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Confused after DEAL Course

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happydog

Well-Known Member
Relationship to Diabetes
Type 2
I went on the DEAL (Diabetes Awareness for Life) course. It llasted for 6 hours in two sessions. I have sympathy for the NHS now as many of the participants did not want to have any information except about whether they needed to restrict their visits to the pub and how much cake and Christmas pudding they could have. When the podiatrist tried to talk about foot problems that could happen, one of the participants said "please stop you are making me feel sick", so she did. I asked the dietitian how many grams of carbohydrate should be a eaten each day and she said she did not know but it was an individual thing to discuss with the nurse. Low carbohydrate diets are very dangerous especially for diabetics. She suggested eating a balanced diet but stressed that there no need to think or feel that anything is restricted. We should all eat porridge, with a teaspoon of honey if we want to and not be alarmed if blood sugar goes up because it will come down again and is compensated for by the fibre intake. I think I will just carry on as I am doing. I do have two questions though. I was told that if you restrict your carbohydrate intake you liver will work overtime to produce glucose and you will then get a liver problem. Is this true? Secondly the dietitian was adamant that all animal fats such as butter and full fat cheese are taboo and also nuts and avocados because of their high fat content. A no no for diabetics. I don't think this is so. Can anyone give answers to these questions? Thank you.
 
I've learned far more from a few months visiting this forum that I ever did from any doctor/nurse/dietician.
 
Sounds a bit out of touch to me happydog, unfortunately :( I don't know the truth about ultra low-carbing and whether that affects the liver, but you don't necessarily need to go that far - you eat what you want within your tolerances, as indicated by your BG meter. And I certainly don't agree with the notion that it doesn't matter if your levels spike high after eating something because it will come down again - 'modern' thinking is that the large fluctuations in BG levels cause potentially more damage than having a steady, although perhaps higher, overall level. (e.g. shooting from 5-15 and dropping back to 5 is worse than going from 7-9 and back down to 7). As for fats - everything in moderation! Was exercise mentioned at all? This can have as big an effect on your control as food!

Shame that some of the other attendees got to drive the session by what they did and didn't want to hear. If they didn't want to know about the potential dangers they should have left the room or stuck their heads in a bucket of sand!

It is disappointing when you don't get what you hoped for out of these courses. If what you are doing is working well for you and you are happy with it, keep doing it I say! 🙂

p.s. might be worth writing to the course organisers and giving them some feedback so they might reconsider how some aspects are delivered in future.
 
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Secondly the dietitian was adamant that all animal fats such as butter and full fat cheese are taboo and also nuts and avocados because of their high fat content. A no no for diabetics. I don't think this is so. Can anyone give answers to these questions? Thank you.

The rule that I've been told to follow is that if it contains 5g or more of fat and sat fats, then it's not to be eaten. My dietician told me to eat no butter but try a spread with polyunsaturates. As for cheese, your dietician is correct. The fat content is horrendous. But even so, she recommended the odd triangle of Laughing Cow (Light) cheese spread.
 
Thank you all for your replies. I will let the course organisers know what I think, I can see that they are really up against it. Most people just don't want to know. I don't have to loose weight so I think that the odd small bit of cheese now and again is ok. As you say all things in moderation. I too have learnt a lot since I came here.
 
You get a *lot* more freedom with fats if your carb intake is lower from what I can see. I'm not 100% sure how much your intake of sat fat is thought to matter these days with various new research papers showing less correlation between fat intake and CVD than was once thought to be the case

I much prefer an 'everything in moderation' approach. Apart from breakfast cereal - that stuff is EVIL! 🙂
 
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