improvement in my sinuses as well!
 
Yours,
Dora Smith
Austin, Texas
[email protected]
----- Original Message -----
From: Diabetes
Sent: Friday, June 24, 2005 9:23 AM
Subject: Need advice

New Message on Diabetes

Need advice

Reply
  Recommend Message 1 in Discussion
From: Kelly M

I was diagnosed about five years ago and did well with normal diet restrictions and metoforin until last fall.  I had a sinus/ear infection that we just couldn't get rid of for almost four months- during which my bs numbers became more unstable.
Once I was better the bs has just be more touchy.  I do 1000 of metforin, glipsized (sp?) and 50 units of lantus daily. 
My diet seems to require too much restriction - or am I just whining??
I can't eat - meat, fish, seafood, bread, pasta, sugar (of course), white rice, potatoe, snack food (chips etc), lima beans, bananas, dressings, alcohol, oranges and most anything that is processed food.  Even so much as 10 small fat free pretzels will cause my bs to jump 150 points.  So, what is left?  some vegies, lemon juice and vinegar - some fruits, occasional brown rice and feta cheese, plain oatmeal.  My normal day consists of some plain oatmeal, raw or steamed vegies and occasional brown rice.
So give me a reality check.  Am I just having a pity party or should I be able to eat other things or should I be on short acting insulin also?
Anyone have any ideas on why I went down the tubes so fast with my control?  Is this just the way it is from now on?
Kelly
 

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Recommend  Message 7 of 7 in Discussion 
From: Chuck 100Sent: 9/6/2005 6:40 AM
Kelly,
 
Type 2 diabetes is a combination of insulin resistence increasing with age and the pancreas producing less insulin as we age. As you probably know type 2 diabetes gets progressively worse.
 
I have read that Metformin doesn't slow the pregression of type 2 diabetes. It dose through helping to lose weight have some very wonderful results!
 
I have heard or read that some professionals think the pancreas stimulators, Sulfonylureas such as glyburide, can stress the pancreas and reduce its ability to provide insulin long term. This thought is not proven to the best of my knowledge.
 
Some studies are showing that medications such as Actos and Avandia when combined with exercise and diet can slow the progression of type 2 diabetes, that has been my expreience. These medication can cause weight gain and thus be less effective.
 
About five years ago, I was told by a super edocrinologist that the time from detection of type 2 diabetes to insulin dependence was about four years. That may be changing because of better medications and the lowering of BG levels for diabetes detection (140 to 126). Earlier detection may allow for better treatment of diabetes; thus, delaying or preventing insulin dependence.
 
Chuck 100
 
 
 
 

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