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My Diet to deal with reversal of Type 2

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wallycorker

Well-Known Member
Relationship to Diabetes
Type 2
This post describes the diet that I've adopted over the last eighteen months to successfully deal with my non-insulin dependent Type 2 diabetes which is still being treated with metformin.

I'm a sixty-six-years old non-insulin dependent Type 2 on metformin only. I was diagnosed over nine years ago in the very early stages with a fasting level just over 7 and HbA1c of only 5.7%. My situation slowly progressed - i.e. deteriorated - for eight years by following the "do not test" and "eat plenty of starchy carbohydrate" advice usually given to Type 2s. Eventually, my HbA1c reached 9.4% and my GP prescribed metformin - and then very soon after doubled the dosage.

At that stage and against my doctor’s advice, I started to test and by doing that soon came to understand the effect that different foods had on my blood glucose levels. By using that information and gradually changing my diet over the last eighteen months, I have fully reversed my Type 2 diabetic situation. Today, all my numbers are better than they were at diagnosis - in most of the cases by a massive amount. If I went to the doctor today then by the most-commonly-used diagnostic tests - fasting blood glucose levels or HbA1c - they would say that I did not have diabetes.

Basically, the main thing that I've done is to cut out almost all the starchy carbohydrates - e.g. cereals, bread, potatoes mainly but I'm also very careful with rice and pasta too. In my opinion this has been by far and away the main reason for my dramatic improvement in blood glucose levels.

My HbA1c has dropped from a high of 9.4% to in the 5s the last five tests - and a lowest-ever of 5.1% last time. I'm hoping to take it below 5 very soon.

I have described below the diet that I've basically settled down to eating. This diet wasn't adopted overnight and isn't something that I've read about. My current diet developed slowly by testing - to see what effect different foods had on my blood glucose levels - and then slowly adjusting my diet accordingly. My current typical eating and drinking patterns are as follows:

Breakfast

Usually grilled (but sometimes fried) bacon, tomatoes and mushrooms - sometimes an egg too.

- Or, mushroom, bacon, cheese omelette.

- Or, if I ever eat cereals instead then it's always Lizi's granola (low-GI nut-based) these days. I eat no other kind of cereal whatsoever these days – not even porridge.

- Or, occasionally, low-fat natural yoghurt with berry fruits instead.

I never eat bread or any other cereals except Lizi's granola at breakfast – and certainly no porridge.


Lunch

Almost always meat (usually ham or chicken) or fish or low-fat cottage cheese with a big salad (lettuce, spring onions, peppers, radishes, celery, cucumber, cherry tomatoes, with a few grapes or chopped apple) - with a small amount of linseed/flax seeds added - plus a dressing made with olive oil and apple cider vinegar.

No bread or potatoes – except very occasionally and – if I do - only a very small amount.

If I'm in a pub situation then I usually eat beef or gammon steak with vegetables - sometimes with a few chips. Salads are another very good option too when eating out.

Evening Meal

Meat (usually chicken) or fish with various vegetables - sometimes as a stew type meal.

Sometimes I eat low-GI type brown rice or spelt or pulse pasta or something similar.

I’ve recently started to substitute cauliflower for potatoes to make such things as cauli-mash cottage pie, or cauli-rice type dishes. I’ve found that such dishes give very good post-meal blood-glucose readings. Cauliflower is a great substitute for potatoes.

Never any bread or potatoes - or anything like pizza, naan bread, chapattis or suchlike even if I'm in a restaurant - except very occasionally. If I do eat any of these foods it would only be a very small amount – a piece.

Snacks

I eat fruit throughout the day and every day - loads of it - as well-spaced-out snacks - never as part of another meal apart from where shown above - I pick the smallest pieces of fruit that I can find and eat all the following every day usually sometimes more than one of each (but never at the same time) - apples, pears, satsumas, plums frequently - and occasionally, bananas, kiwis, peaches or grapes. I fill my pockets with fruit whenever I leave the house and eat it as I move about. However, a word of warning about fruit, quite a lot of people with diabetes tell me that fruit causes their blood glucose to rise to high levels so, if eating fruit, people need to test to establish what it does to their levels.

The rest of the time, I nibble at small portions of:

A small amount (around 20g) of mixed nuts and dried fruit - usually every day.

Low-fat yoghurts - most popular Muller Light but others too.

Low-fat cheese - with one or two oatcakes or Ryvita Thins.

Tesco Light cottage cheese with pineapple.

Oily fish - rich in omega-3 types - sardines, mackerels etc.

Pickles - beetroot, cucumber, onions, red cabbage etc.

Cherry tomatoes

Cold vegetables if there are any in the fridge.

Ice cream is just about my only weakness and very occasionally, I eat an ice cream cone. I stress very occasionally.

In general, I never eat packets of crisps, buns, biscuits, sweets, chocolate, cake and suchlike on a regular basis. On vary rare occasions indeed, I might eat one biscuit or one small piece of chocolate – I stress this would be on very rare occasions indeed. I might have a few crisps or small piece of cake or bun in a buffet situation.

Alcohol

I used to drink a lot of alcohol but these days drink very little (about five units a week and certainly less than ten) - mainly the odd glass of red wine or sometimes a small whisky. Very rarely, I will have a little more red wine on a special occasion when out for the evening and I'm not driving. These days, I rarely ever drink alcohol in the house even though my wife and family do. I must say, it wasn't always like that!

Other Drinks

Various teas (spiced, earl gray, redbush etc, etc) and coffee (mainly decaffeinated but not always) all black with a sweetener - I try to vary the drinks depending on the time of day.

If I ever do use milk - e.g. with Lizi's granola or in drinks - it is always the 0.75% or 1% fat milk types.

I drink sparkling bottled water or just plain old simple tap water by the pint with my evening meal.

Very, very occasionally these days I might drink a Tango Zero or sometimes Tesco’s diet ginger beer.

I never drink fruit juice or non-Zero drinks and only very rarely any beer or lager these days

Supplements

I’ve never been a person for taking supplements but these days I’ve started to use the following on a daily basis:

- a multivitamin tablet once per day
- an omega-3 one capsule once per day
- an apple cider vinegar tablet last thing at night
- Occasional, use of cinnamon (sprinkling on foods, in teas etc)

Weight Loss & Exercise

By the way, I'm still calorie counting because I still want to lose more than the 5 stone that I've lost already. I'm intent to take my BMI to below 25 - i.e. into the normal weight band - I'm almost at that stage with a BMI of around 28 - down from BMI 40. I might take it as low as a BMI of 22.5 - i.e. my supposed "ideal weight" as defined by the health people. These days I'm eating around 1,300 to 1,500 calories per day most days and occasionally (about once a week just a little more). Despite that, I never feel hungry!

I don't put very much of my improvement in blood glucose readings - if any at all - down to my loss in weight. Why not? Quite simply because the lowering of blood glucose levels came about immediately that I started to change my diet - i.e. in days or weeks. I say this because I found that I didn't have to wait until I'd lost a lot of weight before I got my improvement and that may help to motivate others who find losing weight to be difficult. In my opinion and in my case, I consider that it was the dietary change that was most important - i.e. mainly the cutting back dramatically on my starchy carbohydrate intake which led to my improvement.

In addition, I do very little exercise and when I do it's nothing other than just ordinary walking - just a very occasional two to three mile easy walking – and nothing severe. I really ought to try to do much more exercise for my general health and well-being. The effect of exercise on lowering blood glucose levels is something that I’m trying to test out and experimenting with to try to establish how effective this might be in improving my control still further.

I think that covers just about everything. I hope that other people with non-insulin dependent Type 2 diabetes might find this detailed summary of my current eating habits useful and that my experience might be helpful to them in dealing with getting control of their own Type 2 situations.

If anyone has any further questions then feel free to get in touch.

Best wishes – John
 
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thank you for that john...it will certainly help x
 
Thank you John for the detailed plan it's given me some good ideas. I too have to get my BMI down and would be interested to know how you feel eating 1300-1500 calories and exercising? What exercise do you find best in conjunction with your balanced diet?

In the past i have calorie counted when attempting to lose weight but its harder when sometimes awake for 24 hours doing nightshifts. Hunger does set in.
 
Hi again Ness,

I'm quite OK eating 1,300 to 1,500 calories per day. I can't say that I ever feel hungry. Certainly, it's not difficult for me and as expected my weight keeps dropping.

I do very little exercise - just the very occasional 2 to 3 mile walk - and that has been the same more or less throughout my entire improvement programme. I really ought to try to do more if only for my general well being!

I'm retired now and certainly never worked shifts on a regular basis. Given what you say that you sometimes feel hungry then ensure that you are eating snacks that won't be shoving your blood glucose levels too high. I find fruit suits me just fine in that respect because it does hardly anything to my blood glucose levels. However, that isn't the same for everyone so take care with that too. That's why I say that it's impotant to test to see what different foods do to your blood glucose levels.

Best wishes - John
 
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Thank you i have this post intersting. Some good points

Thanks
 
Cheers John, i'm due to see the GP again wednesday so will try and insist on a monitor.

P.s...congratulations on all your weight loss and latest BMI.
 
Thanks for the post John. Glad its working for you. Its given me some ideas how to reduce my carbs should I need to.

Richard
 
Thanks am64, choccy72, wakman and rhall92380 - and to Caroline too!

Since a few people seem to be finding this posting interesting, I've updated it a bit to include a few additional foods that I've remembered and some comments regarding weight and exercise too.

John
 
John - I am really impressed with your will power sticking to this diet.
 
Hi again Rachelha,

Why do you say that? I certainly don't feel deprived. I have as much meat, fish cheese and yoghurt as I want - also as much fruit and vegetables as I want. Moreover, I think that I could drink more alcohol too if that is what I wanted to do.

As I try to explain in my post, I see the diet to control my blood glucose levels and the diet to lose weight as two totally separate things. I could eat far more of the above foods without it adversley affecting my blood glucose levels.

However, I do agree that there is a very strong motivational and will power aspect too. I want to live a long healthy life and without developing any of the quite nasty complications that can come the way of people with diabetes - e.g. blindness, amputations, kidney failure & dialysis, heart disease etc just to name a few. Thinking about such complications does help me to focus on what I need to do to keep clear of them!

Also, all of the quite mild diabetic symptoms that I had suffered previously have disappeared altogether since I lowered my blood glucose levels. Maybe I should have added that to the original post because it is not insignificant.

Very best wishes - John
 
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Do you not find it verging slightly on Atkins? When I tried Atkins for weight loss a few years ago, I felt so poorly and tired all the time.

Is it really a reversal, or just controlling the symptoms? I know that's what we need to do to avoid complications, but if you ate what a non-diabetic ate, you'd still get a high glucose reading. A reversal would mean your body acting normally when you ate normal foods. You're definitely in control though - just nothing's been reversed, just controlled.

Inspiring stuff though!
 
Hi LisaQ,

I certainly don't feel poorly or tired - I feel just great!

I don't really know what Atkins is because I've never read about that diet or any other diet of that type for that matter. When I talk about diet, I don't mean diet in that sense - I mean changing my diet to cut down on the foods that send my blood glucose levels high. The separate diet that I use to lose weight is quite straightforward old-fashioned calorie counting.

However, what I do know is that Atkins is a low-carbohydrate diet and I don't really fit into that category. I still eat quite a lot of carbohydrate every day - between 100g and 200g - but almost all of it as fruit and vegetables with very little as starchy carbohydrate - i.e. about 40 to 50% of my calories as carbohydrates which is quite normal as I understand things. Many people that have taken excellent control of their blood glucose levels would tell me that I still eat too much carbohydrate.

It certainly is a reversal of where I started from in every respect - blood glucose levels, cholesterol, blood pressure etc - also, all the minor diabetic symptoms that I'd started to experience have disappeared altogether. Moreover, as I say in my post, if I went to see the medical people today by the usual methods they would say that I'm not diabetic unless I told them otherwise. Personally, I'd still call that a reversal - not a cure but certainly a reversal.

Certainly, I do not have any concern regarding the development of diabetic complications.

Best wishes - John
 
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Nice work

May mother got diagnosed 25 years ago with T2.
Insulin started 10 years after diagnosis.
I have tried to steer her to do exactly what you have described- more less, inclusive of exercise.
Even though she also has high blood pressure (for about 30 years) she is complication free - after 25 years with diabetes!

I salute you and her!
One thing she has been particularly good at is 'portion control', which has been her saving grace. But let me add here that 'chocolates and sweets' are still her achilles' heel. But remember, she is good at PORTION CONTROL !!!!!

Bravo. michael hutch🙂
 
Great to hear that Michael - I'm always so pleased to read about such success stories of people dealing with diabetes.

I know another Type 2, through one of these diabetes forums, who has maintained good control through diet for 40 years and he is complication free too. One of the first things they tell people with diabetes is that it is progressive - i.e. that you can't stop it getting worse with time. In my opinion, it is only poorly-controlled diabetes that is progressive. Whether that's true or not I can't say for certain but it's going to be my approach for as long as I've got to live on this earth.

I agree with what you say about portion control because that is important too especially with the problem foods that send our blood glucose levels into double figures. I believe that someone with diabetes can eat absolutely anything in small portions - one chocolate, sweet or anything else for that matter is really not going to do any harm to anyone. However, it's the stopping at eating only one that is the problem. If I'm given one chocolate with my coffee at the end of a restaurant meal then usually I'll eat it but I wouldn't ever be buying a box of them. Generally, I just find it easier to keep well clear of those types of foods.

Good luck and best wishes to both you and your mother from England.

John
 
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Hi John, i wonder if you can help me.....again!

Having seen the Gp today who gave me more diabetes info re healthy eating and weight loss, it states that you should increase the starchy carbs ie: cereals, rice etc within a healthy diet. I'm now a bit confused having read your plan above with great interest and don't know if i should be cutting out bread (2 slices of granary max per day)etc completely or continue. Obviously we're all different but like you were, i have a great deal of weight to lose and would love to get my BMI down to normal limits....whats the max carb allowance per day?
 
Hi choccy72,

Yes - that's what they told me and tell others also. However, it makes our Type 2 diabetic conditions worsen - they call it the inevitable progression of diabetes.

We really are not all so different because the starchy carbohydrate that we eat turns to sugar and increases our blood glucose levels. That happens to all of us. I can't tell you why the healthcare professionals give us that advice because I find it totally amazing and bewildering. Have you read my history of diabetes - I have summarised what happened to me in that respect in an earlier post:

http://www.diabetessupport.co.uk/boards/showthread.php?t=3961&highlight=reversal

I'm not in any position to advise you what you should or should not eat because only you can decide that. What I'm saying is that if you are having problems achieving good blood glucose control then cutting back on the starchy carbohydrates is the only way to go. What people need to do is to start carrying out some testing and see what effect different foods have on their blood glucose levels and then start reducing those foods. I am confident that you will find that starchy carbohydrates will send your blood glucose levels high.

Personally, these days, I hardly eat any bread of any sort, cereal of any sort other than Lizi's granola and potatoes - and I stress I do mean hardly any. I do eat a little bit of brown rice and spelt or pulse pasta occasionally. The low-GI food options do help a little if you still want to eat starchy carbohydrates but they aren't the full solution. Of course, portion control can help too. However, my testing has told me to try to keep well away from those foods. Whether you want to take your level of control to the same extent as me is quite another thing - that has to be your choice.

In general, people on low-carbohydrate diets eat as little as 50 to 60gms of carbohydrate per day and I know at least one who eats only 30g but I don't know whether that is a good thing to do. My intake is still high at 100 to 200g per day - but hardly any as starchy carbohydrate. I take almost all of my carbohydrate as fruit and vegetables.

Hope that helps.

Best wishes - John
 
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Thanks John for replying. It's going to be hard as my Gp doesn't want me to test so i'll have to jiggle things about a bit and see how my body reacts. The carb figures you've given me will also help as i won't be getting a dietician referral either!

kind regards Ness
 
Good luck with everything Ness.

You probably already know more than I did even after eight years. I wish that I'd got the right messages earlier.

Best wishes - John
 
Thank you John

Hi thank you John🙂 this will help me no end i think thats where ive gone wrong im eating to much bread and crisps to fill me up ive been eating at least three slices of bread a day i will cut that out and try to follow your diet, i will let you know if it helps me, i am 4 stone over weight and im 5 foot 2 not that big but still to big for my height, thank you so much Susan.
 
Glad to hear that Susan,

I hope that it will help. I'm sure that you'll do well.

We all look forward to hearing about how you do.

Good luck and best wishes - John
 
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