Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 I have Type II. My husband is also on insulin, glipazide and glougaphage and his numbers are still very high as he doesn't take his meds like he should. I use insulin and glipazide, plus nortriptilyne for neuropathy in my feet. I am trying to lose about 75 pounds and can't seem to lose even a pound. Does any one know how to lose the weight? I have troubles exercising because of other health issues and have tried some " pills " that didn't help at all. I don't eat much, and not at all like I should. I just don't have an appetite. Thank you ahead of time, Kathy _____ Hi Kathy I'm fairly new on this list myself, so I'm not sure I should be on the welcoming committee - but welcome:-) Let us know what sort of diabetes you have, how you control things, and whether you need any help - and maybe we can help each other. Cheers, Alan, T2 d & e, Australia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Kathy, I'm going to post my " standard newby letter " below. I hope you'll find some helpful information there. Re your husband not taking his meds...you might point out to him that one of the side effects of poor diabetes control is erectile dysfunction. Maybe that will help get him to take his meds. First of all, let me refer you to two of the best books about diabetes. Read 'em and you'll learn a lot: The first one is called " The First Year, Type Two Diabetes, An Essential Guide for the Newly Diagnosed " by Gretchen Becker. Gretchen is a list member and her book is an excellent guide. It's in paperback and available online from Amazon if your local bookstore doesn't have it. The second book is called " Dr. Bernstein's Diabetes Solutions " by K. Bernstein, M.D. You can get it from the library but it's such a good reference that you really should have it in your home library. Dr. Bernstein is a longtime type 1 who controls his diabetes using a lowcarb diet as well as insulin.. Many of us - both type 1 and 2 -- on this list have found great success using his plan or a modified version thereof. . And here's the URL to Dr. Bernstein's website, where there's lots of good stuff: http://www.diabetes-normalsugars.com/index.shtml These two books will give you good basic information on the ins and outs of diabetes management. I would further refer you to an excellent informational website titled " " What They Don't Tell You About Diabetes " http://www.geocities.com/lottadata4u/ If it isn't there for some reason, let me know and I can email you the contents -- I have it in my archives now. I would also refer you to Mendosa's website, where there's a wealth of diabetic information and good links. He also has an online diabetes newsletter which is very good. It's also an excellent source for information about the GI index (glycemic index). www.mendosa.com There's one thing that's sure to make BGs rise and that's carbohydrates. Cutting out high GI carbs is an excellent way to control your BGs and the more you cut, the better. Most of us find that the " whites " -- breads, cereals and pastas, in fact anything made with grain - will raise our BGs. Also, rice and potatoes will do the same. And of course, cakes and cookies and sweets of all kinds, including fruits and fruit juices. Watch out for " low calorie " foods; often they're higher in carbs. Learn to read food labels. Dr. Bernstein recommends about 40 carbs a day total. This is really only for the dedictated low carber and IMHO hard to maintain over the long run. However, I've read that the average American eats about 300 carbs a day, so the truth is somewhere in between. The best thing you can do for yourself (if you haven't already) is buy a meter and use it FREQUENTLY. At the beginning you want to learn how different foods affect your BG and to do this you need to eat one food at a time, testing first...then test one and two hours afterwards. Weigh out the amounts and keep good notes. You'll use up a lot of strips in the beginning but the rewards are definitely worth the expense and bother because in the end, you'll know what foods to avoid and which are okay. Diabetes is a very individual disease and we often say YMMV - " your mileage may vary " -- what works for one may not work for another. You want to aim for postprandial (two hours after meal) BG of 120. Keeping your BGs between 70 and 140 are your goals. If you can do this longterm, you can probably avoid the dreaded consequences of longterm poor BG control...and I'm sure I don't have to list those for you. (I will if you want, though). Here's my own list of pretty lowcarb veggies: Spinach Cauliflower Broccoli Summer squash (zucchini, crookneck) Spaghetti squash Mushrooms Asparagus Greenbeans Cabbage Sauerkraut And of course lettuce and avocados which aren't a veggie but a fruit ..but they're definitely lowcarb. I have a large mixed lettuce salad with avocado every night with dinner. You can eat a reasonable portion (4-6 ounces) of meat, chicken, fish without problem; it's all protein, no carbs. Berries are the lowest carb fruit but even so, you should eat them very sparingly. Here's the website of the USDA, which you'll find very helpful. It has carbs, calories, protein, etc. http://www.nal.usda.gov/fnic/cgi-bin/nut_search.pl It's helpful to have a food scale. A cup measure isn't nearly so accurate. I use a Salter scale. It weighs in both grams and ounces and cost me somewhere around $35. I got mine at a local gourmet shop but they're available online too. Just do a Google search for " Salter food scales " . The A1C is a test that measures your average BG for a three-month period with slightly more weight given to the latest month. All diabetics should have this test every three months. And you should ask for, and keep, copies of all your lab reports. Good luck. And keep those questions coming. There's a really steep learning curve at the beginning of your diabetes education but hang in there -- it will all make sense eventually. And remember -- the only stupid question is the one you didn't ask. Vicki, diabetic since 1997, A1Cs comsistently under 6 for a long time, no complications, planning on forever no complications, smile. RE: Re: Hello, new member here >I have Type II. My husband is also on insulin, glipazide and >glougaphage and his numbers are still very high as he doesn't take his >meds like he should. I use insulin and glipazide, plus nortriptilyne >for neuropathy in my feet. > > I am trying to lose about 75 pounds and can't seem to lose even a > pound. Does any one know how to lose the weight? I have troubles > exercising because of other health issues and have tried some " pills " > that didn't help at all. I don't eat much, and not at all like I > should. I just don't have an appetite. > > Thank you ahead of time, > > Kathy > _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 I have had 3 homemade choc chip cookies, and a banana so far today. This evening I will have a chicken breast, rice, and corn. For a snack it will either be an ice cream sandwich and/or pop corn. _____ <snip> > I am trying to lose about 75 pounds and can't seem to lose even a pound. Does any one know how to lose the weight? I have troubles exercising because of other health issues and have tried some " pills " that didn't help at all. I don't eat much, and not at all like I should. I just don't have an appetite. > Could you be more specific please Kathy? You may not " eat much " - but it's enough to maintain the extra 75lbs. What exactly did you eat today, including every item of food and drink - every biscuit, every snack, every glass of juice, milk, coffee? Do you keep a food diary? Try it tomorrow and add it up. You'll be surprised. Cheers, Alan, T2 d & e, Australia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 I have troubles with my feet and ankles when I walk. I will try walking a little more at a time. (I have a treadmill and have only been able to walk for ..3 of a mile at a time before my back, knees and ankles give out). I will also start using my little 1 lb weights that I bought, maybe they are 2 lbs. What can I do with them to help? I also, want to try riding my bike. Where we live the “block” is about ½ mile around I think. Would this help at all? Thank you, Kathy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 DWE: are you being serious? Is this REALLY what you ate & are going to eat today????? <I have had 3 homemade choc chip cookies, and a banana so far today. This evening I will have a chicken breast, rice, and corn. For a snack it will either be an ice cream sandwich and/or pop corn.> Yipes, no wonder you can not lose weight or control the diabetes--eating nothing but sugar & starches. cappie Greater Boston Area T-2 10/02 5/05 A1c: 5.3 = 111 mean glu 50-100 carb diet, walking, Metformin ALA/EPO, B12, ALC, Vit C, Cac/mag, low dose Biotin, full spectrum E, Policosanol, fish oil cap, fresh flax seed, multi vitamin, Lovastatin 20 mg/coQ10 100mg, Enalapril 10 mg 5/05:140 lbs (highest weight 309) 5' tall /age 67, cappie@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Dances With Eagles wrote: > I have troubles with my feet and ankles when I walk. I will try > walking a little more at a time. (I have a treadmill and have only > been able to walk for .3 of a mile at a time before my back, knees and > ankles give out). When I first began walking, I was unable to go as far a 0.3 miles before everything on my body gave out. But I kept at it, and I improved. I can walk a couple miles now, which is as long as I care to walk for now. Unless you've got some other health condition, each time you walk, you improve a bit. Do what you can. Give yourself time off between exercise sessions. I often needed more than a day at first. But persistence and patience will take you a long way. > I will also start using my little 1 lb weights that I bought, maybe > they are 2 lbs. What can I do with them to help? http://www.joycevedral.com/ Above is a link to a web site hosted by a lady bodybuilder. Look through her site. You will probably need a book to show you the exercises. Starting out with 1 or 2 pound weights is fine. I'm sure she sells them on her site, or you can find them at a library or bookstore. Weightlifting is a great exercise for diabetics because it reduces insulin resistance a lot. When you workout hard, don't be surprised if you find yourself tired the next day. But in the long run, you will find you feel much better physically and you will improve your glucose control. You should always give yourself at least a day off between weightlifting sessions. I spent most of my life thinking weightlifting was little more than one of the levels of hell for stupid people. But diabetes changes a lot. Now I'm a big advocate of it. Your objective won't be to look like Schwarzenegger or even Joyce Vedral. You just want to exercise your muscles to make them more insulin sensitive. Working out two or three times a week for 30 or 45 minutes is plenty. > I also, want to try riding my bike. Where we live the “block” is about > ½ mile around I think. Would this help at all? Yes, bike riding will help a lot. It's a good exercise. If you get into weightlifting, you should also balance your program with something aerobic, like biking or your treadmill. You get different benefits from each which work together very well. Edd Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Dances With Eagles wrote: > I have had 3 homemade choc chip cookies, and a banana so far today. > > This evening I will have a chicken breast, rice, and corn. For a snack it will either be an ice cream sandwich and/or pop corn. So, you've probably got some fairly high blood sugar numbers there. A lot of us (not all) find that a low-carb diet is the main tool in the fight against diabetes. That would be meat, eggs, cheese, fish, green veggies, a few berries or a little bit of melon. No cookies, bananas, rice, corn, ice cream or popcorn. Sorry about that. There are some low-carb (lc) products, like lc ice cream, and lc sweets that you could eat sparingly, but I'd suggest you do some studying. I took a look at several different low-carb eating styles when I was first diagnosed (dx'd), and settled on Atkins to start with. I suggest you try one of them for about 90 days and see if you don't observe some improvement in your blood sugar and with some of the other health problems you've reported. It works for quite a few people, and it could help you, too. It's tough to give up favorite foods, but the overall improvement in health is usually worth it (not always, of course). CarolR Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 If you're diabetic, eating carbs and sweets will raise your BGs. Almost all the foods you mentioned -- cookies, bananas, rice, corn, ice cream sandwich -- are sure to raise your BGs. Do you have a meter? If so, use it! If you don't -- get one. Quickly! What kind of diabetes education did you get? Vicki RE: Re: Hello, new member here >I have had 3 homemade choc chip cookies, and a banana so far today. > > This evening I will have a chicken breast, rice, and corn. For a > snack it will either be an ice cream sandwich and/or pop corn. > > > > _____ > > > <snip> >> I am trying to lose about 75 pounds and can't seem to lose even a > pound. Does any one know how to lose the weight? I have troubles > exercising because of other health issues and have tried some " pills " > that didn't help at all. I don't eat much, and not at all like I > should. I just don't have an appetite. >> > > Could you be more specific please Kathy? You may not " eat much " - but > it's enough to maintain the extra 75lbs. > > What exactly did you eat today, including every item of food and drink > - every biscuit, every snack, every glass of juice, milk, coffee? > > Do you keep a food diary? Try it tomorrow and add it up. You'll be > surprised. > > Cheers, Alan, T2 d & e, Australia > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Kathy...not even talking about diabetes now but how do you expect to lose weight when you posted that you ate 3 cookies and a banana, and were planning to eat an ice cream sandwich later? Then there's the matter of getting your BGs to where t hey should be. I hope you read the newby letter I earlier posted. Vicki RE: Re: Hello, new member here >I have Type II. My husband is also on insulin, glipazide and >glougaphage and his numbers are still very high as he doesn't take his >meds like he should. I use insulin and glipazide, plus nortriptilyne >for neuropathy in my feet. > > I am trying to lose about 75 pounds and can't seem to lose even a > pound. Does any one know how to lose the weight? I have troubles > exercising because of other health issues and have tried some " pills " > that didn't help at all. I don't eat much, and not at all like I > should. I just don't have an appetite. > > Thank you ahead of time, > > Kathy > _____ > > Hi Kathy > > I'm fairly new on this list myself, so I'm not sure I should be on the > welcoming committee - but welcome:-) > > Let us know what sort of diabetes you have, how you control things, > and whether you need any help - and maybe we can help each other. > > Cheers, Alan, T2 d & e, Australia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Have you tried swimming? Tim --- Dances With Eagles wrote: > I have troubles with my feet and ankles when I walk. > I will try walking a little more at a time. (I have > a treadmill and have only been able to walk for .3 > of a mile at a time before my back, knees and ankles > give out). I will also start using my little 1 lb > weights that I bought, maybe they are 2 lbs. What > can I do with them to help? > > I also, want to try riding my bike. Where we live > the “block” is about ½ mile around I think. Would > this help at all? > > Thank you, > > Kathy > > > __________________________________ Yahoo! Mail Mobile Take Yahoo! Mail with you! Check email on your mobile phone. http://mobile.yahoo.com/learn/mail Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 > I am trying to lose about 75 pounds and can't seem to lose even a pound. Both insulin and glipizide are apt to cause weight gain. Talk to your doctor and see if you could switch to metformin, which sometimes helps with weight loss. What kind of a diet are you on? It's possible that with fewer carbs you wouldn't need the insulin. Gretchen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 On 23 Jun 2005 00:48:18 -0000 " Rotramel " writes: > > > But, whatever you do, don't make any more chocolate-chip cookies. > >Lose the recipe. And the rice, and the corn. > > > > Cheers, Alan, T2 d & e, Australia > Well Dances with Eagles if you are looking to get into a tight or good control situation then you will have an easier time if you get down to basics. Once you get your bgs under control it is easier to try out foods to see if you can handle it or not. If you include starches like corn and rice while you are trying to find a routine that fits you, you will end up prolonging getting into the good control range. Generally, especially type IIs do not handle baked goods if they are not whole grain, high carb foods or starches. So the chocolate chip cookies are gone for now unless you make the cookies with whole grain flour, no sugar and SF chips, which might not statisfy your taste for the real thing. Bananas are a high glycemic fruit but if you like strawberries, this might be the time to switch fruit choices. Some foods seem to be universally anti diabetic, rice, potatoes, corn, peas, pizza etc. get the prize for this catagory. My accountant was dx'd with type II about three years ago and without telling anyone he did a lot of reading and sat down with his wife and made a meal plan that worked beautifully. He had the same thing for breakfast, the same thing for lunch, and the same thing for dinner for 5 months and lost 60 pounds that he has kept off. He cut out all bread products except for low carb tortilla for breakfast. I think it was Mission brand but I am not sure. Some hard cheese wrapped in the 10 inch tortilla was breakfast. For lunch he had a can of tuna without dressing and a small salad with very little dressing. For dinner he had a chicken breast with the skin left on a salad or low GI veggie like brocolli, brussel sprouts, spinach leaves, green beans. While he was losing weight he read up on the glycemic index and carb counting and has added some low GI fruit once a day, some wasa crackers instead of the tortilla and other such foods and he is a happy camper. He needed hip surgery before he lost the weight, but doesn't need the surgery now. For starters you might find it beneficial to get a carb counting book. Pick a number of carbs you want to stay within for the day and plan what you are going to eat depending on the number of carbs for that meal. You will find that corn, rice. most beans, potatoes are very high in carbs so do you want a 1/8 cup of potaotes and nothing else but a meat or do you want to eat enough so that you are not hungry in an hour? Your decision. Once you get everything under control feel free to experiment with foods that you want but might not be able to handle. Try to keep your experiments to one a day and then test an hour after the first bite of the meal and then two hours after the first bite and the meter will tell you what food you can handle. As you lose weight and get into better control you will find exercise to be much easier. Good luck > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 On Wed, 22 Jun 2005 21:34:47 -0400 One Stop .one-stop@... writes: > I stopped one sentence in mid thought so to add > > decision. > > Once you get everything under control feel free to experiment with > foods > that you want but might not be able to handle. Try to keep your > experiments to one a day and then test an hour after the first bite > of > the meal and then two hours after the first bite and the meter will > tell > you what food you can handle. > > As you lose weight and get into better control you will find > exercise to > be much easier. > > Good luck > PS kulas1@... has been counting carbs for so long that she knows how much lobster meat is in a pound and half lobster and what the carb count is without looking it up. It could be a parlor game. I saw her do this recently and with time you can look at a food and know what the carb count is going to be and how much you can have. It does get easier, really. (Sorry for the Adendum) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 On Wed, 22 Jun 2005 21:45:37 -0400 One Stop writes: > > > Good luck > > > PS kulas1@... has been counting carbs for so long that > she knows how much lobster meat is in a pound and half lobster and what > the carb count is without looking it up. It could be a parlor game. I > saw her do this recently and with time you can look at a food and know > what the carb count is going to be and how much you can have. It does > get easier, really. > I know how much, in weight and carbs, in a Dungess crab and lots of other things too. It's all my mother's fault. My mother was a bit of a worrier and when I went off to college she was concerned that I would forget how to handle my type I so the summer before she constantly tested me because even back then I used a carb to insulin ratio. Not to lose weight but to keep bgs in control. We only had basal insulin then so it had been figured out how many carbs I could have and still keep a good base reading. It wasn't that hard because we didn't have meters and only urine strips so I had a bigger window to work with than now. Of course once I was on my own for the first time I didn't forget how to do the carb counting, I just took a two year vacation from good control until I got a wake up call. I still remember the carb counts though. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Well, there we go with YMMV again. All kinds of rice raises my BGs and from what I've read on the list, it seems to do that for most diabetics. You may be one of the lucky exceptions. All I can say to that is -- (yet again) -- our meters are our best friends. Don't take someone else's word for it. Eat something at a time when all food is cleared from your system - like 4 hours past last meal - and eat it separately. Test first. Eat item. Then test 1 and 2 hours later. Then you'll know. Sometimes eating foods in combination will change the equation so that's another test to take. Yes, you'll use a lot of strips and strips are expensive. But not as expensive as a foot lost to amputation or a kidney nonfunctioning with need for dialysis. Vicki Re: Hello, new member here > At risk of stiring the pot -- the rice might not be so bad - depending > on what kind of rice > it is, and what you eat it *with*. I can't eat straight rice, however, > but I find I can have a > little bit of Uncle Ben's Converted (1/3 cup, cooked measure). UB is > amazingly low- > glycemic at only a GI of 44, even lower than brown rice. something in > the converting > process munges up the carbs so they digest slower. > > SulaBlue > > >> >> But, whatever you do, don't make any more chocolate-chip cookies. >> Lose >> the recipe. And the rice, and the corn. >> >> Cheers, Alan, T2 d & e, Australia >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 One thing that some have found useful is low carb dieting, as per Dr. Bernstein. Try looking at his website, where you can read some of his book online, at: http://www.diabetes-normalsugars.com/index.shtml Ted Quick --- Dances With Eagles wrote: > I have Type II. My husband is also on insulin, glipazide and glougaphage and his numbers are > still very high as he doesn't take his meds like he should. I use insulin and glipazide, plus > nortriptilyne for neuropathy in my feet. > > I am trying to lose about 75 pounds and can't seem to lose even a pound. Does any one know how > to lose the weight? I have troubles exercising because of other health issues and have tried > some " pills " that didn't help at all. I don't eat much, and not at all like I should. I just > don't have an appetite. > > Thank you ahead of time, > > Kathy > _____ > > Hi Kathy > > I'm fairly new on this list myself, so I'm not sure I should be on the > welcoming committee - but welcome:-) > > Let us know what sort of diabetes you have, how you control things, > and whether you need any help - and maybe we can help each other. > > Cheers, Alan, T2 d & e, Australia > > > Ted Quick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2005 Report Share Posted June 22, 2005 Kathy, One of the listed side effects of both Glipizide and injected insulin is weight gain. In general, you want to control your diet to minimize the amount of insulin you require. Glipizide is an insulin production stimulant. According to my research and what my doc tells me, this is no longer considered the standard of care for most Type 2s because it, in effect, hammers an already stressed pancreas. Glucophage (metformin) is the leading type 2 drug now. It does several things - suppresses the liver glucose dump and sensitizes glucose-using cells to insulin, among others. Studies are starting to come in that show many non-diabetes-related benefits to the drug, including aiding in weight loss. It is contraindicated for people with liver or kidney problems. I suggest talking to your doc about moving to Glucophage. If he says no, then find out why. It may be that he is ignorant of the drug. The second part. Recordkeeping. I know you don't think you eat much but I bet you do. The only way to know, and in particular, to know how many carbs you're eating, is to keep detailed records. Log every single morsel that enters your mouth! Also log your insulin use. You're going to find that you eat very many more carbs than you think you do. I find it tedious and annoying to try to keep paper records so I keep my log on my PalmPilot. I highly recommend Diabetes Pilot because it contains a large and expandable database of foods and their nutritive values. You select the foods you're about to eat and it displays the carb (and other) values, totals them and if you've calibrated your insulin sensitivity, the amount of insulin you need to control those carbs. Third, you need to understand the vicious dance that insulin and fat perform. Insulin mediates fat storage. The more insulin in your system, the more fat is stored. Fat excretes enzymes that cause insulin resistance to go up. This requires more insulin to control the sugar which causes more fat to be stored which causes more insulin need, etc. >>YOU<< have to break that cycle. When the insulin concentration is low (indicating that the glucose concentration is also low in a controlled individual), fat is metabolized for energy instead of being stored. This is the basis of the Atkins diet and Bernstein's low carb method of diabetes management. The metabolized fat comes from the body stores (blubber) when there isn't an intake of carbs or dietary fat. That means weight loss. So. You break the spiral by practically eliminating carbs from your diet. You will start burning fat. The reduced fat load will require less insulin which will make your body burn more fat, etc. In other words, the spiral works in reverse too. Glucophage greatly helps in this regard by making better use of less insulin. I'm an example of how this works. I'm 6'7 " tall and when I quit playing basketball after college I weighed 220 lbs. I had porked out to about 370 when the prospect of knee joint replacement slapped me in the face. With the height I didn't look fat but the scaled and my knees didn't lie. This was several years before my diabetes was diagnosed. I had done the original Atkins diet back in the 70s so I knew the concept of low carb weight loss. The first thing I did was stop all sweet drinks. When I started logging my food intake I found that I was consuming close to a pound of sugar a day just in sweet tea and an occasional soft drink. I got rid of ALL snack foods with one exception. I found that sucking on a hard candy (ONE, not two or three) would kill my acute between-meals hunger for several hours. Post-diagnosis, I don't do that, of course. I lost 100 lbs over about a 2 year period. My reward was, ta da, diabetes. Hmmm.... Anyway. When I was diagnosed, my engineer genes kicked in and I went into hyper research mode. Most ever waking hour for about 2 weeks was spent either on the net or in a medical library. I learned that the ADA diet is killing people with the high carb recommendation and that a very low carb diet makes diabetes easy to manage. Therefore I made an acute change in lifestyle. No excuses, just do it. And I bought the Bernstein book. As much as possible, carbs are gone. No grains, no bread and (sigh) no pasta. The only carbs I get are from veggies and from a few selected foods that I've tested on myself and know not to cause BG excursions. As Bernstein said, it took me about a week to break the carb addiction, that craving for food one gets between meals. It is a real addiction just like a drug addiction but it can be broken. Once past the " cold turkey " , my cravings for food between meals is essentially gone. I satisfy what little is left with a diet drink. I'm actually learning to like raw carrots with a little Ranch dressing :-) I limit my daily (NOTE DAILY and not per meal) carb intake to around 30. I don't hyperventilate if I hit 35 on a day but most days I stay under 30. The result? I've dropped another 30 or so pounds in the months since diagnosis. My insulin sensitivity is up to 1 unit per 14 grams of carbs. I started out at one unit per 4 grams. I started with 60 units of Lantus daily and up to 10 units of Novolog per meal. I'm down to 25 units of Lantus and usually no Novolog if the carb content is under 20. I expect this to go lower as the Glucophage starts working. My 7 day average fasting BG is now 85. For the last 14 days, Glucose Pilot reports that my average BG is 100 and that my peak was 140. If I strike one " being bad " meal, my peak drops to 115. I haven't had a hypo event since the first week after diagnosis. Plotting my weight loss and extrapolating onward, I should hit my long term goal of 250 lbs by the end of summer, whereupon I reward myself with a motorcycle :-) My new goal will then be to get down to my old ball-playing weight of 220. A year ago I thought that impossible. Now I know that it will happen naturally as the side effect of my new lifestyle. The nice thing about the low carb diet is that one can eat high fat, high flavor foods without consequences. Even though a huge proportion of my diet is good ole red meat, my lipid panel is normal - for the first time in a couple of decades. Other benefits that have accrued: My BP is on the low end of normal. What my doc thought was IBS is gone. The almost constant gas and bloating is gone. The general aches that I attributed to old age and arthritis are gone except in my knees which are still blown. They certainly don't hurt as much. My eyesight is returning. I thought I was just getting old. I'm going to be able to go DOWN in my prescription on my next eye exam. My night blindness is gone. I'm back to sleeping 4-6 hours and waking rested. I feel at least 15 years younger. ly, diabetes was the best thing that has happened to me in a long time. As far as exercise goes, if you're not a quadriplegic and aren't in acute heart failure or something like that, you CAN find a way to exercise once you get past the excuses. Even if it's nothing more than sitting in a chair lifting gallon jugs of water with your arms and legs, you CAN exercise. It doesn't take much. Once you get the weight loss spiral going, it becomes easier and easier. Or you can sit on that big fat butt, make excuses and let this disease eat you up. YOUR choice. On Wed, 22 Jun 2005 12:38:28 -0600, " Dances With Eagles " wrote: >I have Type II. My husband is also on insulin, glipazide and glougaphage and his numbers are still very high as he doesn't take his meds like he should. I use insulin and glipazide, plus nortriptilyne for neuropathy in my feet. > >I am trying to lose about 75 pounds and can't seem to lose even a pound. Does any one know how to lose the weight? I have troubles exercising because of other health issues and have tried some " pills " that didn't help at all. I don't eat much, and not at all like I should. I just don't have an appetite. --- De Armond See my website for my current email address http://www.johngsbbq.com Cleveland, Occupied TN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 On Wed, 22 Jun 2005 17:06:10 -0600, " Dances With Eagles " wrote: >I have troubles with my feet and ankles when I walk. I will try walking a little more at a time. (I have a treadmill and have only been able to walk for ..3 of a mile at a time before my back, knees and ankles give out). I will also start using my little 1 lb weights that I bought, maybe they are 2 lbs. What can I do with them to help? > >I also, want to try riding my bike. Where we live the ?block? is about ½ mile around I think. Would this help at all? Anything helps. The bike might be good later on but for now I suggest getting an exercise bike. I got mine for $10 at a second-hand shop. Any old style will do. Mine is the old-fashioned flywheel-with-the-leather-brake-band type. You'll use little to no resistance starting off so the fancy energy absorbers aren't necessary. The reason you want to use an exercise bike is that when you get tired you can stop right away and not form any aversive memories. If you're half way around the block and give out, you'll be miserable when you get home and that adverse experience will deplete your will to do it again. Another consideration is that you can do it in a nice, comfortable, air conditioned setting. I put mine in a walkway so that every time I walk past it I can hop on and pedal for a minute or two. The minutes and miles add up that way. One thing you can do to make it a lot more pleasant is to go to a bike store (or online) and buy a " lardass " seat, a big soft seat designed for " wide bodies " . I have one and love it. There are a lot of myths out there about exercise. You do NOT have to " get the burn " or get all hot and sweaty for exercise to benefit you. When you're doing little other than sitting around all day, any exercise is an improvement. --- De Armond See my website for my current email address http://www.johngsbbq.com Cleveland, Occupied TN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 On Wed, 22 Jun 2005 17:05:25 -0600, " Dances With Eagles " wrote: >I have had 3 homemade choc chip cookies, and a banana so far today. > >This evening I will have a chicken breast, rice, and corn. For a snack it will either be an ice cream sandwich and/or pop corn. There is your problem. a day's eats soaked with Carbs. Let's total up. I'm going to use the USDA nutritional database located here: http://www.nal.usda.gov/fnic/foodcomp/ This is free to use and free to download to your computer and is an invaluable resource. Cookies, 9 grams ea 27g Banana, large 31g rice, instant, long grain, 1 cup 35g corn, yellow, 1 cup 123g ice cream, eskimo pie 12g (sandwich not in db.) For a grand total of 228 grams No wonder you're out of control!!! Keep in mind that I keep my daily carb intake to about 40 grams or less. You are a diabetic. You have to unlearn most everything you've been taught about " healthy " eating. I repeat You are a diabetic. You have to unlearn most everything you've been taught about " healthy " eating. Bread - bad fruit - bad (most of 'em anyway) rice - bad beans - bad milk - bad (except lactose converterd milk) root veggies (spuds, etc) - bad meat - good cream - good ice cream - mostly good in moderation leafy veggies - good root veggies (spuds, onions, etc) - bad To know which foods you can eat and not shoot your BG levels, you have to test. That is, eat the food after fasting for awhile, then measure your BG at 1 hour intervals. It will peak at between 1 and 2 hours, usually. I know, for instance, that I can eat raw carrots even though they appear bad because the carbs are slowly digested. I learned that with a lot of blood testing. I'll say again and again, as others have, get the Bernstein book, read it and live it. Some folks say the book is too advanced or too radical. Negatory. It's very readable. His diet is probably too strict for most folks but if you get even close you're 10,000% better off than you are now. I can't do his diet 100% but I'm close and my numbers reflect it. The very first thing you have to do is to lose the victimhood mentality and the excuses that go with it. Nobody and nothing did this to you. It's the hand you were dealt. Deal with it or die. It's that simple. I highly suggest unplugging that TV set and tossing it in the garbage. That constant drivel of victimology rots the brain. I tossed mine 2+ years ago. Never has my thinking been clearer nor my stress level lower. Once your mind is clear of that rot, it's unbelievable just how bad it is when you again experience it. My mom will occasionally insist on watching TV when I'm visiting. A few minutes of it makes me nauseaus. I now take an audio book with me and strap on the headphones when the TV comes on! --- De Armond See my website for my current email address http://www.johngsbbq.com Cleveland, Occupied TN Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 : I am living proof that one does not have to " get the burn " to exercise. I am disabled by spinal degeneration -- have had neck surgery & now need lumbar surgery altho I am avoiding it. I lost my weight doing only 30 min of walking a day with my rollator. I had tried gentle chair exercises & wound up needing more MRI because of the pain it caused so I was told not to exercise the upper body. I stick to just plain walking now. cappie Greater Boston Area T-2 10/02 5/05 A1c: 5.3 = 111 mean glu 50-100 carb diet, walking, Metformin ALA/EPO, B12, ALC, Vit C, Cac/mag, low dose Biotin, full spectrum E, Policosanol, fish oil cap, fresh flax seed, multi vitamin, Lovastatin 20 mg/coQ10 100mg, Enalapril 10 mg 5/05:140 lbs (highest weight 309) 5' tall /age 67, cappie@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 --- Neon wrote: > Kathy, > > Third, you need to understand the vicious dance that insulin and fat > perform. Insulin mediates fat storage. The more insulin in your > system, the more fat is stored. Fat excretes enzymes that cause > insulin resistance to go up. This requires more insulin to control > the sugar which causes more fat to be stored which causes more insulin > need, etc. >>YOU<< have to break that cycle. Another added note from an engineer: when you eat more carbs than you can burn the calories from by higher amounts of activity they become fat. In other words the cells use it or store it. Ted Quick Ted Quick Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 I have never eaten much in the way of Breakfast or lunch and food just sounds and looks yucky to me. I usually eat a bowl of frozen fruit with cream and a little bit of splenda on it. Don't usually eat lunch and then a full meal for dinner. Is this any better? Kathy _____ DWE: are you being serious? Is this REALLY what you ate & are going to eat today????? cappie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 It used to be mashed potatoes, but that type of starch causes other problems for me, so I switched us all to rice. Last night it was brown rice. The Chicken breast was not breaded, as I don't like the breading, and I grilled them with a touch, maybe a tablespoon on each, of BBQ sauce. And I did not have a dessert. I don't know how to email you privately so you can email the plan to me at danceswitheagles@... Thank you, Kathy _____ .... Email me direct if you want a copy of the simple cooking and eating plan I designed for myself. But, whatever you do, don't make any more chocolate-chip cookies. Lose the recipe. And the rice, and the corn. Cheers, Alan, T2 d & e, Australia Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 We, (my husband and I) we not given much other than the classes that Kaiser gives. The problem is that I have to fix dinner and meals for 4, and all of which are picky eaters. Me personally, I love broccoli, spinach and cauliflower, but no one else will eat these. I just feel like it is a losing cause to try to eat right. I get so upset because I am so scared of losing my husband because he doesn't seem to care enough to take his meds when he is suppose to and sometimes I feel like I don't want to live longer then him so I go on strike and not take mine either. You see I have been a Housewife/mother for 29 years and even though I have an Associates degree and am working on my BS I am afraid of working. When he was dx I knew he was diabetic because he was losing weight and urinating constantly. I got him to the doctor for his shoulder and mentioned these to the doc. His Sugars were over 700 at the lab. This was 4 years ago and they are usually over 300 still today, because he won't take things the way he should. I forget to test mine, but at least I take my meds 95% of the time. Mine range from 82-240. Eating right is also a financial problem along with not knowing, and not feeling like eating. I don't get hungry and forget to eat, or I sleep in too long and then there's no sense in eating lunch. I have had my bowl of fruit and not had my meds yet, will get them when done here, and my BG ( I think this is sugars) are 168, not bad. I think the highest mine have ever been is 265. I have more problems with them dropping too low then going too high. I take 45 units of insulin in the mornings, or when I get up, and 30 at night when I go to bed, usually around 1:00 am. I take 10 mg of Glipazide twice a day. I don't usually eat a lot of carbs as they don't like me. Instead of bread I can eat crackers or homemade breads. I like my fruit and meat. We usually have a meat, rice or potatoes and a vegy for dinner or spaghetti. So what do you all think now? Kathy _____ From: diabetes_int [mailto:diabetes_int ] On Behalf Of whimsy2 Sent: Wednesday, June 22, 2005 6:26 PM To: diabetes_int Subject: Re: Re: Hello, new member here * If you're diabetic, eating carbs and sweets will raise your BGs. Almost all the foods you mentioned -- cookies, bananas, rice, corn, ice cream sandwich -- are sure to raise your BGs. Do you have a meter? If so, use it! If you don't -- get one. Quickly! What kind of diabetes education did you get? Vicki Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 23, 2005 Report Share Posted June 23, 2005 I was told that I need to eat the carbs to maintain the sugar. I was also told, by a Kaiser Diabetic case nurse that Atkins is the worst thing for a diabetic. So now I am really confused. Kathy _____ So, you've probably got some fairly high blood sugar numbers there. A lot of us (not all) find that a low-carb diet is the main tool in the fight against diabetes. That would be meat, eggs, cheese, fish, green veggies, a few berries or a little bit of melon. No cookies, bananas, rice, corn, ice cream or popcorn. Sorry about that. There are some low-carb (lc) products, like lc ice cream, and lc sweets that you could eat sparingly, but I'd suggest you do some studying. I took a look at several different low-carb eating styles when I was first diagnosed (dx'd), and settled on Atkins to start with. I suggest you try one of them for about 90 days and see if you don't observe some improvement in your blood sugar and with some of the other health problems you've reported. It works for quite a few people, and it could help you, too. It's tough to give up favorite foods, but the overall improvement in health is usually worth it (not always, of course). CarolR Quote Link to comment Share on other sites More sharing options...
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