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IBS and Type 2, how can I manage both to loose weight?

CarTer*555

Member
Relationship to Diabetes
Type 2
Hello I have IBS (Irritable Bowel Syndrome) and newly diagnosed Type 2.
I have been told by one dietician to increase my carbs, and fibre, but another dietician said I need to decrease my carbs and fibre. Eat more dairy and fruit and veg...

Well this is confusing.

I am Lactose intolerant, and most of the lactose free dairy products are really high in fat. fruit and veg can make my IBS worse, and with diarrhoea format of IBS, fibre is sometimes difficult to manage.

How can I loose weight when the Lactose free foods are high in fat?

I would appreciate any help on IBS and Type 2, and loosing weight?

thanks
 

Lucyr

Well-Known Member
Relationship to Diabetes
Type 2
That sounds difficult to manage. Are there some veg that work better for your ibs than others? Losing weight is about quantity of food really, so if you can eat smaller portions or reduce snacks to take in less calories whilst sticking to foods that work for both your ibs and blood sugars (some experiments needed!) then you should lose weight. How do lower fibre things like fish, eggs, chicken, salad etc work for your ibs?
 

Leadinglights

Well-Known Member
Relationship to Diabetes
Type 2
It can be confusing when you get different massages from the 'experts' who you assume have done similar training to be certified as a Dietician.
I believe there are a few people here who have IBS so hopefully they will chip in to offer some suggestions as to how you can manage all aspects of your conditions.
There may be some posts you can find if you do a search which will help.
 

rebrascora

Well-Known Member
Relationship to Diabetes
Type 1
All I would say is don't be frightened of fat. We have been misinformed for years about it. If you cut carbs, which will help your diabetes management and you should lose weight. You have to get energy from somewhere though and the only 2 other options are protein and fat. In the absence of enough carbs, 40% of protein is broken down into glucose but only 10% of fat and over a much longer period of time, so increasing fat in the diet is the obvious choice. The great thing about fat it that it is that it is satisfying and makes you feel full because it takes longer to digest. One of the causes of our current obesity crisis is that we cut back on fat and the food industry replaced that fat with carbs mostly sugar but starches too to improve flavour and texture of food that was no longer as pleasant to eat with the fat removed. Yoghurt is a classic example of this.... Remove the natural fat from the milk and add in extra sugar to make it sweeter and starch to thicken it because it has become watery without the cream. Add in lots of artificial colours and flavours and people will happily eat it and because it is low fat they even believe they are making a healthy choice. This is the prime example but there are many others and over time our tastes have changed and as a result we want that sweetness in food more and more but it triggers insulin production which stores that sugar as fat in the cells of our body because we are eating more than our body needs for energy, so those low fat products are actually making us fatter.... and the food industry is making a killing because those carbs they add are cheap.

I found this presentation the other day by a doctor in America who specializes in treating obese people and particularly those with diabetes.... which might help you to understand it a little better

 

Ljc

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
@rebrascora .If I remember right, too much fibre or fat can cause problems when you have IBS .
 

rebrascora

Well-Known Member
Relationship to Diabetes
Type 1
I didn't think fat was a problem with IBS but I know some types of fibre can cause difficulty with it.
 

Ljc

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
@CarTer*555 .
I am sorry to say that diabetes often doesn’t play well with other conditions.
With IBS if I remember right both fibre and fat can cause problems if you have too much of them, I assume how much is very individual, so you may need to do some experimenting.
whereas with diabetes it is as @rebrascora says.

The dietician who told you to increase fibre and fat, is likely to be a diabetes dietician, so will be expert in that field and may not understand too well about IBS management.
 

Ljc

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA

rebrascora

Well-Known Member
Relationship to Diabetes
Type 1
I wonder if the problem with fat is the length of time it takes to break down and if having an IBS episode then that causes problems because the calories cannot be extracted but if the OP needs to lose weight and IBS is managed through diet and not irritated then fats should be helpful. As you say, like diabetes, it may be individual and you need to experiment to figure out what works for you. All I am saying is don't rule fat out purely on weight loss or general dietary advice and avoid low fat foods both for your diabetes and weight loss.
 
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Ljc

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
I wonder if the problem with fat is the length of time it takes to break down and if having an IBS episode then that causes problems because the calories cannot be extracted but if the OP needs to lose weight and IBS is managed through diet and not irritated then fats should be helpful. As you say, like diabetes, it may be individual and you need to experiment to figure out what works for you. All I am saying is don't rule fat out purely on weight loss or general dietary advice and avoid low fat foods both for your diabetes and weight loss.
Oh yes I agree
 

rebrascora

Well-Known Member
Relationship to Diabetes
Type 1
I am now quite sceptical about all NHS dietary advice these days. It is all governed to some extent by the low fat "eatwell" plate and then just modified slightly for different conditions, but the "fat is bad" mindset is so heavily entrenched I think it just gets included everywhere. It almost seems to be the first consideration with any suggested NHS dietary plan.
 

CarTer*555

Member
Relationship to Diabetes
Type 2
thank you @rebrascora and @Ljc for your comments, it is confusing, some fats can cause bloating and cramps, with IBS sufferers. I have had IBS for 35 years, since I was 20, and although some times I have to run like a lightning bolt to the loo if I eat something that upsets my IBS, I have pretty much managed it ok. however in past few years going through the menopause and having a spare tyre around my middle, and now getting diabetes, has been hard to capture weight loss pattern.
I have tried all those so called Lactose free products, but although they have taken out the Lactose, they have increased the fat, and it isn't good fat, it is very watery too. Not much taste either. but when you look much closer to these products as I have to with the diabetes diagnosis, there are added sweeteners and they actually are sometimes more than a normal product! But stick a label on it saying Lactose free and bump up the price and well you have a special product!
I got phone call today to say I have been passed onto yet another dietician that is 4 in total now, and none of them have been able to give me a good plan, they contradict each others information. However this latest dietician I am being referred to has experience in IBS but not with diabetes! But I am willing to give them a chance and see what they say.
thanks for your help and support xx
 

Ljc

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
thank you @rebrascora and @Ljc for your comments, it is confusing, some fats can cause bloating and cramps, with IBS sufferers. I have had IBS for 35 years, since I was 20, and although some times I have to run like a lightning bolt to the loo if I eat something that upsets my IBS, I have pretty much managed it ok. however in past few years going through the menopause and having a spare tyre around my middle, and now getting diabetes, has been hard to capture weight loss pattern.
I have tried all those so called Lactose free products, but although they have taken out the Lactose, they have increased the fat, and it isn't good fat, it is very watery too. Not much taste either. but when you look much closer to these products as I have to with the diabetes diagnosis, there are added sweeteners and they actually are sometimes more than a normal product! But stick a label on it saying Lactose free and bump up the price and well you have a special product!
I got phone call today to say I have been passed onto yet another dietician that is 4 in total now, and none of them have been able to give me a good plan, they contradict each others information. However this latest dietician I am being referred to has experience in IBS but not with diabetes! But I am willing to give them a chance and see what they say.
thanks for your help and support xx
That’s all you can do is give them a chance . I really do hope this dietitian can help you.
 

Ljc

Well-Known Member
Relationship to Diabetes
Type 1.5 LADA
This is not going to be any help you to yo @CarTer*555 sorry.
But Tbh I’ve found it so much easier since 2016 when I went onto insulin.
 

stephen775

Member
Relationship to Diabetes
Type 1
IBS I've got it so all I do is not drink milk, I drink either soya milk or almond milk, and take electrolyte tablets and if you want to lose weight then try running with IBS you go for a 5 minute run and then go to the toilet before going for something like a 20 to 30 minute run, lactose is the biggest trigger for IBS if that doesnt help search for IBS trigger foods and work out what is triggering your particular case of IBS
 

pink lady

Member
Relationship to Diabetes
Type 2
I have Crohn's Disease and like you find it hard to strike a balance which foods to eat.
I tend to use trial and error but it is very depressing, when trying to lose weight.
I think I need to see a specialist in diet but which one??
 

stephen775

Member
Relationship to Diabetes
Type 1
If you eat high healthy fat low carb low sugar you will lose weight not gain weight because the fat in food is different from body fat so buy some soy milk or almond milk and do some strength training and then start your couch to 5km training
 

AspieMum

Member
Relationship to Diabetes
Type 2
If you eat high healthy fat low carb low sugar you will lose weight not gain weight because the fat in food is different from body fat so buy some soy milk or almond milk and do some strength training and then start your couch to 5km training
Easier said than done for some of us. When my IBS is playing up I have to avoid fibre. And guess what healthy foods are full of it. Then there's my osteoarthritis (so no 5km training- not even close). Oh and I'm sole carer to 3 autistic young adults. 2 of which I can't leave home alone. White bread is almost like sugar to my diabetes.
 

stephen775

Member
Relationship to Diabetes
Type 1
Hello I have IBS (Irritable Bowel Syndrome) and newly diagnosed Type 2.
I have been told by one dietician to increase my carbs, and fibre, but another dietician said I need to decrease my carbs and fibre. Eat more dairy and fruit and veg...

Well this is confusing.

I am Lactose intolerant, and most of the lactose free dairy products are really high in fat. fruit and veg can make my IBS worse, and with diarrhoea format of IBS, fibre is sometimes difficult to manage.

How can I loose weight when the Lactose free foods are high in fat?

I would appreciate any help on IBS and Type 2, and loosing weight?

thanks
I have IBS and peel the skin of of apples and thats the fibre gone before, I also drink coconut water, eat coconut oil and use soya milk instead of cows milk, I use probiotics and love cheese, healthy fat can be found in oily fish nuts avocado's olives cheese greek yogurt and none of these set of IBS, when I go out running I go for a 5 minute jog and then go home and go to the toilet and thats me im fine to run as much as I like, saturated fat will put weight on but healthy fat will make us lose weight and body fat and healthy fat are totally unrelated, popcorn is good to fill us up but not the sugary stuff of course, I eat heathy fat and I am as skinny as anything
 
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