Seen the dietition.

[veganlass]

She said my food diary was very healthy. The only suggestion was to increase the starchy carbs. My BMI is 26 Near the border of healthy (bearing in mind it was post lunch and clothed)

She suggests to have the fruit fresh rather than dried as the sugars are more concentrated in dried. She said it was ok to have a couple or three on occasions..

I told her I had made a muesli yesterday of 2 tablespoons of porridge oats, 3 dried apricots, 3 dried dates and 2 brazil nuts, 5 almonds, a couple of hazel nuts and soya mlk. She said that was fine.

She said (looking at my log book) my BG's may stay high even if I lose a few more pounds and that I will probably need medication. I said I plan to go down to 9 stone and she said see how the BG's are then. As losing the weight will certainly help bring them down .

She said if I have something sweet, ie cake. it was better to have it with the main meal as it will take longer to get into the cells.

 

[am64]

well done VL that sounds like a you are well on the way ...i had rasberries blueberries and a few cherrys at lunch today and they had no dramatic effect on my blood 🙂...i fine the problems for me lie with apples bananas oranges melon🙂mad: my pre dx favourite) and pineapple ..

 

[Pumper_Sue]

She said my food diary was very healthy. The only suggestion was to increase the starchy carbs. My BMI is 26 Near the border of healthy (bearing in mind it was post lunch and clothed)

She suggests to have the fruit fresh rather than dried as the sugars are more concentrated in dried. She said it was ok to have a couple or three on occasions..

I told her I had made a muesli yesterday of 2 tablespoons of porridge oats, 3 dried apricots, 3 dried dates and 2 brazil nuts, 5 almonds, a couple of hazel nuts and soya mlk. She said that was fine.

She said (looking at my log book) my BG's may stay high even if I lose a few more pounds and that I will probably need medication. I said I plan to go down to 9 stone and she said see how the BG's are then. As losing the weight will certainly help bring them down .

She said if I have something sweet, ie cake. it was better to have it with the main meal as it will take longer to get into the cells.

I'm not surprised you will need meds if you are told to increase your starchy carbs 😱 That would be counter productive to lowering blood sugar.

 

[Northerner]

Not wishing to contradict the advice of your dietician, but the approach towards increasing your carbs should be one of using your meter to tell you what you can tolerate. All carbs convert to rises in blood glucose levels, it is the extent and tha rate at which this happens that you need to be mindful of.

Some fruit is much better (lower GI) than others - grapes tend to be high, strawberries less so. I'd recommend getting a book on GI or GL so you can plan better which food you select, and then monitor your reactions to it using your meter. 🙂

 

[veganlass]

This is from the leaflet she gave me, and confirms what she said.

http://diabetes.org.uk/Site_Search/...e&t4=&d1=&d2=&d3=&d4=&d5=&d6=&chk=10000000000


I had decided to continue as before anyway. I cannot see by increasing m carbs will help my weight loss neither..

I have some new strips today so will increase my starchy carbs and monitor for a few days after a starchy meal. I think keeping carbs down s the answer for me.

She was a dietition specialising in Diabetes.

 

[everydayupsanddowns]

Sounds good VL. Glad to hear you will continue to keep a careful eye on the carbs. What was the reason for increasing carbs? What are you supposed to be doing it for?

 

[veganlass]

She says (I think it was standard pat for all diabetics!) is that I should aim for a quarter on a plate of starchy carbs.

She said high fibre carbs such as wholegrains and fruit play an important role in the health of the bowels. Aslo glucose from the carbs essential for the body.

To suggest having a quarter of your plate as carbs, is too much for me. I am doing ok as I was and continue to keep smaller carb portions.

 

[donnarob]

Hi There,

If anything is going to spike me, it will be a baked potato or porridge. Not worth even entertaining those foods now.

Donna 🙂

 

[Ellie Jones]

Me must admit I would be tempted to ignore the the increase startchy carb sorts of defeats the object, you got to increase startchy carbs to increase glucose but then take medication to knock it donw Hmmmmmmm..

When I was on a strict insulin/carb intake regime many years ago, I had a period of having regular hypo's so my DSN said to me to increase my carbs at a particular meal!

I went home thought about it, and to be honest I couldn't have ate any more carbs at that meal, because I was already struggling to eat what had been prescribed.. So I decided to reduce my insulin slightly worked a treat🙂

 

[veganlass]

Yes I was amazed she suggested it in the first place.

When I said one of my weakness was nice bread and I couold happily eat 6 slices a day, she said that was fine... She suggested seeded bread and granary(which I prefer anyway).

I know now by elimination what spikes my BG's . That is cereal, Bread, biscuits,cake. Mostly anything with wheat I think.

I do like oatcakes and have those as they are low GI.

 

[mcdonagh47]

Yes I was amazed she suggested it in the first place.
.

They all sing from the same Hymn Sheet. you've found out the hard way that most dietitians are as much use to the average Type 2 as a chocolate teapot.

You are probably not familiar with Wallycorker's Petition to Downing Street on this very matter in 2009.
"Don't test and eat lots of carbs", the advice given to newbie T2s and most accept it uncritically.

 

[everydayupsanddowns]

She said high fibre carbs such as wholegrains and fruit play an important role in the health of the bowels. Aslo glucose from the carbs essential for the body.

Un.be.lievable. I wish I could stop hearing about this advice being dished out. About as helpful as telling T1s on insulin 'Oh we don't really do carb counting here' like it's some kind of crazy newfangled idea.

So rather than recommending that you get your fibre from, say, green leafy vegetables (with little BG impact) you are advised to eat platefuls of spike-inducing carbs. Marvellous.

And yes there is an argument for inclusion of some carbs, but you were not talking about complete abstinence, just a reduction amount based on what your body can actually manage to process. Not a lot of use eating to the body eating carb-laden food only for the glucose to just slosh about in the bloodstream until the kidneys flush it out surely?!

Mike

 

[veganlass]

Thanks Folks, glad it wasnt just me that thought that!.

I asked about Chromium tabs and she said as it was not scientificaly proven she couldnt comment.

As you say they all sing from the same hymn sheet.

I am more likely to get better advice going privately to a nutritionist (70 quid a time!!).

I will carry on as I am with only 9lb to lose in weight. Await for my first HBAc1 test and result.

 

[Vicsetter]

Hi veganlass, have you seen the post I made about oat milk. I have an oat milk smoothie with a whole banana and a half cup of mixed berries (Sainsbury frozen) for breakfast, it's quick and doesn't seem to affect me.

 

[Pumper_Sue]

This thread is over a year old.

 

[wallycorker]

They all sing from the same Hymn Sheet. you've found out the hard way that most dietitians are as much use to the average Type 2 as a chocolate teapot.........

I like that Mcdonagh!

You certainly seem to understand the nationwide problem that we have with most dietitians - and healthcare professionals generally - very well as far as their advice affects people with Type 2 diebetes!

Best wishes - John

 

[wallycorker]

Thanks Folks, glad it wasnt just me that thought that!.

I asked about Chromium tabs and she said as it was not scientificaly proven she couldnt comment.

As you say they all sing from the same hymn sheet.

I am more likely to get better advice going privately to a nutritionist (70 quid a time!!).

I will carry on as I am with only 9lb to lose in weight. Await for my first HBAc1 test and result.

Hi Veganlass,

The best thing in the world that you could spend your money on is on test strips - that's if your GP won't prescribe them for you. I started off buying mine off eBay but get them on prescription these days whenever I want them.

Testing quickly tells a Type 2 what different foods do to their blood glucose levels and you quickly learn which foods to eat less of and/or eliminate from your diet. Such testing soon teaches you that starchy carbohydrates such as cereals, bread and potatoes are basically sugar - if you didn't know that already!

Forget about wasting money on things such as chromium tablets!

Best wishes - John