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My Six Stone Challenge

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AJLang

Well-Known Member
Relationship to Diabetes
Type 1
Yikes I have somehow managed to reach my heaviest weight evee after recently and rapidly putting on seven pounds - which coincided with my GP putting me on a strong dose of ranitidine which greatly increased my appetite.
I eat fairly low carb but my challenges are:
A) easily drinking several glasses of wine in the evening
B) needing to eat low fibre because of the gastroparesis
C) Very erratic BGs since trying to stop the Gastroparesis drugs
D) very low levels of exercise due to difficulty walking, Chronic Fatigue Syndrome and no longer having Susie to take me for walks
I am shocked to say that at only 5 foot I weigh 15 stone 7lbs!!
So my plan is start with a maximum of 1670 calories a day and log my weight loss and food on here and My Fitness Pal. Obviously alcohol will need to be substantially reduced 🙂
 
Today's food and drink
One fried egg on one slice of toast with tomato sauce
One Muller Light yoghurt
Dinner: Pan fried Seabass fillet served with honey and mustard dressing, roasted asparagus and Hasselback potatoes
Drinks: Diet Coke, water and one small glass of wine 🙂
TOTAL CARBS 70g
TOTAL CALORIES 1372
 
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Wishing you luck, it goes on so easy but getting it off is another matter.
What luverly grub. What time did you say to be there for dinner tomorrow :D
 
Thank you Ljc. I'm glad that you like the menu 🙂 I can send you some virtually 🙂
 
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Thank you Grovesy🙂
 
The very best of luck AJL. You'll feel so much better when you start to see the result of your efforts. By Christmas you'll be svelt 🙂
 
Thank you Ljc. I'm glad that you like the menu 🙂 I can send you some virtually 🙂
Hey that would be great, no carbs :D no cals :D, oh sugar no taste 🙄
 
Thank you Tracey and Marsbartoastie. LJC it does have virtual flavour🙂 Well I just managed to dodge a hypo last night by significantly reducing my basal. At 2.30 am I was 5.2 and panicked a bit so reduced my basal even further so woke up at 11.2. But if I can get through the first week hypo free whilst reducing my basals I will be happy. My basals change significantly in the early days of a diet because of there being less lingering food in my system affecting the gastroparesis...it's a bit complicated 🙂.
 
some find metformin helps T1s too
You may do better cutting back the Sugars including fruit/juice and Starches, including breads, pasta, rice, potato etc
...you may not need to go this low, but it will help and you can add back some more carbs as your weight gets better.
http://au.atkins.com/new-atkins/the-program/phase-1-induction.html

This facebook group may be worth joining for a while
https://www.facebook.com/Type1Grit/

what to expect the first week, besides being hungry for the first 2 days, then it stops
https://www.verywell.com/getting-through-the-first-week-2242037

you may also need to bolus for 25-50% of protein grams TAG ‘total available glucose’
https://healthonline.washington.edu/document/health_online/pdf/CarbCountingClassALL3_05.pdf
 
Thank you very much for the links Bilbie. I will definitely have a look at them. I have to be very careful because I have gastroparesis - nerve damage to the stomach caused by the diabetes which leads to delayed stomach emptying - the irony being that I'm meant to take medication which leads to me feeling more hungry, and hence why metformin isn't suitable for me. As gastroparesis requires a low fibre diet I rarely eat fruit and I haven't had fruit juice for many years. I also, pre-diet only averaged 60-80g carb a day. I will definitely look at these links. Thank you very much 🙂
 
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Bilbie I've just thought that I will also add my total carbs and cals each day to give an indication of what I've done🙂
 
You have your carbs low already..you clever thing 🙂
If you are on 60-80g and 75g protein and enough fats and not losing weight. I would cut back to an induction diet of 20g, although you are T1, you could still have insulin resistance and need to cut the carbs right back to lower your insulin load. As you know, insulin inhibits fat burning.
 
Thank you Bilbie. If I reduce the carbs that much what should I eat as I need low fat and low fibre to help the gastroparesis and I don't eat meat. I'm not sure how I could reduce to 20g carb? Suggestions are very welcome. Thank you.
 
Plus be able to make meals that my partner will also enjoy 🙂
 
can you cook up starch (spuds/rice) to add to the plate for hubby?
cutting back to 20g will only need making up for the further 40-60g of carbs, about 20-30g of more fats, one tablespoon of oil/butter or 1/2 an avocado. But you may choose to start at a higher carb and see if that works, There is a level of carb where you will lose weight

https://www.verywell.com/how-much-carbohydrate-is-right-for-you-2242035

I know fiber isn't good with gastroparesis, I didn't know it limited fat/oil digestion and movement through the stomach. you want to lose weight, you won't need to replace all the lost calories with dietary fats, so it won't be a high fat diet. but some can't do low carb and low fat or they will be driven back to carbs by hunger. I guess it's a matter of trying and tweaking it as you go.

my father, who lives with me, is in his 90's and is mostly on a liquid diet because of nerve damage.. sustagen, fortisip and 2 cal, whey protein and butter, coconut oils.. By mixing and blending, he can have a decent macro.
 
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wishing you all the luck AJ - that dinner did sound amazing! Well done on the one small glass of wine 😉
 
You have your carbs low already..you clever thing 🙂
If you are on 60-80g and 75g protein and enough fats and not losing weight. I would cut back to an induction diet of 20g, although you are T1, you could still have insulin resistance and need to cut the carbs right back to lower your insulin load. As you know, insulin inhibits fat burning.
Thank you Bilbie. I've been thinking about this whilst I was food shopping and I think, that for the moment, that I'm just going to focus on the calories. I think if I limit myself in other areas I will get bored and not keep to it. So some days may be higher carb and some lower carb. A consultant two or three years ago suggested a liquid only diet for the gastroparesis and i really don't want to go down that route at all (and that is putting it mildly about how I feel about it).
 
wishing you all the luck AJ - that dinner did sound amazing! Well done on the one small glass of wine 😉
Thank you Steph. I thought that I'd managed to sneak in the wine without anyone noticing:D
 
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